Showing posts with label medicine. Show all posts
Showing posts with label medicine. Show all posts

Monday, November 22, 2010

I'm too busy being distracted by papers..

But if you're interested, you can read this great little article on our attention span.
What was once normal, has become a problem....  Because we said so.

Thursday, June 10, 2010

Euthanasia's terrible reputation

I find it odd that people have serious reservations about euthanasia still.  This isn't to say that there aren't serious considerations that need to be taken into consideration about whether it should be performed in this instance or that instance.  But the act, generally, is hard to deny. 

Perhaps, its because of its association with the Nazi party that really made things difficult for euthanasia to gain a foothold in the public consciousness.  I think, though, this is a product of the unfortunately powerful Nazi propaganda machine more than anything.  To say that the Nazi's engaged in euthanasia is like saying a straight man is being discriminatory towards males.  Its a misuse of the term.

When the Nazi's utilized "euthanasia" the state determined when it was acceptable for a person to live or die, not based on any particular medical condition, patient desire, or quality of life issue, but rather based on a perceived inferiority of a particular group.  We properly call this genocide, and although many today call it that, its hard to shake the synonymous relationship that history made between genocidal acts and euthanasia. 

When I speak about euthanasia, I'm referring to a medical practice of terminating a life because the person is terminally ill.  The least controversial form of euthanasia, is voluntary euthanasia, where the person to be euthanize is terminally ill and requests euthanasia.  There are cases that fall in-between these definitions, and although they are very difficult, I wouldn't call them euthanasia.  I'm thinking of cases in which a person is not terminally ill, but requests to be killed because of quality of life issues and their inability to terminate their own lives.  The film "Million Dollar Baby" is a good example of such a case. 

Surely, we can see the moral differences between the Nazi genocide program, and euthanasia.  The Nazis murdered people who wanted to continue to live.  If they did want to die, it is most likely because of the conditions that the Nazi's forced them to endure within concentration camps.  Causing a person to suffer from a terminal illness is just as bad as murdering them.  In the case of euthanasia, assumedly, the doctor or the government did not cause directly their current afflictions, nor is their choice for living out the remainder of their life taken away from them. 

Old associations die hard though.  (This is by no means a full account of why euthanasia is acceptable.  This is simply an account of why a very common objection to euthanasia is not a powerful objection.)

Wednesday, November 25, 2009

A farce?

Its been making headlines and blog posts everywhere.... a Belgian man has been fully conscious and paralyzed for 23 years, and treated as if he was in a vegetative state....

But then, in comes James Randi, saying its a farce, nothing more than facilitated communication, using a kind of high tech ouiji board. 

I had my doubts when I first heard the story... How could a completely paralyzed man communicate with us?  Apparently its as simple as holding his hand and guiding it along a keyboard. 

But if this part is a farce, and I would be inclined to agree with James Randi here, how do we explain the brain scans that say that he is in fact conscious and responsive to stimuli....

I'm terribly confused about this particular case.  But one thing is for sure, if we keep scanning vegetative people's brains, we would eventually find more seemingly vegetative people with active brains.  So what do we do about these cases?  How do we care for those who are conscious and fully "locked-in" (assuming such a condition exists)? 

In my ethics course, when we discuss euthanasia and quality of life, it quickly becomes apparent that its a highly subjective thing.  Some might think that a quadrapalegic life is not worth living... I think that if I had a helping spider monkey and was able to watch Lost, then life would still be worth living.

But the problem with "locked-in" people is that they cannot voice their desires, except with perhaps a brain scan.  But brain states aren't exactly equivalent to yes and no answers.  So even if they are fully conscious, I think it might boil down to an excrutiatingly cold-hearted utilitarian calculation.  Does the locked in patient provide friends and family more joy than not?