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March
07
 

In search of new kinship terms

tags: gamete donation, IVF, new frontiers, surrogacy

I am really working above my paygrade here, but I propose a thorough revision of Lewis Henry Morgan’s classic text, Systems of Consanguinity and Affinity of the Human Family. Back in 1871 he identified six fundamental systems that languages have for classifying relatives: Hawaiian, Sudanese, Eskimo, Iroquois, Crow and Omaha. (English is regarded as an Eskimo-type language.) 

Of these six systems, the most complex is the one used in southern Sudan. Every possible relationship has a unique word to describe it, whether it is “mother” or “mother’s brother’s first son’s youngest daughter”.

In the course of probing research into kinship terms over the past 20 minutes I discovered that nowadays Morgan’s classifications are considered outdated. At least one more system has been discovered, the Dravidian system, and some languages add refinements like distinguishing between older brother and younger brother. Some Australian Aboriginal languages use the same terms of address for alternating generations.  

If you have got this far, you are probably getting a bit impatient.

My point is that we need a new burst of creativity to invent new words for relationships created by assisted reproductive technology. In this week’s newsletter, for instance, we have a biological mother acting as surrogate mother for her biological son. A couple of weeks ago, we reported a lesbian using her brother’s sperm to impregnate her partner. English is already poor in kinship terms. Can it possibly cope with the pressure of surrogacy and gamete donation or even gamete creation? 

We have reason to hope.

The roots of modern English are in Anglo-Saxon and (remotely) Latin. Both of these defunct languages followed the Sudanese system, with different names for each relationship. Anglo-Saxon, for instance, had eight different terms for cousin. What they did, we can do. Any suggestions?

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March
01
 

Religion and bioethics

tags: bioethics, religion

Hi there,

Even writing a short column like this one is a tough job. Those who agree with you expect more gold when the lode is nearly exhausted; those who disagree with you demand minute documentation; those who are merely curious will not return if the punctuation is sloppy. There’s a deadline and it has to be posted quickly. It can make you quite dyspeptic.

Which perhaps explains a post written by the incoming associate editor of the Journal of Medical Ethics, Brian D. Earp. An Oxford theologian, Nigel Biggars, argues in the JME that there is a place for religion in bioethics and medicine. (See below.) Fiddlesticks, says Earp. “Some people will feel a shiver go down their spines—and not only the non-religious.”

I thought for a moment that he must have been referring to the intersection of religion and cardiology documented in The Discovery And Conquest Of Mexico, by Bernal Diaz. (A fabulous read, by the way.)

"The dismal drum of Huichilobos sounded again, accompanied by conches, horns, and trumpet-like instruments. It was a terrifying sound, and when we looked at the tall cue [temple-pyramid] from which it came we saw our comrades who had been captured in Cortés defeat being dragged up the steps to be sacrificed. …Then after they had danced the papas [Aztec priests] laid them down on their backs on some narrow stones of sacrifice and, cutting open their chests, drew out their palpitating hearts which they offered to the idols before them."

But no, Earp was referring to Christianity, whose distinctive contribution to medicine, apparently, is to deny women life-saving abortions. It’s odd that he ignored the Good Samaritan ethic which gave rise to the modern hospital system and the well-documented origin of bioethics in Catholic medical ethics. And, as Biggar points out, notions of human dignity and a preferential option for the poor are grounded in Christian ethics.

If we are looking for a philosophy to animate good medical care, we could do worse than Christianity, quite a bit worse. I think that the jury is still out on whether religion-less, secular medical ethics has really been a big improvement. 

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February
22
 

The noble lie

tags:

Hi there,

I just came across an opinion piece in New Scientist by one of its feature editors, Michael Le Page. It’s not the sort of opinion that surfaced in the media before Parliament passed the “three-parent baby” law earlier this month.

Mr Le Page says candidly that the law allows genetic engineering. “The decision to allow three-parent babies is right. But the fact is, opponents were also right to describe this as a step towards tinkering with the rest of our genome.”

He goes on to argue that most scientists concealed their true opinions on the matter out of “political expedience”. “I suspect many biologists harbour similar views, but not many say so openly. Instead, they back three-parent babies but say it isn't really genetic engineering.”

I wonder if Mr Le Page understands the seriousness of the allegation he makes here. He is saying that the scientists involved in selling the idea of “three parent babies” lied to the public -- even though this was clearly of the most ethically challenging bioethical issues ever debated in Parliament.

The last time I checked, lying was deeply immoral. Perhaps there are exceptions, though, if scientists need to lie to people who are troublesome and stupid. Then it’s probably OK.

The problem with lying, though, is that one quickly acquires the habit of deceit and manipulation. Then it becomes harder and harder to trust anything the liar says.

I do hope that Mr Le Page is wrong about this. What do you think? 

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February
14
 

Poverty and health

tags:

Hi there,

If there is a theme for the stories in this week's newsletter, it is that poverty is bad for your health. After the Greek economy tanked, as Xavier Symons reports below, the standard of health care has become dismal. It's one more reason to fear a global economic meltdown. 

But it also leads to some confused thinking. British Prime Minister David Cameron has announced that obese people who are collecting a sickness benefit may be kicked off the welfare rolls if they do not follow their doctor's treatment regime (see below). This tough medicine sounds sensible if you believe that obesity can be solved just by pushing yourself away from the table.

However, lots of research has shown that obesity is a complex problem. Poverty is one of its causes, or one of the factors associated with it. Will making people poorer make them slimmer? Is Mr Cameron's plan a daring new health policy, or is it just grandstanding? What do you think?

Cheers,

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February
08
 

Canada legalises assisted suicide

tags: assisted suicide, Canada, euthanasia

Assisted suicide in Canada has been described as “an idea whose time has come”. It’s a reality now after Friday’s unanimous Supreme Court decision.

What intrigues me is: why Canada? Something is going on there. Canada must be the only country in the world without an abortion law. Canada was the first sort-of Anglophone country to legalise same-sex marriage. And now Canada is the first sort-of Anglophone country to legalise assisted suicide.

Why is Canada so ethically progressive even though it struggles to keep from being stereotyped as “the world’s most boring country”? (Check Google.) Does it have something to do with the tension between Francophone Quebec and the rest of the country?

I suspect that Americans are really ignorant of the cultural currents in their northern neighbour. But to see where the US, the UK, Australia and New Zealand are heading, they need to study how the second largest country in the world already got there.

Any ideas? 

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February
01
 

Just one more sleep before the Super Bowl

tags:

Hi there,

It was extremely distracting, but as we were toiling over BioEdge today, we also had to watch the final in the Asian Cup. The 2-1 win by the Socceroos over South Korea in extra time will be a great boost for soccer in a country where there are four competing codes: rugby, rugby league, AFL and soccer, all confusingly called “football”. There is even a small league playing what Americans call “football” and Australians call “gridiron”.

It was a great game, although the best goal of the tournament was scored by Tim Cahill in the quarter-final against China: a bicycle kick into the left corner of the net. It was quite stunning and the video went viral.

Um, bioethics…? OK, OK, OK. Sorry.

I came across a post on the blog of the American Journal of Bioethics about gridiron, sorry, football, which asks whether bioethicists can ethically watch a game with such poor health outcomes for its players. Many develop Parkinson’s, Alzheimer’s, uncontrollable aggression, cognitive impairment and other disorders. Not to mention another issue, the US$10 million that the NFL has spent studying concussed mice, to the disgust of animal rights activists. “It is important to question whether supporting the NFL detracts from our duties as bioethicists and the goals of our profession,” writes Keisha Ray.

Dr Ray seems to be dragging bioethics back to its roots in Catholic medical ethics, as  this is a typical question debated by theologians in the field of “cooperation in evil”. The question she is really asking is whether bioethicists just have to be smart or whether they have to be saintly and smart.

Anyhow, after watching the Australia-South Korea match, I have a suggestion. What if the US banned gridiron and adopted soccer? Soccer lacks the moral complications of gridiron, has a lower level of injuries and is a world game. I doubt whether European soccer clubs are shelling out US$675 million to care for brain-damaged players and their families. 

Just a thought which we can debate further after the New England Patriots meet the Seattle Seahawks tomorrow in Super Bowl XLIX.

Cheers,

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January
25
 

Stereotypes

tags:

There is an apocryphal story of an advertisement placed in the matrimonial pages of a North India newspaper: "Family seeks homely, attractive, convent-educated girl for son. Caste no bar. But must be able to drive tractor. Photo of tractor appreciated." That is a joke, of course, but the real advertisements are just as intriguing for Westerners. One feature of a desirable “boy” or “girl” is a fair complexion, often described as a “wheaten” complexion.

The industry which has sprung up to feed the demand for lighter skin in India is worth an estimated US$500 million. Advertisements in magazines and on television drum home the message that a lighter skin gets the boy/girl/job. This is obviously perpetuating stereotypes about beauty, class, and caste as well as exploiting anxieties about body image. Is it ethical? That is the question posed by one group of academics in a story below.

An even more serious issue in the same vein is whether doctors should comply with requests for virginity tests. Like female genital mutilation, this is a practice which has spread to Western countries with migration. A South African doctor argues below that national colleges of doctors should declare that this is completely beyond the pale.

We’d love to get your comments on these stories. 

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January
17
 

What about #JeSuisBaga?

tags:

Hi there,

Like most of you, I suspect, I have been mesmerised by the drama in France. Seventeen people dead at the hands of jihadists invoking the name of Allah. Millions of people marching through the streets of Paris. World leaders convoking meetings to discuss global security.

Global, that is, in the sense of both sides of the Atlantic. And Atlantic, in the sense of 30 degrees north of the equator.

In the meantime, the troops of Boko Haram, also invoking Allah, swept through the dusty town of Baga, in northeastern Nigeria and killed hundreds of people, men and women, old and young, and left their bodies to fester in the streets.

It’s not often that we are confronted with so stark a contrast. According to MIT’s Center for Civic Media, even Nigerian newspapers paid more attention to events in Paris than in Baga. The #JeSuisCharlie hashtag became so popular that entrepreneurs tried register it as a trademark. But no one is tweeting #JeSuisBaga.

My point is an obvious one, so obvious that it sounds like a tedious platitude. We may be living in a global village, but the other residents live like us, look like us and think like us. Outside the village live about 80% of the world population.

These two atrocities don’t have a lot to do with the kind of bioethical issues that we normally cover in BioEdge. But the contrast does suggest that we have a blind spot. Developing World Bioethics, an academic journal edited by Debora Diniz and Udo Schüklenk does a good job of examining some of the challenges in poor countries outside the neon lights of our hyper-connected Global Village. Touch wood, we’re making a New Year’s resolution to examine some of these problems in BioEdge as well. 

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January
10
 

Nihilism across the globe

tags:

Hi there,

Happy New Year! We’re back – and it has been a sombre week. Apart from the murders in Paris by Islamic terrorists there was the less publicised massacre of possibly 2,000 people in the Nigerian town of Baga by terrorists from Boko Haram, the local affiliate of al-Qaeda.

The violence really made me sick at heart. It was deeply disturbing to see the YouTube video of a young man killing a wounded policeman as he loped down the footpath. The  casualness, the insouciance, the nonchalance was appalling. What sort of warped ideology shapes the brain of a young man to kill defenceless people without a second thought?

And to tell the truth, I also find it disturbing that the world’s leading activist for euthanasia is thinking of launching a new career as a stand-up comedian. Dr Philip Nitschke has been deregistered by an Australian medical tribunal over his involvement in a suicide of a man who was not terminally ill last year. But there are probably dozens of others who acted on his advice and are no longer with us. He will no doubt be using anecdotal material at the Edinburgh Fringe Festival in August this year. (This is not a joke.)

I think this shows how out-of-touch Dr Nitschke is with public morality. We expect doctors to be saving people’s lives, not joking about killing them. The problem is that he has become desensitized by years of helping people to kill themselves. “I’m hardened to them, he told the tribunal. “I behave to them perhaps on a way which some would see as insensitive.”

There is no comparison between the handiwork of Philip Nitschke and of the terrorists. Except in this: both are deeply nihilistic. Human beings have no intrinsic dignity and death is better than life. We don’t need either of them in a democratic policy.

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December
20
 

The year draws to a close

tags:

A very happy Christmas and New Year to all of our subscribers. Thanks for your support, comments, and donations throughout the year.

This is our last newsletter for 2014. Our next issue will appear on January 10. However, we will be working behind the scenes on improving BioEdge. We’d love to hear your ideas for 2015.

Cheers,

to make a comment, click here

 

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