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Tuesday, December 31, 2024

Mind cure

"...mind cure and the crop of pseudoscientific interventions that materialized contemporaneously (“hydropathies, diet fads, homeopathies, mesmerisms, hypnotisms”) were “acceptable neither to science nor to church,” as Meyer writes. Their unacceptability was precisely the point. Neurotics were tired of contending with a liberal Protestantism that called suffering congregants to feats of manly self-discipline, and they were no less tired of an impotent medical establishment bent on dismissing their problems as fictions.

Many doctors in the 1860s and ’70s were staunch materialists, unwilling to countenance the existence of diseases that left no detectable traces. Others understood “nervous disorders” as regrettable but inevitable by-products of modernity and its ceaseless exhaustions. In his 1881 treatise, American Nervousness, pioneering neurologist George Beard anticipated much of the self-help dialectic to come, identifying society as the problem and proposing personal improvement as the solution. “Confronted by an imbalance between two terms”—the self and civilization—“one could modify one or the other, or both,” writes Meyer. But not for a moment did [Beard] mean to be attacking civilization. He drew no romantic inferences. He had no political or social therapies to propose. In effect, Beard assumed that “modern civilization” was what it was; nothing was to be done about it.

In this tacit isolation of therapy from society, of health from politics, he was offering nineteenth-century individualism one of the major lines upon which it could fall back in its twentieth-century retreat. If neither physicians nor pastors could heal nervous people, patients would have to seek alternative sources of aid or learn to heal themselves. Paradoxically, they did both, often simultaneously. They discovered alternative sources of aid in mind cure—which promptly counseled them to fix themselves. The crankish cure-alls that flourished at the end of the century were an ingenious way to split the difference between their two nemeses, science and organized religion: mind cure and its brethren were precursors of the now-common claim to being “not religious but spiritual,” for they, too, straddled the growing schism between enchantment and Enlightenment, cloaking the consolations of religion in the sober mantle of scientific respectability. Here at last was that precious thing, license to believe in miracles without stanching the tides of Progress."

Everything is Too Small: https://a.co/fHaOfaQ

Tuesday, December 17, 2024

How to Repair the Planet? One Answer Might Be Hiding in Plain Sight.

We tend to look at environmental problems in isolation. A holistic approach would be more effective, a new report says.

Sometimes, human needs can make problems like climate change and biodiversity collapse seem insurmountable. The world still relies on fossil fuels that are dangerously heating the planet. People need to eat, but agriculture is a top driver of biodiversity loss.

But what if we're looking at those problems the wrong way? What if we tackled them as a whole, instead of individually?

A landmark assessment, commissioned by 147 countries and made public on Tuesday, offers the most comprehensive answer to date, examining the sometimes dizzying interconnections among biodiversity, climate change, food, water and health.

"Our current approaches to dealing with these crises have tended to be fragmented or siloed," said Paula Harrison, a co-chair of the assessment and an environmental scientist who focuses on land and water modeling at the UK Center for Ecology & Hydrology, a research organization. "That's led to inefficiencies and has often been counterproductive."
...

https://www.nytimes.com/2024/12/17/climate/biodiversity-climate-change-interconnections.html?unlocked_article_code=1.iE4.d22K.DrhnJ6y0rYq2&smid=em-share

Thursday, December 12, 2024

The Gilded Age of Medicine Is Here

"...2024 was arguably the year that the mortal dangers of corporate medicine finally became undeniable and inescapable. A study published in JAMA found that, after hospitals were acquired by private-equity firms, Medicare patients were more likely to suffer falls and contract bloodstream infections; another study found that if private equity acquired a nursing home its residents became eleven per cent more likely to die. Although private-equity firms often argue that they infuse hospitals with capital, a recent analysis found that hospital assets tend to decrease after acquisition. Yet P.E. now oversees nearly a third of staffing in U.S. emergency departments and owns more than four hundred and fifty hospitals. In some of them, patients were "forced to sleep in hallways, and doctors who spoke out were threatened with termination," according to Jonathan Jones, a former president of the American Academy of Emergency Medicine.

Erin Fuse Brown, a professor at the Brown University School of Public Health, told me that private-equity firms have learned that they "don't have to make things better or make them more efficient. You can just change one small thing and make a ton more money." They are hardly the only corporations to learn this lesson. Increasingly, health insurers, private hospitals, and even nonprofits are behaving as though they aim first to extract revenue, and only second to care for people. Patients often are viewed less as humans in need of care than consumers who generate profit.

In 1873, Mark Twain co-wrote the novel "The Gilded Age: A Tale of Today," which satirized an era that was marked by inequality, greed, and moral decay but was painted in a veneer of abundance and progress. Industrialists made fortunes in oil, steel, and shipping even as millions suffered poverty and exploitation. Today, health care is where the money is. New technologies and treatments sustain the impression that patients have never been healthier, but corporations and conglomerates wield immense power at the expense of the people they're meant to serve. Welcome to the Gilded Age of medicine..."

https://www.newyorker.com/culture/2024-in-review/the-gilded-age-of-medicine-is-here

Tuesday, December 10, 2024

English heritage

That ubiquitous internet attribution to Ben Franklin of the line that beer is proof that God loves us is surely apocryphal.

"His (London) colleagues nicknamed him the Water-American because he refused to partake in the ubiquitous beer drinking: a pint before breakfast, with breakfast, after breakfast, with the midday meal, at six, and a last one before bed. (Franklin preferred Madeira.) Franklin also prided himself on healthy habits…"

— The Bookshop: A History of the American Bookstore by Evan Friss

Nobelists vs. rfk jr.

More than 75 Nobel Prize winners signed a letter urging senators not to confirm Robert F. Kennedy Jr. to lead the Department of Health and Human Services. The letter marks the first time in recent memory that Nobel laureates have banded together against a cabinet choice. https://nyti.ms/3ZVGD0t

https://www.threads.net/@nytimes/post/DDYfLHMJfBP?xmt=AQGz_JVaAzyTLs1rr8ONwjp0eyswfDQbK_U4lh0Gh7_Ruw

Saturday, December 7, 2024

Atul Gawande on living longer/better

  
Atul Gawande, the assistant administrator for global health at the U.S. Agency for International Development, talks about how to live longer and better, with the New Yorker staff writer Dhruv Khullar.

Gawande's Being Mortal is excellent. He talked about it at Google:


 

Monday, December 2, 2024

Back in '25

 Returning Spring 2025


PHIL 3345, BIOETHICS 

T/Th 4:20 PM, James Union Building (JUB) 202


3 credit hours. Explores ethical issues arising from the practice of medical therapeutics, from the development of new biomedical technologies, and more largely from reflections on life’s meaning and prospects in the face of changing modalities of intervention fostered particularly by the various life sciences. Dr. Oliver


Supporting the philosophical study of bioethics, bio-medical ethics, biotechnology, and the future of life, at Middle Tennessee State University and beyond... "Keep your health, your splendid health. It is better than all the truths under the firmament." William James --Course blogsite, http://bioethjpo.blogspot.com/


TEXTS include-

  • BIOETHICS: THE BASICS (Campbell) ”the word ‘bioethics’ just means the ethics of life”... 

  • BEYOND BIOETHICS (Obasogie) “Bioethics’ traditional emphasis on individual interests such as doctor-patient relationships, informed consent, and personal autonomy is minimally helpful in confronting the social and political challenges posed by new human biotechnologies”... 

  • THE PREMONITION (Lewis) "The characters you will meet in these pages are as fascinating as they are unexpected. A thirteen-year-old girl’s science project on transmission of an airborne pathogen develops into a very grown-up model of disease control. A local public-health officer uses her worm’s-eye view to see what the CDC misses, and reveals great truths about American society"...

  • THE CODE BREAKER: Jennifer Doudna, Gene Editing, and the Future of the Human Race (Isaacson) "we are entering a life-science revolution... Should we use our new evolution-hacking powers to make us less susceptible to viruses? ...Should we allow parents, if they can afford it, to enhance the height or muscles or IQ of their kids? After helping to discover CRISPR, Doudna became a leader in wrestling with these moral issues..." 

  • WHAT WE OWE THE FUTURE (MacAskill) "argues for longtermism: that positively influencing the distant future is our time’s key moral priority. It’s not enough to reverse climate change or avert a pandemic. We must ensure that civilization would rebound if it collapsed; counter the end of moral progress; and prepare for a planet where the smartest beings are digital. If we make wise choices now, our grandchildren will thrive, knowing we did everything we could to give them a world full of justice, hope and beauty"...






For more info: phil.oliver@mtsu.edu


Sunday, December 1, 2024

If My Dying Daughter Could Face Her Mortality, Why Couldn’t the Rest of Us?

 Recently, a friend of Orli's gave me a tremendous gift: the knowledge that Orli had tried to prepare herself. Four months before her death, Orli texted this friend to say she knew she would not survive. She believed she had two years left. "I'm going to die," she wrote. "But doesn't everyone? I just will die a little sooner than most. This is a great opportunity for me actually. Everyone's focused on the time they have left. They forgot to live."

That she could face what we could not is not entirely unusual. Some psychologists have pushed for allowing teens and young adults a role in determining not only the course of their care but also in how they live their days, and how they die. This population, I learned, has a strong sense of their own trajectory; they are known for trying to protect the emotional well-being of their caregivers.

Indeed, after she died, I found out that Orli had worried most about what would happen to us — Hana, Ian and me — if she were to leave. I offered her no reassurance. I didn't know these were her fears. I learned of them too late.

She and Ian spoke about death more than I did — what happens, where do we go, is there something more, will we ever see each other again? I wish I had been in those conversations. Still, I am comforted that they took place.

Everyone, even children, deserves the opportunity to sit with these questions at the end of life. It's not impossible. But to do so requires us to recognize: It's not sadness we should fear. It's regret.

https://www.nytimes.com/2024/11/25/opinion/children-cancer-grief.html?smid=nytcore-ios-share&referringSource=articleShare