Up@dawn 2.0

Monday, March 12, 2018

Lab-Grown Meat




The Washington Post


Lab-grown meat is in your future, and it may be healthier than the real stuff





By Marta Zaraska May 2, 2016


Scientists and businesses working full steam to produce lab-created meat claim it will be healthier than conventional meat and more environmentally friendly. But how much can they improve on old-school pork or beef?

In August 2013, a team of Dutch scientists showed off their lab-grown burger (cost: $330,000) and even provided a taste test. Two months ago, the American company Memphis Meats fried the first-ever lab meatball (cost: $18,000 per pound). Those who have tasted these items say they barely differ from the real deal.
  
For some people there’s an ick factor to the idea of lab-grown meat, but its backers say that cultured meat may help alleviate the environmental and health challenges posed by the world’s growing appetite for conventional meats. The Organization for Economic Cooperation and Development estimates that the demand for meat in North America will increase by 8 percent between 2011 and 2020, in Europe by 7 percent and in Asia by 56 percent.

Meanwhile, a 2011 study calculated that growing meat in labs would cut down on the land required to produce steaks, sausages and bacon by 99 percent and reduce the associated need for water by 90 percent. What’s more, it found that a pound of lab-created meat would produce much less polluting greenhouse-gas emissions than is produced by cows and pigs, even poultry.

Yet a 2015 life-cycle analysis of potential cultured meat production in the United States painted a less rosy picture if one includes the generation of electricity and heat required to grow the cells in a lab.
   
The health benefits of cultured meats are still not completely clear, either.


In some aspects, researchers say, lab-grown meat might be better for us. Because cultured meats would be produced in sterile environments, they would be free of such dangerous bacteria. The Centers for Disease Control and Prevention estimates that pathogens in conventional meat are the most common sources of fatal food-related infections.

And the use of antibiotics in food-producing animals — to fight disease and help the animals grow faster — has been identified as a source of antibiotic-resistant bacteria that is dangerous to humans. The Food and Drug Administration estimates that the sales of antibiotics for such usage has been going up — by about 23 percent between 2009 and 2014.

Both Memphis Meats and the Dutch team, which is trying to make the production of cultured beef more efficient, said they do not use antibiotics in their products because the sterile lab process does not require them. They also don’t use growth-promoting hormones, which commercial feedlots give to most cattle. According to a European Commission report, their adverse effects in humans may include “developmental, neurobiological, genotoxic and carcinogenic effects.” One of these hormones, estradiol, has been banned in farm animals in Europe since 2003 but is still in use in the United States.

As for lab-grown meat and cancer, the story gets complicated. Last October, the International Agency for Research on Cancer, which is part of the World Health Organization, published a report that classified red meats as “probably carcinogenic to humans” and processed meats as “carcinogenic to humans.” And the head of the IARC suggested that people “further support public health recommendations to limit intake of meat.” Yet scientists aren’t sure which elements of conventional meat are responsible for its potential carcinogenic effects.
  
There are a few substances that scientists suspect, though. Among them is heme iron, which is common in meat and is found almost exclusively in meat. This form of iron can cause DNA damage and induce formation of N-nitroso compounds, some of which are potent carcinogens.

A study that followed nearly 200,000 post-menopausal women found that the amount of heme iron in their diet was positively associated with an increased risk of breast cancer.


Other studies show connections between heme iron intake and colon cancer.

So here is the good news for lab-grown meat: According to its producers, lab-cultured beef or pork can be made completely free of heme iron. “I think that removing heme iron from meat would make for a colon-safer product,” says Graham Colditz, a cancer researcher at Washington University in St. Louis who has no association with the groups producing lab meat.

Another thing that might be removed from cultured meat, or significantly reduced, is saturated fat, which raises the level of bad cholesterol, increasing risk of stroke or heart disease. Healthier omega-3 fatty acids could take its place. “Stem cells are, in principle, capable of making omega-3 fatty acids. If we can tap into that machinery of the cell, then we could make healthier hamburgers,” says Post, who is working on the fat content of lab-grown beef.

Unfortunately, potentially carcinogenic compounds found would be harder to get rid of. Among them are nitrites and nitrates, preservatives that are commonly used in processed meats such as ham and bacon.

According to Post, because cultured meats are sterile, they would require much less nitrate to stay safe to eat. On the other hand, nitrites and nitrates are also used to prevent oxidation in products such as hot dogs, so that they don’t lose their appealing color. Lab-grown sausages and hams, Post says, would be “very similar to regular meat” because the compounds would still be needed to preserve the meat’s appearance.

Among other things that would stay in cultured meats are heterocyclic aromatic amines (HAA) and polycyclic aromatic hydrocarbons (PAHs). According to the WHO report, these chemicals can cause DNA damage.

“To be honest, I wouldn’t know how to affect HAA and PAHs in cultured meat,” admits Post, who says he isn’t even sure he would “want to change that.” The reason? These substances are products of the Maillard reaction — the marriage between carbohydrates and amino acids in a slightly moist, hot environment (think grilling or roasting) that help give meat its enticing flavor.

“Maillard reactions are very important,” says Paul Breslin, a nutritional sciences professor at Rutgers University in New Jersey. “They are the flavor of cooking and give baked cookies, fresh-baked bread and grilled ribs their characteristic flavors, which we obviously love.”

And that’s the catch: If we remove too much fat, the meat will lose juiciness and texture. If we remove heme iron, it won’t be red but yellow — the color of the beef that Post is growing in his lab. If we add too much of the omega-3 fatty acids, the meat may get a fishy flavor.

Lab-grown meat may be better for the environment and improve on several health aspects of conventional meat. But for now, at least, it can’t be exactly like regular meat and have no potential health downsides whatsoever.

“We’re not there yet,” acknowledges Uma Valeti, a co-founder and the chief executive officer of Memphis Meats, “but in just a few years, we expect to be selling protein-packed pork, beef and chicken that tastes identical to conventionally raised meat but that is cleaner, safer and all-around better than meat from animals grown on farms.”


At that point we’ll be able to decide if it also tastes good.


Quiz Questions

  1. How much was the first-ever lab grown meatball by pound?
  2. Why do some researchers say that lab grown meat might be better for us?
  3. What hormone has been banned in farm animals in Europe but is still legal in America?
  4. What does Graham Colditz say about removing heme iron from meats?
  5. What will saturated fat be replaced with in lab-grown meat?
  6. The products of what reaction gives meat its enticing flavor?
  7. What are one of the consequences of removing fat, iron, or adding to much omega-3?

The Secret to a Longer Life? Don’t Ask These Dead Longevity Researchers

Several years ago, a geologist named Anatoli Brouchkov harvested some bacteria that had survived in the Arctic permafrost for eons. When the bacteria was injected into female mice, the compound seemed to extend their youth. Though Dr. Brouchkov is neither female nor a mouse, he wondered whether it could slow his own aging — and ate some of it.

When I pointed out that this might have been a terrible idea, he giggled. “I was just curious,” he said. His attitude was: If you have found some prehistoric microbes, how could you not put them in your mouth?

In the field of anti-aging and longevity research, self-experiments are all the rage. Valter Longo, director of the University of Southern California Longevity Institute, undertakes multiday fasts. Other scientists are dosing themselves with the diabetes drug metformin, believing it may help protect their cells from wear and tear. Charles Brenner, a biochemist, has drunk milk laced with high doses of nicotinamide riboside, a type of vitamin B that might defend against aging.

And many of us are imitating them. The longevity scientists have their own fan bases — groupies and wannabes trying to replicate esoteric laboratory regimens at home. There are online forums devoted to Dr. Brenner’s research on which people share data on how the vitamin affects everything from their blood pressure to their poop. Dr. Longo’s dietary program, ProLon, sells kits with teeny-weeny meals.

I’m susceptible to this kind of thinking myself — I fast for more than 12 hours a day, in homage to the findings of Satchidananda Panda at the Salk Institute for Biological Studies. Sometimes it seems as though everyone I know is adding a new supplement to their diet or subtracting a food group or component like gluten. We all want the same thing: to believe we have the power to stave off the ravages of old age...

Saturday, March 3, 2018

The Challenge of Doctor-Patient Relations in the Internet Age

“Let me do some research, and I’ll get back to you,” my patient said.

My patient, a 19-year-old undergraduate, had already taken time off from school because of her anxiety. I was her psychiatrist, with over two decades of experience treating university students, and had just explained my diagnostic impressions based on a lengthy evaluation. I’d recommended that she try a medicine I expected would help. I’d also laid out the risks and benefits of other treatment options.

“Do you have additional questions I can answer?” I asked. I wanted to let her know that’s why I was there, to cull the research, to help make sense of it.

“No, I like to go online and look for myself,” she said.

More and more, I see students turning away from the expertise that a live person can offer and instead turning to the vast and somehow more objective-seeming “expertise” of the digital world.

In an age when journalism we don’t like can be dismissed as “fake news,” suggesting that the information we do like is most credible, regardless of its source, it’s not hard to understand why young people do this. The medical profession itself, under managed care, has played a role as well, providing less time for doctor-patient interactions and undermining the chances that a personal relationship and trust can develop. Under the guise of efficiency, medical test results are now often released directly to patients, sometimes before or even without the benefit of any interpretation.

But there’s danger in trusting data over people, as there is in thinking the expertise of all people is equivalent. When it comes to health, digital natives may not be learning how to navigate effectively. And the consequences could be harmful.

The availability of health data on the internet has its benefits. Online, for example, we can find explanations and solutions for symptoms we might be too embarrassed, or afraid, to discuss with another person, in person. Or, for life-threatening diseases, we can locate clinical trials our doctors may not be aware of.

However, there’s also a lot of misleading information, and information that’s flat out untrue. The internet is full of people selling things — supplements, treatment regimens that have not been rigorously tested, even prescription medications — and making false promises that have not been scrutinized by regulatory agencies. Sometimes, as in the case of “pro-ana” websites that promote “an anorexic diet” for “aggressive” weight loss, the information can encourage life-threatening behavior.

Many smart, well-educated people think they are immune from the risks of misinformation. But they underestimate how the experience of illness can affect judgment. Emotional suffering, in particular, can be profoundly isolating, shaking our sense of self to its core. Having other human beings to walk the path with us — doctors and other licensed clinicians who relay information in the context of a caring relationship — is part of what leads to better outcomes.

Years ago, when we discussed paternalism versus patient autonomy in my medical school ethics class, I came down strongly in favor of autonomy. Who but the patient could best decide what was right for him or her? But years of clinical — and personal — experience have taught me that information in and of itself is insufficient. Judgment is also indispensable, especially in complex situations, and the capacity for good judgment rests within people, not data sets.

I’ve had patients refuse antidepressants I know would be likely to help, because they’ve read online that they will cause weight gain, even when I explain it’s highly unlikely. I’ve had patients insist they need a stimulant medication because they fit a brief symptom checklist for A.D.H.D., balking at my assessment that their substance use or anxiety may better account for their problems. I had a student forgo psychiatric treatment after reading online that a gluten allergy accounted for his symptoms — and his negative gluten allergy test results could not be trusted.

I go online for many things: to choose rentals when I travel, or to research consumer goods before I buy them.

When I choose a physician, though, I don’t rely on the popular consensus found online.

Satisfied patients typically don’t bother to post feedback about their doctors online; dissatisfied ones are more motivated to post complaints. But those complaints may or may not accurately reflect whether the patients actually got treatment that was right for them.

Similarly, personal anecdotes of experiences with a particular drug or other form of treatment may have little relevance to whether that treatment fits another person. I want professionals whose education, training and actual experience I can trust. Then, after forcing myself to ask all my questions, even the embarrassing ones, I aim to trust my doctors’ judgment, and their interpretation of the research and data in their field.

My young patient returned two weeks later, having decided to start the medicine I offered. She was reassured that what she’d read online, and heard from friends, confirmed what I’d told her.101COMMENTS

In her case, the only cost was that she’d delayed treatment by two weeks, deferring the benefit she might have had in the semester’s crunch moments. Some patients delay for much longer, or opt out of evidence-based treatment in favor of something of dubious benefit that’s hawked online.

When it comes to health, I hope we can help the next generations understand that there isn’t always an app for that.  nyt

Doris Iarovici, a psychiatrist at Harvard University’s Counseling and Mental Health Services, is the author of “Mental Health Issues and the University Student.”

Thursday, March 1, 2018

The Origin by Dan Brown




Origin Quiz
1. What is evolution?
2. What is entropy?
3. What is the proposed Seventh Kingdom?
4. What happens to humans and technology, according to Edmond Kirsch?
5. What is the price of greatness?

6. Are humans in a symbiotic relationship with technology already?

"Juicing for Health or Torture"

In this week’s eSkeptic, Harriet Hall, M.D. (aka The SkepDoc) examines many of the health benefit claims for juicing, and finds them lacking scientific scrutiny. This article appeared in Skeptic magazine 22.3 (2017). Buy this issue.

Juicing for Health or Torture

BY HARRIET HALL, M.D.
We are ingenious at finding new ways to complicate our lives and torture ourselves. One of those ways is adopting fad diets in the quest for health. Juicing is a big fad today. I find that hard to comprehend. I recently endured two interminable months on a liquid/pureed diet while my fractured jaw healed. It was miserable. If I were a prisoner being interrogated, the promise of solid food might have tempted me to tell all. It was hard to maintain a nutritious diet and find foods that could survive being blenderized and still tempt the appetite. The only “health benefit” was the loss of a few pounds that I really didn’t need to lose; it brought me down to a BMI of 18.8, close to the “underweight” range of 18.5 or less. Since that experience, I cherish the pleasures of being able to chew. We have teeth for a reason. The idea of systematically taking delicious solid fruits and vegetables and reducing them to liquid strikes me as a truly revolting idea. I don’t object to the occasional fruit juice, but celery without the crunch? No thank you.
Health Claims for Juicing: Detoxification
People juice for various reasons. One is “detoxification,” a buzzword that is a red flag for pseudoscience. My liver and kidneys do an excellent job of removing toxins from my body, thank you very much. They don’t need any help, except in the case of acute poisoning with lead or other heavy metals. And juices are useless in acute poisoning. Several companies will sell you juices for detoxification. Some examples:
Juice Served Here tells us “everyday life contributes to the congestion and buildup of harmful toxins in the body from processed foods, pollutants and stress.” They offer a Soft Cleanse, a Semi Cleanse, and a Hard Cleanse: 25% off; originally $55 a day! When a customer asked Juice Served Here to specify the toxins he’d be flushing from his system, the company answered with this lame copout: “Unfortunately, due to regulations by the FDA we are unable to specify exact health claims for our products.” Naturally.
Paleta offers a PURIFY Cleanse that will “cleanse the toxins right out of your system so you can experience a more joyful and healthful life.” Benefits? Lose weight, kick the caffeine habit, reduce or stop smoking, detoxify your liver, boost your metabolism, refresh your mind and body, curb sugar cravings, increase energy and stamina, improve skin, hair and nails, sharpen cognition and focus, reduce sensitivity to allergens, and improve moods. The full 10-day program costs $645. Gee, if it really could do all that, it might be worth that much.
Moon Juice offers “plant-sourced alchemy to nourish and elevate body, beauty and consciousness… Juice cleansing enables the body to naturally go into detox mode while flooding it with live nutrients and enzymes… Some signs that it is time to cleanse are: a weakened immune system, troubled skin, allergies, low moods or anger, sleeplessness, poor digestion, weight gain, low energy, feeling and looking blah.” (I can relate to feeling blah, but I’m not sure I understand “troubled” skin.) They offer Rainbow, Indigo, and Green cleanses that they claim will “flood your system over the course of the day with over 20 pounds of certified organic, raw produce and nuts or seeds. The only thing missing is the fiber.”
Pure Pressed offers Green Cleanse, Detox Cleanse, and Energizer Cleanse.
That’s enough examples. You get the idea. […]

"Medicine Can Soothe a Troubled Mind, but Not Without Costs"

The world’s first transorbital lobotomy was performed in 1946 by Walter Freeman, in his Washington office. Using an ice pick from his own kitchen, he went through the eye sockets into the brain of his patient, a 29-year-old severely depressed housewife, and cut into her frontal lobes. Then he sent her home in a cab.

The history of mental illness treatments reveals medicine at its most inventive, desperate and disturbing. There have been awe-inspiring discoveries — of the healing properties of lithium, for example, a soft, silvery metal produced in the first 20 minutes after the Big Bang. But remedies generally seem to have run a narrow gamut from the unpleasant (Cotton Mather’s prescription for depression: “living swallows, cut in two, and laid hot reeking unto the shaved Head”) to the outright sadistic. Aside from Freeman’s lobotomies, there is a long tradition of poisoning patients or inducing comas to “reset” the brain. In one notorious treatment, turpentine was injected into a patient’s abdominal wall in the hope of encouraging a fever high enough to burn away her hallucinations.

We’re lucky to live in more evidence-based, scientific times. Or do we? In “Blue Dreams,” a capacious and rigorous history of psychopharmacology, the psychologist and writer Lauren Slater looks at the fact that despite our ravenous appetite for psychotropic medications (about 20 percent of Americans take some psychotropic drug or other), doctors don’t really understand how they work or how to assess if a patient needs them. In the case of antidepressants, two-thirds of patients taking an S.S.R.I. (Prozac, Zoloft, Celexa, etc.) would improve on a placebo alone.

Still the misconception that depression is a matter of “low serotonin” persists. “There is no proof that a depressed person has a chemical imbalance,” Slater writes. “When you choose nevertheless to put that person on a medication that will alter neurotransmitter levels in his or her brain, then in effect you are causing a chemical imbalance rather than curing one.”

Tuesday, February 27, 2018

"Yes, They’ve Cloned Monkeys in China. That Doesn’t Mean You’re Next"

Jan. 24 -
Researchers in China reported on Wednesday that they have created two cloned monkeys, the first time that primates have been cloned with the technique that produced Dolly the sheep more than 20 years ago.

The long-tailed macaques, named Zhong Zhong and Hua Hua, were made from fetal cells grown in a petri dish. The clones are identical twins and carry the DNA of the monkey fetus that originally provided the cells, according to a study published in the journal Cell. They were born at the Chinese Academy of Sciences in Shanghai.

Dolly the sheep was produced from udder cells that had been frozen for six years. Until that feat, many researchers had thought that type of cloning was impossible, because it required taking adult cells and bringing them back to their original state, when sperm first fertilized egg.

The cell would then have to start to grow in a surrogate’s womb and to differentiate into an entire animal, genetically identical to the one that provided the initial cell.

But once cloning proved possible, researchers began improving their method and testing it on other species. Since Dolly was born, researchers have cloned 23 mammal species, including cattle, cats, deer, dogs, horses, mules, oxen, rabbits and rats. (continues)
==
Barbara Streisand cloned her dogs...

Sunday, February 25, 2018

The Opioid Crisis

WHO'S TO BLAME for this nation's opioid crisis? If anyone is qualified to point an accusing finger, it may be the man who led the fight against another scourge years ago. Our Cover Story is reported by Lee Cowan: 
"We will bring this industry to their knees right here in Mississippi, and I'm proud of that," said Mike Moore.
When Moore -- a self-described country lawyer -- first stood up against "Big Tobacco," everyone thought he was crazy.
"Let me tell you something: When I filed the case in 1994, my mom thought I was crazy!" he told Cowan. "She called me and said, 'It might be time for you to come home now.'"
They weren't laughing for long, though.  Just four years later, as Mississippi's Attorney General, he negotiated the largest civil litigation settlement in U.S. history, forcing Big Tobacco to shell out more than $200 billion to help states recoup the costs of treating smoking-related illnesses.
But Moore also wanted something else: to make sure the tobacco companies pay to educate people about the dangers of their products. He made sure that nearly $2 billion of the tobacco settlement was set aside to fund The Truth Initiative, a public health campaign widely credited with reducing the teen smoking rate with sometimes shocking ad campaigns, like one in which body bags are deposited on the front steps of Phillip Morris' corporate office...
(text/video continues here)

"Doctors, Revolt!"

Boston — The 96-year-old patient with pneumonia in Bed 11 was angry. “Do you really need to check my vital signs every four hours?” he asked.

Checking things like temperature, blood pressure and respiratory rate every four hours on hospitalized patients has been the standard of care since the 1890s, yet scant data indicates that it helps. In fact, data shows that close to half of patients are unnecessarily awakened for such checks, perhaps to the detriment of their recovery. My patient wanted to know how, with all that poking and prodding, he was supposed to rest and get better.

“I understand your frustration,” I replied, “and wish I could help to change the situation.”

I may have been a lowly intern, but it was a feeble reply. And he knew it. “Understanding is not enough,” he said. “You should be doing something to help fix this system.”

The hospital, he lamented, is more like a factory — “it tests every ache and treats every laboratory abnormality, but it does little to heal its patients.” Treating and healing are both necessary, but modern health care too often disregards the latter.
Few understand this better than the patient in Bed 11. He turned out to be Bernard Lown, emeritus professor of cardiology at Harvard, a senior physician at Brigham and Women’s Hospital in Boston, and the founder of the Lown Cardiovascular Group. He is celebrated for pioneering the use of the direct-current defibrillator for cardiac resuscitation and an implant called the cardioverter for correcting errant heart rhythms. He also co-founded the International Physicians for the Prevention of Nuclear War, which was awarded a Nobel Peace Prize and helped to educate millions on the medical consequences of nuclear war.Continue reading the main story

But Dr. Lown identifies first and foremost as a healer. In 1996, he published “The Lost Art of Healing,” an appeal to restore the “3,000-year tradition, which bonded doctor and patient in a special affinity of trust.” The biomedical sciences had begun to dominate our conception of health care, and he warned that “healing is replaced with treating, caring is supplanted by managing, and the art of listening is taken over by technological procedures.”

He called for a return to the fundamentals of doctoring — listening to know the patient behind the symptoms; carefully touching the patient during the physical exam to communicate caring; using words that affirm the patient’s vitality; and attending to the stresses and situations of his life circumstances.

This time he was the patient in need of healing. And I was the doctor, the product of a system that has, if anything, become even more impersonal and transactional since he first wrote those words.

Despite his reputation, Dr. Lown was treated like just another widget on the hospital’s conveyor belt. “Each day, one person on the medical team would say one thing in the morning, and by the afternoon the plan had changed,” he later told me. “I always was the last to know what exactly was going on, and my opinion hardly mattered.”

What he needed was “the feeling of being a major partner in this decision,” he said. “Even though I am a doctor, I am still a human with anxieties.”

The medical team was concerned that because Dr. Lown was having trouble swallowing, he was at risk for recurrent pneumonias. So we restricted his diet to purées. Soon the speech therapist recommended that we forbid him to ingest anything by mouth. Then the conversation spiraled into ideas for alternative feeding methods — a temporary tube through the nose followed, perhaps, by a feeding tube in the stomach.

“Doctors no longer minister to a distinctive person but concern themselves with fragmented, malfunctioning” body parts, Dr. Lown wrote in “The Lost Art of Healing.” Now, two decades later, he’d become a victim of exactly what he had warned against.

As the intern and the perpetrator of the orders, I felt impossibly torn and terribly guilty. So after Dr. Lown was discharged the next week, I kept in touch, hoping to continue this important conversation.

We have since spent time together at his home, where he is back to living peacefully and swallowing carefully (no alternative feeding methods necessary).

I had known Dr. Lown as a doctor and a patient; now I got to know him as an activist. We agreed that the health care system needed to change. To do that, Dr. Lown said, “doctors of conscience” have to “resist the industrialization of their profession.”

This begins with our own training. Certainly doctors must understand disease, but medical education is overly skewed toward the biomedical sciences and minutiae about esoteric and rare disease processes. Doctors also need time to engage with the humanities, because they are the gateway to the human experience.

To restore balance between the art and the science of medicine, we should curtail initial coursework in topics like genetics, developmental biology and biochemistry, making room for training in communication, interpersonal dynamics and leadership.

Such skills would not only help doctors care for our fellow human beings but would also strengthen our ability to advocate for health care as a human right and begin to rectify the broken economics and perverse incentives of the system.

Finally, hospitals should be a last resort, not the hallmark of the health care system. The bulk of health care resources should go instead into homes and communities. After all, a large majority of health problems are shaped by nonmedical factors like pollution and limited access to healthy food. Doctors must partner with public health and community development efforts to create a culture of health and well-being in patients’ daily lives.
As I navigate my professional journey, Dr. Lown’s example inspires me to go to work every day with the perspective of a patient, the spirit of an activist and the heart of a healer.

nyt
Rich Joseph is a resident physician at Brigham and Women’s Hospital.

Friday, February 23, 2018

Aristotle on "a good life"

Since we raised the question yesterday of what a good death is, in the light of a good life, I should have mentioned Aristotle's answer. In fact, that's what we talked about in my Intro to Philosophy classes yesterday (after I talked about my close encounter with a not-good death on I-24).

In brief, Aristotle thought a good life is a life of happiness (eudaimonia)... and he thought we could achieve that by living virtuously, constructing strong characters, and pursuing excellence over the course of a long lifetime. Mostly he thought we should devote ourselves to developing good habits, including the habit of looking out for others as well as for ourselves. But,
"Happiness depends on ourselves." More than anybody else, Aristotle enshrines happiness as a central purpose of human life and a goal in itself. As a result he devotes more space to the topic of happiness than any thinker prior to the modern era. Living during the same period as Mencius, but on the other side of the world, he draws some similar conclusions. That is, happiness depends on the cultivation of virtue, though his virtues are somewhat more individualistic than the essentially social virtues of the Confucians. Yet as we shall see, Aristotle was convinced that a genuinely happy life required the fulfillment of a broad range of conditions, including physical as well as mental well-being. In this way he introduced the idea of a science of happiness in the classical sense, in terms of a new field of knowledge... (continues)
He always emphasized the importance of acquiring the practical wisdom that enables us to do the right thing at the right time for the right reason etc. etc. - and as I interpret and apply that, he would have been open to the suggestion that euthanasia has its time and place. I don't think he'd have been impressed by the idea of slipping into a new "sleeve" when the old one wears out, or you just get tired of it. That doesn't seem like a good habit to get into.



And, given his emphasis on being a virtuous individual in a community of individuals, he'd probably not have thought much of the idea of human cloning...

Image result for korean cheerleaders

...but he'd probably have been okay with the idea of cloning body parts for the purpose of extending health and life.

How about you?


Wednesday, February 21, 2018

Euthanasia

Our group will be discussing euthanasia, but with a “futuristic” twist. Kindly read the
below article from Dr. Pollard and view the first 2 minutes of Dr. Michio Kaku’s interview.
Where do you think the future will lead euthanasia?
For fun, feel free to enjoy the remainder of Dr. Michio Kaku’s interview. There are 10
quiz questions for a possible 2 runs.
We look forward to our class discussion.
Thank you, Kayla, Ilija, and Ana

Human Rights and Euthanasia article by Dr. Brian Pollard, MB., BS., DA., FFA RACS,
1998
http://www.bioethics.org.au/Resources/Online%20Articles/Other%20Articles/Human%2
0rights%20and%20euthanasia.pdf
Interview with Theoretical Physicist Dr. Michio Kaku (please watch first 2 minutes only)


Quiz Questions
1. Text - In 1948, what did the Universal Declaration of Human Rights declare?
2. Text - According to Dr. Brian pollard what are some common reasons to want
legalized euthanasia?
3. Text - What does Dr. pollard say about what is implied by wanting to legalize
Euthanasia?
4. Text - What has never been approved by a code of ethics?
5. Text - What must the doctor decide before ending a life?
6. Text - T/F Does Dr. Frank Varghese believe that if patients were always see by
someone with appropriate psychiatric experience then it is unlikely euthanasia would be
considered?

7. Text - T/F – In 1994 at Flinders University in South Australia, only 1⁄4 of patients that
were euthanized had not given consent.
8. Text - Yes or No – Do YOU believe “wants” are being masqueraded by “rights”?
9. Video - What animal was used to record the first transfer of memory?
10. Video - Which patients are the current focus of memory transfer?
==
Euthanasia the word itself means “good death”. Euthanasia according to google
dictionary is “the painless killing of a patient suffering from an incurable and painful
disease or an irreversible coma”. Those for Euthanasia argue that the right to die is
protected by the same constitutional safe guards that guarantee such rights as
marriage, procreation, and the refusal or termination of live saving medical treatment.

We will be discussing euthanasia, but with a “futuristic” twist. Kindly read the
below article from Dr. Pollard and view the first 2 minutes of Dr. Michio Kaku’s interview.
We look forward to our class discussion. Thank you, Kayla, Ilija, and Ana.

Article and video links:

 Human Rights and Euthanasia article by Dr. Brian Pollard, MB., BS., DA., FFA
RACS,1998 -
http://www.bioethics.org.au/Resources/Online%20Articles/Other%20Articles/Hum
an%2 0rights%20and%20euthanasia.pdf
 Interview with Theoretical Physicist Dr. Michio Kaku (please watch first 2 minutes
only) - https://www.youtube.com/watch?v=ckwGUai_Vvk


Quiz Questions from January 23rd through February 19th

Quiz- Jan 23
1. Name two of the ways you can earn a base in our class. (See "course requirements" & other info in the sidebar & on the syllabus)
2. How many bases must you earn, for each run you claim on the daily scorecard?
3. How do you earn your first base in each class?
4. Can you earn bases from the daily quiz if you're not present?
5. How can you earn bases on days when you're not present?
6. What should you write in your daily personal log?
7. Suppose you came to class one day, turned on the computer/projector and opened the CoPhi site, had 3 correct answers on the daily quiz, and had posted a comment, a discussion question,  and an alternate quiz question before class. How many runs would you claim in your personal log and on the scorecard that day?
8. How many bases do you get for posting a short, relevant weekly essay of at least 250 words?
9. What are Dr. Oliver's office hours? Where is his office? What is his email address?
==
1.(T/F) Campbell's examples of bioethical questions include whether health care professionals must meet higher standards than businesspeople, the ethics of longevity via pharmacology, designer babies, human/animal hybrids, state paternalism, euthanasia, and environmental ethics.
2. Bioethics just means _______.
3. The _________ required that 'The health of my patient must be my first consideration.' (Hippocratic Oath, Geneva Code, British Medical Association, International Association of Bioethics)
4. What 40-year U.S. study denied information and treatment to its subjects?
5. What did Ivan Ilich warn about in Medical Nemesis?
6. Bioethics has expanded its focus from an originally narrower interest in what relationship?
7. Bioethics has broken free of what mentality?
8. (T/F) Campbell thinks caveat emptor is a good principle for governing the contractual clinical encounter between doctor and patient.
9. Do descriptive claims settle evaluative issues?
10. Name a bioethical website Campbell recommends.

Quiz- Jan 25
BB2 - Moral Theories
1. (T/F) In Anna's story, why did she wish not to be resuscitated?
2. Which theory has been dominant in bioethics and often used by many health professionals?
3. In deontological theory, what is the difference between hypothetical and categorical imperatives?
4. What ethical principle (and whose), in the name of rational consistency, absolute dutifulness, and mutual respect, "requires unconditional obedience and overrides our preferences and desires" with respect to things like lying, for example?
5. What would Kant say about Tuskegee, or about the murderer "at our door"?
6. What more do we want from a moral theory than Kant gives us?
7. What is the distinctive question in virtue ethics?
8. What Greek philosopher was one of the earliest exponents of virtue ethics?
9. What is the Harm Principle, and who was its author?
10. Name one of the Four Principles in Beauchamp and Childress's theories on biomedical ethics?

Quiz- Jan 30
1. Chapter 3 begins by asking if our bioethical perspective ("vision") is skewed by _____... (a) cultural assumptions, (b) gender bias, (c) religious faith, (d) all of the above
2. What's the leading global cause of death among women of reproductive age?
3. (T/F) The "feminist critique" says bioethics has been dominated by culturally masculine thinking.
4. What ethical perspective did Nel Noddings (supported by Carol Gilligan's research) describe as the "feminine approach"?
5. What's a furor therapeuticus?
6. Does Campbell consider the outlawing of female genital mutilation culturally insensitive?
7. What's allegedly distinctive about "Asian bioethics"?
8. What western ethical preconception is "somewhat alien" in the eastern dharmic traditions?
9. What gives Buddhists and Hindus a "whole new perspective" on bioethical issues?
10. What does Campbell identify as a "tension in the Christian perspectives" on bioethics?

Quiz- Feb 1
1. (T/F) Dignity, respect, and confidentiality are among the aspects of the clinical relationship which emphasize the importance of trust.
2. What (according to most recognized oaths and conventions) must always be the deciding factor guiding professional decisions?
3. The idea that the doctor always knows best is called what?
4. Is a diagnosis of mental illness grounds for establishing a patient's lack of capacity to render competent consent to treatment?
5. What general principle allows breach of confidentiality?
6. What term expresses the central ethical concern about "designer babies"? What poet implicitly expressed it?
7. Why have organizations like the WHO opposed any form of organ trading?
8. Besides the Kantian objection, what other major ethical issue currently affects regenerative medicine?
9. What does palliative medicine help recover?
10. What would most of us consider an unwelcome consequence of not retaining the acts/omissions distinction with respect to our response to famine (for example)?

Quiz- Feb 6
1. Name one of the basic requirements agreed upon by all codes devised to protect individuals from malicious research.
2. What decree states that consent must be gained in all experimentation with human beings?
3. Name one of four areas of research discussed in the book.
4. Which famous contemporary ethicist is a sharp critic of speciesism?
5. Name one of four R's used in international legislation pertaining to animal rights in research?
6. Dilemmas in epidemiological research illustrate what general point?
7. What did Hwang Woo-suk do?
8. What is the term for altering the numbers in a calculation to make the hypothesis more convincing, with no justification form the research findings for such members?
9. What categories of human enhancement does Campbell enumerate, and what does he identify as its "extreme end"?
10. What is the "10/90 Gap"?

Quiz- Feb 8
1. What are the two major spheres of justice discussed by Campbell?
2. (T/F) Vaccination/immunization and restricted mobility are two of the measures used by preventive medicine to counter the spread of disease.
3. Another name for the micro-allocation of health care, concerned with prioritizing access to given treatments, is what? (HINT: This was hotly debated and widely misrepresented ("death panels" etc.) in the early months of the Obama administration.)  
4. What "perverse incentive" to health care practitioners and institutions do reimbursement systems foster, as illustrated by excessive use of MRIs?
5. What is the inverse care law?  
6. What is meant by the term "heartsink patients"?
7. How are Quality Adjusted Life Years (QALYs) supposed to address and solve the problem of who should receive (for instance) a transplant?  
8. Who propounded a theory of justice that invokes a "veil of ignorance," and what are its two fundamental principles?  
9. Under what accounts of health might we describe a sick or dying person as healthy?
10. Name two of the "capabilities" Martha Nussbaum proposes as necessary to ensure respect for human dignity?

Quiz- Feb 8: Report over Dr. Aubrey de Grey
1. What tiny organism allows for genes to be placed (or reverse transcribed rather) into the human genome: bacteria, viruses, archea, or "my friend bob?"
2. T/F- Metabolic byproducts accumulate over time, eventually causing pathology.
3. What is the study of Gerontology?
4. T/F- The "robust mouse rejuvenation procedure" allows for mice typically living an average of 3 years to their 5th birthday. This therapy is administered at year two of the mice's life span (tripling their remaining life).
5. What does "LEV" stand for?
6. List one ethical concern that comes to your mind personally with regards to the extension of human life.

Quiz- Feb 15: Report over Conor Friedersdorf’s article
1. Rather than antibiotics, what did 4-year-old Natalie's parents choose to use to treat her infection?
2. What was the outcome for Natalie and for her parents?
3. T/F: Legislative majorities believe that parents should be put on trial for withholding mainstream medical treatment when a child suffers greatly or dies as a result.
4. What was the name of the 2-year-old boy that did of bowel obstruction?
5. T/F: Can scientists use natural enzymes to target and snip genes with unprecedented accuracy?
6. T/F: In future debates regarding "designer babies" gene editing is likely to be the least controversial use.

Quiz- Feb 19: Report over Cryonics
1. What is the difference between cryonics and cryogenics?
2. Who is the father of cryogenics?
3. What is the book called that the father of cryogenics authored?
4. How does Dr. A Parkes define "biological death"?
5. What is vitrification?
6.  List one possible usage of cryonics.

Monday, February 19, 2018

Cryonics: Futuristic Reality or Science Fiction?

For today's discussion we'll be talking about cryonics. Maybe you haven't heard of it, and that's fine. To give you an idea of what we're talking about, please copy-paste this link of the book, "The Prospect of Immortality" written by the father of cryonics, Robert C.W. Ettinger, into the address bar:

https://www.cryonics.org/images/uploads/misc/Prospect_Book.pdf

and (skipping the table of contents and preface) please read CHAPTER 1 Frozen Dead, Frozen Sleep, and Some Consequences.  The second chapter, The Effects of Freezing and Cooling, may be of interest to those of you who want to know the mechanics/technicalities of freezing people.


Here is another great intro about cryonics, brought to you by Caitlin Doughty, who runs the "Ask a Mortician" youtube channel. She'll tell you the ins and outs of cryonics as well as the pros and the cons.





An educational Ted x Talk from Joao Pedro de Magalhaes in 2017 about cryonics and scientific improvements in vitrification:




Most of this information may sound far-fetched, but there is an animal that regularly undergoes almost complete freezing and rejuvenation at the change of the seasons over the course of its life. We present: the wood frog.

https://owlcation.com/stem/Frozen-Wood-Frogs-and-Adaptations-for-Survival

Particularly important are the sections on Hibernation, the Dangers of Freezing Living Tissue, Preventing Cells from Freezing in the Winter, and Thawing Safely in the Spring, and Cryopreservation.


The Quiz:

1. What is the difference between cryonics and cryogenics?

2. Who is the father of cryogenics?

3. What is the book called that the father of cryogenics authored?

4. How does Dr. A Parkes define "biological death"?

5. What is vitrification?

6.  List one possible usage of cryonics.

Saturday, February 17, 2018

It's Not Yet Dark

A Memoir by Simon Fitzmaurice - especially relevant to this week's upcoming euthanasia report...


What constitutes a meaningful life? What gives one life more value than another?
Surely only the individual can hope to grasp the meaning of his or her life. If not
asked if they want the choice to live, it negates that meaning. You have ALS: why
would you want to live? ALS is a killer. But so is life. Everybody dies. But just
because you will die at some point in the future, does that mean you should kill
yourself now? For me, they were asking me to commit suicide. Or to endorse
euthanasia ...

What Would It Be Like to Be 400 Years Old?

HOW TO STOP TIME
By Matt Haig
325 pp. Viking. $26.

The first thing we discover about Tom Hazard, the protagonist of Matt Haig’s new novel, “How to Stop Time,” is that he is very, very old. He is old, he tells us, “in the way that a tree, or a quahog clam, or a Renaissance painting is old.” Born in France in 1581, he is fast approaching his 440th birthday. Not that anyone would know it to look at him, since outwardly he appears to be an ordinary man in his 40s. This is because Tom has a condition, rare but not unique, known as anageria. People with anageria age much more slowly than ordinary people, at a rate of roughly one year for every 15 ordinary human years. Although Tom lives life at the same pace as everyone else, judging by his appearance, it would seem that “only a decade passes between the death of Napoleon and the first man on the moon.” Immune to almost all human diseases, and assuming he avoids a violent death, Tom can expect to live until he is around 950. With four centuries of life under his belt, he is only just approaching middle age. And like many middle-aged men, he appears to be suffering something of a midlife crisis.

This is not, of course, a new idea. Ever since Jonathan Swift’s Gulliver traveled to the nation of Luggnagg, where the “struldbrugs” age but never die, writers have used the notion of immortality to examine the possibilities and limits of a human life. In recent years Audrey Niffenegger’s “The Time Traveler’s Wife” and Kate Atkinson’s “Life After Life” have both played inventively with the idea of lives lived outside of ordinary time. Haig himself touched on the idea in his previous novel, “The Humans,” which saw an eccentric English mathematician unlocking the secret of prime numbers and thereby the means to rid the world of illness and death. Fearful of the power this would give violent and primitive humans, an advanced alien super-race from the planet Vonnadoria hurriedly dispatched one of their kind to extinguish all traces of his theory. “The Humans” was warmhearted, sharply observed and often laugh-out-loud funny, funny enough to forgive Haig’s alien his regrettable fondness for fortune-cookie philosophy.

(continues)

Tuesday, February 13, 2018

Report for Feb 15 | Jonathan Cannon & Logan Eley


In our presentation we will look into Conor Friedersdorf's article in The Atlantic. (link below)
Here is a short quiz just to make sure you've read it if you want to claim an extra run for Thursday.
1. Rather than antibiotics, what did 4-year-old Natalie's parents choose to use to treat her infection?
2. What was the outcome for Natalie and for her parents?
3. T/F: Legislative majorities believe that parents should be put on trial for withholding mainstream medical treatment when a child suffers greatly or dies as a result.
4. What was the name of the 2-year-old boy that did of bowel obstruction?
5. T/F: Can scientists use natural enzymes to target and snip genes with unprecedented accuracy?
6. T/F: In future debates regarding "designer babies" gene editing is likely to be the least controversial use.

Here are some supplementary links related to this topic if you're interested in them.

DQs:
-What are your instincts about if or when you would punish gene editing holdouts?
-If the procedures were as cheap as antibiotics, would it be unethical to deny human gene editing to avert a serious disease?
-What if gene editing would reduce the risk of a typically fatal cancer by only 90%? 50%? 5%?
-Would it matter how much the procedure cost?
-How would you define mainstream medicine?
==
Will Editing Your Baby's Genes Be Mandatory?
An ethical dilemma from the near future

CONOR FRIEDERSDORF
APR 14, 2017

Designing a baby, or editing the genes of an unborn child, strikes many as risky, unseemly, unnatural, unethical, or likely to lead to a dystopian future of one sort or another. Still, I predict that within my lifetime, the United States will arrest, try, and convict some parents for refusing to edit the genes of their child before he or she is born.

Consider what is now punished. In The Kindly Inquisitors, Jonathan Rauch’s defense of liberal free-speech norms, the author noted that the liberal, scientific view of knowledge, which he was championing, asserts a unique claim to legitimacy in the modern West. Lest anyone doubt his characterization, he cited the fate of Christian Scientists:

On December 4, 1984, a 4-year-old girl named Natalie died very painfully of an infection. The cause was a common bacterium that is almost always cured by antibiotics. Her parents, however, did not use antibiotics. They used prayer. To many of us, that sounds preposterous. But imagine what it is to believe fervently in the healing power of your Lord. Imagine that your child is sick, and you want the best treatment, the one that is right and most likely to work. That treatment is prayer, or so you believe with all your heart. And that treatment you use. “We say those parents chose the method of care they felt was most likely to make their child well,” a church official said; and unquestionably he was right.

Then the child dies, and the parents are charged with manslaughter and child endangerment. Over the last ten years there have been dozens of such cases. In 1990 a two-year-old boy named Robyn died of a bowel obstruction after a five day illness; his parents, David and Ginger Twitchell, were convicted of manslaughter and sentenced to ten years’ probation. Pictures in the paper showed the mother, after the trial, cowering in her husband’s arms as he faced news photographers. David Twitchell said, “If I try a method of care I think is working, I will stick with that. If I think it’s not working, I will try something else.” By his own lights, he had tried his best for his child. Anyone who did not happen to share the worldview of medical science could only view the prosecution and conviction of the Twitchells as the most blatant kind of scientific imperialism. Sure, in Robyn’s case and Natalie’s the prayer treatment had failed. But sometimes antibiotics and surgery fail, too. When surgery fails, should parents be put on trial for not having first tried prayer?

Almost no one believes that parents should be put on trial for not having tried prayer––but legislative majorities do believe that parents should be put on trial for withholding mainstream medical treatment when a child suffers greatly or dies as a result. And the medical treatments that are considered mainstream will change over time.

Now that scientists can use natural enzymes to target and snip genes with unprecedented accuracy, “it seems likely that gene therapies––eliminating mutant genes that cause some severe, mostly very rare diseases––might finally bear fruit, if they can be shown to be safe for human use,” The Guardian reported earlier this year in an article on designer babies. “Clinical trials are now under way.”

Reporter Phillip Ball quoted one expert as follows:

Because of unknown health risks and widespread public distrust of gene editing, bioethicist Ronald Green of Dartmouth College in New Hampshire says he does not foresee widespread use of Crispr-Cas9 in the next two decades, even for the prevention of genetic disease, let alone for designer babies. However, Green does see gene editing appearing on the menu eventually, and perhaps not just for medical therapies.

“It is unavoidably in our future,” he said, “and I believe it will become one of the central foci of our social debates later in this century and in the century beyond.”

In those future debates, gene editing to prevent disease is likely to be the leastcontroversial use. Some folks will grant that trying to reduce disease is a reasonable course even as they argue against gene editing for cognitive or aesthetic enhancement. Others will remain wary of editing the genes of their child. If early gene editing efforts cause harm past some threshold, the backlash may render my prediction incorrect. Barring that, it seems likely that gene editors will gain the ability to safely prevent some awful diseases, and that the holdouts who fear or morally object to their methods will dwindle more and more with every passing year.

Once they’re no more numerous or influential than, say, today’s Christian Scientists, the relevant politics will be quite changed. Holdouts who fear that gene editing is putting humanity on a slippery slope to disaster or who have religious objections to the technique or who just prefer “the old-fashioned way” in their gut will conceive a child. If he or she is healthy all will be fine. But some holdouts will give birth to a child with a painful or fatal condition that could have been prevented.

People will get angry at those parents and seek to punish them.

Or at least that is the course I foresee (even though there is arguably an ethical distinction between refraining from editing the genes of a future human and denying essential medical treatment to an already living human, who is understood to have individual rights independent from or not entirely subject to the beliefs of their guardians).

Regardless of whether you agree with my prediction, I’d like to know what you think about the ethics of this matter. A subset of readers will oppose punishing Christian Scientists today for, say, declining to allow the removal of a burst appendix. Such readers presumably oppose punishing the gene editing holdouts of the future, too.

So I am most curious about the views of readers who are presently okay with punishing parents who deny mainstream medical treatment to their children. What are your instincts about if or when you would punish gene editing holdouts? If the attendant medical procedures were as cheap and safe as a course of antibiotics, would it be unethical to deny a potential human gene editing to avert a serious disease? What if instead of a certainty of a serious disease, gene editing would reduce the chance of a typically fatal cancer by 90 percent? How about by 50 percent? 5 percent? Does it matter how much the gene editing technique would cost?

What other confounding factors, if any, should enter into the picture?

Nothing here should be construed to imply anything about my position. I’ve tried to avoid tipping my hand, save my belief that questions of this sort loom ahead for humanity. I’d like to see your stab at answers. Email conor@theatlantic.com if you’re willing to share.

Monday, February 12, 2018

Dan Brown's "Origin"

Looking forward to our report on this book... Post your quiz etc. ASAP, Alex, Kimberly, & Zach.

Not all reviewers were thrilled with it, but what matters to us is whatever important bioethical issues it might raise...

Review Origin by Dan Brown - The Washington Post

https://www.washingtonpost.com/...dan-browns...origin.../85fa064a-a2df-11e7-8cfe-d5b...
Oct 1, 2017 - Dan Brown is back with another thriller so moronic you can feel your IQ points flaking away like dandruff. (Doubleday). “Origin” marks the fifth outing for Harvard professor Robert Langdon, the symbologist who uncovered stunning secrets and shocking conspiracies in “The Da Vinci Code” and Brown's other ...


In Dan Brown's 'Origin,' Robert Langdon Returns, With an A.I. Friend in ...

https://www.nytimes.com/2017/10/03/books/review-origin-dan-brown.html
Oct 3, 2017 - Dan Brown has thrown off the doldrums of “Inferno” with a brisk new book that pits creationism against science, and is liable to stir up as much controversy as “The Da Vinci Code” did. In “Origin,” the brash futurist Edmond Kirsch comes up with a theory so bold, so daring that, as he modestly thinks to himself ...


The World According to Dan Brown - The New York Times

https://www.nytimes.com/2017/09/30/books/dan-brown-origin.html
Sep 30, 2017 - RYE BEACH, N.H. — Anyone who has read Dan Brown's work — and with 200 million copies of his books in print, you know who you are — is familiar with his signature technique of inserting little chunks of expository information into the narrative. Among the topics addressed in his latest thriller, “Origin”: ...


Origin by Dan Brown – a Nostradamus for our muddled times | Books ...

https://www.theguardian.com/books/2017/oct/08/origin-dan-brown-review
Oct 8, 2017 - I used to think Dan Brown was merely a crackpot. Now I wonder if he might not be a prophet. What once seemed to be his deranged fantasy increasingly looks like our daily reality. In our myth-maddened world, we are befuddled by bloggers peddling conspiracy theories and menaced by transactions on the ...

Saturday, February 10, 2018

How your psychology affects your aging



What makes our bodies age ... our skin wrinkle, our hair turn white, our immune systems weaken? Biologist Elizabeth Blackburn shares a Nobel Prize for her work finding out the answer, with the discovery of telomerase: an enzyme that replenishes the caps at the end of chromosomes, which break down when cells divide. Learn more about Blackburn's groundbreaking research -- including how we might have more control over aging than we think. (transcript)
==

Personally I don't think subsequent philosophy has improved on old Seneca's view in "On the Shortness of Life":

“It is not that we have so little time but that we lose so much. ... The life we receive is not short but we make it so; we are not ill provided but use what we have wastefully.”

More Seneca snippets... Maria Popova (Brainpickings) on Seneca...
==
And consider the fate of the Bicentennial Man...


"I would rather die a man than live an eternity as a machine." A right to our humanity includes a right to die.
==
Heavens on Earth: The Scientific Search for the Afterlife, Immortality, and Utopia by Michael Shermer-

==
Also of interest:

Heart Stents Are Useless for Most Stable Patients. They’re Still Widely Used. https://nyti.ms/2BoJ0h6

How Artificial Intelligence Is Edging Its Way Into Our Lives https://nyti.ms/2BTH9SJ

Waiting to Treat the Cancer https://nyti.ms/2BLa0IX

U.S. Pays Billions for ‘Assisted Living,’ but What Does It Get? https://nyti.ms/2GJxey7