Bioethics
PHIL 3345. 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
Wednesday, April 2, 2025
Peter Singer & his AI chatbot
This brought our conversation to a contemporary question: with the rapid advancements in artificial intelligence, could similar arguments apply to AI? I asked Prof. Singer: based on this logic, shouldn't moral consideration also be extended to AI if it exhibits sentience? Prof.'s response was thought-provoking. He explained that if AI were to develop genuine consciousness—not merely imitating it—it would indeed warrant moral consideration and rights. He emphasised that sentience, or the capacity to experience suffering and pleasure, is the key factor. If AI systems eventually demonstrate true sentience, we would have a moral obligation to treat them accordingly, just as we do with sentient animals.
This possibility raises profound questions about the future of ethics. How would we recognise true consciousness in AI? What responsibilities would we have toward such entities? And how might our understanding of moral consideration evolve further? The boundaries of ethical reasoning are never fixed—they expand as we deepen our understanding of the world and the beings within it.
Later, after our breakfast and during the car ride back (thanks to Bro. Jono!), I thought of putting AI to the test. Because I just learnt from Prof. about an AI chatbot modelled after him (freely accessible online) at
https://www.petersinger.ai
I decided to ask the chatbot the same question posed to Prof. ("What is wisdom?"), compare its response with his actual reply, and share it with him on the spot!
(Continues)
https://open.substack.com/pub/boldreasoningwithpetersinger/p/breakfast-with-peter-singer-reflections?r=35ogp&utm_medium=ios
Tuesday, April 1, 2025
Questions APR 3
1. How did James Rockwell and his subject cohorts sabotage their drug study?
2. Why is speed critical in getting drugs approved and on the shelves as early as possible?
3. What motivated homeless alcoholics to participate in trials for Eli Lilly, according to its director of clinical pharmacology?
4. Guinea pigs rely mainly on what to insure their safety?
5. The target audience for the jobzine Guinea Pig Zero was who?
6. DARPA projects include research on drugsto keep soldiers awake and fed for how long?
7. Radiation exposure from nuclear testing on American soil in the '50s was comparable to what?
8. Fear of chemical weapons during the Gulf War led to the administration of what vaccine prior to FDA approval?
9. Gulf War vets and their children have been diagnosed with what?
10. What percentage of DARPA projects fail?
11. How did New York city law enforcement officials help researchers in the mid '90s?
DQ
- Should "guineau-pigging" be a job?
- For how long should drug patents be issued?
- Have you participated in any drug trials? Do you want to?
- "What happens when both parties involved in a trial see the enterprise primarily as a way of making money?" 292
- Are for-profit IRBs inherently compromised?
- COMMENT on the Susan Endersbe case. 295
- How should test subjects be procured? Should there be a cap on how much doctors can earn for procuring them?
- How would you fix our "patchwork regulatory system"? 300
- Should medical research aimed at enhancing soldiers' competence, stamina, and endurance be held to different ethical standards? Is all really fair in (love and) war?
- Is there an ethically-defensible military rationale for "race-based" or "man-break" tests? 302
- What's your response to any of the questions at the top of p.302?
- Should all soldiers be required to sign waivers allowing the administration of any drugs deemed necessary or appropriate? Does military service tacitly allow drug experimentation in the interests of "national security"?
- What is the IGI, why was its original name rejected, and what is one of its core principles? 401 -2
- What role did university research labs begin taking on in March 2020? 411
- How did Doudna expedite the legal process of getting approval to test outsiders? 417
- What's SHERLOCK? 424
- What did Doudna call "the awesomely good thing about this terrible [COVID] situation"? 430
- Biology should not remain what, says Isaacson? 445
- In what "larger" sense do CRISPR treatments come from reprogramming? 457
- Why have blacks historically distrusted medical trials? 461
- What standard constraints did not apply in the race to beat COVID, with what result? 473-4 What fundamental aspect of science will remain the same? 475
- What promise of CRISPR might also be its peril? What does Isaacson now see more, peril or promise? What does he think we should decide? 480-81
Monday, March 31, 2025
FINAL REPORT PRESENTATIONS
Time to SIGN UP for final report presentations, beginning Apr 1 (no foolin'). We'll do one or two presentations per class. Indicate your preferences in the comments space below.
Presentation to be complemented with a final report blog post,* discussing and elaborating the main points of your presentation, due May 2. Everyone will need to sign up as an AUTHOR on this site. Post an early draft for constructive feedback or to use in your presentation.
* 1,000 words minimum, plus bloggish content: embedded links, relevant images/video etc.
APR
1 Beyond 28-31; Codebreaker Parts Seven, Eight-The Moral Questions, Dispatches from the Front.
3 Beyond 32-34; Codebreaker Part Nine-Coronavirus.
8 Beyond 35-36; Future Part I-The Long View. Presentation: Jaxon
10 Beyond 37-39; Future Part II-Trajectory Changes. Presentation: David
15 Beyond 40-42; Future Part III-Safeguarding Civilisation. Presentations: Tara, Danny (be sure to coordinate, to avoid redundancy)
17 Beyond 43-50 Future Part IV-Assessing the End of the World. Presentation: Devin
22 Beyond 51-54; Future Part V-Taking Action. Presentation: Martha
24 Final report presentations conclude (or we'll have a study/review day)
29 Last class. Exam 2 (NOTE: Exam 2 is not a "final exam," it is the exam covering material since Exam 1.)
MAY
2 Final blogposts due (post early draft for constructive feedback)
Questions APR 1
Conclude Midterm report presentations, begin Final report presentations... Martha, Aidan
1. The greatest advances in health and longevity should go to what?
2. Why was BiDil removed from the market?3. What broad consensus now obtains regarding health differences between and within groups?
4. Funding in 2014 was 50% greater for research areas including the word gene (etc.) than for those including the word _____.
5. Name an "unthinkable" medical experiment to which incarcerated individuals have been subjected.
6. Creating ethical standards for medical research is the flip-side of what "coin"?
7. Most viewers of The Constant Gardener would probably conclude what, mistakenly, about its fictional drug company?
8. Apart from being extraordinarily lucrative for the local doctors who procure test subjects in developing countries, what's another important reason why so much human research is conducted in Africa and other poor regions outside the U.S.?
9. Research in Nigeria for Pfizer was compromised by an apparently fraudulent claim involving a nonexistent what?
10. What two questions should be prerequisite to conducting research in the third world? What should precede human research anywhere in the world?
- With what deep moral and spiritual questions will we have to wrestle in the coming decades, and what's the continuum conundrum? 336-7 What categories of genetic modification might we want to add to treatment and enhancement? 339
- What does the complexity of sickle-cell anemia remind us of, when we're contemplating "messing with Mother Nature"? 343
- How is the moral status of deafness different from skin color and sexual orientation? 348
- What DARPA enhancement project is already underway with Doudna's lab? 351
- What does Isaacson say about Nozick's Experience Machine thought experiment? 353=4
- What was John Rawls's position on genetic engineering? What was Nozick's response? 358
- What was Michael Sandel's argument against "playing God"? 365
- Doudna became more sympathetic to what view about gene-editing? 369
- Should Steve Jobs have thought differently? 371
- What's Feng Zhang's objection to making enhancements? 376
- What became of Isaacson's edited gene? 383
- How did James Watson cross a line? What's the Jefferson conundrum? 386, 390
DQ
- Do you have a duty to be your best self? To whom?
- Is aging a "scourge worse that smallpox"? 265
- How can emergent biomedicine be suitably tailored to public (not just personal & profitable) health?
- COMMENT: "Health is determined by far more than health care." 269
- What forms of preventive medicine/health care do you think would have the greatest constructive impact on health in the U.S.?
- Is there any rationale for ever using human "guinea pigs" for research?
- Are adequate safeguards in place to prevent future research abuses targeting prison populations?
- What do you think of South Carolina's kidney proposal 278
- What's wrong with offering incentives to imprisoned women to donate their eggs?
- Have you read and/or seen The Constant Gardener? What's your review? (If you haven't, are you mad at Marcia Angell for her spoilers)?
- What do you think of CG's Hollywood ending (in the film)?
I Vaccinated My Children. But Here’s Why My Neighbors Don’t.
"…a lot has changed. Many Americans have lost trust in public health agencies and the advice they offer, especially in more conservative parts of the country like mine. That declining trust is showing up in personal choices: In 2018, some 46,000 Texans requested vaccine exemption forms from the Texas Department of State Health Services. In 2024, more than 93,000 did.
If I had to do it all over again, I'd still follow my pediatrician's advice and vaccinate my children. But in the years since Covid, I increasingly understand the thought process of my neighbors who do not..."
Trump Administration Abruptly Cuts Billions From State Health Services
States have been told that they can
no longer use grants that were funding infectious disease management and
addiction services.
By Apoorva
MandavilliMargot Sanger-Katz and Jan
Hoffman
March
26, 2025
The Department of Health and Human
Services has abruptly canceled more than $12 billion in federal grants to
states that were being used for tracking infectious diseases, mental health
services, addiction treatment and other urgent health issues.
The cuts are likely to further
hamstring state health departments, which are already underfunded and struggling with competing
demands from chronic diseases, resurgent infections like syphilis and emerging
threats like bird flu.
State health departments began
receiving notices on Monday evening that the funds, which were allocated during
the Covid-19 pandemic, were being terminated, effective immediately.
“No additional activities can be
conducted, and no additional costs may be incurred, as it relates to these
funds,” the notices said.
For some, the effect was immediate.
In Lubbock, Texas, public health
officials have received orders to stop work supported by three grants that
helped fund the response to the widening measles outbreak there, according to
Katherine Wells, the city’s director
of public health.
On Tuesday, some state health
departments were preparing to lay off dozens of epidemiologists and data
scientists. Others, including Texas, Maine and Rhode Island, were still
scrambling to understand the impact of the cuts before taking any action.
Continues Here: https://www.nytimes.com/2025/03/26/health/trump-state-health-grants-cuts.html
Top F.D.A. Vaccine Official Resigns, Citing Kennedy’s ‘Misinformation and Lies’
Dr. Peter Marks, a veteran of the agency, wrote that undermining
confidence in vaccines is irresponsible and a danger to public health.
By Christina JewettSheryl
Gay Stolberg and Noah
Weiland The New York Times
· March 28, 2025
The Food and Drug Administration’s
top vaccine official, Dr. Peter Marks, resigned under pressure Friday and said
that Health Secretary Robert F. Kennedy Jr.’s aggressive stance on vaccines was
irresponsible and posed a danger to the public.
“It has become clear that truth and
transparency are not desired by the secretary, but rather he wishes subservient
confirmation of his misinformation and lies,” Dr. Marks wrote to
Sara Brenner, the agency’s acting commissioner. He reiterated the sentiments in
an interview, saying: “This man doesn’t care about the truth. He cares about
what is making him followers.”
Dr. Marks resigned after he was summoned
to the Department of Health and Human Services Friday afternoon and told that
he could either quit or be fired, according to a person familiar with the
matter.
Dr. Marks led the agency’s Center
for Biologics Evaluation and Research, which authorized and monitored the
safety of vaccines and a wide array of other treatments, including cell and
gene therapies. He was viewed as a steady hand by many during the Covid
pandemic but had come under criticism for being overly generous to
companies that sought approvals for therapies with mixed evidence of a benefit.
Continues Here: https://www.nytimes.com/2025/03/28/health/fda-vaccines-rfk-jr-peter-marks.html
Sunday, March 30, 2025
The public health scenario that keeps epidemiologists up at night
We’re In a New Age of Techno-Spiritualism
"…a growing market of A.I. products promise[s] users an experience that closely approximates the impossible: communicating and even "reuniting" with the deceased. Some of the representations — like those offered by HereAfter AI and StoryFile, which also frames its services as being of historical value — can be programmed with the person's memories and voice to produce realistic holograms or chatbots with which family members or others can converse.
The desire to bridge life and death is innately human. For millenniums, religion and mysticism have offered pathways for this — blurring the lines of logic in favor of the belief in eternal life..."
The Story of One Woman Who Fell Prey to the Medical Freedom Movement
"…Ms. Kali had grown up in a family that revered the principles of all-natural living. She liked her burritos G.M.O.-free and her milk raw. She was wary of medical interventions that exposed the body to chemicals and radiation. Sometimes she suspected that the entire medical system had been captured by special interests. She wanted health care that felt caring, not the impersonality and inaccessibility that she encountered in hospitals. And so while she agreed to undergo surgery to excise her tumor, she declined to follow up with an oncologist. Instead, she began searching for alternatives.
While only a small percentage of people diagnosed with cancer reject standard medical care entirely, surveys have found that one in five Americans has used alternative medicine in place of conventional medicine at some point. Nearly one in three Americans has reported avoiding doctors, often owing to distrust of the medical system or a history of negative experiences.
In her quest for options outside traditional medicine, Ms. Kali found herself part of what has become known as the health freedom movement. In the past 25 years, the movement has stitched together yoga moms, flag-waving anti-maskers, alternative healers, disenchanted doctors and other fellow travelers who believe that the government has no business meddling in personal health decisions. With the installment of Robert F. Kennedy Jr. as health secretary, what was once a fringe coalition of grass-roots activists and libertarians now controls the regulatory halls of power..."
Should There Be Limits to Research on Human Embryos?
"…what kind of testing can be done on embryos in the name of optimizing future lives. Embryos are at the center of divorce cases that are part property dispute, part custody battle.
What kind of rules should govern this research? Should businesses that profit from embryos be subject to any kind of oversight? And how should the law speak of them? Wherever embryos appear, they bring with them serious ethical and intellectual questions about what meaning or place they hold in our society.
Thursday, March 27, 2025
All hands on deck
I'm back, to class if not fully to form. We're behind, obviously, and need to catch up. All who had their presentations postponed, be ready.
And: Happy Opening Day! Expectations for my team are low, but today they begin the year in first place. Let's go!
Tuesday, March 25, 2025
Questions MAR 27
Presentation: Michael, Sawyer, Madi, Martha
1. In this touted Age of Genomics, what frequently follows the hopeful hype about gene therapy?
5. "Anonymous" tissue samples can be what?
6. What is Jessica Cussins' practical objection to the results of DTC genetic tests?
7. What more than doubled in illustration of the "Angelina Jolie effect"?
8. There aren't enough what to support population-wide screening for the BRCA genes?
9. The UC-Berkeley DNA project was intended to introduce students to what?
10. How should leading geneticists have responded to loose talk in the early '90s (and still) about "the gay gene," "the violence gene," etc.?
- Who's responsible for over-hyping the promise of gene therapy?
- Why is the history of genomics so full of unfulfilled promise?
- If short people are discriminated against, is the solution to engineer tall people? Or to oppose discrimination more aggressively?
- Do you agree that we should divert billions from genomic research to behavioral modification? 249
- Why do patients who support genomic research nonetheless "want to be informed..."? 251
- Is there any reason in principle why 23andMe's algorithm could not be corrected to detect and distinguish gene mutations that are and are not life-threatening? 253
- Is there anything ethically wrong with women electing for prophylactic mastectomies?
- Do the risks of universal screening for the BRCA genes outweigh the benefits?
- If there were enough genetic counselors to support population-wide screening, would you support it?
- Should patients be informed of mutations that are not found to correlate with increased cancer risk? 257
- Is it in fact "common knowledge" that there isn't a gene for homosexuality, etc.?
- (Oops - published out of sequence. See previous for CB part 6)
Health news... Weekly health quiz... WHQ 3/8... WHQ 3/3... Treating Alzheimer's... Her son died. And then anti-vaxers attacked her
No class MAR 25
I'm sorry to report I'm still sick (but improving). Do continue to stay on track with the assigned readings and your posts. And sign up for Final Report Presentations (which will now probably begin late).
Just in case we need it to get caught up, save the date (from our designated final exam schedule): Thursday May 8, 3:30 - 5:30 pm
Monday, March 24, 2025
Why I Got the Measles Vaccine at Age 63
"…My own safety wasn't my chief concern. Doing everything I can to protect my fellow human beings who cannot be vaccinated — babies too young for the vaccine, people with compromised immune systems, people who are allergic to the components of the vaccine — seems to me to be the only moral thing to do for anyone living in close community with other people. And that's almost all of us.
Community is a concept that the MAGA movement is working overtime to undo, but human beings are a social species. We depend on one another for safety and survival. When we vaccinate our children, we are keeping them safe, but we are also keeping those who cannot be vaccinated safe. It's part of the social contract..."