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Umbilical cord blood donation: opt out or work on Sundays?

Umbilical cord blood donation: opt out or work on Sundays?

Umbilical
cord blood (UCB) contains haematopoietic stem cells, which can be used for the
treatment of several lethal disorders, including leukaemia
and several types of anaemia. Other sources of haematopoietic stem cells are bone marrow and ordinary peripheral
blood. Unlike bone marrow donation, which requires general anaesthesia, UCB
donation does not cause any inconvenience or significant risks for the donor. Peripheral
blood contains very few stem cells. Another major advantage of using UCB stem
cells is that less genetic similarity is required between donor and recipient.
This increases the chance of finding a ‘match’ and thus of the transplantation
being successful.

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Economic uncertainty and epistemic humility

In the last six months I have heard that the current economic crisis proves that free market capitalism is a failure. I have also heard that it proves that government intervention is responsible for market booms and busts. I have read that the causes of the current crisis are greed, irrationality, easy money, low interest rates, preverse incentives, complex financial instruments, subprime mortgages, people believing that house prices would always rise, people insisting that houses must be made affordable,  the US congress laws that force banks to provide a certain percentage of subprime mortgages, the capital ratio requirements on banks being less for subprime mortgage backed securities than for prime mortgages, the distortion of mortgage lending by government sponsored entities (Freddie Mac and Fannie May), the lack of an exchange for credit default swaps creating un-noticed systemic counterparty risk, mark to market valuation of bank assets, too little government regulation, too much government  regulation, the government scaring us, the government not scaring us enough,  the lack of a bail out (stock market falls) , the delay of a bail out (stock market continues to fall), and the bail out (stock market carries on down).

 

Why am I talking about this? Because these circumstances are precisely the kind in which we in general and experts in particular indulge in a certain kind of epistemic irresponsibility: over-confidence in belief. When the stakes are high and circumstances highly uncertain it appears that we can hardly bear to conform our belief to the uncertainty. Paradoxically, uncertainty turns us to dogmatism.

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Oxford Debates Cont’d – Opposer’s Opening Statement

Part of the debate "The NHS should not treat self-inflicted illness"

Opposer: Charles Foster (Barrister & teacher of medical law and ethics at
Oxford. He is attached to the Ethox Centre and is an Associate Fellow
of Green Templeton College)
Opening Statement

'The NHS has shown the world the way to healthcare, not as a privilege to be paid for, but as a fundamental human right', proclaimed the Department of Health in 2008. 'The values of the NHS – universal, tax-funded and free at the point of need – remain as fundamental today to the NHS as they were when it was launched in 1948.'

These values are important. We abandon or dilute them at our peril.

Mark Sheehan suggests that we have to grow up: to shoulder responsibility for our own actions and omissions. Why, he asks, should society pick up the bill for my stupidity?

There are many answers. Some of them will be ventilated over the next few weeks. But here are a few:

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Oxford Debates Cont’d – Proposer’s Opening Statement

Part of the debate "The NHS should not treat self-inflicted illness"

Proposer: Dr Mark Sheehan (Oxford BRC Ethics Fellow at the Ethox Centre and
James Martin Research Fellow in the Program on the Ethics of the New
Biosciences)
Opening Statement

We generally think that people are entitled to live their lives in the way that they see fit, in a way that best coheres with what they take to be meaningful and valuable. This is perhaps the central tenet of western liberal society. Liberal society is centred on permitting and perhaps even encouraging, different conceptions of 'the good' and experiments in living. Alongside this freedom, however, comes a responsibility for the decisions that one makes. Because society remains a collective effort the freedom to choose to live in a certain way brings with it responsibilities — here, responsibilities for the consequences of our choices.

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Oxford Debates – The NHS should not treat self-inflicted illness (Moderator’s Introduction)

Moderator: Dr Paula Boddington

Should the NHS treat self-inflicted illness? This question raises a plethora of different issues, about science, society, social policy, as well as philosophical questions about human nature and individual freedom.

The best use of health care resources will always be debated. How much money should be spent on health? How efficiently can it be spent? How should it be divided within the healthcare system? These can never simply be questions of economics but also raise vitally important questions about values. This debate about what treatments the NHS should offer is taking place in an economic climate where there is a call to curtail public spending. Would refusing to treat self-inflicted illnesses be a fair place to start to save money?

But money is only one aspect of this debate.

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Sometimes justice wears a mask: blogging, anonymity and the open society

After the Times exposed the identity of the police blogger "Night Jack" he has been disciplined by the police force. The blog (now deleted) had won the Orwell Price for political writing and often expressed critical views related to the police and the justice system. In a court ruling Mr Justice Eady claimed that blogging was "essentially a public rather than a private activity" and that it was in the public interest to know who originated opinions and arguments. Do we have a right to anonymity on the net? And is it truly in the public interest to know who every blogger is?

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More on drugs…

In a recent
entry on this weblog, Roger Crisp discusses the recent and controversial
“Release” advertising campaign on drugs (and its slogan “Nice People Take
Drugs”),
and rightly highlights the need for serious and widespread debate on drug
legislation. My home country, Switzerland, precisely had a debate on this issue
a few months ago, when we were called to vote on a popular initiative
purporting to decriminalize the use, purchase, consumption and possession of
cannabis (not of other drugs) – which would have meant placing the consumption
of this drug on a similar plane with that of tobacco or alcohol. This measure
was supposed to be accompanied by others, notably destined to protect young
people. On the 30th of November 2008, however, the Swiss people
rejected the initiative by quite a large majority.

Read More »More on drugs…

Prenatal sex selection – When prenatal testing can threaten social harmony

China has an imbalance in the sex ratio resulting from selective abortion of female fetuses. Predictions that it may result in social disharmony are eventuating sooner than expected – but the problem is different to the one that was anticipated. Stolen girls have become increasingly valuable commodities in a cruel trade. A 2½ girl is feared kidnapped after she went to the shop around the corner. She vanished; her heartbroken mother and father fear she was kidnapped (1).

As many as 20,000 children and young women are reported kidnapped every year. This is said to be increasing. Only a handful of cases are solved. Many girls are bought by farmers who want wives for their young sons when they come of age, or by men who want a child bride without a dowry. Police raided one village & found that babies were being raised for sale and families were acting as brokers for other peasants who wanted to sell off “surplus” infants (1). 

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Nice People Take Drugs (Too)

The drug and human rights charity *Release* recently launched an advertising campaign in which the slogan ‘Nice People Take Drugs’ was displayed on the sides of London buses. Their aim was to encourage society to face up to the reality that a huge proportion of the population does at least experiment with drugs and to combat the popular assumption, which underlies a good deal of political rhetoric and media coverage, that since drugs are simply ‘evil’ there is no point in seriously debating drug policy. Those ads are now being withdrawn by the company that booked the space, after advice from the Committee of Advertising Practice: http://www.guardian.co.uk/media/2009/jun/09/nice-people-drugs-ads-pulled

Apparently, Release has been told that their strap-line would be more acceptable if it included the word ‘too’. This suggests that the CAP may have felt that the public would read the original claim as equivalent to ‘All those who take drugs are nice people’. But even adding the word ‘too’ may not be enough. For the new sentence might be read as: ‘All nice people take drugs, along with other things (such as holidays when they can, advice when they need it, offence when people are rude to them, etc.).’ Of course, no one would have understood either the new or the old sentence in these ways. But in fact, though it should be up to Release how they word their strap-line (the censorship charge they have made doesn’t seem far-fetched), adding ‘too’ does bring out more clearly what they want to say: that we should stop demonizing drug-takers and have an open, impartial, and well-informed debate.

Read More »Nice People Take Drugs (Too)