[HN Gopher] Two weeks later David Bennett is alive, his pig's he...
       ___________________________________________________________________
        
       Two weeks later David Bennett is alive, his pig's heart beating
       soundly
        
       Author : otoolep
       Score  : 428 points
       Date   : 2022-01-26 01:22 UTC (21 hours ago)
        
 (HTM) web link (www.irishtimes.com)
 (TXT) w3m dump (www.irishtimes.com)
        
       | jb1991 wrote:
       | Now I know that I will stop eating pork.
        
       | yob22 wrote:
        
       | yitchelle wrote:
       | For a layman like me on medical matters, it seems very strange
       | that a pig's heart is used. Would it more logical idea to use a
       | primate, our closest "cousin"?
        
         | eps wrote:
         | Read the article.
        
         | Schinken_ wrote:
         | Pigs are not too far off when it comes to the overall body. I
         | believe the idea to use a pig's heart is one off availability
         | (and maybe ethics). A ton of pigs are slaughtered each and
         | every day, we already use several parts of a pig's body (which
         | is a good thing, waste as little as possible). If we can
         | successfully use it's heart for transplantation, even better.
         | This means there is a good supply of hearts to be used.
        
         | ColinWright wrote:
         | That's pretty clearly explained in the article.
        
         | gavinflud wrote:
         | "While it is true that pigs are less compatible with humans
         | than monkeys, they can be genetically manipulated to produce
         | organs less likely to be rejected on transplantation. Pigs
         | quickly grow to full size, produce larger litters and can be
         | more easily reared by biotechnology companies."
         | 
         | They do cover this point.
        
         | dotnet00 wrote:
         | Pigs have a lot of physiological similarity to us (thus why
         | fetal pig dissections are often done in high school/undergrad
         | biology). Plus there are fewer ethical concerns around using an
         | animal we already use for food.
         | 
         | I imagine there's also a consideration for ease of raising.
         | These pigs had to be kept separate from others and tested
         | frequently for disease because of having some aspects of their
         | immune system weakened to reduce rejection risk. This would
         | probably be easier to do ethically for pigs compared to
         | primates.
        
       | taf2 wrote:
       | This is great news! I am very hopeful there is no reject in a
       | year ... hopeful for him and his family
        
         | dmead wrote:
        
           | wepple wrote:
           | I assumed "victim" referred to the pig, but I believe this is
           | in reference to the fact that the heart recipient stabbed
           | someone, leading to their death:
           | https://nypost.com/2022/01/13/historic-pig-heart-
           | recipient-w...
        
       | anonymousiam wrote:
       | The article says; "Almost 22 years later the first ever
       | xenotransplant has finally taken place."
       | 
       | They seem to have forgotten about this baboon-to-human heart
       | transplant from 1984.
       | 
       | https://en.wikipedia.org/wiki/Baby_Fae
        
         | dqv wrote:
         | A podcast called Straight Talk MD talks about several different
         | weird transplants like this in this episode:
         | https://pca.st/episode/1628074d-b415-477b-b1f6-81c9d81fc261 (
         | _For Fame or Money? The Dark Side of Ten Amazing Medical
         | Firsts_ on Straight Talk MD)
         | 
         | Of note is the disastrous synthetic heart in the 90's. I was
         | surprised that such a thing was attempted.
        
           | wonderwonder wrote:
           | Optimally the synthetic kidney is more successful
           | 
           | https://pharmacy.ucsf.edu/news/2021/09/kidney-project-
           | succes...
        
         | netfl0 wrote:
         | This is friggin crazy.
        
         | [deleted]
        
         | kdtop wrote:
         | Yeah, that caught my eye. I did a little research and the first
         | xenotransplant of any kind was somewhere about 1838 -- of a
         | cornea from a pig
         | (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4684730/)
        
       | drenvuk wrote:
       | I'm a full on speciesist. let's do more of this. since we're
       | already eating them I feel like this even a more reasonable usage
       | of their lives. can we do kidneys next please? we can basically
       | shut down most dialysis clinics after that.
        
         | asdff wrote:
         | The adage "use the whole buffalo" has never really died out in
         | terms of meat processing. There's a lot of good product in an
         | animal and you can find buyers for all of it. There's the
         | obvious stuff like hotdogs, sure, but even stuff like the blood
         | is also important. Fetal bovine serum, a supplement for cell
         | culture media, for example comes from the slaughterhouse and is
         | extremely important for biomedical research.
        
         | pkaye wrote:
         | They did so a pig to human kidney transplant recently however
         | it was on a brain dead man as an initial test. Probably soon it
         | be on a living patient. As a person on a kidney transplant
         | waitlist, it given me some hope for the future.
         | 
         | https://medicalxpress.com/news/2022-01-pig-to-human-transpla...
        
           | spoonjim wrote:
           | That's completely fucked up that they did non consensual
           | medical experimentation on a brain dead man.
        
             | tiagod wrote:
             | What's your source that states it was non consensual?
        
             | moffkalast wrote:
             | Might as well then also get consent from cadavers to do
             | autopsy lmao.
        
               | mrguyorama wrote:
               | Don't we actually do that? By getting consent before
               | death?
        
             | aqme28 wrote:
             | Why do you say it's non-consensual? He donated his body to
             | science.
        
             | capableweb wrote:
             | Calm your horses. His body was donated to science by the
             | family, I'm sure they knew what he wanted and did just
             | that.
        
               | bobthechef wrote:
        
         | croisillon wrote:
         | And the next step would be to eat the humans who've had an
         | animal transplant, sounds all good and logical to me.
        
           | ilrwbwrkhv wrote:
           | That is such a ridiculous comment, I had a mighty chuckle.
        
             | moffkalast wrote:
             | If you replace a human organ by organ with one from a pig,
             | is he still the original human? Ship of piggus.
        
               | sjg007 wrote:
               | We basically have at least as many or more bacteria cells
               | in us than human cells so are we actually a microbe?
        
         | cameronh90 wrote:
         | I'm vegetarian and have no issue with using animals for medical
         | purposes like this. It's one thing to kill for pleasure as in
         | fur, cosmetics and food, but quite another to kill an animal to
         | save a human life. I am pretty sure even most vegans would be
         | happy to accept an animal death to save their own life, even a
         | pet.
         | 
         | Similarly, I guess, I was vegan but I had to stop that diet as
         | it caused severe health problems for me.
        
           | inglor_cz wrote:
           | Once you kill the pig for its heart and kidneys, you might as
           | well eat it. Better than letting the nutritional value of the
           | meat go to waste.
           | 
           | That wouldn't be a lot of pigs, true, and a pork chop of that
           | origin would be pretty expensive.
        
             | Cthulhu_ wrote:
             | Nothing in an animal for slaughter goes to waste, they're
             | too expensive for that.
             | 
             | I mean the value of various parts like organ meat varies by
             | what it's used for, but eventually everything is used up. A
             | lot of offal ends up in animal feed, for example. And their
             | hooves end up in keratine supplements for the gymbros.
        
               | inglor_cz wrote:
               | These are genetically altered pigs with human genes
               | inserted, though. I can see some people being uneasy
               | about consuming them, either from moral or pragmatic
               | (possible pathogenicity) point of view.
        
             | cameronh90 wrote:
             | Perhaps I'm somewhat of an atypical veg, but I am okay with
             | that - although I personally wouldn't as I no longer like
             | meat.
             | 
             | I also would not ban meat consumption if I was a dictator,
             | but I would enforce extremely high ethical standards,
             | carbon neutrality and proper management of agricultural
             | effluent. I suspect that would make a pork chop pretty
             | expensive too.
        
         | [deleted]
        
           | [deleted]
        
         | dkjaudyeqooe wrote:
         | The next logical step is to breed pigs with organs that
         | especially suit humans, maybe with some genetic engineering to
         | optimise them. I really can't see anyone needing an organ
         | complaining that they're GMO.
         | 
         | As long as we treat animals well while they're alive (and why
         | wouldn't you, you want high quality low stress organs) then
         | there's really no limit here, morally.
        
           | siva7 wrote:
           | As long as we treat humans well while they're alive (and why
           | wouldn't you, you want high quality low stress organs) then
           | there's really no limit here, morally.
        
           | mapme wrote:
           | Wouldn't you need to kill the animal in the prime of its
           | life, causing a moral issue?
        
             | Pxtl wrote:
             | Food animals are killed in adolescence for far less noble
             | reasons.
             | 
             | I'm a vegetarian.
             | 
             | Grow me a goddamned lung pig.
        
               | mapme wrote:
               | I understand your view and agree with what you've said,
               | however, the primary point was that there are moral
               | implications if you intervene in another life so it is
               | not a moral freebie.
        
             | drenvuk wrote:
             | Pigs reach slaughter weight at about 6 months[0] and the
             | lifetime of a domestic pig is 15 to 20 years. Their
             | breeding age is 8+ months. So we kill them before they
             | reach the prime of their life most of the time. Killing
             | them at their prime might be less of a moral issue than
             | what we do currently.
             | 
             | [0]https://modernfarmer.com/2016/05/raising-
             | pigs/#:~:text=Most%....
        
               | mapme wrote:
               | That is an interesting comparison to other reasons why we
               | kill animals, however, the point wasn't a relative moral
               | comparison to animal slaughter for food purposes but that
               | it's not zero cost morality wise to kill an animal in its
               | prime.
        
               | drenvuk wrote:
               | It's not zero cost morality wise to kill anything at any
               | point in their lifetime; from bacteria, to worms, to
               | flies, to pigs each has its own weight on a person's
               | conscience be it nil or hefty. I mean that. But a pig is
               | not human so it's acceptable to me.
        
               | sillysaurusx wrote:
               | Would you feel the same if cats were the only animal
               | whose organs could be harvested?
        
               | gambiting wrote:
               | Absolutely - why wouldn't you? Serious question.
        
               | sillysaurusx wrote:
               | If you were the cat, I bet you'd feel differently.
               | 
               | That's as serious of an answer as I can give. It's the
               | same reason I never neutered my cats, since it felt like
               | a mutilation.
        
               | gambiting wrote:
               | Yes, but if I were a cat I wouldn't lick my own anus and
               | yet cats happily do that - my opinion on what I would or
               | wouldn't like as a cat is not really relevant.
               | 
               | My point is - we are not cats, and cats aren't humans.
               | They deserve good treatment, respect and all the love
               | they can get - but at the end of the day they are not
               | humans and should not be treated as such.
        
               | sillysaurusx wrote:
               | How would you clean your anus if you were a cat?
               | 
               | Suppose a cat had fingers, and basic language ability.
               | Would you still feel the same way?
               | 
               | Suppose we didn't slaughter the other five proto-human
               | species (Neanderthals et al). Would you still feel the
               | same way?
               | 
               | The line gets blurrier the more you think it over.
        
               | likeclockwork wrote:
               | I reject the notion that you can clean anything by
               | licking it.
        
               | throwaway946513 wrote:
               | Friction and liquids? Seems pretty much like the wet wipe
               | used to clean my countertop - only a different friction
               | material, and a different liquid solvent.
        
               | Chris2048 wrote:
               | > Suppose a cat had fingers, and basic language ability
               | 
               | It would no longer be a cat.
               | 
               | That's why "If you (a human) were a cat" is a problem,
               | b/c you need to say what level of human/cat this hybrid
               | creature is imagined to be.
               | 
               | It's like that joke: "Behold! The dog with two heads! and
               | two bodies!"
        
               | salamandersauce wrote:
               | My mom thought that way until we ended up with 5 more
               | cats. The prospect of 20 more cats didn't quite appeal to
               | her either.
        
               | spoonjim wrote:
               | Yes, I would be OK with killing any number of cats to
               | save any human's life.
        
               | op00to wrote:
               | One million cats to save Putin?
        
               | spoonjim wrote:
               | Yes.
        
               | thih9 wrote:
               | > it's acceptable to me
               | 
               | Your earlier comment mentioned morality without
               | qualifiers; here you refer to your own morality; this
               | seems more accurate. Note that there are people who
               | refuse to eat or otherwise harm animals and they cite
               | moral reasons too.
        
             | dkjaudyeqooe wrote:
             | I don't think life length is an issue, the pig doesn't know
             | how long it will live so there doesn't seem much scope for
             | suffering.
             | 
             | It comes back to the question if never being born at all is
             | better than some (domesticated) life at all.
        
           | roywiggins wrote:
           | That's what they've done here, this are GMO pigs designed to
           | be more compatible with human biology.
           | 
           | > The heart transplanted into Mr. Bennett came from a
           | genetically altered pig provided by Revivicor, a regenerative
           | medicine company based in Blacksburg, Va.
           | 
           | > The pig had 10 genetic modifications. Four genes were
           | knocked out, or inactivated, including one that encodes a
           | molecule that causes an aggressive human rejection response.
           | 
           | > A growth gene was also inactivated to prevent the pig's
           | heart from continuing to grow after it was implanted, said
           | Dr. Mohiuddin,who, with Dr. Griffith, did much of the
           | research leading up to the transplant.
           | 
           | > In addition, six human genes were inserted into the genome
           | of the donor pig -- modifications designed to make the
           | porcine organs more tolerable to the human immune system.
           | 
           | https://www.nytimes.com/2022/01/10/health/heart-
           | transplant-p...
        
             | zo1 wrote:
             | Wow, great info. Very low-key and subtle, but the future is
             | arriving slowly, one pig gene modification at a time!
        
             | nottorp wrote:
             | I now wonder if this guy will have to pay licensing costs
             | for the copyright on the genes the rest of his (admittedly
             | freshly prolonged) life...
        
               | Cthulhu_ wrote:
               | Depends on whether he's going to use his heart to create
               | more GMO pigs.
               | 
               | I mean if you buy a book that's it. You don't get a
               | license to redistribute, but you get an unlimited license
               | to read and use the book for whatever. That's how
               | copyright law works.
        
           | Pxtl wrote:
           | In TFA that's actually what they describe - the pig was
           | genetically engineered to reduce rejection and to control the
           | growth of the heart to stay human-sized.
        
           | Buttons840 wrote:
           | And then the next step is to do research showing that pigs
           | that are happy, stress free, and eat a good diet produce
           | organs that are better for transplant. If so, this might be
           | one of the most ethical animal industries.
        
             | tonyedgecombe wrote:
             | Maybe we could grow happy, stress free and well fed human
             | beings. Then we wouldn't need so many transplants in the
             | first place.
        
               | madaxe_again wrote:
               | Ah, but the human is more economically productive than
               | the pig, particularly when taken as a cohort, and
               | healthcare and happiness are expensive - and there is
               | therefore a point of diminishing returns for increased
               | happiness and health.
               | 
               | It makes more sense to allow a certain portion of your
               | population to die of preventable causes than to make them
               | all happy, as the current net goal is economic
               | productivity, not human happiness. This is demonstrated
               | aptly by the lack of socialised healthcare in much of the
               | world, and where it does exist, the relative paucity of
               | resources provided.
               | 
               | So, while I agree in spirit with what you posit,
               | capitalism and the value axis it brings has to die first.
        
               | inglor_cz wrote:
               | The problems of aging would creep on them _later_ , but
               | it isn't as if happy, stress free and well fed people
               | stay healthy forever.
               | 
               | Aging is a process that affects everyone, the only thing
               | that you can influence a bit is speed thereof.
        
               | account42 wrote:
               | But happy, stress free and well fed pigs are probably
               | cheaper.
        
               | moffkalast wrote:
               | Or they could take a page from the semiconductor industry
               | and replace human hearts with 128 genetically modified
               | mouse hearts in an array.
        
               | Cthulhu_ wrote:
               | Oh we can, there was this guy in Germany that failed art
               | school, he had a couple mates, they figured that with
               | good genes, training and education they could...
               | 
               | You see where this is going, right? Oh, what you describe
               | actually might fit the book Brave New World as well.
               | 
               | Anyway yeah I know what you mean, this is why things like
               | education, well-paying low-stress jobs, housing, health
               | care, access to food are so important. They encourage an
               | overall healthy and happy population without imposing on
               | them.
               | 
               | But the US is a bit of a shithole in that regard; low
               | paying jobs, food deserts, financial worries, crippling
               | debts to pay for a lifestyle that people can't afford but
               | need, etc. The country and its policies are self-
               | destructive, and, dare I say it, a kind of economic
               | eugenics - if you're too poor to afford health care
               | you'll be removed from the gene pool.
        
               | Chris2048 wrote:
               | > You see where this is going, right?
               | 
               | Yes, a slippery-slope argument that all gene manipulation
               | leads to eugenics.
               | 
               | Here's the counterpoint: The Nazis (and eugenicists /
               | race-scientists in general) used the authority of
               | science, but didn't actually do good science (and slipped
               | in a lot of stuff that was pure ideology); so actual
               | science is automatically different.
        
             | kevin_thibedeau wrote:
             | It would be better if you got to keep the meat rather than
             | letting it go to waste. Then you could indulge in autophagy
             | by proxy.
        
               | gpm wrote:
               | If we're genetically modifying the pigs to be more like
               | humans, I wonder if there would be health risks with
               | eating the meat - specifically from prions. Similar to
               | those that come from eating humans. Admittedly probably
               | negligible until we modify them a heck of a lot more than
               | we are right now (if they do theoretically exist).
        
               | gambiting wrote:
               | Prions don't appear from thin air - and you can already
               | get deadly prions eating meat, the reason why you don't
               | is the same why you don't get all kinds of deadly
               | diseases from meat - it's (usually) well regulated and
               | any outbreaks are immediately culled. A pig genetically
               | modified to be "more like a human" wouldn't spontaniously
               | get deadly prions.
        
               | wizzwizz4 wrote:
               | Pigs are already similar enough to humans that there are
               | major risks from parasites; I don't think the small
               | modifications we've seen so far would significantly
               | increase prion risk.
        
               | nicoburns wrote:
               | Apparently they have recently granted permission for
               | these (type of) pigs to be sold for meat so those who
               | suffer with alpha-gal syndrome (and are thus allergic to
               | regular meat) can eat it. So I'm guessing by not.
        
               | roywiggins wrote:
               | I _think_ the ones approved for consumption don 't have
               | the full set of genetic modifications used for this
               | transplant, they just have the alpha-gal change.
        
               | [deleted]
        
           | tjader wrote:
           | The pig kidney and heart recently transplanted have already
           | been genetically engineered. So far it's only to avoid
           | rejection, but other modifications are likely on the roadmap.
        
       | lvass wrote:
       | Speaking from a country with ongoing human organ harvesting, this
       | is absolutely amazing, everyone involved in this deserves an
       | enormous amount of praise.
        
       | [deleted]
        
       | nikkinana wrote:
        
       | amelius wrote:
       | Did he become a vegetarian?
        
         | [deleted]
        
       | notjustanymike wrote:
       | Is it now cannibalism if he eats bacon?
        
         | dmead wrote:
         | I have a cow valve and I say yes.
         | 
         | pass me the steak.
        
         | free-malloc wrote:
         | This is why I'm here. Thank you.
        
         | [deleted]
        
       | sydthrowaway wrote:
       | I am not a vegan but this is unethical
        
         | dkjaudyeqooe wrote:
         | How? Is inserting animal parts into your body via your mouth
         | fine but not via a hole in your chest? Both sustain life, both
         | mean the pig lives relatively comfortably as a domestic animal
         | for a while. Surely that's better than never been born at all.
        
         | Pxtl wrote:
         | If you're not a vegan and you're against this you're letting
         | your squeamishness override your ethics. If an animal is worth
         | killing for the convenience and taste of a meal, it's worth
         | killing to save a human being with a transplant.
         | 
         | Your objection sounds like squeamishness, and in that case I'd
         | avoid looking at medical procedures in general.
        
         | unobatbayar wrote:
         | Not unethical because the pig signed the Terms & Conditions.
        
           | roberto wrote:
           | Congrats, yours is the last comment I read in HN.
        
             | unobatbayar wrote:
             | How come?
        
         | cirrus3 wrote:
         | I bet you'd take one tho if your other option was certain
         | death. Or if your child needed it and it was the only option.
        
         | chana_masala wrote:
         | Maybe I can add some nuance as a vegan (I'm vegan btw, and I
         | use Arch btw). I think that it's amazing that this is possible,
         | but where it seems unethical to me is that there still are many
         | other ways we could route heart transplants from willing
         | humans. I think the only way I'd find this ethical is if the
         | pig died from natural causes. But that probably complicates
         | using the heart. If a pig is killed for food and then the heart
         | is used for this, it still wouldn't be ethical to me, because
         | it's plainly not ethical to kill another being for one's
         | benefit in a situation that is not purely for survival
         | (everyone's favorite deserted island). A heart transplant _is_
         | a situation of survival, but again - we should continue to
         | explore human donors first.
        
           | burkaman wrote:
           | > The patient, David Bennett, a 57-year-old Maryland
           | handyman, knew there was no guarantee the experiment would
           | work but he was dying, ineligible for a human heart
           | transplant and had no other option, his son told The
           | Associated Press.
           | 
           | > There's a huge shortage of human organs donated for
           | transplant, driving scientists to try to figure out how to
           | use animal organs instead.
           | 
           | > Dr. Bartley Griffith, who performed the surgery, said the
           | patient's condition -- heart failure and an irregular
           | heartbeat -- made him ineligible for a human heart transplant
           | or a heart pump.
           | 
           | - https://apnews.com/article/pig-heart-
           | transplant-6651614cb9d7...
        
           | dkjaudyeqooe wrote:
           | Animals eat each other alive in the wild, they kill on a whim
           | for the pettiest of reasons.
           | 
           | Dying at the hands of another animal is as natural a cause as
           | you can get. Because we're human we don't treat animals badly
           | while alive, that where our ethics come in.
           | 
           | Obviously if there enough hearts to go around no one would be
           | looking at pigs.
        
             | hiptobecubic wrote:
             | We generally consider killing something to be treating it
             | badly.
        
               | dkjaudyeqooe wrote:
               | I don't know who 'we' is, but society in general
               | disagrees. People eat meat with a clear conscience.
        
           | pkaye wrote:
           | As a vegan what is your view on testing drugs on animals and
           | do you refuse to use those medicines?
        
             | chana_masala wrote:
             | I was hospitalised for a month and didn't ask any
             | questions, because I couldn't - I was dying. But if I had
             | more capacity I would have requested vegan options. Once I
             | came to I did refused any non vegan hospital food - which
             | meant I only ate plain boiled potatoes.
             | 
             | So I was grateful for the medicines I received then that
             | may have been tested on animals or may have had animal
             | ingredients. But I still advocate and prefer medicines to
             | not be tested on animals and to not contain animal
             | ingredients. I think we have a vast amount of untapped
             | technology that could avoid that.
        
               | hiptobecubic wrote:
               | I don't get what is so difficult for people to digest in
               | discussions like these. Someone says something like "I
               | try to do the best I can to minimize the unethical
               | treatment of others," and it's a tidal wave of angry
               | finger pointing and fallacious appeals to nature.
        
               | eixiepia wrote:
               | > "I try to do the best I can to minimize the unethical
               | treatment of others," and it's a tidal wave of angry
               | finger pointing and fallacious appeals to nature.
               | 
               | Maybe because the vegans people have met, are the
               | obnoxious ones that want to push their eating disorder on
               | everyone else, so they just point out the hypocrisy when
               | appropriate.
        
               | jrh206 wrote:
               | I've met plenty of reasonable vegans. I wouldn't consider
               | them to have an eating disorder. I eat meat.
               | 
               | When I've engaged with discussion about this with them
               | (usually because I asked), I've found their arguments
               | personal and convincing.
        
               | krisoft wrote:
               | I don't get what tidal wave of angry finger pointing you
               | are talking about. All I see is curious people discussing
               | the topic in a civilized manner.
        
           | bastawhiz wrote:
           | I'm curious how you'd extract a human heart from a willing
           | human donor without killing the donor. I'm also curious how
           | you'd similarly prepare the human donor in any way to
           | meaningfully reduce the chances of rejection, like genetic
           | modification.
        
             | barbazoo wrote:
             | Organ donors
        
             | chana_masala wrote:
             | Am I reading this wrong? Isn't this how you'd do it?
             | 
             | > As of 2018, the most common procedure is to take a
             | functioning heart, with or without both lungs, from a
             | recently deceased organ donor (brain death is the standard)
             | and implant it into the patient. [1]
             | 
             | [1] https://en.wikipedia.org/wiki/Heart_transplantation
        
               | epgui wrote:
               | The point is that there's a gigantic gap between supply
               | and demand, and a lot if not most of the supply goes to
               | waste because you can't stockpile hearts. They need to be
               | harvested from a compatible donor and very quickly
               | transplanted. The odds of finding a compatible match are
               | not great.
        
           | thehappypm wrote:
           | I disagree. This brings us back to tribal times; kill the
           | animal or starve, or in this case, kill the animal or die of
           | a heart attack.
        
             | chana_masala wrote:
             | Maybe you could at least address the points I gave instead
             | of plainly ignoring them and repeating the same argument? I
             | already addressed this - we _aren 't_ in tribal times. We
             | can even grow organs in the lab. We can also coordinate
             | complex routes to securing organ donations. There are so
             | many available options. And again, if a heart from a pig
             | that died naturally could be found, I'd be all for it. I
             | think it adds a more to control than already a trans
             | species heart, but that'd be my ideal.
        
               | yosame wrote:
               | So there's a shortage of human organs in general
               | (especially heart and lungs), which means we need to get
               | them from somewhere.
               | 
               | Using complex routes to secure organ donations isn't a
               | great option, because the viability of organs decrease as
               | time goes on, so there is an effective limit on how far
               | they can travel. It also doesn't help people who are
               | currently ineligible for organ transplants, because their
               | current scarcity means that only prime candidates can get
               | them (otherwise it would be wasteful).
               | 
               | We could change the organ donation system from opt-in to
               | opt-out, but I get the impression that wouldn't be as
               | ethical from a vegan point of view. That also doesn't
               | help the afformentioned distance problems.
               | 
               | Lab grown organs could be a great solution that would
               | actually be better than animal organs, but they're not a
               | viable option yet.
               | 
               | Basically, if we had good options other than
               | xenotransplantation, I would probably agree that it's
               | unethical to use their organs. However, we don't have
               | better options right now (especially ones that can scale
               | to treat everyone that needs an organ), so in my opinion,
               | xenotransplants are better than nothing.
               | 
               | (Also as a side note, a pig that died from natural causes
               | wouldn't be viable for organ transplantation. The pig
               | needs to be physiologically alive for the organs to be
               | viable, and it needs to be genetically modified to not
               | have animal proteins that the immune system can detect).
        
               | thehappypm wrote:
               | There is a shortage of organs. There are not enough. Lab
               | grown is not an option yet.
        
         | bamboozled wrote:
         | Anyone care to emphasize why this opinion should be down voted
         | so heavily ?
         | 
         | It's ok to now breed animals for parts; However if someone
         | questions the ethics of that, it's bad? Ridiculous...
        
           | ALittleLight wrote:
           | If you agree it's okay to breed animals for nourishment ("not
           | a vegan") then why would it not be okay to breed them for
           | organs?
        
           | corobo wrote:
           | > Anyone care to emphasize why this opinion should be down
           | voted so heavily
           | 
           | Because they don't say anything. They announced their belief
           | and wandered off. Post could do with a "because" and another
           | sentence or two
           | 
           | Can't speak for everyone ofc but that was my reasoning.
           | Nothing to do with the opinion my side, standard downvote
           | behaviour for contentless comments
        
             | bamboozled wrote:
             | Do you require an explanation for why that might not be the
             | correct thing to do?
        
               | corobo wrote:
               | Nope. I'll vote how I feel like voting. You may do
               | likewise :)
               | 
               | If a single downvote matters, it doesn't matter
        
           | dvt wrote:
           | It's a typical reddit-level-effort comment. These and
           | annoying puns get automatic downvotes from me. Maybe a bit
           | shortsighted, but I solely use HN for highbrow intellectual
           | discussion, debate, and insight. The only reason I'm so
           | protective of this kind of discussion is that HN is literally
           | the only venue left.
        
           | judge2020 wrote:
           | Because they aren't questioning the ethics of this, they're
           | stating their opinion on it without giving any reasoning why
           | they feel that way.
        
         | thehappypm wrote:
         | Sounds like you should be a vegan! If this is unethical to you,
         | why eat animals?
        
       | henryw wrote:
       | This reminds me of the movie The Island where they cloned people
       | as organ backups https://www.imdb.com/title/tt0399201/.
        
         | Valgrim wrote:
         | If you want to explore the concept further, I suggest you watch
         | the movie "Never Let Me Go" (2010). The premise is very
         | similar, apart from the fact there's no secret or conspiracy
         | about it, children are just grown to become sacrificial organ
         | donors, and since it's socially accepted, there's no way out of
         | it.
         | 
         | Fair warning: it's pretty depressing.
        
       | radu_floricica wrote:
       | I've said this before here and got downvoted for it, but
       | bioethicists as a profession are responsible for more death than
       | pretty much anything else I can quickly think of.
       | 
       | People are dying from heart disease all the time, very often in
       | predictable conditions. Literally millions every year.
       | Statistically this means we should hear about such failed
       | procedures many many more times than we do now - there is
       | literally no downside from doing this much more often, and a
       | strict upside: a chance to live longer and a definite advance in
       | medicine leading to other lives saved. Sure, it may mean more
       | stress for a dying patient, but quite a few would prefer their
       | death have some meaning. But they can't chose this because it's
       | not "ethical".
       | 
       | Moderna had the mRNA vaccine for Covid ready in about 3 weeks.
       | This means the tech was already there - I'd really like to see an
       | argument where we had three major companies create mRNA vaccines,
       | only one failed (harmlessly!) but we shouldn't have used this
       | technology a few years early. mRNA tech is incredibly versatile -
       | it should have applications from curing cold to curing cancer.
       | But no, we needed a pandemic and 10 months of testing to start
       | using it, because it wasn't "ethical".
       | 
       | We knew from month 1 that the young and healthy are not hit hard
       | by Covid. Mortality in those groups was always comparable to flu,
       | more or less. But we didn't do challenge trials. We wasted ... I
       | have to take a break from typing, tbh, I'm overwhelmed. We wasted
       | almost a year while literal millions died while wondering if
       | Covid is transmitted by touch, aerosols or airborne when we could
       | have fixed this in two weeks with a bunch of 25 year olds. We
       | spent half a year before even realizing masks help, and we still
       | don't know for sure how much and what's the difference between
       | each kind. We had Omicron - we knew it was different, we had good
       | reason to think it's not significantly worse from the start, but
       | we still had a _lot_ of questions. But two years from the start
       | of the pandemic we STILL didn't put a bunch of healthy volunteers
       | through a completely harmless study to find out things early.
       | Because it wouldn't have been "ethical".
       | 
       | This isn't ethics we're talking about. It's pure and
       | unadulterated cowardice. We as a society shy away from doing
       | things which we _know_ would save more lives in the aggregate
       | because we'd have to risk causing much less harm, but harm which
       | we'd be directly responsible for. Joe from the street would be
       | excused from making these decisions, but when you deal with the
       | people directly charged by the society from making these
       | decision, it's just failure to do their job. And in a
       | supermajority of case we're dealing with volunteers anyways.
       | 
       | If you feel like reading more about how stupid the whole system
       | is: https://slatestarcodex.com/2017/08/29/my-irb-nightmare/
        
         | scrollaway wrote:
         | > _only one failed (harmlessly!)_
         | 
         | They (CureVac) failed because they started trials too late, and
         | by then the Delta variant was going around and caused the
         | numbers to not look as good as Pfizer and Moderna's. v If you
         | look back, it's a real shame, because Pfizer's and Moderna's
         | Delta numbers are no better than CureVac's.
         | 
         | [Also, speaking completely anecdotally, but I'm in that
         | clinical trial and thus a recipient of 2 CureVac shots and 2
         | Moderna shots. I have yet to catch Covid despite taking nearly
         | zero precautions and a lot of high risk contacts. And yes, I
         | get tested _constantly_. There might be something more
         | interesting yet to discover about this.]
        
         | jillesvangurp wrote:
         | Ethical protocols are useful to have to prevent genuinely bad
         | stuff from happening but they are indeed over used to instead
         | limit legal and political liability; which is not the type of
         | "bad stuff" most people would care about but which is something
         | that gets expensive quickly if you are a multi billion dollar
         | corporation in the business of converting government funding
         | into profit (aka. a Pharmaceutical company). The only bad
         | outcome they really care about is of a financial nature.
         | 
         | When ethics devolves into morals and religion, it gets worse
         | because in that case the "bad stuff" is somebody feeling
         | offended/insulted and when that conflicts with potentially life
         | saving new treatments; that in itself might be considered a bad
         | thing (unethical?). Ethics has this way of contradicting
         | itself.
         | 
         | When you weigh two bad outcomes, the rational thing to do (the
         | least bad thing) might not be the ethical thing to do but some
         | people (me) would still consider that the right thing to do.
         | When letting people die that want to live (an important caveat)
         | is more ethical than doing something to prevent that, something
         | is very wrong. Also letting them die when they actually want to
         | is considered unethical by some.
        
         | hamilyon2 wrote:
         | I respectfully disagree. It is patient's right to refuse any
         | medical procedure.
         | 
         | A mere suspicion, impression that doctors are not treating life
         | and health of this particular patient with all sainctity will
         | do a lot more harm than good.
         | 
         | I mean, life is precious, doctors should know this best and act
         | like it is. Recklessness even in words will do a lot of harm. A
         | lot of credit will be lost if standards slip even a little bit.
         | 
         | I know this very well because people around me are not
         | vaccinated yet because they are _suspicious_ of Sputnik-V. Yes,
         | this is reality where I live. People are suspicious and
         | refusing a life-saving procedure.
        
           | radu_floricica wrote:
           | This is risking another rant, but I'll hold. Keeping things
           | short - authorities lied their asses off for the whole
           | pandemic, and this is what (legitimately) destroyed trust.
           | People are a lot less stupid than usually given credit for -
           | sure, they can't always do the research themselves, but they
           | do know to look around and orient them in complex situations.
           | And it got pretty obvious pretty soon that the official
           | message was not about the truth, but about getting the
           | "correct" response. Which turned out to be a lot less precise
           | and correct in practice. So yeah, now you get people
           | mistrusting vaccines because you can't get them to trust
           | anything.
           | 
           | The longer response would be that public institutions should
           | be forbidden to use Simulacra Levels over 1 (https://www.less
           | wrong.com/posts/qDmnyEMtJkE9Wrpau/simulacra-...)
        
           | _dain_ wrote:
           | >It is patient's right to refuse any medical procedure.
           | 
           | The problem is not that they can't say "no", it's that they
           | can't say "yes".
        
           | andrepew wrote:
           | I don't think the OP disagrees with you.
           | 
           | The patients who don't get the experimental treatment didn't
           | refuse the experimental treatment -- they were never offered
           | it at all which is the problem.
           | 
           | The ethics and regulatory red tape kills any hope for such a
           | treatment before patient consent is even a question.
        
         | burglekutt wrote:
         | 100% agree. I think the unsolved meta problem here is large-
         | scale game theoretic stalemates where we all lose in grand
         | ways, and yet nobody can bust out of their local incentives.
         | 
         | To do so successfully would require thousands of unacquainted
         | people to coordinate changes (against their backdrop of
         | incentives) simultaneously.
         | 
         | Governments are made for this but after a certain size and
         | complexity, their people get stuck in the same frontier of
         | stuck incentives.
         | 
         | A horribly-written but salient book about this is "Inadequate
         | Equilibria: Where and How Civilizations Get Stuck":
         | https://www.amazon.com/gp/aw/d/B076Z64CPG
        
         | Chris2048 wrote:
         | One word: inequality.
         | 
         | When people don't feel they are equals in society, the whole
         | "for the benefit of all" sounds pretty cynical.
         | 
         | Also, some governments have a poor record for taking
         | responsibility (e.g. looking after veterans), or making others
         | take responsibility (DuPont), so the people who _do_ come off
         | worse don 't necessarily expect to be taken care of.
        
       | threshold wrote:
       | Is this compassionate use or experimentation on a dying patient
       | for the future benefit of the rest of us? I'm fine with the
       | latter, if consensual. But only if we call it what it is.
        
         | Karawebnetwork wrote:
         | It is quite clear since the first article on this topic that
         | the recipient is very aware of the potential and risks. If I
         | may say, he sounds like he geeks out about it. He had
         | previously received a pig heart valve which kept him alive a
         | long time. This probably affects his perceptions positively
         | too.
        
         | wonderwonder wrote:
         | If the patient gets to hug his kids a year from now, he would
         | probably consider it compassionate use.
        
           | threshold wrote:
           | He won't. Although I'd love to be proven wrong. Similar
           | experiments lasted weeks
        
         | teekert wrote:
         | That is what a clinical trial is. There is now other way.
         | Although with organs-on-a-chip we are working on at least
         | getting the animal testing stages confined to a minimum. Over
         | time we may reduce the risk to first recipients of new tech
         | using these new technologies. Perhaps even digital models may
         | at somepoint start playing a role. But until we have digital
         | models, this is what we have. And it does seem to work well in
         | this case.
        
           | Turing_Machine wrote:
           | Yes. No matter what the treatment might be, someone always
           | has to be the first human it's tried on.
           | 
           | Even if we did have good digital simulations, someone would
           | still have to be the first human to get it "for real". That's
           | just the nature of things. Someone has to be the first
           | patient of a new heart surgeon. Someone has to be the first
           | person to hire a newly-minted PE to design a bridge that
           | might fail and kill thousands. And so on.
           | 
           | We mitigate these risks to the best of our ability by
           | ensuring rigorous training of doctors and PEs, and stuff like
           | animal testing and computer simulations, but someone still
           | has to be first.
           | 
           | It sounds like this patient was well aware of the risks, and
           | opted to get the procedure since otherwise his death would be
           | a certainty.
        
         | albrewer wrote:
         | The guy would have died pretty soon without the procedure. If
         | the choice is between dying for sure in a few weeks, or maybe
         | dying in a few weeks but maybe not dying for another few
         | years.... I'll take the 2nd option.
        
         | dtech wrote:
         | It's a way to potentially prolong a terminally ill patients
         | life with an experimental technique, potentially advancing
         | medical science in doing so. I fail to see why this should be
         | cast in a negative light.
        
         | _fat_santa wrote:
         | From everything I read it was consensual. But that raises a
         | larger moral question. Is it really consent if you're about to
         | die? I think that almost anyone given the choice to either die
         | or get a pig heart will choose the latter, there's a good
         | chance you will die if you get the transplant but there is a
         | 100% chance that you will die if you don't.
        
           | jgwil2 wrote:
           | I don't think that is necessarily true - people reject
           | potentially lifesaving treatments all the time for many
           | different reasons. Yes, the desire to live is very strong in
           | us, but it's not infinite.
        
           | zamadatix wrote:
           | Since it's consent to do the best option available and he
           | wasn't put into the position of needing the help by the ones
           | offering it I don't think it's much of a moral issue. Usually
           | the moral problems come when less than ideal alternatives are
           | proposed or people are forced into a situation where they
           | otherwise wouldn't have had to choose. I.e. conflict of
           | interest stuff from the ones proposing to get consent to try
           | to help.
        
         | ovi256 wrote:
         | First generation transplants are always both. David would have
         | died soon without this (he's quite likely to die soon with it
         | too, unfortunately, if this goes anything like other first of a
         | kind transplant receivers). Desperate people accept desperate
         | measures, and the hope that it may teach us how to save others
         | helps too.
        
       | nixnax wrote:
        
       | userbinator wrote:
       | I wonder how long it'll last, given the pig it came out of was
       | probably already an adult, and pigs live far shorter lives than
       | humans.
        
         | digianarchist wrote:
         | Can't they just keep replacing it every ten years?
        
           | _qua wrote:
           | It's difficult to do repeat surgeries in the chest.
        
             | K5EiS wrote:
             | Just install a window and some valves for easy replacement.
             | Maybe you could even hot swap pig hearts.
        
               | _fat_santa wrote:
               | Ok Tony Stark
        
               | cute_boi wrote:
               | Easier said than done.
        
               | Kuinox wrote:
               | Woosh
        
               | scohesc wrote:
               | If Apple can make magsafe for their laptops, then the
               | medical industry can make magsafe for your heart - hot
               | swappable hearts, a simple procedure! :P
        
         | jessriedel wrote:
         | It's an important question, but the typical donated human organ
         | only lasts ~10 years, which doesn't have much to do with the
         | donor's age.
         | 
         | https://wexnermedical.osu.edu/blog/how-long-do-transplanted-...
         | 
         | Donors are usually 35-50 at time of donation, so way more than
         | 10 years away from average life expectancy. The donated organs
         | fail for other reasons.
         | 
         | There are many examples of donated organs living past 100
         | (years since donor's birth) even though the number of humans
         | who live that long is quite rare.
         | 
         | https://www.dailymail.co.uk/health/article-3731752/The-woman...
         | 
         | https://www.bbc.com/future/article/20200625-the-woman-with-a...
        
         | exabyte wrote:
         | Don't get talk about people "feeling" the person from whom they
         | received the transplant inside them? If so, how would a pig
         | seem?
        
           | fooker wrote:
           | There is an Indian movie which beautifully explores this
           | concept.
           | 
           | https://www.imdb.com/title/tt1773764/
           | 
           | Worth watching with subtitles if you do not understand the
           | language.
        
             | exabyte wrote:
             | That trailer seemed pretty bad
        
           | Chris2048 wrote:
           | People talk about a lot of things. God, ghosts, karma. No
           | evidence it isn't anything other than psychological.
        
             | technothrasher wrote:
             | > phycological
             | 
             | Let's leave the algae talk out of this!
        
       | thegabriele wrote:
       | From the article: "[pigs] they can be genetically manipulated to
       | produce organs less likely to be rejected on transplantation."
       | 
       | Is this true? How would these manipulations be carried out?
        
         | Rallen89 wrote:
         | This video is a good overview of the whole thing
         | https://www.youtube.com/watch?v=0d8svvqX1c0
        
         | s1artibartfast wrote:
         | It is also becoming more common in drug research. It is fairly
         | common to adapt animal genomes to be closer to that of humans
         | so that the drugs will work in similar ways.
        
         | albrewer wrote:
         | There's a sugar that most animals produce but humans don't[0].
         | These pigs have been genetically modified to not produce that
         | sugar, the thought being that that's what's responsible for the
         | xenotransplantation rejections[1].
         | 
         | [0] https://www.cdc.gov/ticks/alpha-gal/index.html [1]
         | https://www.healio.com/news/primary-care/20201214/fda-oks-ge...
        
         | moffkalast wrote:
         | Doctor: "Now, most hearts couldn't withstand this voltage ...
         | but I'm fairly certain your heart..."
         | 
         | Pig: "What was noise?"
         | 
         | Doctor: "The sound of progress, my friend."
        
       | phnofive wrote:
       | Discussed here fifteen days ago:
       | https://news.ycombinator.com/item?id=29882912
       | 
       | Not a huge update but an interesting discussion of FDA approval;
       | can the FDA actually stop or sanction experimental procedures
       | like this?
        
         | hprotagonist wrote:
         | >can the FDA actually stop or sanction experimental procedures
         | like this?
         | 
         | They explicitly permitted this operation, by means of
         | https://www.fda.gov/news-events/public-health-focus/expanded...
         | 
         |  _Sometimes called "compassionate use", expanded access is a
         | potential pathway for a patient with an immediately life-
         | threatening condition or serious disease or condition to gain
         | access to an investigational medical product (drug, biologic,
         | or medical device) for treatment outside of clinical trials
         | when no comparable or satisfactory alternative therapy options
         | are available._
        
         | jostmey wrote:
         | Yes, the FDA will insert itself to regulate medicine wherever
         | it can. For example, the FDA has been pushing to regulate
         | diagnostic tests as medical devices.
         | 
         | It's funny how Americans surrender medical autonomy to the
         | government but draw a strict line in the sand in other issues
        
           | mlinhares wrote:
           | All you need is a conservative talking head to kickstart
           | resistance to that as well, they just have to figure out a
           | way of making money out of it.
        
           | giantg2 wrote:
           | Some of us realize it's straight up politics, but we have no
           | power. It's not a choice, but a reality we live with.
        
           | mlindner wrote:
           | That's actually why we're against it. Once they have the
           | power it's basically impossible to recall it. There were many
           | lines in the sand in the past and they keep being crossed.
        
           | Klinky wrote:
           | It's funny how susceptible Americans are to medical
           | misinformation. The FDA is a necessity.
        
           | throwaway0a5e wrote:
           | >It's funny how Americans surrender medical autonomy to the
           | government but draw a strict line in the sand in other issues
           | 
           | If they knew the extent of it they probably wouldn't.
           | 
           | I don't know where you're from but I'm sure the people there
           | show equal apathy on some subjects.
        
           | sandworm101 wrote:
           | >> to regulate diagnostic tests as medical devices.
           | 
           | Like MIR machines? Like blood labs? Like home pregnancy
           | tests? Without the FDA's regulation of medicine we would
           | quickly be back to snake oil and cocaine in everything. It is
           | bad enough that drugs stores are allowed to sell water as a
           | "homeopathic remedy". The snake oil people are out there
           | waiting for deregulation.
        
           | baldfat wrote:
           | I have a weird muscle disease that is treated with just
           | taking over the counter L-Carnitine. The issue, vitamins and
           | supplements are not regulated. So, I will try to take a new
           | brand and after a few days my symptoms will come back because
           | the pills don't have the L-Carnitine like it says and there
           | is no one to make sure it does. It will cost me four to seven
           | days of pain, and no one is held responsible.
           | 
           | My best guess is one in a thousand actually needs them so the
           | 999 have a placebo effect and the 1 suffers. I told my
           | neurologist, and he couldn't even prescribe them for me
           | because that isn't a thing. So now I buy all I can find that
           | works and hope they don't stop making it.
        
             | lakdowjd wrote:
             | Have you considered skipping the shady middleman altogether
             | and just ordering the pure stuff directly from a
             | manufacturer?
        
             | treeman79 wrote:
             | I had to spend thousands to go through a dozen medications
             | for medical issues. Eventually turned to supplements in
             | part because it was much easier to experiment.
             | 
             | I have a couple meds and treatments I've been begging
             | doctors to try, but they aren't aware of them so refuse to
             | consider.
             | 
             | Go onto any support forum and you'll find countless tales
             | of doctors not listening or not knowing current info on a
             | condition.
        
               | Workaccount2 wrote:
               | You'll also find tons of people who swear by their home
               | "witches brew" medication. People who are just feeling a
               | placebo. Or people who think they have the forum's banner
               | illness but actually have something totally different and
               | much more benign. They heal over time naturally, but
               | attribute it to gum root jelly concentrate.
               | 
               | I've been there a few times before. And while inevitably
               | monkeys popping random pills will find something,
               | separating the signal from the noise takes time and
               | studies. The things that doctors pay attention too.
               | 
               | Disclaimer: Yes there are out of touch doctors and yes
               | random medicating has lead to amazing discoveries.
        
             | pvaldes wrote:
             | If there are two brands exposed to the same market rules
             | and one cost half the price there is a fair possibility
             | that will contain less amount of the expensive active stuff
             | and more of the cheaper ingredients. Technically is still
             | carnitine, but one can have 90% of carnitine and the other
             | just a 60%.
        
             | JohnJamesRambo wrote:
             | Do you have any proof the supplements don't have
             | l-carnitine? You should get a lawyer if so, that is an easy
             | case against the supplement maker imo.
        
               | jolux wrote:
               | The whole supplements industry is like this. The best you
               | can do is get one that's USP certified.
        
             | ruste wrote:
             | That sounds severe enough I'd consider it worthwhile to pay
             | a lab to run spectroscopy on a range of supplements just in
             | case, or consider hiring a lab to synthesize a batch I
             | _know_ will meet my needs. The first option is probably a
             | lot less pricey than you'd expect.
        
           | aqme28 wrote:
           | Is that a recent push? I used to work for a company producing
           | a diagnostic test, and it was being regulated as you said.
           | 
           | But what is the issue with that? Failures in diagnosis kill
           | people very regularly. It should be regulated.
        
           | raxxorrax wrote:
           | Private companies also rely on the state for liability
           | reasons as we just now saw with the vaccines. I believe
           | overall this is a good idea to have high expectations for
           | medical procedures as it does not inhibit progress.
        
           | pjc50 wrote:
           | > regulate diagnostic tests
           | 
           | If only there hadn't been a major high profile collapse of a
           | fraudulent diagnostic test company recently.
        
             | neuronic wrote:
             | The hostility towards FDA on HN is incredible. I wouldn't
             | trust some VC funded startup bros with anything related to
             | medicine _at all_ without having passed every single
             | regulatory board tangentially related to whatever they are
             | doing, even more so after Theranos.
        
               | 4bpp wrote:
               | It's not like "enforce more" vs. "enforce less" is the
               | only axis along which the behaviour of a government
               | agency can be tweaked.
               | 
               | For an extreme example, imagine you had a court system
               | that picks 100 people at random to execute each year
               | (most of whom are naturally innocent). Then, you have a
               | crime wave. Would you say that the solution to this
               | problem would be that the courts need to be _tougher_?
               | ... _more lenient_? Both seem quite obviously wrong:
               | being more lenient would solve the problem of innocents
               | getting executed but do nothing about crime, being
               | tougher would only trivially solve the problem of crime
               | near the limit point where everyone is executed. However,
               | being _hostile_ towards such a court system seems quite
               | appropriate.
               | 
               | Likewise, I don't think Theranos is sufficient evidence
               | that the FDA needs to simply be _stricter_ , nor is the
               | difficulty of getting approval for pig hearts sufficient
               | evidence that the FDA needs to be more lenient. Instead,
               | taken together the two imply that the FDA needs to be
               | more specific at blocking the bad therapies and allowing
               | the good ones - in other words, it simply needs to get
               | better at its job. Is this not something we can demand of
               | the government?
        
               | malfist wrote:
               | But the FDA isn't executing 100 people (or corporations)
               | per year. FDA isn't even indiscriminately halting
               | progress. Your argument has no premise.
               | 
               | The FDA regulates with cause and investigates all new
               | medical products before they can be brought to market.
               | They don't willy nilly approve some and nix others.
        
               | InitialLastName wrote:
               | > it simply needs to get better at its job
               | 
               | The issue here (and with regulators in general) is that
               | in general "being better at their job" means going into
               | more depth to determine whether an approval is warranted,
               | which means expending more resources on investigation. I
               | don't know that I've ever seen any overlap between the
               | people who think the regulators do a bad job at
               | regulating and people who think we should be funding the
               | regulators more thoroughly.
               | 
               | All that not to mention that when a regulator like the
               | FDA starts going into more depth in its investigations of
               | an industry, that industry's firms start spending more
               | money on either complying with or deceiving the
               | regulator, risking a downward spiral of wasted resources.
        
               | inglor_cz wrote:
               | Getting regulation "just right" is a complicated process,
               | people differ in their risk tolerance, and it isn't clear
               | to me at all that "more powers to X" is always the right
               | answer.
        
               | dnautics wrote:
               | There are a wide range of options between startup bros
               | and government. For example, in the US, a lot of
               | electrical component standards and testing are managed by
               | the UL, which is a nonprofit ngo.
               | 
               | Maybe something like "a UL for drug approval" might be
               | worth a go.
        
               | InitialLastName wrote:
               | The market for counterfeit and unregulated chargers and
               | electronics on Amazon/Alibaba (most all of which are UL
               | marked) and fires related to the above suggests that the
               | UL doesn't really have any teeth.
               | 
               | It's possible that medical approvals would be less prone
               | to this sidestepping of independent regulators, since
               | much of the spending is proxied by insurance companies
               | looking to maximize profits and minimize BS spending, but
               | I have very little confidence that such a system would
               | function.
        
               | dnautics wrote:
               | There's also a wide range of things between the UL and
               | FDA.
               | 
               | Besides, if it's counterfeit, then it's not actually UL
               | marked, so I'm not sure what your argument is.
        
               | InitialLastName wrote:
               | > Besides, if it's counterfeit, then it's not actually UL
               | marked, so I'm not sure what your argument is.
               | 
               | Consumers can't tell the difference between devices that
               | are fraudulently or legitimately marked with the UL logo,
               | and the UL doesn't appear to be able to do anything about
               | the prevalence of fraudulent uses of the UL mark.
        
               | DrAwdeOccarim wrote:
               | I don't sense hostility outside the typical vocal
               | minority. Having straddled the FDA-regulated world and
               | the libertarian-leaning internet cultures through the
               | aughts and teens, my experience is that the internet
               | libertarians are simply ignorant of how the FDA actually
               | serves us. Pretty typically libertarian--freedom as long
               | as nothing gets more dangerous. Kind of like rebellious
               | children.
        
               | robbedpeter wrote:
               | The fda is responsible for keeping hearing aids at insane
               | prices my entire life. They serve as the gatekeepers for
               | a cartel of once manufacturers, now IP holders (pure rent
               | seekers,) who have successfully used the US government to
               | exploit one of the most overlooked and vulnerable classes
               | of people. Almost everyone loses hearing when they're
               | older.
               | 
               | When you live with hearing loss, it leads to social
               | isolation and embarrassing situations, depression, and
               | all the usual attendant disasters in people's lives.
               | 
               | The hearing cartel has used their wealth to create a
               | pseudomedicine so as to brand their salespeople as
               | doctors, and infested almost every state with bureacrats
               | who determine policy and direct licensing and
               | enforcement.
               | 
               | Hearing aids that are priced at $5000 or more are
               | produced at scale for less than $5 per unit. It'd be
               | trivial to turn most modern headphones into hearing aid
               | equivalent technology, but there is a regulatory moat
               | surrounding real time audio enhancement that will cause
               | the fda to shut down any attempt to augment regular
               | hearing, let alone allow the hearing impaired the ability
               | to operate what amounts to a stereo equalizer.
               | 
               | The fda does engage in legitimate business, but that's
               | insufficient to justify the costs paid by people who get
               | screwed when the FDA is exploited for profit.
               | 
               | I currently pay for "hearing aids as a service" and lose
               | $200 a month for the privilege of hearing. I pay what
               | amounts to extortion money for my disability. Because my
               | loss is classified profound, none of the Obama era
               | loosening of hearing aid restrictions help. It's lip
               | service that acknowledges the problem but leaves 95% of
               | it unsolved.
               | 
               | Libertarian shmibertarian, I think I'm entitled to not
               | get specially fucked because my ears don't work. I think
               | it's sick that I feel grateful that I can afford hearing
               | as a service when it should be something covered by
               | insurance, or something I can buy for the same cost as
               | premium earbuds.
               | 
               | Government shouldn't be involved in hearing aids, except
               | in the consumer protection arena. The fda has no business
               | enabling the exploitation of disabled and vulnerable
               | people, but hearing aids are just one area they happily
               | strong-arm the public on behalf of cartels and industry
               | lobbies.
        
               | searine wrote:
        
               | ryandrake wrote:
               | > Pretty typically libertarian--freedom as long as
               | nothing gets more dangerous. Kind of like rebellious
               | children.
               | 
               | Or, as this guy[1] put it, like house cats. "convinced of
               | their fierce independence while utterly dependent on a
               | system they don't appreciate or understand."
               | 
               | As a former Libertarian who luckily grew out of that
               | phase, I love this analogy.
               | 
               | 1: https://twitter.com/jspauldingphoto/status/14615069981
               | 183303...
        
               | DrAwdeOccarim wrote:
               | Yea, that's a good one!
        
               | sjg007 wrote:
               | HN had a huge sophomoric Randian streak years ago.. It
               | seems to be maturing as I assume the users age.
        
               | ethbr0 wrote:
               | It's easy to be Randian when you're young, don't have
               | dependents, and are in good health.
               | 
               | One of the things I always liked about HN (even years ago
               | HN) is that it seemed to feature a diversity of age
               | ranges. Which brings some nice perspective.
        
               | admash wrote:
               | I wouldn't trust startup-bros either, without regulatory
               | oversight. That being said, the hostility towards the FDA
               | is not without basis (see below). Though I would argue
               | that much of that hostility it due to it doing too
               | little, rather than too much.
               | 
               | Why is the FDA Funded in Part by the Companies It
               | Regulates?
               | 
               | https://today.uconn.edu/2021/05/why-is-the-fda-funded-in-
               | par...
               | 
               | Hidden conflicts? Pharma payments to FDA advisers after
               | drug approvals spark ethical concerns:
               | 
               | https://www.science.org/content/article/hidden-conflicts-
               | pha...
               | 
               | Gaps, tensions, and conflicts in the FDA approval
               | process: implications for clinical practice:
               | 
               | https://www.jabfm.org/content/17/2/142.long
               | 
               | Revisiting financial conflicts of interest in FDA
               | advisory committees:
               | 
               | https://onlinelibrary.wiley.com/doi/10.1111/1468-0009.120
               | 73
               | 
               | (edit: more links)
        
               | ethbr0 wrote:
               | Why? Because citizens want an expert-staffed and
               | functional regulatory body, but aren't willing to pay the
               | tax necessary to fund it, at parity with private sector
               | salaries.
               | 
               | The root of all government problems is "We trust you to
               | make decisions that impact a large amount of monetary
               | value, but also pay you less than the amount of money
               | flowing through you, and also pay you less than private
               | industry would be willing to."
               | 
               | Which... sets up an interesting dynamic.
               | 
               | There are a lot of selfless saints out there. But there
               | are also a lot, not. And so internal processes and
               | regulations pile on top, in an attempt to curb the worst
               | of corruption.
               | 
               | Can we make the system better? Eh... maybe? But it's
               | important to remember that a lot of features that look
               | insane are actually reactive solutions to problems
               | inherent in the system.
        
               | all2 wrote:
               | > Why? Because citizens want an expert-staffed and
               | functional regulatory body, but aren't willing to pay the
               | tax necessary to fund it, at parity with private sector
               | salaries.
               | 
               | The FDA (and the CDC and others) and pharma sectors trade
               | people all the time. There is a revolving door between
               | the two. Medicine isn't the only place this happens. It
               | happens in telecomm, military, manufacturing, and so on.
               | 
               | We have experts at all levels. Those same experts may or
               | may not have patriotic tendencies. They are placed for
               | their knowledge of their respective industries. They may
               | also have a financial ax to grind.
               | 
               | Is there a conflict of interest? Only if the appointee
               | was appointed by the other party. I argue that the
               | apparent conflict of interest is only surface level. In
               | the US we don't have "capitalism", we have "crony
               | capitalism" that is verging on technocracy (rule of The
               | Science and unelected bureaucrats).
               | 
               | > The root of all government problems is "We trust you to
               | make decisions that impact a large amount of monetary
               | value, but also pay you less than the amount of money
               | flowing through you, and also pay you less than private
               | industry would be willing to.
               | 
               | The kinds of people who make those decisions are paid
               | very well, and if they make it out without media
               | incident, they are nearly always guaranteed a job in the
               | industry they used to regulate.
        
               | ethbr0 wrote:
               | > _Is there a conflict of interest? Only if the appointee
               | was appointed by the other party. I argue that the
               | apparent conflict of interest is only surface level. In
               | the US we don 't have "capitalism", we have "crony
               | capitalism" that is verging on technocracy (rule of The
               | Science and unelected bureaucrats)._
               | 
               | There is no such thing as capitalism separate from
               | democracy, with a government that performs many
               | functions.
               | 
               | It's not crony capitalism or technocracy. It's just
               | normal capitalism in a democracy. Same way it has been
               | since the founding of the United States.
               | 
               | > _The kinds of people who make those decisions are paid
               | very well_
               | 
               | Are they? GS tops out at around $170k
               | https://www.generalschedule.org/ . And S/ES at around
               | $220k https://www.federalpay.org/ses/2022 .
               | 
               | That's a good salary. But it's not necessarily something
               | I'd feel comfortable going to sleep with, knowing they
               | had a finger on the scales of millions of dollars, if
               | there weren't watchdog and mitigation measures in place.
        
               | dragonwriter wrote:
               | > In the US we don't have "capitalism", we have "crony
               | capitalism"
               | 
               | The real world system for which the term "capitalism" was
               | coined, was, is, and always has been crony capitalism;
               | the idea of a non-crony capitalism is a utopian fairy
               | tale that was invented to justify real-world capitalism
               | which has never resembled it.
        
               | umanwizard wrote:
               | On the other hand, countless lives would have been saved
               | had we started using the Covid vaccine before the FDA got
               | around to authorizing it. Those VC-funded startup bros at
               | Moderna really could have moved a lot faster without the
               | government's interference.
        
             | [deleted]
        
             | bobsmooth wrote:
             | Regulations are written in blood, then the blood darkens
             | and people forget why we have regulations.
        
               | drran wrote:
               | Regulations should be transparent, with link to original
               | cases and deduction process documented. We are not
               | telepaths.
        
               | Loughla wrote:
               | You can look up any and all regulations online. Then you
               | can read the transcripts of public comments regarding the
               | regulations. You can find relevant court cases online.
               | What else do you need?
               | 
               | Nobody does that now, for the most part, why would they
               | do it if there were a hyperlink attached to the
               | regulations themselves? Who actually reads the text of
               | regulations in the general population? I have zero data,
               | but I'm willing to bet it's virtually no one. Specialists
               | with a vested interest sure do, and they will probably
               | already know relevant cases or thought processes.
               | 
               | Edit: This was written in a very US-centric way, because
               | it is in response to something originally about the FDA.
        
               | drran wrote:
               | Finding of all that information requires a lot of time
               | and dedication. In my country (Ukraine), a lot of
               | information about law development process is available
               | online. For example: http://w1.c1.rada.gov.ua/pls/zweb2/w
               | ebproc4_2?id=&pf3516=509... . It contains notes with
               | explanation about why law need to be changed, but it hard
               | to follow. Some information is available online, some in
               | docx files, some in a random database, some on a video,
               | some is not available at all.
               | 
               | The process is not fully transparent. It means that it's
               | easy to create two laws, which are contradicting each
               | other, or modify laws against their original purpose,
               | etc., because it's hard to see consequences when the law
               | is not transparent. For example, our ex-president
               | Yanukovich just replaced Constitution on president site
               | with an older version. Yes, it's online, but it took 2
               | years(!) until people noticed that and start to revolt.
               | 
               | In software development, we have test cases, which must
               | be passed. In law development, we have nothing like that.
               | 
               | In my county, we read laws fairly often, because they are
               | easy to get, but most of the time people prefer to read
               | <<commentary>> -- a book about law with comments and
               | cases.
        
               | Cthulhu_ wrote:
               | Well, they are? You just need to look them up. It seems
               | you expect others to drip or force feed you these
               | regulations or something.
        
               | throwaway0a5e wrote:
               | Too often it seems it's blood of the lobbyist who slipped
               | and fell on ice while carrying a suitcase full of
               | benjamins.
               | 
               | Your quip is an easy one to make but there is very
               | clearly no shortage of entities who peddle goods and
               | services seeking, often successfully, to influence
               | lawmaker so those goods and services are legally required
               | despite the benefit to society being marginal if even
               | measurable.
        
           | hallway_monitor wrote:
           | If there was indeed a way to pull back the scope and power
           | granted to the government I think a lot of us Americans would
           | love to hear about it. The way it is, it seems like the US
           | government is an unstoppable machine that will grow until it
           | destroys itself.
        
             | 0xedd wrote:
             | One of the amendments is supposed to shield you from
             | tyranny. But, going down a less risky path, I'd vote (no
             | pun) for migration. My parents migrated away from a country
             | that trades in humans to this day, in full view of the gov,
             | and i can't be thankful enough.
        
             | nicoburns wrote:
             | I don't think the American governments biggest problem is
             | it's scope and power: I think it's biggest problem is
             | inefficiency due to corruption (regulatory capture, etc).
             | It seems to me that the biggest obstacle to fixing this is
             | that many Americans see this as an inevitable character of
             | government rather than something specific to their system,
             | and thus spend their time trying to reduce government
             | (ironically making it even less effective by hobbling it
             | with silly restrictions) rather than fixing it into a well
             | functioning system.
        
               | cobbzilla wrote:
               | The two are interrelated -- regulatory capture doesn't
               | make sense if there's no power to capture. So one must
               | first grow the size and power of government through other
               | means, then capture/influence that power. This cycle has
               | been going on for a long time.
        
           | Cthulhu_ wrote:
           | > It's funny how Americans surrender medical autonomy to the
           | government but draw a strict line in the sand in other issues
           | 
           | You're implying that all ~332 million Americans are a
           | homogenous and single-minded mass. Please stop generalizing,
           | it's not a good look.
        
           | e-clinton wrote:
           | Everyone who isn't an HCP "surrenders" medical autonomy since
           | not everyone pretends to know better than the experts.
        
           | Beltalowda wrote:
           | > For example, the FDA has been pushing to regulate
           | diagnostic tests as medical devices.
           | 
           | I assume you mean COVID home tests and things like that? Call
           | me strange, but if I buy such a thing then I'd like to make
           | sure it's held to some standard of accuracy and safety. I do
           | not have the resources or knowledge to find this out myself.
           | Most people don't, and you can't just rely on "internet
           | reviews" or the like.
           | 
           |  _Someone_ has to do this, and while the FDA and government
           | authority may not be perfect, they 're the best we've got,
           | and we can at least _somewhat_ hold them accountable through
           | the democratic process (which also isn 't perfect, but better
           | than anything else we've got).
        
             | malfist wrote:
             | Right? Like why shouldn't they regulate diagnostic tests?
             | Do you expect the free market to do it?
        
             | ethbr0 wrote:
             | I'm surprised by the popular take on this. Hasn't HN spent
             | the last 3 years lamenting how the FAA ceded too much
             | regulatory power to industry?
             | 
             | ... because this is where it starts. The answer to "there
             | are regulatory inefficiencies" is _not_ "get rid of
             | regulations" or "allow industry to self-regulate."
        
       | oneepic wrote:
       | Would have been interesting to hear what the feeling was like 2
       | weeks later (ie lethargic? walking alright? breathing well?) TFA
       | only says he's alive "with his new heart beating soundly", which
       | could mean a lot of things.
        
         | sdenton4 wrote:
         | I think two weeks after heart surgery is never fun... A few
         | days ago I noted that recovering from having your sternum
         | broken open takes 6-8 weeks to be able to resume daily basic
         | activities under the best circumstances.
        
           | newaccount74 wrote:
           | Two weeks after the surgery he probably still has plastic
           | hoses sucking fluid from his thorax and he can maybe sit up
           | with assistance.
        
           | sagarun wrote:
           | The doctors want you walking (with help) as soon as possible
           | after a heart transplant, unless something is horribly wrong.
        
           | thehappypm wrote:
           | When I was in high school we video chatted with a heart
           | surgeon while he was doing heart surgery. It was an insane,
           | incredible thing to see.
        
           | KineticLensman wrote:
           | > A few days ago I noted that recovering from having your
           | sternum broken open takes 6-8
           | 
           | Can also confirm. I received CPR which cracked some ribs. I
           | had to sleep in a chair for the first 5 weeks because lying
           | down flat and getting back up again was so painful. Sneezing
           | and coughing were excruciating until I found the trick of
           | 'hugging' oneself just before to reduce chest movement.
        
             | kingsloi wrote:
             | I was amazed at how soon I could pick up my baby after her
             | 4 heart surgeries. Obviously, it was a bum scoop as opposed
             | to picking her up under the arms (never had that luxury),
             | and she was medicated, but literally 3-5 days after
             | surgeries, we're back to having skin-skin. Maybe it's
             | because their bones aren't as strong as an adults and
             | there's more flex, but still, really took me by surprise.
             | Even hours after surgeries, her diaper/nappy needed to be
             | changed, so the nurses/I/we would carefully do it, but it
             | was really eye-opening considering she just had major open
             | heart surgery.
        
         | __s wrote:
         | Relevant:
         | https://www.upmc.com/services/transplant/heart/process/after
         | discusses the usual timeline after a heart transplant. tl;dr 2
         | weeks in he likely still feels like shit
        
         | kamaal wrote:
         | My dad took weeks(like more than 2 months) to back to being
         | some what confidently ok'ish with things after his coronary
         | artery bypass graft. He needed physiotherapy. His knees were
         | weak and he needed a knee replacement only an year later. But
         | in the after math of bypass surgery I had to hold his hand and
         | make him walk, even feed and took him to rest room personally,
         | I would even bathe him.
         | 
         | It took like ages to let him confidently use the toilet on his
         | own. And I'd always keep the toilet door open 'Just in case'.
         | 
         | The Knee replacement a year later was obviously more brutal
         | given the bypass was only an year back and we were peak in
         | COVID times. He was infected, and I had sleep on the road as I
         | caught it too(couldn't go home out of fear of infecting the
         | family). Pretty much saw hell in bare form during that(weeks in
         | anxiety, walking in COVID wards and suffering every single
         | minute), and of course that recovery took months, as the drugs
         | they gave him caused a huge spillover of issues.
         | 
         | It might just be that as a I child I felt more for my father.
         | 
         | But let me tell you major surgeries like bypass grafts, or knee
         | replacements are nightmarish experiences, even more more so in
         | the COVID times today.
         | 
         | P.S: This is in Bangalore, India.
        
       | bawolff wrote:
       | Does the genetic modification mean immunosuppresents aren't
       | required? If so, that sounds like a major step forward.
        
       | eric4smith wrote:
       | A good test. The guy is older and wanted to remain alive, despite
       | the wishes of his family. And pigs are so close to humans anyway
       | -- which is why I have the theory of why humans love bacon so
       | much.
       | 
       | Best wishes to Mr. Bennett, and hope that whatever happens, it
       | will be a good leap for humanity.
        
         | [deleted]
        
         | BreakfastB0b wrote:
         | Human Bacon, the final frontier. How long until you can buy
         | Beyond Human burgers?
        
           | geocrasher wrote:
           | You may enjoy the first story in the compilation of Clarke
           | stories called The Wind From The Sun:
           | 
           | https://en.wikipedia.org/wiki/The_Wind_from_the_Sun
        
           | puzzlingcaptcha wrote:
           | Bitelabs, a startup purportedly launched to deliver celebrity
           | salami, made that joke in 2014.
        
             | throwanem wrote:
             | Hufu had a product in 2005:
             | https://en.m.wikipedia.org/wiki/Hufu
        
         | Someone wrote:
         | > And pigs are so close to humans anyway -- which is why I have
         | the theory of why humans love bacon so much.
         | 
         | Are you claiming (most/many) humans are closet cannibals? I
         | don't agree with that.
         | 
         | Also, pigs aren't particularly close to humans, genetically. In
         | biological classification they even are in a different order
         | (even-hoofed ungulates) than humans, who are primates.
         | 
         | = I don't think that theory makes sense.
        
       | tester756 wrote:
       | What if he had kids now?
        
         | MauranKilom wrote:
         | They transplanted a heart, not testes.
        
         | [deleted]
        
       | benatkin wrote:
       | His victim's family (yes, really) doesn't like that he was the
       | first to get a heart transplant.
       | https://nypost.com/2022/01/13/historic-pig-heart-recipient-w...
       | 
       | PETA doesn't like that anyone got a pig heart transplant.
       | https://www.peta.org/media/news-releases/first-heart-transpl...
        
         | ChuckMcM wrote:
         | My understanding is that given this was the first time this was
         | tried, there was a strong possibility that the patient would
         | not survive. Instead, the manner of their death would inform
         | the doctors for the next person they tried it on.
         | 
         | Given that their chance of survival is so slim, choosing to use
         | a person for whom such small odds give more information to
         | science, rather than do moral good by helping this person
         | survive, seemed a reasonable tradeoff.
         | 
         | Is this too cynical a read on the choice they made?
        
         | carrolldunham wrote:
         | Why are these points of view (especially the first) worth
         | noting? They are quoted saying the heart 'should have gone to
         | someone more deserving'. Yes, the precious, rare pig heart. It
         | would be more fitting to look on this guy as a Guinea pig, so
         | if he is a bad guy to you, who better to use?
        
           | burrows wrote:
           | I'm not familiar with the details of this case, but I can
           | imagine that the time and expertise of physicians capable of
           | doing the surgery is scarce. What do you say to the claim
           | that, "The time and resources including the surgeons and the
           | pig heart should be put to use helping a more deserving
           | person."
        
             | carrolldunham wrote:
             | I already said: First time surgery that might not work is
             | an experiment as much as a treatment. Hypothetically
             | dialling the risk level up - just a matter of degree, still
             | - we'd find ourselves regarding this operation as his
             | sacrifice for the greater good.
        
               | burrows wrote:
               | > I already said: First time surgery that might not work
               | is an experiment as much as a treatment.
               | 
               | I don't think changing the name of what happened from
               | "treatment" to "experiment" tells me anything new. If
               | another person with a roughly identical health status but
               | without the violent history is also willing to accept the
               | pig heart, then the decision must be made to use the
               | scarce resources to treat Ed or the "non-violent" person.
               | 
               | > we'd find ourselves regarding this operation as his
               | sacrifice for the greater good.
               | 
               | I agree that people may be talking about the transplant
               | and Ed differently had he died on the table.
        
         | drewbug01 wrote:
         | The idea that a prior criminal record - even a violent one -
         | should disqualify you from medical care is just vile.
         | 
         | And in any case: seems like the man served his time.
        
           | tclancy wrote:
           | It's The Post, kind of their thing.
        
         | emptyparadise wrote:
         | >"The key principle in medicine is to treat anyone who is sick,
         | regardless of who they are," said Arthur Caplan, a bioethics
         | professor at New York University. "We are not in the business
         | of sorting sinners from saints. Crime is a legal matter."
         | 
         | This is so simple and newspapers trying to make it into a
         | matter for debate is actually compromising that.
        
           | smrtinsert wrote:
           | Is there a limit to this impartiality? Should we have saved
           | Hitlers life with a breakthrough transplant?
        
             | unmole wrote:
             | > Is there a limit to this impartiality?
             | 
             | No.
             | 
             | > Should we have saved Hitlers life with a breakthrough
             | transplant?
             | 
             | Yes.
             | 
             | It really is not complicated: Doctors are not in the
             | business of judging their patients.
        
               | siva7 wrote:
               | It's not that simple. Doctors judge, at least in their
               | own mind and that influences survival decisions.
        
               | d110af5ccf wrote:
               | > Doctors judge, at least in their own mind and that
               | influences survival decisions.
               | 
               | That isn't intentional or desirable though. It's a flaw.
               | Doctors are people and people are imperfect.
        
             | corobo wrote:
             | What happens if you decide to not transplant because of
             | their past but it turned out they were wrongfully
             | convicted?
             | 
             | To the top of the transplant list immediately pushing
             | others down or "ohh.. awkward. we'll treat you fairly from
             | now on"?
        
             | dghlsakjg wrote:
             | If he follows the same protocol and gets considered under
             | the same criteria, yes.
             | 
             | Doctors making moral judgements and withholding treatments
             | based on their patients lifestyle has a pretty ugly
             | history.
        
             | xupybd wrote:
             | I would suggest the following limit, unless the state has
             | already sentenced to death.
             | 
             | We have a justice system to make these calls. Let the
             | doctors treat everyone and the justice system decide who
             | lives and dies.
        
               | deelowe wrote:
               | This. All these arguments over ethics miss the point.
               | Doctors shouldn't be placed in the position of making
               | morale decisions. Their job is to render care and given
               | the grave consequences of malpractice, we should always
               | expect them to do so to their fullest abilities. FULL
               | STOP.
               | 
               | Let the legal profession handle how to deal with
               | criminals. Punishment and medical care have no place
               | existing together.
        
             | selimthegrim wrote:
             | I have some bad news from you about where anesthesia data
             | came from...
        
           | bsder wrote:
           | It is even simpler than that.
           | 
           | Someone who has served their time in prison and is now
           | released is considered to have paid their debt to society.
           | 
           | You may think, as I do, that this man served nowhere near
           | what he should have for the crime he committed. However, the
           | law has been followed and he is no longer in prison.
           | 
           | If the people the New York Post is targeting think that he
           | should still be punished, then he should still be in prison.
           | The _problem_ is that the type of people clamor for these
           | people to stay in prison _also_ are at the forefront of
           | refusing to pony up the money to pay for that prison.
        
             | MisterMower wrote:
             | My experience has been that the kind of people that want
             | longer prison sentences for folks like this are more than
             | willing to tolerate higher taxes to pay for them.
        
               | ianhawes wrote:
               | Let's not pretend that the budget of prisons has any
               | bearing on a man that was dutifully convicted and
               | sentenced by a judge.
               | 
               | The bigger issue IMO is that the killer never paid any of
               | the monetary judgement against him to the victims family.
        
             | inglor_cz wrote:
             | I do not want to sound like a person who would deny ex-
             | prisoners medical care (I wouldn't), but legal disabilities
             | even today do not end with your release from prison.
             | 
             | For example, felons in the US are banned from owning guns
             | even after they served their time.
             | 
             | Do you consider that good or bad?
        
               | [deleted]
        
               | bsder wrote:
               | > For example, felons in the US are banned from owning
               | guns even after they served their time.
               | 
               | I'm not a big fan of that, but I would prefer that it
               | reflect the harm done from the crime and the statistics
               | surrounding recidivism.
               | 
               | A simple drug possession offense should not warrant
               | banning you from voting or guns when you are done. If you
               | were convicted of an armed robbery, maybe the guns should
               | be banned.
               | 
               | I really don't like the idea that once you're done with
               | the justice system it continues to punish you. Once you
               | are done with it, you should be done--especially if the
               | crime was "victimless" (ie. something like drug
               | possession where the only harm would be to yourself).
               | 
               | This becomes a significant issue in, for example, sex
               | offenders. Some places have so many restrictions on sex
               | offenders that, for all intents and purposes, they cannot
               | comply with probation and cannot function in society.
               | Well, if you're going to do that, at least be honest that
               | you are simply "executing them on the cheap and out of
               | sight" and either keep them in prison or execute them
               | explicitly.
               | 
               | This is one of the problems with low-level drug
               | convictions--the "felony" conviction becomes a poor man's
               | "social discredit" system. And most of us from Western
               | democracies understand pretty solidly why "social credit"
               | systems are pernicious.
        
           | burrows wrote:
           | > The key principle in medicine is to treat anyone who is
           | sick, regardless of who they are.
           | 
           | The victims family is saying "Our principle is that people
           | who stab Ed should not get a heart, therefore David should
           | not get a heart." The doctor is saying "Our principle is that
           | we don't use the patient's past violence or convictions to
           | determine whether they should get a heart or not, so the
           | stabbing doesn't disqualify David."
           | 
           | Neither party can offer a valid argument as to why their
           | principle is true, because both of their principles are
           | normative.
        
             | graderjs wrote:
             | The weird thing about saying "Do not save those who took
             | another's life" is that you are saying, "The person took a
             | life. That's bad. We should punish them for the bad thing."
             | Then saying, "Let's take their life to punish them." (not
             | saving a life you could being essentially the same as life
             | taking, to me, here).
             | 
             | To me, you are undermining your view that life-taking is
             | bad, by engaging in it yourselves. To me, this is a
             | paradox. You seem to be standing up for your belief in the
             | badness of life-taking, by doing something against those
             | who do it, then you do something which goes against the
             | very thing that you are trying to protect--which, to me,
             | makes it seems like you are merely pretending to protect.
             | 
             | So, to me, their moral claim (?) that they are somehow
             | "better" than this life-taker, and therefore have a right
             | to say/do this life-save withholding, is completely
             | undermined by their action of said withholding (or proposal
             | to do it).
             | 
             | On the other hand, my ape-brain very much endorses the
             | logic of revenge and sees no problem with an eye for a eye.
             | It will teach people a lesson, let them know they can't
             | mess with us, and let them know there are consequences if
             | they try. Hopefully, my ape brain says, that will make us
             | safer and rest easier, in future.
             | 
             | But the logical/rational part of me trying (but maybe
             | failing) to consider this from an ethical or moral point of
             | view, says, "Nah, that doesn't work."
        
               | kazinator wrote:
               | Confining a person is bad. But we imprison someone who
               | did that. Thereby, to show that freedom taking is bad, we
               | engage in it. To me, this is a paradox.
               | 
               | r/im14andthisisdeep
        
               | vidarh wrote:
               | Well put. Apart from the lengthy threads here regularly
               | on how flawed the very notion of free will that's
               | necessary to even justify this focus on vengeance, I
               | absolutely agree with you that if you're going to argue
               | for vengeance and have a moral leg to stand on you better
               | at least not argue for such an outcome.
               | 
               | I like to point to this page from Franquin's Idees Noires
               | (finally in English as "Die Laughing", only a few decades
               | late) [1], which makes much the same point as you. (The
               | whole book is very much worth it if you like dark humour
               | - it's a crime it took so long for it to get translated
               | to English given how many other languages it's been
               | translated to decades ago)
               | 
               | Translated the speech bubbles are roughly:
               | 
               | "The law is clear: Every person who voluntarily kills
               | another will have their head cut off. Let the executioner
               | do their job."
               | 
               | "Over here, my friend."
               | 
               | "And so a good deed done..."
               | 
               | "Sorry, but the law is clear: Everyone who voluntarily
               | kills another..."
               | 
               | [1] https://i.pinimg.com/474x/c5/3c/45/c53c451e1fea4fd04e
               | a6cf674...
        
               | nautilius wrote:
               | So, thieves cannot be fined for their crimes (take their
               | money after they took someone else's), kidnappers cannot
               | go to jail (take their freedom after they took someone
               | else's) - because it would undermine, what exactly? That
               | makes no sense.
        
               | graderjs wrote:
               | Well it makes sense to me. Your reading is a little bit
               | uncharitable. Seems almost like you didn't make any
               | effort to understand it, and just rather pretend that
               | it's stupid...Sigh. But I suppose I could have helped you
               | by saying the other part which I think about this:
               | 
               | That's why the legal system is so important. We need a
               | way to do these things, that's not about individuals
               | getting revenge. So...you kill Alice, then society takes
               | it up with you, through their legal/punitive officers--
               | rather than Alice's family.
               | 
               | But even so...that doesn't fully resolve it for me, the
               | paradox I see there.
               | 
               | But at the same time, I get your point of view. I mean,
               | what that means we can't punish anyone? Because we don't
               | want to seem bad, by pushing back against the bad people?
               | Are you saying we just turn the other cheek? That's
               | crazy.
               | 
               | Yeah, I get that...But I think it's important...You do
               | some crime, and I say, "I have to get back at you". But
               | no, I'm the one that has to be moral. Individuals have to
               | be moral. The state doesn't have to be moral in the same
               | way. But we can't let that spill over to individuals
               | otherwise everything collapses.
               | 
               | I mean, I'm not saying I can resolve this right here--and
               | your strong reaction to what I said, indicates that I
               | have raised a complex, subtle point that's not easy to
               | resolve. People face stuff like that, it's difficult, so
               | they react strongly, or emphatically, like you did.
               | 
               | So I think we need the state, the organs of the state, to
               | be able to enact this violence on our part (take their
               | money, their freedom, their life--maybe? I'm not sure
               | about the last one). Then we can afford to be moral and
               | live up to that, and that's good overall. It's not
               | perfect but then what other options do we have?
        
               | femiagbabiaka wrote:
               | You're exactly right. In fact resolving this paradox and
               | avoiding the chaos of blood price for crimes committed
               | are part of the themes of every system of law since
               | Hammurabi's code.
        
               | graderjs wrote:
               | Thanks a lot, that's really kind. It's great to feel my
               | struggle with is backed by thousands of years of other
               | people struggling with it. And your comment helps me feel
               | interested to read more into it! Thank you! :)
        
               | Stupulous wrote:
               | I don't know if this will be helpful to you, but I'm
               | throwing it out there.
               | 
               | In a consequentialist, utilitarian moral system, revenge
               | cannot be a moral good on its own. If a universe where
               | one person gets hurt is worse than a universe where no
               | one gets hurt, a world where two people get hurt must be
               | worse still.
               | 
               | So if you're utilitarian, you believe in justice as a
               | means to prevent crime. Punishing people can act as a
               | deterrent, imprisoning people can separate them from
               | would-be victims, and rehabilitation can prevent future
               | crimes.
               | 
               | Some people aren't consequentialists, but retributivists.
               | They believe that deserved punishment is innately good. A
               | universe that is fair is one in which those that cheat
               | are issued handicaps to balance that out- think the
               | reckless driver who gets pulled over frequently enough
               | that it doesn't buy them any time in the long run. A fair
               | universe is morally preferable to an unfair one. This
               | also makes sense, though it's somewhat at odds with the
               | utilitarian perspective.
        
               | graderjs wrote:
               | Well this has been a surprising explosion of positivity
               | here on this thread. Some of these comments, look at you,
               | thank you!
               | 
               | That's interesting. And I don't know much about that, but
               | your comment is going to help me look into that, when
               | it's time for me to do so: consequentialists,
               | retributivists, and utilitarianism. Thank you :)
               | 
               | It's an interesting, seemingly two valid perspectives
               | that are in contradiction. Thank you! :)
        
               | [deleted]
        
               | nautilius wrote:
               | Seems almost like you didn't make any effort to
               | understand what I wrote. Sigh.
               | 
               | My interpretation is not uncharitable, it's precisely the
               | same argument you are making, and, to me, it makes no
               | sense - as shown by my examples. Clearly, you have no
               | problem with fines for thieves and prison for kidnappers,
               | and why should you - so you agree with me.
               | 
               | I think the resolution to the problem of 'punishment' is
               | exactly the one you point out at the end: we hand over
               | the monopoly of violence to the democratic state.
               | 
               | Thus the point you're making is wrong: the problem is not
               | at all whether we punish by exactly the same measure that
               | we're punishing for. The simple truth is that the death
               | penalty is a qualitative very different kind of
               | punishment (which I find barbaric, just for the record).
               | 
               | Edit: I don't really see where I react strongly or
               | emphatically. I'm just pointing out that your logic does
               | not hold up.
        
               | graderjs wrote:
               | Really? But I just said this:
               | 
               | > But at the same time, I get your point of view. I mean,
               | what that means we can't punish anyone? Because we don't
               | want to seem bad, by pushing back against the bad people?
               | Are you saying we just turn the other cheek? That's
               | crazy.
               | 
               | > Yeah, I get that...But I think it's important...You do
               | some crime, and I say, "I have to get back at you". But
               | no, I'm the one that has to be moral. Individuals have to
               | be moral. The state doesn't have to be moral in the same
               | way. But we can't let that spill over to individuals
               | otherwise everything collapses.
               | 
               | I mean doesn't that look like I'm making an effort to
               | understand your POV? That's exactly what I'm doing? What
               | does that look like to you? How did you take that?
               | 
               | ---
               | 
               | Second thing:
               | 
               | > My interpretation is not uncharitable, it's precisely
               | the same argument you are making
               | 
               | Well I'm saying it is uncharitable. I think you think
               | that it's the same, but maybe you don't see how you've
               | misinterpreted.
               | 
               | In my first post (GP?) I don't mention the state. Now,
               | it's understandable if maybe you thought I was talking
               | about that (use of possibly ambiguous "you", or "their",
               | or "yourselves" to refer to who I was saying claimed they
               | could punish like this), but to me I was clearly replying
               | to the ancestor phrase "The victim's family is saying:"
               | Maybe that was not clear, but I thought it was. Sorry,
               | maybe that was what confused you?
               | 
               | So, in that context where I am talking about it (what I
               | said up there), the context is: when people say they want
               | to respond in the same way. That is different to the
               | point you're making, I think. I think you're saying, that
               | I'm saying:
               | 
               | "We don't have a right to punish people, because if we
               | do, we are not moral. And we shouldn't punish people in
               | the same form as their transgression."
               | 
               | That is what I'm saying...but I'm also genuinely trying
               | to explore it and being more modal than, "well it is 100%
               | like this." I'm just saying what I said up there.
               | 
               | But I think your mischaracterization is that your meaning
               | is maybe like this:
               | 
               | "You are referring to the state. You are saying the state
               | cannot punish people because it would undermine its moral
               | position somehow. This is obviously nonsense. You are
               | wrong. Because then we do not punish anyone. Also, what's
               | really wrong with punishing in the same form? It's not
               | even a point. Also wrong."
               | 
               | Let's leave aside the "same form" thing because that's,
               | probably, you know, something else. But I just think your
               | mischaracterization is to mischaracterize or
               | misinterpret, the who of what I'm talking about. And that
               | part's understandable maybe--ok?--because I didn't make
               | it explicitly clear. But what you're saying I'm saying,
               | is not exactly the point I'm making, and it is
               | uncharitable because it doesn't seem to try to see it
               | from the point of view where it could be true...your
               | mischaracterization throws out the stuff I'm saying about
               | the seeming moral paradox, and reduces the modal
               | exploratory aspect to an absolute one, ignores the part
               | where I'm making an effort to consider your PoV, and
               | seems to deny that considering this as a moral problem is
               | a valid consideration. Also, saying "You have no problem
               | with punishing" is a complete mischaracterization,
               | stripping off the subtlety of what I'm trying to explore,
               | which is that, to me, these things are moral issues like
               | I said above.
               | 
               | I mean one basic point is, if what you're trying to do is
               | prove me wrong, then having to misinterpret and reduce
               | what I'm saying in order to prove it wrong, is
               | invalid...it doesn't touch what I'm saying. So you've
               | only proved wrong, if you have, your misinterpretation of
               | what I'm saying. And sort of validated what I'm saying
               | and the difficulty of proving it wrong, by avoiding
               | dealing with it.
               | 
               | Now maybe you don't see it like that, and I get it. Maybe
               | you just genuinely think your interpretation was totally
               | valid, and I'm just shifting the goal posts to avoid
               | being pinned down by the formidable pincers of your
               | immaculate logic...or some stuff like that, whatever. Or
               | maybe you are doing it deliberately...or maybe it's just
               | a blindspot and you don't realize you're doing it? Maybe?
               | 
               | For me the far more important point tho, is about how
               | people interact in discussions, not the proving wrong.
               | And it just seems like you're saying, what I've said is
               | all invalid and wrong. It kind of hurts. Because it does
               | hurt. And also because I'm dealing with the topic
               | genuinely, and curiously. And it just feels like you just
               | want to prove a point, and you don't care who you
               | misinterpret, like you don't care how you misinterpret
               | what someone says into some form you can say "it's wrong"
               | because it seems you only care about saying "it's wrong."
               | rather than about hearing or dealing honestly and
               | respectfully with what someone is saying.
               | 
               | I mean you could have just said, "Well maybe it's right,
               | how could this guy be meaning in a way that's right? What
               | could they be trying to say here that's not the obvious
               | rebuttal I can make or what I might be misinterpreting?
               | Maybe they're more subtle than that?" Because when you do
               | that, you know, mischaracterization and say "you're
               | wrong", I feel a bit sad, because it seems like you're
               | saying, "This person is stupid." Because you're assuming
               | the stupidest interpretation, the one that obviously
               | doesn't make sense. Is that what you think I'm saying?
               | Why do you need to look down on me?
               | 
               | And I just think that's a bit sad. I'm engaging
               | genuinely, but it seems you just wanna prove someone
               | wrong...and you don't care who you hurt? I was a little
               | scared to reply you because I got the feeling you might
               | do that...but, I gave you a chance.
               | 
               | I picked up the strong reaction in your first answer, and
               | I felt scared you would try and just do that, and you
               | did. It was a feeling, but some points in the text you
               | could link it to are: "undermine what exactly? [[ your
               | point about undermining is invalid, there's no complexity
               | here ]] That makes no sense." It was my feeling about
               | your intention but those words are even pretty strong to
               | me. I get that maybe you don't see that...sad to say, but
               | I think that not seeing it might be obvious. Maybe you
               | can think about how that might come across...
               | 
               | ---
               | 
               | Third thing: I mean if you want to take some overly
               | literal editorialized misinterpretation of what someone
               | said, and pretend it's their logic that doesn't make
               | sense, rather than your interpretation (because I guess
               | that helps you feel smart(er?) for seeing the flaws in
               | their logic, but it's a little unfair and twisted to
               | foist your perverted misinterpretation on what they say,
               | just to get your rocks off by feeling they're wrong and
               | you're smart, right?), I mean it's actually not that
               | difficult to do that...so how does it feel,
               | 
               | "My interpretation is not uncharitable...so you agree
               | with me...Thus the point you're making is wrong"
               | 
               | I mean I can do that, and be like, "Gotcha. If I'm wrong,
               | but I agree with you, then you're wrong too?"
               | 
               | Clearly a more simplistic misinterpretation than your
               | more subtle misinterpretation, but of the same kind, and
               | seemingly the same intention. The thing is, that kind of
               | stuff, doesn't lead to interesting or fun conversations,
               | I think...because then we got to waste time maybe going
               | back over like, "i didn't mean that," "you didn't mean
               | this", it's a time saving effort if you just respond to
               | the strongest position. And even if I didn't mean that
               | strongest position, then maybe I can rise to it (I mean--
               | you see me as capable of that, right?) then we could have
               | had a more fun and interesting conversation, right? but
               | to do that you have to surrender the temptation of seeing
               | someone else as stupid, and what they're saying as wrong,
               | so you can feel smart(er)? because if you don't surrender
               | that temptation, it's just for you then, it's not a
               | contribution to the community. maybe you feel as if your
               | contributions will not be appreciated, so you fall back
               | to this. getting your jollies in this "taking" way (and
               | in this current context, kind of immoral, because nobody
               | took anything from you at the first, at least not
               | here~~not saying you had an easy time online tho...but
               | does that mean you keep being unkind/uncharitable?).
               | because when you do that, it hurts, because you're
               | devaluing what other people are saying. I hope you see
               | that, or reflect on it, and maybe try to be better to
               | others...please.
        
               | nautilius wrote:
               | Ah, I see where you're confused by your own writing, but
               | I'd be happy to spell it out slower, so that you can
               | understand [0]: you write "I get your point of view", and
               | you mistake _making_ that statement with the factuality
               | of it.
               | 
               | And let me help you with another thing you are confused
               | about [0]. So, in essence your argument is that I am
               | wrong because I am answering to what you wrote rather
               | than what you thought you wrote or wish you wrote, and
               | that's what you call 'uncharitable'.
               | 
               | The main problem with your 'argument' is that you make
               | absolute statements, but then are not able to back them
               | up, getting upset when someone points that out. It's
               | simple engineering practice to check how things hold up
               | at the limits. Not 'punishing' someone with the same
               | thing they did does not hold up in the limits of simple
               | wrongdoings, e.g. taking away some property. What this
               | should tell you is not that you require a more charitable
               | interpretation and special rules for the fringes to
               | rescue your argument, but maybe that the overall logic is
               | flawed. And it is: as I wrote in the other comment, the
               | simple truth is that the death penalty is a different
               | beast altogether.
               | 
               | [0] What's with that condescending tone with all your
               | replies? Can you not simply make a statement that stands
               | on its own two feet?
        
               | vidarh wrote:
               | Note that graderjs is not saying that there could not be
               | other morally justifiable reasons for calling for the
               | death of someone.
               | 
               | What they were saying is specifically that arguing that
               | someone who takes a life should be punished in a life
               | ending way because of the severity of taking a life is
               | undermining _that_ argument 's own central claim of the
               | severity of taking a life by at the same time arguing for
               | ending a life.
               | 
               | Your analogies are flawed for two reasons:
               | 
               | 1. there are other justifications for punishments that
               | may (or may not) be valid. One argument may be that it is
               | preventative, for example.
               | 
               | 2. in neither example would most people argue that we're
               | imposing a particularly extreme sentence _because_ the
               | action was particularly extreme, and this is central to
               | the argument made by graderjs.
               | 
               | In the case of the theft example, if anything we'd tend
               | to argue a fine is not a very serious punishment. In the
               | case of kidnap, we argue for serious sentences because of
               | the seriousness of the crime, but a prison sentence would
               | not be seen by most people as equally cruel as the
               | uncertainty and fear and trauma imposed on both the
               | victim and their loved ones, and most people would argue
               | that the prison sentence is not just a response to the
               | seriousness of the crime committed.
               | 
               | Some people might nevertheless find it hypocritical to
               | argue for prison sentence on the basis of the seriousness
               | of kidnapping, and its their right. But that in itself
               | does not make a prison sentence unjustifiable _even if
               | you agree with them_ , because you may have many other
               | arguments, such as e.g. risk of reoffending, or signal
               | effect to others.
               | 
               | The point is in other words not that a given punishment
               | _can 't_ be justified, but that if you choose to argue
               | that something is particularly severe and then in the
               | same breath argues for inflicting that same thing on
               | someone _because_ of that perceived severity, you 're
               | undermining _that_ argument.
        
               | nautilius wrote:
               | The analogy is not flawed because the comments you made
               | are precisely my point: it's not a general, fundamental,
               | moral conundrum -- it's that the death penalty is its own
               | special beast. Graderjs argues from a general perspective
               | using the example, but not limiting his arguments to, the
               | death penalty. And then, as you and I point out, it
               | simply does not hold up. It's the _severity_ that makes
               | it stand out, not the overall act of  'are we moral if we
               | do the same thing'.
               | 
               | Graderjs also makes no argument about other
               | justifications of 'punishment', and, again, I'm with you.
               | Note that I often write 'punishment' in quotation marks.
               | I don't believe (and the numbers between countries
               | support that) that revenge is a productive reaction from
               | a society.
        
               | vidarh wrote:
               | I think you read way too much into the comment that is
               | not justified by the actual text of the comment.
        
               | unmole wrote:
               | Fines and jail sentences are imposed by courts. It would
               | be weird for a grocery store clerk to overcharge a
               | convicted thief after they served their sentence.
        
               | nautilius wrote:
               | We're talking about the morality of the reaction, not
               | about who imposes it. GP argues that it's morally
               | fundamentally wrong to react to some else's 'misbehavior'
               | by imposing the very same action as punishment.
        
               | vidarh wrote:
               | Graderjs comment does not say they are morally
               | fundamentally wrong.
               | 
               | They say that _the specific argument_ that life-taking is
               | bad is undermined by arguing for life-taking.
               | 
               | This does not preclude _other_ arguments for why life-
               | taking may be bad, nor other arguments for why it may be
               | justified in specific circumstances.
               | 
               | Note that graderjs' very own comment gives examples of
               | other possible arguments for "eye for an eye":
               | 
               | > It will teach people a lesson, let them know they can't
               | mess with us, and let them know there are consequences if
               | they try. Hopefully, my ape brain says, that will make us
               | safer and rest easier, in future.
               | 
               | As such it's very clear that graderjs is not making any
               | sort of claim to absolute morality, but addressing the
               | weakness of a specific line of argumentation.
        
               | graderjs wrote:
               | Well maybe not wrong fundamentally...but it calls into
               | question your stance against the thing you end up doing.
        
               | froh wrote:
               | Thanks for basing the ethical explanation so succinctly
               | on the respect from life. Rarely do I find it put in such
               | a clean and simple and accessible way. Connecting it to
               | the ape-brain level urge for revenge is the icing on the
               | cake.
               | 
               | From there I comfort myself with two thousand years it
               | took a truly global institution to fully completely and
               | no more strings attached reject capital punishment, the
               | CCC, Catholic church law, closed the last loopholes
               | allowing capital punishment only very recently.
               | 
               | We need to be patient with some nations to get there...
               | Patient and persistent. As you were with your comment.
               | Thanks again!
        
               | graderjs wrote:
               | Wow, the positive comments here are really, nice. Thank
               | you! Yes I was rather proud of that as well, I thought it
               | deserved a bit of love--so thank you for sharing! :)
               | 
               | It's nice to get that here after slugging it out with
               | someone who's seemingly misinterpreting what you're
               | saying, so thank you for that support :) xx
        
               | dghlsakjg wrote:
               | It's worth pointing out that the stabbing victim didn't
               | die. It sounds like the stabbing had long term health
               | effects, though.
        
               | oh_sigh wrote:
               | The stabbing victim was wheelchair bound and later died
               | from a stroke directly related to the stabbing.
        
             | sersi wrote:
             | When evaluating principles, the trick is to extrapolate
             | from each principles what society would be like if they
             | were followed.
             | 
             | The first one "Our principle is that people who stab Ed
             | should not get a heart, therefore David should not get a
             | heart." means that there is no rehabilitation for ex-cons,
             | that doctors have the power to condemn people to death
             | based on their past by refusing a life saving procedure and
             | that in the case of new research like this one, doctors
             | cannot have access to the best candidate.
             | 
             | Extrapolating the second principle means living in a
             | society where the judicial system decides the punishment
             | and people pay their due afterward, potentially reducing
             | recividism. It means that when doing an experimental
             | procedure that requires very specific candidates, the
             | doctors have to pass on an ideal candidate delaying
             | discovery.
        
             | CamperBob2 wrote:
             | _People who commit crimes should not get a heart_ can be
             | transformed to _Only people who have not committed crimes
             | should get replacement hearts_. The problem is, who hasn 't
             | committed crimes? Which crimes count? Who decides?
             | 
             | That question makes the more-topical issue _When the ER
             | fills up, should unvaccinated people be treated by
             | administering carbon monoxide in the hospital parking
             | garage?_ look trivial to resolve, in comparison.
        
               | stult wrote:
               | Seems pretty damn simple to me. If you wouldn't put
               | someone to death for a crime, you shouldn't deny them
               | medical care in a manner that will kill them for the same
               | crime. It's functionally and legally the same as putting
               | them to death. Withholding necessary medical care is the
               | same as withholding food, water, air, or shelter.
        
               | creato wrote:
               | We deny people waiting for organ transplants medical
               | treatment regularly. there simply aren't enough organs to
               | go around. In the case that people are _already_ having
               | life saving organs withheld from them, it makes sense to
               | prioritize.
               | 
               | I think people have the ethical issue in this case
               | backwards: the reason this guy got this transplant is
               | because it was an _experiment_. We effectively used an
               | ex-con as a guinea pig. (Personally, I 'm fine with that,
               | he was fully aware and consented, it was his only
               | chance.)
               | 
               | If this guy had died due to the experimental heart
               | failing, we'd probably be seeing a bunch of op-eds about
               | our moral failure to prevent exploitation of a vulnerable
               | (ex-)prison population.
        
               | stult wrote:
               | > We deny people waiting for organ transplants medical
               | treatment regularly. there simply aren't enough organs to
               | go around.
               | 
               | Yeah. There is no shortage of pig organs which is kinda
               | the whole point. Rationing limited care is different than
               | denying perfectly available care simply out of
               | retribution. I thought the context made that distinction
               | rather self-evident.
        
               | BurningFrog wrote:
               | There is definitely a shortage of transplantable pig
               | hearts. This is the first such heart ever.
        
               | krisoft wrote:
               | There is shortage yes in the sense that the heart didn't
               | come from just any pig. It is a specific, modified breed
               | which made the procedure more likely to succeed. The
               | donor pig was also probably raised in more sanitary
               | conditions than most other pig would be.
               | 
               | There is not a huge supply of these transplantable pig
               | hearts at the moment. But if the procedure proves to be
               | viable and the long term consequences make it favourable
               | we can scale up transplantable pig heart production.
               | 
               | The reason we are not transplanting pig hearts to
               | thousands of patients right now is not because of any
               | such supposed shortage though, but because the procedure
               | is not proven yet. The experiment in question is set out
               | to provide data to help answer that question.
        
               | BurningFrog wrote:
               | Yeah, I don't think we disagree about anything real.
        
               | sgjohnson wrote:
               | > If this guy had died due to the experimental heart
               | failing, we'd probably be seeing a bunch of op-eds about
               | our moral failure to prevent exploitation of a vulnerable
               | (ex-)prison population.
               | 
               | On the contrary, you're probably massively overestimating
               | how much the society at large cares for convicted felons.
               | 
               | The sad reality is it's not a lot.
               | 
               | Which is why I doubt we'd see a single op-ed about it.
        
               | joshuamorton wrote:
               | > We deny people waiting for organ transplants medical
               | treatment regularly.
               | 
               | Yes, but not for their moral failings. We deny care for
               | health reasons, as generally speaking the goal is to
               | optimize for additional healthy years of life.
        
               | dghlsakjg wrote:
               | In the vaccination example: it is based on triage. Which
               | is based on predicted outcome and resources available.
               | 
               | If you have one hospital bed and two COVID patients that
               | are looking like they will die if they don't get admitted
               | you treat the one with the greater chance of survival.
               | Being vaccinated is predictive of a higher survival
               | rate...
        
             | woodruffw wrote:
             | > Neither party can offer a valid argument as to why their
             | principle is true, because both of their principles are
             | normative.
             | 
             | The majority of ethicists agree that normative statements
             | can express true statements.
             | 
             | But the positive/normative distinction is also not
             | important here: medical ethics is a prescriptive and
             | lexical ethics, one that you _must_ follow if you are to
             | practice medicine. It 's not interested in what any
             | individual does thinks should or shouldn't be the case: you
             | _do no harm_ and you always render treatment in accordance
             | with your means.
        
               | burrows wrote:
               | > The majority of ethicists agree that normative
               | statements can express true statements.
               | 
               | What do you think is a good candidate for such a
               | statement? My impression is that arguments must proceed
               | from axioms, positive axioms aren't helpful because the
               | statement is normative and normative axioms just
               | reproduce the issue.
               | 
               | > medical ethics is a prescriptive and lexical ethics,
               | one that you must follow if you are to practice medicine.
               | 
               | What is the meaning of "lexical ethics"? Google didn't
               | return anything helpful.
               | 
               | I believe the essence of the claim you are making is
               | that, "There is a powerful enforcement body that will
               | only permit doctors to practice medicine if they do no
               | harm and render treatment in accordance with their
               | means." I think this a positive claim about human
               | behavior, a proposition potentially belonging to the set
               | of sociological or historical facts.
               | 
               | I suspect the family is talking about the way things
               | ought to be, "Heart transplants should go to good
               | people". And you are pointing out that the doctors are
               | responding with a positive claim, "That's not what we do
               | here."?
        
               | woodruffw wrote:
               | > What do you think is a good candidate for such a
               | statement?
               | 
               | Here's an intuitive one: "you shouldn't kick puppies."
               | Most people think that expresses a true statement (not
               | that "most people" is itself indicative of truth value).
               | 
               | In terms of my own ethics: "act only in a way that you
               | can will be universal law." Of course, not everybody
               | agrees with that one, but I think it's an awfully good
               | candidate.
               | 
               | We can talk about if and how those proceed from axioms,
               | but I suspect that'll be a long thread :-)
               | 
               | > What is the meaning of "lexical ethics"?
               | 
               | Sorry: lex is in lex, legis, "law." Medical ethics don't
               | concern themselves with normal moral objects or even
               | moral laws in the deontological sense; they are
               | _literally_ a book of rules that doctors (broadly) are
               | not allowed to disagree with.
               | 
               | So yes, I think it's correct to read the doctors'
               | responses as a positive claim: they're pointing out that
               | it's a category error to appeal to their (potentially
               | true!) moral beliefs.
        
               | Aeolun wrote:
               | > a book of rules that doctors (broadly) are not allowed
               | to disagree with.
               | 
               | They're allowed to disagree, as long as they still follow
               | them.
        
               | woodruffw wrote:
               | You're right, sorry. "It doesn't matter whether they
               | disagree" is a better way to put it.
               | 
               | Dura lex sed lex and all that.
        
               | Barrin92 wrote:
               | >Most people think that expresses a true statement
               | 
               | Worth pointing out that truth is a pretty complicated
               | word in this case. The statement is intuitively true in
               | the sense that it is a command that ought to be followed,
               | but it's not a factual truth statement in an empirical
               | sense. Likewise often truth statements or commandments
               | are reframed emotional stances, say "you should not look
               | at porn!" expressing simply disapproval.
               | 
               | Lay ethics discussions conflate truth claims a lot so
               | it's hard to draw any conclusions from it. Also there's a
               | deep cultural aversion to argue that moral statements
               | have no truth value, despite it being a common
               | philosophical position.
        
               | dragonwriter wrote:
               | > The majority of ethicists agree that normative
               | statements can express true statements.
               | 
               | Well, yeah, it would kind of be silly to be an ethicist
               | if you didn't believe that, and even if you were it would
               | be contrary to self-interest to admit to it. It's like
               | polling astrologists on the reality of planetary
               | influence on personality and personal fortunes.
        
               | woodruffw wrote:
               | Not particularly! There are ethicists who believe all
               | sorts of silly things, if you think "self-defeating" or
               | "undermining" qualifies as "silly." For example, there
               | are plenty of ethicists who think that moral statements
               | are really just preference statements, putting "killing
               | is bad" on the same epistemic level as "I don't like
               | peanuts on my sundaes."
               | 
               | This all works out because it isn't actually contrary to
               | their self-interest: academic philosophy doesn't care
               | whether your position undermines some grounding claim,
               | because there's no universal consensus around that
               | grounding claim to begin with. You'll find plenty of
               | moral philosophers who think that morality is a purely
               | preferential mental phenomenon; they don't mind admitting
               | that because there's still plenty of interesting work to
               | be done if that's the case.
        
             | polishdude20 wrote:
             | The first argument is a slippery slope. What crimes
             | disqualify you from getting a heart? How much repentance do
             | you have to go through the get qualified back? Who judges
             | that?
        
               | fennecfoxen wrote:
               | You'd can't just have a list of disqualifying crimes.
               | You'd need to balance things out a proper social credit
               | score.
               | 
               | With an indirect death penalty attached, yes. Can't think
               | of how this could go wrong at alllllllllllll
        
               | MisterMower wrote:
               | The guy should have got the death penalty for attempted
               | and arguably successful murder (the victim later died of
               | a stroke directly attributable to the wounds he received
               | from the stabbing). 10 years for stabbing a guy multiple
               | times to the point of putting him in a wheel chair is a
               | slap on the wrist.
               | 
               | Funny how a lot of problems work themselves out when
               | swift justice is delivered. This whole thread doesn't
               | exist in that alternative, more just world.
        
               | femiagbabiaka wrote:
               | In the article I see a few pictures of the guy with his
               | large, seemingly happy family. Getting rid of the
               | opportunity for that to happen would be like creating
               | another tragedy from the ashes of the first. I don't know
               | where you're from, but in America a lot of folks share
               | your view. But our use of the death penalty hasn't
               | eradicated crime. So then one has to wonder if the
               | possible benefits are worth the price.
        
               | Chris2048 wrote:
               | > with his large, seemingly happy family
               | 
               | If we take that into account, then do loners without
               | friends/children/family not deserve the same
               | consideration?
        
               | femiagbabiaka wrote:
               | They definitely do in my view. But if you were facing the
               | death penalty as a part of a jury trial they might feel
               | differently, character witness statements matter to some
               | degree.
        
             | bawolff wrote:
             | I mean one of those principles generalize, the other does
             | not. I would argue making medical decisions based on ad-hoc
             | principles is unjust.
        
             | skissane wrote:
             | > Neither party can offer a valid argument as to why their
             | principle is true, because both of their principles are
             | normative.
             | 
             | Can you offer a valid argument for the truth of your own
             | principle, that it is impossible to offer a valid argument
             | for the truth of any normative principle? I think your own
             | position is a normative principle, and hence your position
             | is self-refuting.
             | 
             | To call an argument "valid" is to make a normative claim;
             | it is to claim that a rational agent _ought to_ accept it.
             | To call an argument _invalid_ is to claim that a rational
             | agent _ought not_ accept it. Rationality has as much
             | _oughtness_ as morality does, and hence is a normative
             | discipline just as morality is.
        
               | burrows wrote:
               | Thank you for prompting me to reevaluate my position.
               | 
               | Initially I claimed, "There are no valid arguments for
               | normative claims.", I would like to amend my claim.
               | 
               | Def: An inferential system is a tuple of axioms and
               | inferential rules.
               | 
               | Def: An argument is a non-empty ordered sequence of
               | statements. The last statement is called its conclusion.
               | 
               | Claim: If an inferential system produces an argument for
               | a normative claim, the system is either inconsistent or
               | permits inference from positive statements to normative
               | statements or the argument proceeds from normative
               | axioms.
               | 
               | Proof. Suppose S is a consistent inferential system and
               | that A is an argument in S from S's axioms to a normative
               | conclusion. If S has only positive axioms then A makes
               | inference from positive to normative statements. QED
               | 
               | Corollary: There are no arguments for normative claims
               | that don't proceed from normative axioms in consistent
               | systems that don't permit inference from normative to
               | positive statements.
        
               | skissane wrote:
               | You are saying that, a valid deductive argument with a
               | normative conclusion must either have a normative
               | premise, or else rely on a logic whose inference rules
               | permit normative statements to be inferred from non-
               | normative ones.
               | 
               | I agree with you there. But you haven't explained how
               | this (obviously true) statement is relevant to the
               | original discussion, about the morality of providing
               | life-saving medical treatment to perpetrators of serious
               | crimes.
        
               | burrows wrote:
               | > But you haven't explained how this (obviously true)
               | statement is relevant to the original discussion, about
               | the morality of providing life-saving medical treatment
               | to perpetrators of serious crimes.
               | 
               | My original point was in response to the claim that "the
               | key principle in medicine is to treat anyone who is sick,
               | regardless of who they are". I took this to be an ought
               | and wanted to point out that its truth isn't established
               | anymore than the ought indicated by Ed's family, and that
               | in fact there would be serious difficulties with
               | establishing either one for the reason given by your last
               | post:
               | 
               | > a valid deductive argument with a normative conclusion
               | must either have a normative premise, or else rely on a
               | logic whose inference rules permit normative statements
               | to be inferred from non-normative ones.
               | 
               | But also I think that this poster makes a good point that
               | the doctors are actually making a positive claim.
               | 
               | https://news.ycombinator.com/item?id=30081152
               | 
               | > To call an argument "valid" is to make a normative
               | claim; it is to claim that a rational agent ought to
               | accept it.
               | 
               | I think I had in mind a textbook definition I had read.
               | 
               | An argument is called valid if it is impossible for the
               | premises to be true and the conclusion false. And then we
               | say that an argument is sound if it is both valid and has
               | true premises.
               | 
               | Which seems like a useful pair of definitions, and in
               | that context I was confused about the terms.
               | 
               | I actually haven't ever thought about or heard of this
               | idea of 'when is a rational actor committed to accepting
               | claims'. But yeah, seems interesting to me.
        
               | skissane wrote:
               | That textbook definition of "valid" only applies to
               | purely deductive arguments. Outside of mathematics, most
               | arguments humans make have a significant non-deductive
               | component (inductive and/or abductive). So, unless we
               | assume that moral reasoning is closer to mathematical
               | reasoning than to the kinds of reasoning we normally use
               | in the sciences and humanities-a very dubious assumption-
               | the formal concept of "validity" you are invoking has
               | rather limited relevance to morality. That's why I read
               | your statement as intending "valid" informally rather
               | than formally, since in its informal sense the term is
               | not restricted to purely deductive arguments; and
               | informally it is very much a normative concept (formally,
               | I think it has multiple formal senses, some of which
               | contain more normativity than others)
               | 
               | I think your overall point is, you are expressing
               | scepticism about claims to know the truth of some
               | particular moral proposition, grounded in a more general
               | scepticism of the possibility of any moral knowledge at
               | all.
               | 
               | I think that kind of general moral scepticism is
               | (usually) a form of normative scepticism. The big problem
               | I see with normative scepticism, is that attempts to
               | argue for it logically and rationally turn out to be
               | self-refuting, because logic and rationality are
               | themselves normative concepts. Furthermore, if one
               | understands knowledge as having a normative component,
               | normative scepticism collapses into radical scepticism
               | (there is no such thing as knowledge), which obviously
               | ought to be rejected.
        
               | burrows wrote:
               | > That textbook definition of "valid" only applies to
               | purely deductive arguments. Outside of mathematics, most
               | arguments humans make have a significant non-deductive
               | component (inductive and/or abductive). So, unless we
               | assume that moral reasoning is closer to mathematical
               | reasoning than to the kinds of reasoning we normally use
               | in the sciences and humanities-a very dubious assumption-
               | the formal concept of "validity" you are invoking has
               | rather limited relevance to morality.
               | 
               | I don't have any sense for the various properties of
               | inductive arguments. So to the extent that moral
               | arguments are inductive, I have nothing to say. Thanks
               | for pointing out that I'm assuming moral arguments must
               | be deductive. Any recommendations for an introductory
               | text on inductive arguments?
               | 
               | > That's why I read your statement as intending "valid"
               | informally rather than formally, since in its informal
               | sense the term is not restricted to purely deductive
               | arguments; and informally it is very much a normative
               | concept (formally, I think it has multiple formal senses,
               | some of which contain more normativity than others)
               | 
               | Understood.
               | 
               | > I think your overall point is, you are expressing
               | scepticism about claims to know the truth of some
               | particular moral proposition, grounded in a more general
               | scepticism of the possibility of any moral knowledge at
               | all.
               | 
               | Yes, that is my point.
               | 
               | > I think that kind of general moral scepticism is
               | (usually) a form of normative scepticism. The big problem
               | I see with normative scepticism, is that attempts to
               | argue for it logically and rationally turn out to be
               | self-refuting, because logic and rationality are
               | themselves normative concepts.
               | 
               | This is the first time that I've heard of normative
               | epistemology, which I gather is what you are talking
               | about. One thing I will say though, thinking about this
               | seems smoother than thinking about normative morality
               | because (I think) I don't have as many childhood memories
               | of people telling me what I ought to think compared to
               | those of people telling me what I ought to do.
        
               | skissane wrote:
               | > I don't have any sense for the various properties of
               | inductive arguments
               | 
               | You can easily find a lot of resources on this topic, but
               | I can't think of any to particularly recommend. To give
               | my own high-level summary, there are three main types of
               | logical arguments:
               | 
               | - Deductive arguments: from the premises, the conclusion
               | necessarily follows. If the premises are true, and the
               | argument is valid, the conclusion _must_ be true. These
               | are the kinds of arguments found in mathematical proofs,
               | and classical syllogisms such as  "All men are mortal,
               | Socrates is a man, therefore Socrates is mortal"
               | 
               | - Inductive arguments: from many particulars, infer a
               | generalisation. If all swans so far have been observed to
               | be white, it is reasonable to conclude that "All swans
               | are white" - and the more observations you make, the
               | stronger the conclusion becomes - but that conclusion can
               | never be certain, only probable, because maybe tomorrow
               | someone will discover a black swan, proving the
               | conclusion to be false after all-which is of course what
               | actually happened, when Europeans came to Australia and
               | found swans which were black. (Also, confusingly,
               | "mathematical induction" is a type of deductive argument,
               | not induction in the logical sense.)
               | 
               | - Abductive arguments: from a situation, infer the truth
               | of its most plausible explanation: If I walk into a room
               | and find toys spread all over the floor, I am going to
               | conclude that our four year old did it. Now, maybe some
               | crazy stranger broke into our house, threw toys
               | everywhere, then left - not absolutely impossible, but
               | far less likely than it being our four year old.
               | 
               | The big difference: in deductive arguments, if the
               | argument is good, and the premises are true, the
               | conclusion _must_ be true; in non-deductive arguments,
               | the argument can be good, and the premises can be
               | completely true, and yet the conclusion can still be
               | false. A deductive argument which produces a false
               | conclusion from true premises is by definition a bad one;
               | a non-deductive argument which produces a false
               | conclusion from true premises can still be a perfectly
               | good one, provided that unfortunate outcome is
               | improbable.
               | 
               | The natural sciences use all three, but rely heavily on
               | induction and abduction. Historians primarily use
               | abduction - induction works best for repeatable events,
               | whereas many of the events historians study are
               | essentially unique and unrepeatable (World War II was in
               | many ways a unique event in human history, nothing quite
               | like it had ever happened before, even World War I was
               | different in many ways, and if World War III ever happens
               | it is going to be very different again).
               | 
               | I think a lot of moral reasoning must be non-deductive,
               | because deductive arguments generally deal with
               | certainties, whereas it is quite natural for people to
               | say about moral issues "I think it is probably wrong but
               | I'm not 100% sure". I think moral reasoning often
               | involves some degree of induction - if you repeatedly
               | encounter particular situations which offend your
               | conscience, you are likely to adopt a moral principle
               | which condemns whatever those particular situations have
               | in common - generalising a principle out of particular
               | cases, which is essentially what inductive reasoning is.
               | But, as in all inductive reasoning, you can never be sure
               | that there will not be some case which might convince you
               | that your generalisation needs an exception - a moral
               | black swan.
               | 
               | > This is the first time that I've heard of normative
               | epistemology, which I gather is what you are talking
               | about.
               | 
               | Yes, exactly. A lot of the concepts traditionally used in
               | epistemology appear to be normative. For example, in the
               | classical definition of knowledge as "justified true
               | belief", justification appears to be a normative concept
               | - a belief which is justified given some evidence is a
               | belief which one _ought_ to hold (or, at least, one is
               | _permitted_ to hold) given that evidence, a belief which
               | is unjustified given some evidence is a belief which one
               | _ought not_ to hold given that evidence.
               | 
               | > One thing I will say though, thinking about this seems
               | smoother than thinking about normative morality because
               | (I think) I don't have as many childhood memories of
               | people telling me what I ought to think compared to those
               | of people telling me what I ought to do.
               | 
               | I think a lot of people grow up exposed to conservative
               | religious approaches to morality, which they often
               | experienced as being pushed on them inflexibly and never
               | with any convincing justification-and it is unsurprising
               | many such people become attracted to the idea that
               | "morality is subjective". However, I wonder, is that
               | "throwing the baby out with the bathwater"? Most of these
               | people would feel strongly that genocide, slavery,
               | apartheid, torture, child abuse, theocratic
               | totalitarianism, etc, are immoral - yet, having accepted
               | "morality is subjective", those moral positions they
               | endorse must be just as subjective as those which they've
               | rejected. Subjective morality weakens their own moral
               | positions. Indeed, once you believe that morality is
               | subjective, you can no longer claim (in any objective
               | sense) that anyone else's morality is wrong, including
               | that of various religious conservatives - the most you
               | can consistently say about their morality is that you
               | don't like it - but why should they (or anyone else) care
               | about what you like?
        
               | bawolff wrote:
               | Not being able to use emperical evidence to prove a
               | normative claim is a very common (albeit not universal)
               | belief. Probably because nobody has really convincingly
               | done so in thoussands of years.
               | 
               | > To call an argument "valid" is to make a normative
               | claim; it is to claim that a rational agent ought to
               | accept it.
               | 
               | Idk, it could just be a claim that the argument can be
               | expressed in a logical system, combined with the
               | normative axiom that rational agents should only trust
               | arguments that can be validly expressed in such a formal
               | system.
               | 
               | Regardless this seems to be missing the forest for the
               | trees. Nobody has put forth any arguments for either
               | position that are emperical in nature. Is there really a
               | practical difference between impossible and possible but
               | nobody knows how?
        
               | jlawson wrote:
               | The practical/empirical argument would essentially be to
               | extrapolate out what the world will become like if we
               | spread X or Y normative belief/practice.
               | 
               | You can argue that one will lead to a preferable world
               | than the other.
               | 
               | Of course, we may have different preferences, so we may
               | not agree even if we agree on that extrapolation. But
               | often basic human preferences like not wanting to be the
               | victim of unprovoked public violence do align.
        
               | skissane wrote:
               | Consider this (meta-)moral principle: For some moral
               | proposition P, if universal human obedience to P would
               | lead to human extinction, then P is false.
               | 
               | Example of application: Consider "It is always immoral to
               | have children". Obviously, if humanity universally obeyed
               | that principle, human extinction would inevitably and
               | quickly follow. Therefore, that principle is false. From
               | which obviously follows: "It is moral to have children
               | (at least sometimes)".
               | 
               | Now, I would propose we accept that meta-moral principle
               | as an axiom. To me, and to many others, it seems self-
               | evidently and intuitively true. Who seriously doubts or
               | denies this axiom? Well, most of the people who doubt or
               | deny it, do so not due to its specific content, but due
               | to a philosophical objection to accepting any moral
               | axioms at all. The number of people who are happy to
               | accept moral axioms but would refuse to accept this
               | particular one appears to be rather small. It seems as
               | good a candidate to be an axiom as any other. So why not
               | accept it as an axiom?
        
               | skissane wrote:
               | > Idk, it could just be a claim that the argument can be
               | expressed in a logical system, combined with the
               | normative axiom that rational agents should only trust
               | arguments that can be validly expressed in such a formal
               | system.
               | 
               | The term "valid" has both formal and informal senses. I
               | agree some of its formal senses are non-normative, but I
               | think its informal uses have a strong normative element.
               | The original comment to which I was responding wasn't
               | very clear about in what sense it was intending the term,
               | but when people aren't clear, it is not unfair to assume
               | they mean a term informally rather than in some specific
               | formal sense.
               | 
               | > Regardless this seems to be missing the forest for the
               | trees. Nobody has put forth any arguments for either
               | position that are emperical in nature. Is there really a
               | practical difference between impossible and possible but
               | nobody knows how?
               | 
               | What is the proper role of empiricism in human knowledge,
               | including moral knowledge? You seem to be making some
               | assumptions here which you are not making explicit.
               | 
               | If one accepts moral sense theory - that moral intuitions
               | are a form of empirical knowledge - then we can have
               | direct empirical knowledge of the truth or falsehood of
               | moral propositions.
               | 
               | If one accepts pragmatism - that beliefs can be justified
               | by the pragmatic benefits of believing them, and that
               | pragmatically justified beliefs can constitute genuine
               | cases of knowledge - then empirical evidence can be used
               | to establish the pragmatic benefits of a moral belief,
               | and hence (indirectly) to establish its truth.
               | 
               | One may believe that some axioms are self-evidently true,
               | and that one's knowledge of the truth of those axioms is
               | innate rather than empirical - in which case, if one
               | accepts that for non-moral axioms, how about accepting it
               | for moral axioms as well?
        
             | geoduck14 wrote:
             | >The doctor is saying "Our principle is that we don't use
             | the patient's past violence or convictions to determine
             | whether they should get a heart or not, so the stabbing
             | doesn't disqualify David."
             | 
             | >Neither party can offer a valid argument as to why their
             | principle is true, because both of their principles are
             | normative.
             | 
             | I'm pretty sure someone mentioned that the Dr's pov is that
             | the doctors don't punish crime. Someone else does that. If
             | they have a crime worthy of death, someone else determines
             | that and administers that punishment. The Dr's stay out of
             | that conversation.
        
               | vidarh wrote:
               | Exactly. If the law was changed to allow judges to impose
               | "denial of transplants" as a punishment, then one might
               | consider that a good or bad thing, but in that case it
               | would be the courts not the doctors who makes the
               | determination, and the legislative who'd be ultimately
               | responsible for the rule existing.
               | 
               | As long as there is no such law, it's not for doctors to
               | impose such restrictions.
        
           | foo92691 wrote:
           | "The New York Post (NY Post) is a conservative[8] daily
           | tabloid newspaper published in New York City. The Post also
           | operates NYPost.com, the celebrity gossip site PageSix.com,
           | and the entertainment site Decider.com."
           | 
           | https://en.wikipedia.org/wiki/New_York_Post
        
             | ekianjo wrote:
        
               | repiret wrote:
               | Well there is this: https://en.m.wikipedia.org/wiki/List_
               | of_controversies_involv...
        
               | SEJeff wrote:
               | Most posters who use the phrases "newsflash" or "wake up"
               | are not posting in good faith.
        
             | benatkin wrote:
             | I try to avoid NY Post, but sometimes forget. Still, it's a
             | true story afaik.
        
             | LAC-Tech wrote:
             | What was the purpose of posting this?
        
               | [deleted]
        
             | jessriedel wrote:
             | The NY Times and Washington Post also had silly articles
             | that presented this as a serious debate.
        
               | woodruffw wrote:
               | I don't remember WaPo's article, but the NYT article that
               | I read didn't mention any ethical issues _or_ the
               | recipient 's past[1].
               | 
               | [1]: https://www.nytimes.com/2022/01/10/health/heart-
               | transplant-p...
        
               | jessriedel wrote:
               | https://mobile.twitter.com/Jess_Riedel/status/14817962098
               | 156...
               | 
               | https://www.washingtonpost.com/dc-md-va/2022/01/13/pig-
               | heart...
               | 
               | https://www.nytimes.com/2022/01/13/health/pig-heart-
               | transpla...
        
               | woodruffw wrote:
               | Thanks for linking that. I hadn't seen that article, and
               | I'm disappointed to see them highlight his past in that
               | manner.
        
               | davidw wrote:
               | The https://twitter.com/DougJBalloon tweets write
               | themselves. "This felon was given a pig heart. Here's why
               | that's a problem for ..."
        
           | cguess wrote:
           | It's the NY Post, they're a rag on the same level as The Sun
           | in the UK.
        
             | refurb wrote:
             | But are they wrong?
        
           | mlyle wrote:
           | > This is so simple and newspapers trying to make it into a
           | matter for debate is actually compromising that.
           | 
           | Even if one were to consider moral character when allocating
           | organs in general: the researchers needed someone who was
           | sick and likely to die, _ineligible for human organ
           | transplant_ (here, because of severity of condition), and not
           | so sick that there was no chance of success or useful data.
           | 
           | So, we're already picking someone who doesn't meet the normal
           | rules.
           | 
           | And, of course, considering moral character when allocating
           | organs probably isn't a great idea.
        
             | lisper wrote:
             | Considering a person's criminal record is not the same as
             | considering their moral character.
        
               | GameOfFrowns wrote:
               | >Considering a person's criminal record is not the same
               | as considering their moral character.
               | 
               | Although some might argue that there was a certain
               | correlation between the two.
               | 
               | https://www.nbcnews.com/news/crime-courts/anthony-stokes-
               | tee...
        
             | enchiridion wrote:
             | It probably happens more than you think. Organs are doled
             | out based on a rating system as evaluated by a small review
             | board
             | 
             | In the case of ties, the question of who "deserves" the
             | organ is relevant to the board members. Uncomfortable but
             | true.
             | 
             | Also doesn't really apply here as this guy had a last ditch
             | experimental operation. The family in the article just
             | wanted revenge.
        
               | bertil wrote:
               | The organ board base their decision on likelihood that
               | the receiver will benefit from the transplant (for a long
               | time), so some habits that are medically relevant are
               | taken into account: smoking, drinking, taking drugs, and
               | when AIDS was a concern, having sex with people who might
               | transmit it. All those also come a moral judgement so
               | many people assumed that the board was making a moral
               | judgement. They are not: having other conditions
               | complicating the process is relevant; being old too.
               | Being a crimimal is morally relevant but doesn't come
               | into the judgement of the board.
               | 
               | For lack of a better word, they are maximising the
               | duration of the organ.
        
               | enchiridion wrote:
               | Yes, most of the time that's true, and just about
               | everything you mentioned can be boiled down to a single
               | number.
               | 
               | Genuine ties do happen though, and at the end of the day
               | the board is human.
        
             | fennecfoxen wrote:
             | Yeah, the Post complaint (echoed elsewhere) is basically a
             | call for having a social credit score that can say "you're
             | not a good person, so we're not going to let the doctors
             | save you."
        
               | renewiltord wrote:
               | We already have that laundered through something else.
               | Like if you're a drinker you won't get a liver.
        
               | omgitsabird wrote:
               | That is not a universal statement[0]. They may get lower
               | priority in many cases, but MELD[1] or a similar model is
               | used to determine who gets priority for liver transplant.
               | 
               | [0] https://www.hopkinsmedicine.org/news/articles/destigm
               | atizing...
               | 
               | [1] https://en.wikipedia.org/wiki/Model_for_End-
               | Stage_Liver_Dise...
        
               | mlyle wrote:
               | That's not a moral judgment: that's a judgment about
               | whether you're likely to not wreck the new organ and have
               | a good outcome.
        
               | _delirium wrote:
               | That's a common rationalization for the moral judgment,
               | but without evidence. "Recent studies have shown similar
               | survival rates among individuals who undergo LT [liver
               | transplant] for ALD [alcoholic liver disease] and those
               | who undergo LT for other chronic causes of end-stage
               | liver disease." [1]
               | 
               | [1] https://pubmed.ncbi.nlm.nih.gov/30018475/
        
               | [deleted]
        
               | mlyle wrote:
               | As your link says, there's an association between
               | sobriety and liver transplant outcome.
               | 
               | As your link also says, in most areas, you can receive a
               | liver for ALD; there's just a 6 month sobriety rule.
               | 
               | So we know:
               | 
               | - 6 months of sobriety increase odds of ongoing
               | subsequent sobriety
               | 
               | - Sobriety improves LT transplant outcomes.
               | 
               | Many believe, without strong numerical evidence either
               | way:
               | 
               | - 6 months of sobriety before procedure improves outcome
               | of LT transplantation.
               | 
               | Fewer believe:
               | 
               | - A 6 month sobriety requirement is an unnecessary
               | impediment to transplantation.
               | 
               | Your paper says:
               | 
               | "An interval of sobriety prior to LT is very desirable
               | from a medical point of view. Abstinence may markedly
               | improve liver function"
               | 
               | i.e. in many cases, if people could stop drinking, they
               | might not even need the liver!
        
               | rob74 wrote:
               | ...and the next step would be "we're not going to treat
               | you for Covid because you're not vaccinated".
        
               | achow wrote:
               | This is not same.
               | 
               | The non vaccinated are actively choosing to be a danger
               | to people around them.
               | 
               | It is like actively carrying concealed unlicensed gun
               | which can silently and anynomously fire at people.
        
               | Razengan wrote:
               | > _This is not same._
               | 
               | > _The non vaccinated are actively choosing to be a
               | danger to people around them._
               | 
               | > _It is like actively carrying concealed unlicensed gun
               | which can silently and anynomously fire at people._
               | 
               | What about giving a life extension to someone who stabs
               | other people?
               | 
               | The recipient of the heart transplant, David Bennett,
               | actively chose to be a danger to people around him.
        
               | achow wrote:
               | Yes. Why not stick to that topic. Why to conflate by
               | bringing in vaccine one?
        
               | jlawson wrote:
               | I think you're confused on what the word 'actively'
               | means.
        
               | achow wrote:
               | 'Actively' seems to be accurate for the scenario when one
               | is choosing to make body conducive to incubate virus, or
               | already incubating them (albeit unknowingly if
               | asymptomatic).
               | 
               | [Edit] And if you meant active in context of 'Active
               | shooter', then still use of the word active is not wrong.
               | Virus laden body is like carrying a concealed gun which
               | is on 'auto pilot', it is actively spraying bullets; it
               | IS active all the while.
        
               | InvertedRhodium wrote:
               | I can't think of a single person I know that hasn't
               | ducked down to the shops to pick something up when they
               | have the flu. By your definition, they are actively
               | attempting to cause harm to others - which is an
               | interesting take.
        
               | op00to wrote:
               | I haven't "ducked down to the shops" when I'm ill. It's
               | not that hard to keep necessities around.
        
               | sersi wrote:
               | Even before covid, I would always wear a mask if I had a
               | flu and would try as much as possible not to go to shops
               | or pick up anything. A lot of people I know do the same.
        
               | rob74 wrote:
               | I'm vaccinated myself and basically I have the same
               | opinion as you. But David Bennett also actively chose to
               | stab someone seven times in 1988 - "only" leaving him
               | paralyzed, but probably with the intent to kill him? Ok,
               | he probably served time for that and it was a long time
               | ago, so judicially you can consider him rehabilitated. My
               | argument was that once you refuse to treat (former)
               | criminals, that's a slippery slope. And apparently I was
               | right, since some here seem to consider people who choose
               | not to get vaccinated worse that violent criminals...
        
               | op00to wrote:
               | Worse? No. The unvaccinated are far more likely to get
               | sick or die as a part of any medical procedure right now
               | just because of the base risk of COVID in hospitals. If
               | you can't take the first step to protect yourself and
               | others, there's not much health care providers can do to
               | change your mind.
        
               | [deleted]
        
               | onion2k wrote:
               | That's different because there's no moral judgement in
               | that position. If you refuse treatment for a condition,
               | even a preventative one, then there's no moral imperative
               | to offer a different treatment later. Doctors did their
               | best to save you, but you didn't do your part. That's on
               | you.
        
               | dijonman2 wrote:
               | I couldn't disagree more. Everyone deserves the same
               | level of care.
        
               | [deleted]
        
               | jagger27 wrote:
               | Everyone deserves care. It's unpleasant to think about
               | giving emergency care to people who actively refuse
               | preventative treatments at the cost of canceled
               | appointments and surgeries for non-COVID patients.
               | Triaging really sucks.
        
               | onion2k wrote:
               | They're getting it. Everyone is offered the vaccine. If
               | people choose not to accept that care then what happens
               | afterwards has to be assessed and prioritized on a case
               | by case basis. If there's an ICU bed and two patients,
               | one who's a Covid patient who refused to protect
               | themselves and the other someone who has something not
               | preventable, the second one should get priority.
               | 
               | Ideally there would be two beds, and everyone would get
               | the care they need, but reality means choices have to be
               | made. Refusing a vaccine should send you to the back of
               | the queue.
        
               | jlawson wrote:
               | Absolutely not, that's not how it works.
               | 
               | You won't be denied tramua treatment for a gunshot
               | because your doc told you to stop playing with guns.
               | 
               | You won't be refused heart medicine because you didn't
               | stop eating bacon when your doctor told you to 5 years
               | earlier.
               | 
               | You won't be denied ER treatment because you were drunk
               | when you crashed your car.
               | 
               | There is no rule where we have to treat all patients
               | equally (including mass murderers) except those who
               | didn't accept n earlier-offered treatment or who did
               | something that caused their own medical condition (i.e
               | which probably includes most medical conditions).
               | 
               | Medical care is not an exploding offer.
               | 
               | Honestly - shame on you for trying to sneak in an absurd
               | exception just so you can abuse the medical system to
               | hurt people you don't like. That's not what hospitals are
               | for.
        
               | ako wrote:
               | Your examples are not the same, you're presenting cause
               | and treatment. The parent comment discussed one treatment
               | over another: refusing preventive treatment over curative
               | treament.
               | 
               | Problem is that there is not enough capacity for curative
               | treatment only. In this case it would make sense to
               | allocate some hospital capacity for people without
               | vaccination, and more capacity for people that have been
               | vaccinated (maybe in the same ratios as population
               | vaccination).
               | 
               | And also allocate some hospital capacity for people with
               | other diseases so they're not impacted by the fact that
               | some people refuse vaccination.
        
               | mlyle wrote:
               | I think if we really ran out of health care capacity, it
               | might make sense to prioritize people who took
               | preventative measures over those who didn't.
               | 
               | Especially with COVID: if you're at the point of triage
               | and rationing resources, you need to consider likely
               | outcomes, and people with the vaccine presenting at
               | hospital are more likely to survive than those presenting
               | without.
               | 
               | It seems like we're not going to bump into those limits,
               | though, so it's moot.
        
               | BjoernKW wrote:
               | > people with the vaccine presenting at hospital are more
               | likely to survive than those presenting without
               | 
               | In my opinion, that logic is flawed.
               | 
               | The currently available COVID-19 vaccines vastly reduce
               | the likelihood of developing severe symptoms from a SARS-
               | CoV-2 infection. They also somewhat reduce the risk of
               | getting infected in the first place.
               | 
               | So, getting vaccinated against COVID-19 makes you far
               | less likely to need to be hospitalized, should you
               | contract the virus, which apart from of course being
               | beneficial to yourself also helps with keeping the
               | healthcare system from being overwhelmed.
               | 
               | However, if you've already been hospitalized, it is
               | because you've developed severe symptoms, which in turn
               | means that, in that situation, for you, the vaccine has
               | failed.
               | 
               | At that point, all other factors being equal, your likely
               | outcome is no different from that of a person who hasn't
               | been vaccinated. Therefore, using vaccination as a
               | criterion for triage (which - like you said - is all
               | about rationing resources, not passing judgement) doesn't
               | make sense.
               | 
               | Now, it could very well be possible that being vaccinated
               | improves your outcome even once you've already developed
               | symptoms sufficiently severe to require hospitalization.
               | However, I'm not sure there's conclusive evidence
               | suggesting that is indeed the case.
        
               | mlyle wrote:
               | > Now, it could very well be possible that being
               | vaccinated improves your outcome even once you've already
               | developed symptoms sufficiently severe to require
               | hospitalization. However, I'm not sure there's conclusive
               | evidence suggesting that is indeed the case.
               | 
               | Current data seems to show that fully vaccinated people
               | who require hospitalization have hospital stays that are
               | 33% shorter and are also about 33% less likely to die (
               | _despite_ having more comorbidities on average than
               | unvaccinated hospitalizations).
               | 
               | So, if you have one bed left, and can put either an
               | unvaccinated or vaccinated person in it-- all else being
               | equal-- the vaccinated person is less likely to die with
               | hospital care, and is more likely to free up the bed for
               | someone else soon.
               | 
               | (We don't know, though, if you deny hospital care to both
               | what the death rate for each would be-- here's where you
               | have to guess. If you assume both die without hospital
               | care, then you should give the bed to the vaccinated
               | patient).
        
               | onion2k wrote:
               | _It seems like we 're not going to bump into those
               | limits, though, so it's moot._
               | 
               | Only because people who got the vaccine are significantly
               | less likely to require hospitalization though. At the
               | start of the pandemic there was a very real possibility
               | that we'd actually run out of ICU beds and ventilators.
               | Much of the 'flatten the curve' effort was to protect
               | healthcare services.
        
               | onion2k wrote:
               | _You won 't be refused heart medicine because you didn't
               | stop eating bacon when your doctor told you to 5 years
               | earlier._
               | 
               | Yes, you would. Doctors refuse to give people treatment
               | until they've lowered their weight, reduce their
               | cholesterol, given up smoking or drinking, or increased
               | their level of exercise _all the time._
               | 
               | There is no point giving someone life-saving medical
               | treatment if it isn't going to work because of some other
               | factor. That's a waste of time and money. In _every_ case
               | the patient has to show that they 're willing to do their
               | part. Medicine is not just popping a few pills or turning
               | up for surgery. There's effort required in order to get
               | better.
               | 
               | In the case of Covid, having the vaccine is part of that
               | effort. Someone who hasn't tried to improve their long-
               | term health by, for example, giving up smoking, and
               | someone who hasn't tried to improve their long-term
               | health by having the Covid vaccine are basically the same
               | - they're both putting their health at risk
               | unnecessarily. Doctors should consider that when they're
               | prioritizing treatment.
        
               | BoorishBears wrote:
               | If a collapsed lung from a gunshot wound was contagious
               | you sure would.
               | 
               | If having your head split open in a DWI accident was
               | contagious you would.
               | 
               | Like 99% of the arguments against vaccination this isn't
               | nearly as pithy as you think.
               | 
               | After seeing what going through the initial wave of COVID
               | in a medical provider in the ER did to my mother I could
               | not care less about how many loopholes in efficacy people
               | want to tout.
               | 
               | Vaccines help reduce severity in some capacity. If you
               | can be vaccinated (and not everyone can), and you chose
               | not to because you know better, ask your YouTube doctor
               | of choice to patch you up.
               | 
               | Honestly - shame on you for treating self-preservation as
               | some sort of moral judgement against people someone
               | doesn't like. People don't like to risk their lives for
               | people who won't help themselves.
        
               | vasco wrote:
               | You seem to have very strong views on this and I don't
               | but as a natural follow up from your arguments, how do
               | you propose we deal with the obesity crisis under the
               | lens of people who don't self preservate and have all
               | sorts of cardiovascular issues and bring healthcare costs
               | to unbearable highs for everyone else?
               | 
               | To be clear my position is that you should treat
               | everyone, fatties, smokers, antivax, whatever, merely
               | because I don't know when I'm going to find myself in one
               | of the "wrong" groups and I'd like to get treatment then,
               | so I think they should get it too.
        
               | kaybe wrote:
               | The data I saw suggested these people are actually
               | significantly cheaper in total for society since they die
               | so much earlier. YMMV depending on the details of your
               | social system of course.
        
               | BoorishBears wrote:
               | This is not that complicated:
               | 
               | Is a heart attack going to infect your provider?
               | 
               | Is neck cancer going to infect your provider?
               | 
               | We have a vaccine that significantly reduces the odds of
               | putting our healthcare providers at risk and becoming
               | part of the group of people crippling our ability to
               | provide emergency medical care... if you don't take it
               | not because you're ineligible, but because you've decided
               | you know better, you should not be a priority.
               | 
               | And really this is _already_ how it works. When ICUs get
               | overwhelmed, people with COVID who code might not get
               | resuscitated.
               | 
               | The massively increased risk to the provider combined
               | with the chances of recovery mean you will just die:
               | 
               | https://www.cdha.nshealth.ca/system/files/sites/documents
               | /co...
               | 
               | -
               | 
               | And I guess saying I have strong feelings supposed to be
               | some backhanded ad hominem? I mean clearly you have
               | strong feelings as well, writing tirades about the
               | "fatties", the difference between us is what I write is
               | based on reality
        
               | vasco wrote:
               | I understand your point about infectiousness I think it's
               | good and I agree.
               | 
               | My comment was as a follow up to your statement:
               | "Vaccines help reduce severity in some capacity", there's
               | a lot of behaviors that reduce severity in some capacity,
               | and doing those would translate in lots of time savings
               | and less pressure on the healthcare system in the same
               | way as the vaccines do, the vaccines just have the extra
               | "bonus" of being able to infect healthcare workers, so
               | their negative effects compound. But if your argument is
               | about first principles, any sort of self preservation has
               | the same problem. So I was just commenting on that.
               | 
               | You're right the bit about feeling strongly was probably
               | a subconscious dig, sorry about that, but I was amused at
               | the "shame on you" and had a moment of weakness, my bad.
               | 
               | Also I didn't intend much with the fatties, I find it
               | eandearing and have been a fatty myself at times in my
               | life and have many I like, if that offended I'm sorry and
               | I wish I hadn't used the term, but that's life and these
               | are just internet comments.
        
               | InvertedRhodium wrote:
               | > People don't like to risk their lives for people who
               | won't help themselves.
               | 
               | That's an entirely reasonable position that I can
               | understand - my advice to those people would be to avoid
               | careers in which they are required to risk their lives
               | for people who won't help themselves.
               | 
               | There's a good reason I'm not a police officer, doctor,
               | fireman, etc. The risk/reward payoff in those careers is
               | far, far too low.
        
               | BoorishBears wrote:
               | What on earth are you blathering about?
               | 
               | Comparing armed police sent in to deal with possibly
               | armed suspects... firefighters who get sent into
               | infernos... with doctors.
               | 
               | The risks doctors normally face from one patient to
               | another are identical, so it was nonsensical to say they
               | were risking their life _for a specific patient_.
               | Especially since we 've known how to protect from
               | _normal_ bloodborne and airborne pathogens for a long
               | time. The difference is COVID had no vaccine and
               | treatment was limited at the time, it was repeatedly a
               | death sentence.
               | 
               | That's why COVID already forced a rethinking of how far
               | we expect providers to go to save someone: https://www.ah
               | ajournals.org/doi/10.1161/CIRCOUTCOMES.120.006...
               | 
               | There's a good reason you're not a doctor, let's leave it
               | at that.
        
               | op00to wrote:
               | I'm all for providing telemedicine to those who choose
               | not to be vaccinated against COVID (compared to those who
               | medically can it be vaccinated). But letting them into
               | health care facilities? Nah, get your shots and come
               | back.
        
               | corobo wrote:
               | There was an episode of Star Trek Voyager that had this
               | system in place, ep 7x5 Critical Care
               | 
               | Naturally it was corrupt
        
           | yboris wrote:
           | Side-comment that doesn't apply in this case, but worth
           | mentioning: "regardless of who they are" seems like a shitty
           | blanket principle to have. For example, hospitals are
           | overstuffed with COVID patients means regular patients die as
           | a result. In many cases, "The overwhelming majority of the
           | patients had COVID-19, and 98% of those needing acute
           | critical care were unvaccinated." This means people who
           | choose to not take the vaccine are causing others to die. So
           | the unvaccinated should be thrown out when a patient in need
           | comes and no beds are available.
           | 
           | https://www.project-syndicate.org/commentary/health-care-
           | pri...
        
             | bostonsre wrote:
             | It's a slippery slope.. I think the uneducated are less
             | likely to be vaccinated and it doesn't seem right to refuse
             | service to someone because they believed something that was
             | incorrect. Say there were people with mental handicaps that
             | fell in this camp, it would be even worse.
             | 
             | And where do you draw the line for who gets help for stuff
             | unrelated to covid? Having a do no harm type moral code
             | seems like the best way to navigate and avoid the minefield
             | of deciding who deserves care in what circumstances.
        
               | account42 wrote:
               | Even simpler: By refusing treatment based on choices
               | stemming from mistrust of the system you are validating
               | that mistrust.
        
               | Chris2048 wrote:
               | Counterpoint: it's not the uneducated that don't
               | vaccinate, it's the cynical - and the "educated" are
               | often ignorant of all the ways it's reasonable to be
               | cynical because they haven't been screwed over as much.
               | 
               | At the end of the day, understanding the benefit of a
               | vaccine requires trusting information, and I think that
               | information, and trust, has been compromised. You could
               | equally hate on anyone deciding that smoking was bad for
               | you, not long ago, because of how thoroughly compromised
               | the "science" around it was.
        
               | yboris wrote:
               | Consider a hypothetical scenario: there is a fire in the
               | woods and the government says "do not go into the woods".
               | People _choose_ to go to the woods and return as burnt
               | victims. Hospitals _should_ help these individuals, but
               | if they fill up 100% of the hospital beds and we need to
               | turn people who got hurt due to accidents who then die,
               | the fault is on those who _chose_ to go into the
               | dangerous woods.
               | 
               | It _may_ be the case that implementing a policy of
               | vacating beds of burn victims is too challenging, but
               | that doesn 't undermine the "should" in the "we should
               | vacate beds of voluntarily hurt when accidentally hurt
               | need the beds".
        
             | joshuamorton wrote:
             | No, it really shouldn't. I'll be the first to say that
             | unvaccinated people are morally bad, and their actions are
             | harmful to wider society.
             | 
             | But, and this is a really important but, the way to punish
             | that behavior isn't to deny them care in the hospital. For
             | a variety of reasons, not the least of which is that not
             | every unvaccinated person is unvaccinated by choice. But
             | more generally because applying any sort of moral standard
             | to who lives and who dies in an emergency gets incredibly
             | murky incredibly quickly.
             | 
             | If you want to punish people for failing to get vaccinated,
             | I'm all for it. But do so outside of a hospital.
        
             | decremental wrote:
             | Why are so many vocal advocates for the covid vaccine such
             | demons? Is the rhetoric surrounding the covid vaccine so
             | toxic that it turns otherwise normal people into people who
             | are so hate filled, or are such hate filled people simply
             | predisposed to being influenced by such rhetoric?
        
               | cdelsolar wrote:
               | Why are people like you so hyperbolic? How is anything
               | that the OP said demonic? The unvaccinated are literally
               | causing people to die besides themselves. There is
               | nothing hate-filled about that.
        
               | app_gorilla wrote:
               | what are you talking about? Are you under the impression
               | the vaccines prevent transmission of COVID?
               | 
               | at best, the vaccines reduce your personal chance of
               | hospitalization and death.
               | 
               | for those at risk from COVID, take the vaccine. But
               | pretending you're assisting your community by doing so is
               | ridiculous and unfounded in data. "Fully vaccinated"
               | people appear MORE likely to catch and spread Omicron 90
               | days post-vaccination.
               | 
               | Source: https://www.medrxiv.org/content/10.1101/2021.12.2
               | 0.21267966v...
        
               | dijonman2 wrote:
               | The unvaccinated are harmless, full stop.
        
               | skinkestek wrote:
               | > The unvaccinated are literally causing people to die
               | besides themselves. There is nothing hate-filled about
               | that.
               | 
               | As a soon to be triple vaccinated healthy adult I wish we
               | could soon admit that we do this for our own good and to
               | not be away from work.
               | 
               | By now it is very clear that about the only thing the
               | current vaccine does against Omicron is lessen the
               | consequences for the individuals who take the vaccine.
               | 
               | I still recommend it but it won't save anyones life
               | except those who take the vaccine.
        
               | yboris wrote:
               | Lessening the consequence of a COVID infection results in
               | lesser chance of having to need a hospital bed. Whenever
               | you use a hospital bed during a time of 100% occupancy,
               | you cause one person who needs a bed to not get it, which
               | _can_ and _does_ (on average) result in more harm and
               | death.
        
               | corobo wrote:
               | It's your standard us vs them scenario. Humans love us vs
               | them scenarios, we're a tribal bunch
        
               | skocznymroczny wrote:
               | The vaccine narrative is collapsing, and people are
               | desperate for answers and to find someone responsible.
               | They were promised high immunity from infection and close
               | to 100% immunity from hospitalization/death. Real-world
               | stats paint a completely different picture and people are
               | desperate.
        
             | Chris2048 wrote:
             | > hospitals are overstuffed with COVID patients means
             | regular patients die as a result
             | 
             | as a result of what? Failure to isolate COVID patients?
        
           | inglor_cz wrote:
           | Well, the Zeitgeist of the social networks is "destroy the
           | sinner mercilessly and crush him into dust" plus "whoever
           | does not take part in that crushing or even advocates for
           | mercy is suspicious himself". And too many journalists are on
           | their social network accounts every waking hour, so it seeps
           | through.
           | 
           | I suspect that quite a lot of people would support denial of
           | medical care to sinners. For example, the sentiment of
           | "triage against the unvaxxed" seems to be pretty strong.
           | 
           | (For the record, I am fully vaxed but do not support
           | mistreatment of people who believe in conspiracy theories.)
        
             | bertil wrote:
             | What you see on social networks is a reflection of who you
             | choose to follow and engage with. I use social networks to
             | engage with people who actually make those decisions and
             | they do not encourage any of that.
        
               | inglor_cz wrote:
               | Well, we are talking about journalists ("blue dots"), and
               | their choices are their matter ...
               | 
               | https://www.theatlantic.com/technology/archive/2019/04/tw
               | itt...
        
               | bertil wrote:
               | Denying medical care is made either by individual health
               | care professsionals or, in cases that require more
               | consideration, health services ethics commity. I'd be
               | surprised is anyone stating what you said would keep
               | their medical license, let alone would be allowed to sit
               | in a commitee.
        
         | kazinator wrote:
         | Dude looks more like 77 than 57. Life-long stress, I'm
         | guessing.
        
           | [deleted]
        
         | ahevia wrote:
         | Read the article. Sadden he took such drastic actions & that it
         | led to someone's suffering for so many years until their
         | eventual death, but he served his time in jail. Isn't that how
         | we repay criminal debts in society? Not a very good argument to
         | deny anyone life saving care after they served their
         | sentencing(or because for their past actions for that matter).
         | If the family believed the sentencing wasn't accurate that's a
         | different matter
         | 
         | Glad Doctors don't discriminate based on past actions of an
         | individual. Would be a very dystopian society if we did.
        
           | agumonkey wrote:
           | I understand the family though. The unfairness is heavy.
        
             | zwirbl wrote:
             | The unfairness of a terminally ill person that's not
             | eligible for a regular heart transplant receiving an
             | experimental treatment that might just as well kill him,
             | but in the long run might save many more? Or is it the
             | unfairness of never being able to escape ones past?
        
               | agumonkey wrote:
               | The social implication can be as incredible as we all
               | imagine, it's still unbearable for the family involved.
        
           | mannykannot wrote:
           | > If the family believed the sentencing wasn't accurate
           | that's a different matter.
           | 
           | It probably depends on what you mean by 'accurate'. They
           | almost certainly do not believe this person has repayed a
           | debt to the victim, the victim's family or society in
           | general. Phrasing the issue as one of repaying a debt is
           | problematical when it is beyond the means of the perpetrator
           | to make amends.
           | 
           | Note that this is not an argument for the doctors doing
           | anything different. All else aside, it is in the best
           | interests of society as a whole that they should select the
           | most medically-suitable candidate available for this
           | research.
        
             | agumonkey wrote:
             | Considering the situation, a very important medical
             | experiment but over a socially sensitive patient, would it
             | help to keep the guy anonymous ?
        
             | ehnto wrote:
             | There isn't even a consensus on what prison is actually
             | for, so this discussion is doomed to be ambiguous and
             | fruitless. Is it punitive, is it rehabilitation, is it
             | about separating danger from the rest of society, or is it
             | some kind of morale debt collection?
        
           | ehsankia wrote:
           | I don't understand what people are arguing, he didn't even
           | get a real heart that could've potentially gone to "a more
           | deserving person". He literally got something that no one
           | else would've gotten. The only reason they agreed to do this
           | experiment on him is because he was about to die and he
           | agreed to be part of an extremely risky surgery that he very
           | likely would've never wake up from.
           | 
           | I could see him being all over the press being annoying for
           | the victim's family, but I don't see this as him being
           | rewarded with anything. What he got is one of the worst
           | option, though the fact that he's survived this far makes it
           | better in hindsight. Then again 2 weeks means nothing, let's
           | see if it actually lasts.
        
         | TedDoesntTalk wrote:
         | > was charged with intent to murder and openly carrying a
         | concealed weapon, among other charges.
         | 
         | I know what a concealed weapon is, but what is 'openly carrying
         | a concealed weapon'?
        
           | anonymousiam wrote:
           | I'm carrying a concealed weapon right now. (It's a S&W .380
           | M&P.) I have a card in my wallet that makes this completely
           | legal in the state where I live, and in 35 other states. I'm
           | always amazed at the culture clash between the anti-gun lobby
           | (including the press), and people who choose to exercise an
           | important constitutional right.
           | 
           | A gun is just a tool. It can be used for both good and bad
           | purposes.
           | 
           | Also, the NY Post article says; "To some families, it's an
           | outrage that a person convicted of a violent crime would be
           | awarded an organ others so desperately need. But doctors
           | often disagree and there are no laws prohibiting someone with
           | a criminal history from receiving a transplant."
           | 
           | Elsewhere in the same article, it says; "A jury found him
           | guilty of battery and carrying a concealed weapon but
           | acquitted him of of intent to murder. Washington County
           | Circuit Judge Daniel Moylan called the stabbing a case of
           | "extreme violence" and sentenced him to 10 years behind
           | bars."
           | 
           | The facts of the crime are not given, but apparently a jury
           | did not believe he intended to kill, and since the victim did
           | not die right away, there was no killing to prosecute.
        
             | nuclearnice1 wrote:
             | Given your expertise, maybe you know, what is 'openly
             | carrying a concealed weapon'?
             | 
             | In particular, 'openly'
        
               | anonymousiam wrote:
               | There is "open carry" and "concealed carry", but I've
               | never heard the usage you are asking about. I suppose
               | that if one had a knife sheathed and attached to their
               | belt, but was wearing a jacket that concealed the knife,
               | that might qualify.
               | 
               | I know of people who were legally openly carrying a
               | firearm and got convicted of carrying a concealed weapon
               | because of a jacket. The laws vary by state, so such a
               | thing is possible in some states.
        
             | TedDoesntTalk wrote:
             | That's great, but none of it answers the question.
        
           | rory wrote:
           | The knife had a fake mustache and googly eyes glued on as he
           | waved it around, so people didn't realize it was a weapon.
        
           | silisili wrote:
           | Believe it or not, in some jurisdictions you can have a ccdw
           | license and are fine to carry concealed, but it is illegal to
           | carry said weapon openly.
           | 
           | I don't like the wording of that charge(if it even really
           | exists), but that's all I can come up with.
        
         | teewuane wrote:
         | Not to invalidate that person and family's feelings, but it was
         | from 1988, not recently.
        
         | nappy wrote:
         | This comment is a great example of why social media doesn't
         | work. Factual, cited, but totally irrelevant to anything around
         | the technology. It's the top comment because it brings up the
         | controversial elements that spur more comments, and it's in a
         | positive feedback cycle from there.
        
         | ridaj wrote:
         | I see many answers arguing that doctors treat everyone the same
         | regardless of their criminal past. That's ethically right, and
         | the victim's family doesn't have to like it either. PETA
         | doesn't have to like it either. My grandmother doesn't have to
         | like it either. Maybe the victim's family would've been happy
         | that he got the transplant if that had caused him to die; maybe
         | PETA would be happy if pigs got transplants from humans.
         | Thankfully it doesn't really matter what the victim's family or
         | PETA thinks of it.
        
         | throw__away7391 wrote:
         | Reading all the responses to this on social media is both sad
         | and mildly entertaining. The level of hypocrisy combined with
         | fever and sensitivity everyone has been worked up into over the
         | past few years, when anything even slightly complicated or
         | nuanced comes up everyone is jumping almost panicked to figure
         | out the "right" position is.
        
         | [deleted]
        
           | [deleted]
        
         | hiptobecubic wrote:
         | Well they are literally named "People for the Ethical Treatment
         | of Animals." It shouldn't be surprising that they are not in
         | favor of killing animals for replacement body parts.
         | 
         | I'm not either, but at least this was a case where the
         | personally arguably "needed" it. Usually we treat animals like
         | garbage just for fun.
        
         | Cthulhu_ wrote:
         | > PETA doesn't like [...] anyone
         | 
         | FTFY. PETA is a shit organization.
        
         | buryat wrote:
         | a pig deserves a pig's heart
        
           | benatkin wrote:
           | A literal pig.
        
         | kingcharles wrote:
         | I was in jail with someone who had been given a life sentence.
         | He needed a kidney transplant. He said there had been a lot of
         | talk about giving a kidney to someone who was going to die in
         | prison. He got the kidney transplant while he was locked up,
         | and then he was later exonerated of the crime in an appeal.
         | 
         | I'm glad that he wasn't refused the kidney transplant simply
         | because he was incarcerated, although I'm sure it happens.
        
         | sgjohnson wrote:
         | This is why we'll never have a rehabilitative justice system.
         | We don't deserve it.
         | 
         | He was convicted in 1988 and sentenced to 10 years behind bars,
         | probably served less so it's likely that he's been a free man
         | for 25+ years.
         | 
         | It's been over 30 years since the incident. Give the man a
         | break.
        
           | omgitsabird wrote:
           | Some want vengeance in place of justice.
        
             | Loeffelmaenn wrote:
             | I think it's more that justice means something different to
             | different people. I think that vengeance can be justice.
        
               | omgitsabird wrote:
               | Why do you think that?
               | 
               | Lets say a man goes to prison for 25 years for murder,
               | and upon release the victim's husband kills him. The
               | victim's husband gets revenge, but is it just?
               | 
               | Justice shouldn't be subjective, imo.
        
               | Loeffelmaenn wrote:
               | I of course think that example is not just. However I
               | think there a certain crimes like mass murder are beyond
               | being forgivable. It's where I think the only just thing
               | is vengance.
               | 
               | Also justice can't be objective. Put n people in a room
               | and ask them what is just and you'll get n different
               | answers.
        
               | sgjohnson wrote:
               | There's actually no suitable punishment for mass
               | murderers/war criminals/terrorists at all. There's no
               | righting the wrongs they have caused. There's no
               | rehabilitation. There's no real punishment.
               | 
               | When push comes to shove, how many of them even expect to
               | get out alive? Is death penalty really just in such a
               | situation?
               | 
               | The US just puts them in ADX Florence where they are
               | tortured mentally (complete isolation, no end in sight,
               | basically no human interaction at all). Which is probably
               | what they deserve, but it's still torture.
        
               | omgitsabird wrote:
               | Justice, by definition, necessitates objectivity.
               | 
               | https://plato.stanford.edu/entries/justice/
        
               | [deleted]
        
         | paxys wrote:
         | Ugh PETA, always have to butt in just to keep themselves
         | relevant.
         | 
         | For the first one, I can totally understand what the victim's
         | family must be going through, but doctors aren't (and
         | shouldn't) be in the business of making moral judgements on who
         | should and shouldn't get to live. There is an established
         | process in place for organ transplants (time on the wait list,
         | viability of the transfer) and that's all that needs to be
         | followed.
        
           | giantg2 wrote:
           | He's still serving his sentence, right? At least he's being
           | useful as a guinea pig. Maybe it's selfish, but at least it's
           | data that will help the next person.
           | 
           | Frankly, I could care less what the family thinks. If they
           | feel so strongly, then they should advocate for some
           | legislative change. Most families would kill if given the
           | option, and also the luxury of having someone else do it for
           | them.
        
             | foota wrote:
             | Doesn't sound like it, it was 24 years ago according to the
             | article, and they had a ten year sentence.
        
               | benatkin wrote:
               | Right, he injured someone and shortened that person's
               | life, but the justice system didn't know about that last
               | part until long after he was sentenced. So it's not
               | surprising that he's been out for a long time.
        
               | giantg2 wrote:
               | I mean it doesn't affect the time they did.
        
               | dagurp wrote:
               | 34 years
        
           | meowface wrote:
           | [deleted because I didn't articulate this well]
        
             | tclancy wrote:
             | How would you ever remove human bias from such a system?
             | This is a non-starter.
        
               | ehnto wrote:
               | Right, imagine someone convicted of possession of
               | marijuana. There are still plenty of people who consider
               | marijuana on par with hard drugs and serious crime. In
               | their eyes, someone convicted of possession may as well
               | be on par with murderers.
        
               | meowface wrote:
               | For the record, my original comment before I deleted it
               | was exclusively referring to cases of deliberate violent
               | crimes, with a caveat that it should probably be
               | restricted to just homicide.
        
             | [deleted]
        
             | paxys wrote:
             | Punishing someone for a crime is the responsibility of the
             | justice system. You are saying hospital administrators
             | should basically be able to hand out death sentences at
             | their discretion, which is a bizarre line of thought.
        
             | corobo wrote:
             | > to me it honestly seems pretty reasonable if hospitals
             | were to lower the priority of people who've been convicted
             | of serious, deliberate violent offenses (where "serious"
             | can be rigorously defined based on charges/sentences),
             | given the very limited supply and high demand. Perhaps even
             | restrict it to cases where the victim died, like this one.
             | 
             | Why would anyone want to add complexity to triage would be
             | my knee jerk wonder, it's supposed to be a quick process
             | 
             | Would the hospital need to wait for the legal system to get
             | back to them before treatment can begin? How would you know
             | if the patient has committed a crime without waiting?
        
           | hiptobecubic wrote:
           | > Ugh PETA, always have to butt in just to keep themselves
           | relevant.
           | 
           | This is literally what they are all about. It's like
           | complaining that the IOC keeps whining about athlete doping
           | just to try to stay relevant.
        
             | skinkestek wrote:
             | I originally downvoted you but then removed the downvote
             | since what you write is correct and not trollish.
             | 
             | That said I have though about it more than once, simulation
             | in the head style and a world were PETA wins turns in to a
             | uglier world in most cases.
             | 
             | Note: this is specifically about PETA, some other animal
             | rights/welfare organizations are somewhat reasonable.
        
         | josefrichter wrote:
         | Haven't you learned anything from M.A.S.H.?
        
           | benatkin wrote:
           | Would M.A.S.H. teach me to put the peta link first?
           | 
           | Just kidding, I think I know what you mean.
           | 
           | I think the main problem is not the life saving but the good
           | publicity the guy gets. I'm not going to publicly agree or
           | disagree with either article right now, though - I'm
           | conflicted about each of them.
        
         | 2Gkashmiri wrote:
         | Excuse my"rough language" but I find PETA people stupid, aburd
         | and straight up dangerous. Those bastards want to leave a human
         | being to die because they care about an animal. Fuck you.
         | 
         | Look. I am a Muslim. That means, by religious scriptures, we
         | are programmed to avoid pork. why? Simply because "god told us
         | to avoid pork". No other thing. Abstain from eating pork and
         | people follow that.
         | 
         | Now, when it comes to saving a life, those religious
         | considerations do not stand because a life is at stake. Same
         | for " consuming wine is prohibited" but if alcohol is necessary
         | as a medicine, its allowed because the intention is not to get
         | drunk but to get treated. That is important.
         | 
         | Now, when it comes to using a pig heart as a replacement, I am
         | pretty sure no resonable person, from any religion would have
         | problems with because the end goal is to save a human life.
         | 
         | These PETA people are keeping themselves relevant by being the
         | dissenting voice that nobody has to listen. Yeah, if PETA or
         | their supporters are reading this, again, fuck you. Let us save
         | lives and your organization can watch us do it.
        
           | bigyellow wrote:
           | Wow, this is one triggered ego! "I'm more important than
           | animals because I said so!!!". Hilarious watching you throw
           | this little tantrum.
        
             | 2Gkashmiri wrote:
             | yeah.. pretty much. i did not say "I'm more important than
             | animals because I said so!!!". i said "humanity is more
             | important than animals". there is a difference. if you
             | can't see that then the joke is on you
        
         | giantg2 wrote:
         | "...and a tremendous waste of resources that could be used to
         | fund research that might actually help humans."
         | 
         | Hey PETA, source?
        
           | cyral wrote:
           | ..but, this does help humans? (Or at least one so far).
        
           | TulliusCicero wrote:
           | PETA hates anything that makes animals useful to humans. It
           | could solve world peace and they'd be arguing that surely
           | there's a better way.
        
             | bigyellow wrote:
             | Why do animals need to be useful to humans to justify their
             | existence to you?
        
             | hiptobecubic wrote:
             | I don't think peta would consider it "world peace" yet.
        
               | TulliusCicero wrote:
               | Was it not clear I was talking about a hypothetical?
        
           | zem wrote:
           | if there's one thing peta knows inside and out it's being a
           | tremendous waste of resources
        
         | Hnaomyiph wrote:
         | I'm surprised to see such irrelevant and sensationalized
         | information being pushed to the top of the comment section of a
         | hn post. Does a crime that happened 34 years ago, and a
         | sentence served for said crime, hold any at all relevance to
         | the medical breakthrough posted here? Does a questionably-
         | ethical nonprofit's viewpoint matter on said medical
         | breakthrough? No to either.
        
       | goodguyamericun wrote:
       | I just want to say huge respect for Dr Mohammad who despite his
       | faith decided to do what is right. It might not be well known but
       | most muslims are raised with strong beliefs, even in educated
       | countries (eg 85% in Pakistan support sharia).
       | 
       | God bless Dr mohammad
        
         | kybernetyk wrote:
         | Yes, how wonderful that a medical doctor would make an
         | exception over his superstition. Truly a man of science!
        
           | AlecSchueler wrote:
           | Is there a need to be condescending about his beliefs,
           | especially when what we're hearing of them is based on
           | conjecture?
        
         | [deleted]
        
         | inglor_cz wrote:
         | The recipient is a non-Muslim, so no Sharia-related problems in
         | his case.
         | 
         | AFAIK it is not forbidden for a Muslim to touch pigs, only to
         | eat them. Pigs and dogs are impure, but you can perform
         | ablution afterwards. Muslims normally own hunting and guarding
         | dogs. That would actually be a common problem for Coalition
         | soldiers in Iraq when they tried to enter a village by stealth
         | - lots of barking.
         | 
         | "This impureness nevertheless doesn't imply that one might not
         | touch a pork, but that one might need to wash his hands and
         | maybe even re-do the ablution to be able to pray after touching
         | it."
         | 
         | https://islam.stackexchange.com/questions/48791/is-it-haram-...
        
           | EugeneOZ wrote:
           | I understand why pigs are "impure" (parasites in the meat),
           | but why dogs?
        
             | ashtonkem wrote:
             | "Dogs are pets" is one of those cultural background
             | assumptions that can be pretty jarring when you realize
             | it's not a universally held belief. There are pretty large
             | chunks of the planet where dogs are mostly unwanted pests
             | at best.
        
               | EugeneOZ wrote:
               | Muslims use dogs as pets, so it's not argument here.
        
             | lolinder wrote:
             | In Judaism at least, and I'd assume the same translates to
             | Islam, "impurity" is understood to mean "ritually impure".
             | It doesn't necessarily mean there's a specific scientific
             | reason to avoid the meat, just that God asked them not to
             | partake.
        
               | inglor_cz wrote:
               | Yeah, ritual impurity is forgotten in modern West and
               | hard to describe to a modern non-religious person.
               | 
               | It is not the same as "being unhygienic", though it
               | overlaps to some degree. (Faeces etc.)
               | 
               | An interesting example from Judaism is "Tzaraath", which
               | means skin disease, but it could also afflict _houses_.
               | Today we do not know for sure what it even meant. Mold
               | infestation? Maybe.
               | 
               | https://en.wikipedia.org/wiki/Tzaraath#Affliction_of_hous
               | ing
        
             | pvaldes wrote:
             | This rule was written in an age when rabies was a big
             | problem. It has a lot of sense to avoid scavenger dogs and
             | pigs in those places in the past. Now we have developed a
             | solution to this problem but, as is included as part of a
             | religion is a fossil rule that can't be changed. We have
             | still many of this rules around.
             | 
             | Science welcomes change when we find a better way to do
             | something. Is assumed that humans can be wrong and learn.
             | Religion will fiercely oppose change because god can't be
             | wrong by definition (and nobody has the authority to fix
             | it). Ideology will oppose also changes that see as a
             | menace, but can be more flexible.
        
             | sweetheart wrote:
             | Pigs are no more impure than dogs, fwiw. That belief is
             | merely a result of having been raised in a culture that
             | arbitrarily chooses to love dogs and cats and hate most
             | other animals.
             | 
             | Dogs can be infested with parasites just as easily as pigs.
        
               | EugeneOZ wrote:
               | Well, but I don't think they eat dogs.
        
         | causality0 wrote:
         | I don't know how many Muslims you're friends with but I
         | wouldn't assume without some indication that this was difficult
         | for him. There is a huge variety of beliefs in a population of
         | over a billion adherents. Most of the ones I know have no issue
         | with, for example, picking up a pack of bacon from the store as
         | long as they're not the one expected to eat it.
        
           | werds wrote:
           | Im sure it is morally justifiable to people of any religion,
           | when performing the procedure is the only chance the patient
           | has to continue living.
        
         | pasabagi wrote:
         | > sharia
         | 
         | Can anybody offer some insight into what people mean by that? I
         | know that in the 19th century, sharia was basically just a
         | legal tradition, that drew on Islam (just as western legal
         | traditions draw on Christianity, or eastern ones Confucianism).
         | Is it more extreme these days?
        
           | tptacek wrote:
           | No. Sharia means different things to different people. Think
           | of someone who calls themselves a "practicing Catholic", and
           | then think of what that might mean to a non-Catholic hearing
           | that. Do they eat meat on Fridays? Do they attend church
           | every day? Do they protest health clinics? There are
           | practicing Catholics who do all of these things and none of
           | them.
           | 
           | Unfortunately, the word has been seized on in western culture
           | to refer to the legal beliefs of militant Islamism. But
           | that's not at all what it means to most Muslims.
        
         | FDSGSG wrote:
         | Porcine heart valves are largely accepted by Islamic scholars
         | in situations where there are no alternatives available.
        
           | wizzwizz4 wrote:
           | Abortion is largely accepted by Catholic scholars if there
           | is, otherwise, a high risk of death. That doesn't mean all
           | Catholic medical practitioners would carry out such an
           | operation. I don't think the respect is misplaced.
        
             | bobthechef wrote:
             | That is absolutely false and made clear in the Catechism
             | (though abortion is, fundamentally, not a matter of faith,
             | but of ethics, contrary to popular misconception). Abortion
             | understood as the intentional killing of the unborn child,
             | even in the case of high risk of death, is always gravely
             | morally illicit and falls under murder. Even in the given
             | circumstance, it would violate the principle of double
             | effect.
             | 
             | Now, what _is_ morally licit is not abortion, but also by
             | virtue of the principle of double effect, a procedure
             | intended to save the mother 's life that unintentionally
             | and as a side effect results in the child's death. For
             | example, it is morally licit to extract the affected tissue
             | with the implanted embryo during an ectopic pregnancy. This
             | extraction will result in the death of the child, but the
             | death was neither intended nor was the death of the child
             | the means by which the mother's life was saved nor is
             | saving the life of the mother a lesser good than the life
             | of the child (though in this case, both would very likely
             | have perished if this condition had been allowed to
             | continue). Note that the situation must be proportionally
             | grave, meaning you could not licitly perform such a
             | procedure if the risk to the mother was not proportional
             | (like experiencing headaches because of the pregnancy). In
             | those cases, proportional care is permissible.
        
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