Thursday, October 30, 2008

Peter Singer Values Thriving

I try to be a realist and an idealist. I promote human exceptionalism, knowing that as an imperfect species, we are unlikely to ever fully achieve the dream of universal human equality. But the only way to get very close, it seems to me, is for our reach to exceed our grasp. That's my idealism.

My realist side tells me that this ideal has been almost universally rejected at the level of the intelligentsia, and that our betters among the big brained intend to move us to a "quality of life" culture that will literally become a culture of death for the weak and vulnerable.

This is epitomized by the advocacy of Peter Singer. Alas, being a realist, I have to admit that Singer's anti-human values are triumphing and becoming increasingly mainstream among society's movers and shakers. Witness the appalling success of the Great Ape Project, about to become a legal reality in Spain only 15 years after it was launched. Witness the increasing respectability of infanticide, with the notion of killing babies for eugenic purposes not only occurring regularly in the Netherlands, but touted as a matter of respectable consideration in the New England Journal of Medicine, the Hastings Center Report, and the New York Times, among other places.

When Culture of Death first came out, my bioethicist critics claimed that it was all Peter Singer all the time and that he was a fringe thinker. That was bunkum, as I demonstrated in a letter reacting to one particularly caustic review. I wrote in part:

I am also criticized for quoting extensively from Joseph Fletcher and Peter Singer. I do make much of Fletcher, and with good reason. Based on the flow of events, it seems to me that he was, perhaps, the most influential American philosopher of the last half of the 20th century. (Would that Paul Ramsey had had such influence! Bioethics would have taken a far different path.) I am faulted for calling Fletcher the "patriarch of bioethics." But I am not the first person to make that assertion. I was quoting Al Jonsen from his book on the history of bioethics. As to Peter Singer (who I like to call Son of Fletcher), he is probably the most publicly known and influential modern-day bioethicist, as painful as that may be to others in the movement. That is why he was brought from Australia to Princeton University, despite advocating the right of parents to kill unwanted infants during their period of nonpersonhood, among other travesties.

But to claim that I dwell almost exclusively on Fletcher and Singer is to do a real injustice to my work. I make it very clear that as important as these two are, they are not the sum and substance of bioethics. Indeed, I explore the thinking and advocacy of many prominent bioethics practitioners, including Callahan, Veatch, Harris, Glover, Beauchamp, Childress, Hardwig, Dworkin, Frey, Arnold, Youngner, Agich, and Caplan, among others. Most of these promote at least some "death culture" policies to one degree or another.

For example, while Callahan opposes assisted suicide, he is the nation's foremost proponent of healthcare rationing and strongly supports futile care theory, both of which lead, at least implicitly in my view, to a duty to die. Meanwhile, Hardwig posited an explicit positive duty to die in a cover story for the Hastings Center Report. Battin also has supported the odious notion, among others. Frey believes that if we are going to vivisect animals we had better also be willing to vivisect those humans who have a lower moral status than animal subjects based on an inferior quality of life. Youngner believes in doing away with the dead donor rule in organ procurement. Veatch accepts redefining death to include a diagnosis of permanent unconsciousness. (I guess if such a person awakens, we would have to call it a resurrection.) Frankly, many among the general public are shocked and deeply disturbed when they learn that these are deemed respectable subjects in bioethics discourse.

If that was true then, it is even more true today. Indeed, proving the point, Singer will give the keynote address at the American Society for Bioethics and Humanities (ASBH), the primary professional organization in the field. This validation of Singer by the most important bioethics society in the country illustrates the radical direction in which the field is increasingly going. Fringe character my removed tonsils!

The answer, of course, is to never give up, but keep striving to let the greater population understand the wickedness that this way comes. As I alluded to in my letter, our hope lies in the common sense and decency of Main Street. The universities and similar environs are the problem, and are not likely to be the solution any time soon.

Alas.

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17 Comments:

At October 30, 2008 , Blogger Wesley J. Smith said...

For those wishing to access my letter, I can't get the link to work. But it can be obtained via this URL: http://www.medscape.com/viewarticle/408180

 
At October 30, 2008 , Blogger Wesley J. Smith said...

For those wishing to access my letter, I can't get the link to work. But it can be obtained via a Google search: "wesley j. smith, culture of death, hastings center report"

 
At October 30, 2008 , Blogger Helm Hammerhand said...

Right you are, Wesley, to cite Fletcher. He is the patron saint of situational ethics. Situational Ethics lends itself to support the subjectivism with which we are today cursed.

Singer is one of the heirs apparent to Fletcher. Fletcher cursed us with his theory; Singer then brought it to life in his own murderous bioethics.

Keep fighting the good fight, Wesley.

 
At October 30, 2008 , Blogger Wesley J. Smith said...

Thank you for commenting, Helm. I assure you, I will.

 
At October 31, 2008 , Blogger Lydia McGrew said...

Mind must be the firmer
Heart the more fierce
Courage the greater
As our strength lessens.

"The Battle of Maldon"--Anglo-Saxon poem, circa A.D. 1000

 
At October 31, 2008 , Blogger Mike Matteson said...

I just keep waiting for Singer to say something like "Ha! Gottcha! Everything I've said is a Modest Proposal! Ha Ha!" Then he can retire and bask in the back-peddling of his former supporters.

Hardwig's proposed "duty to die" is much more subtle than it sounds. (He's also got a book on the subject.)

Frey's position is not a crazy one either. It's an example of treating like things alike. If one does not think that the lives of permanently unaware humans can be compared to the lives of conscious animals (and I know many of you hold this) then we need a reason why. I can't see why it shouldn't be a valid topic to think about in ethics.

 
At October 31, 2008 , Blogger Wesley J. Smith said...

Matteson: These positions are not "crazy," they flow directly from rejecting human exceptionalism.

Hardwig not only promotes a duty to die so as to not be a "burden" (financial, emotional, etc.) but also urges doctors to make decisions about patient care based on what he or she perceives would be best for the family. Such dual mandates would lead to pure eugenics and mass abandonment of the vulnerable and expensive.

Frey demonstrates vividly what happens when universal human equality is rejected in place of a philosphy that accepts subjectively determined attributes as the criteria for value. The weakest and most vulnerable among us are reduced to mere natural resources ripe for instrumental use.

The only antidote to this is human exceptionalism as the first principle. Without that, universal human rights become impossible to sustain intellectually and practically.

 
At October 31, 2008 , Blogger Mike Matteson said...

It is true that Hardwig widens the conception of the patient to include the family. Do you deny that a decision made by one family member might have effects on others in the family group? I don't see this as eugenics, but merely a fact about human life. People are interconnected and it is rare that a decision will only affect a single person.

The duty to die that Hardwig suggests isn't a universal one. This duty does not apply to all sick people or all old people or all of those in dire financial need. It may apply to people who know that the continuation of their life might at some point drive their family past the brink of recovery. I'm not sure what he would say with regard to it's enforcement by government. I suspect (but do not know) that he would be against it.

It's not a duty that is pressed on someone from the outside, but rather a suggestion that one should consider the plight that they are forcing on others when they make decisions.

 
At October 31, 2008 , Blogger Wesley J. Smith said...

Matteson: He wants the DOCTOR to make those decisions FOR THE FAMILY. Do you deny that the fidicuiary obligation of physicians should be to their patients and only their patients?

And it isn't a duty to die only if past the point of recocovery. It is based on emotional burdens, financial burdens, loss of life plants, etc. He told me my mother would have a duty to die if caring for her would force me to not be a writer, for example.

 
At October 31, 2008 , Blogger Mike Matteson said...

With regard to the first comment, I don't recall Hardwig being in favor of the sort of medical paternalism that you attribute here. Perhaps his views have evolved. In any case, I don't deny that the MD has a fiduciary duty to the patient, but I don't think that Hardwig is wrong to expand the conception of the patient to include close family who will be affected by medical decisions. I think it would be odd to say that the MD should recommend aggressive, expensive and maybe futile care to a patient who depends on his family's money without some consideration of the affect that this will have on their lives. That is the sort of thing which erodes trust in MDs.

On the second comment I meant something about the family recovering, not the patient (who I assume wouldn't be recovering in the cases where they might have a duty to die). The quote you attribute to him sounds like it needs some context. I can't hear Hardwig saying that your mother has a duty to die unless there are significant details that you are leaving out.

 
At October 31, 2008 , Blogger Wesley J. Smith said...

Hardwig: "it is sometimes the moral thing to do for a physician to sacrifice the interests of her patient to those of non patients--specifically to those of the other members of the family." John Hardwig, WHAT ABOUT THE FAMILY?, HCR, Marcy-April 1990.

No context left out. We were in a bar at a hotel where I was interviewing him. He said that if caring for my mother would require me to give up writing and, say, become a bartended, that she would have a duty to die because it would force me to give up life plans.

As he wrote in "Is There a Duty to Die?," "A tudy to die is more likely when continuing to live will impose significant burdens--emotional burdens, extensive caregiving, destruction of life plans [as in the hypothetical involving my mother], and yes, financial hardship--on your family and loved ones. This is the fundamental insight underlying the duty to die."

And this one is really dangerous: "A duty to die is more likely if when the part of you that is loved will soon be gone or seriously compromised."

Good grief, Matteson.

 
At October 31, 2008 , Blogger Mike Matteson said...

Well, I just reread the paper, and it still seems to me that the damage to life plans that he means can't refer to something trivial. A decision which "decisively shapes an entire life" in a very negative way doesn't seem trivial to me. Why should it not be part of the moral consideration?

As he wrote in "Is there a duty to die?":
"I am not advocating a crass, quasi-economic conception of burdens and benefits, nor a shallow, hedonistic view of life. Given a suitably rich understanding of benefits, family members sometimes do benefit from suffering through the long illness of a loved one. Caring for the sick or aged can foster growth, even as it makes daily life immeasurably harder and the prospects for the future much bleaker. ... If my loved ones are truly benefitting from coping with my illness or debility, I have no duty to die based on burdens to them.

But it would be irresponsible to blithely assume that this always happens, that it will happen in family, or that it will [be] the fault of my family if they can not manage to turn my illness into a positive experience."

The duty does not arise out of trivial gains and losses, but out of respect and love for your family as well as a knowledge of how they, in fact, are. I think he is correct to say "To think that my loved ones must bear whatever burdens my illness, debility, or dying process might impose upon them is to reduce them to means to my well-being. And that would be immoral."

As for the quote from "What about the Family," I'm surprised, but I won't argue with your citation. I don't know that I've read that paper. I don't have settled views here, but I tend towards autonomy and not paternalism.

 
At October 31, 2008 , Blogger Mike Matteson said...

In any case, this conversation isn't on the particular topic of this post. I just wanted to draw attention to the complexity of a couple of the views you mention.

Thanks for drawing my attention to the "Family" paper. I'll have to look it up.

 
At November 03, 2008 , Blogger Stephen Latham said...

Singer is not giving a keynote for ASBH. He was invited by Harvard undergrads to give one of four plenary addresses at this year's National Undergraduate Bioethics Conference. ASBH gives a little money to whichever college is hosting the undergraduate program that year, but it plays no part in program planning. So Singer's appearance at the NUBC implies no "validation" by ASBH.

 
At November 05, 2008 , Blogger SAFEpres said...

I was wondering-what do people here think of engaging with Singer in debate? Should we ignore him and treat him as a fringe thinker or should be try to defeat him on his academian turf? The general reponse of the disability rights movement is to try to prevent Singer from dialoguing at various events, which, in some cases, I feel is justified and good, but at other times I think might hinder people from seeing just how ridiculous and wrong Singer's arguments are. What do you think? Is talking to Singer about his views like trying to convince a racist of the evils of racism? Or, should we attempt to refute him on philosophical grounds by citing flaws in his arguments?

 
At November 05, 2008 , Blogger Wesley J. Smith said...

Singer will debate if you pay him $20,000 or so.

You can't ignore Singer. But the response cannot be limited to him personally. IT IS THE CURRENT ZEITGEIST, and it must be approached on a far broader front than the arguments of one man.

I am reminded of a disability rights activist who debated Singer and expected to find a monster, and was thrown off her game because he was a friendly and gracious man. She expected a ranter and instead found sophistication.

That aspect of Singer makes him more dangerous. It isn't the man who is the monster, it is the ideas. And that is where we need to focus, not personalities.

 
At November 11, 2008 , Blogger SAFEpres said...

Exactly. Singer's attitude throws people off guard, although I feel strongly that it shouldn't. If Singer were a monster in terms of his interaction with others, than he obviously would not have gotten as far as he has. And, from historial experience, shouldn't it be clear that all evil ideas that have succeeded were presented by people who presented an amicable front?

In regard to that particular debate, I read the article and was surprised by how she responded to some of the points of contention brought up by Singer's colleagues. For instance, for the purposes of debate, one of his colleagues asked her to consider her arguments in the context of a society in which obstacles to the handicapped did not exist, "in order to get at the philosophical basis for your position." If I were her, I would have answered that this was an inappropriate direction to go within the context of their discussion, given that the activist's main point of objection to Singer's arguments was how they were being recieved in a society that devalued and discriminated against disabled people. In short, it doesn't matter whether Singer's arguments are 'wrong,' from a purely moral standpoint, it matters that he wants his philosophy to be applied to society as a rubric of "Practical Ethics." Debating the nature of Singer's arguments without heed to their practical implications, as his colleague was attempting to do, is, therefore, inappropriate. But, she didn't say that, so I wonder sometimes if Singer's philosophy would have more holes in it if academic scholars with training in philosophy engaged him more regularly.

 

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