Category Archives: Commentary

How reliable are persistent vegetative state diagnoses?

Check out this article from The Weekly Standard. (H/T ECM)

Excerpt:

The case of Terri Schiavo–who died five years ago next March, deprived for nearly two weeks of food and water, even the balm of ice chips–continues to prick consciences. That may be one reason the case of Rom Houben, a Belgian man who was misdiagnosed for 23 years as being in a persistent vegetative state, is now receiving international attention.

In 1983, Houben suffered catastrophic head injuries in an automobile accident. He arrived at the hospital unconscious. Doctors eventually concluded that his case was hopeless, and his family was told he would never waken. But the Houben family, like Terri’s parents and siblings, didn’t give up. They diligently sought out every medical advance. This wasn’t delusion or pure wishful thinking. Several studies have shown that about 40 percent of persistent vegetative state diagnoses are wrong.

[…]During the years that Houben was thought unconscious, society changed. Bioethicists nudged medicine away from the Hippocratic model and toward “quality of life” judgmentalism. Today, when a patient is diagnosed as persistently unconscious or minimally aware, doctors, social workers, and bioethicists often recommend that life-sustaining treatment–including sustenance delivered through a tube–be withdrawn, sometimes days or weeks after the injury.

One thing that stands out to me about this story is how the medical profession has accepted the idea that it is OK to kill people who do not have a high enough quality of life. What is behind this view? Well, I think it’s caused by secularism. Secularism has marginalized the Christian worldview that dominated the West. One component of that Christian worldview is that it is morally good to deny yourself happiness to care for the needs of others. And that the right thing is not based on your opinion or the arbitrary views of the majority of people in your culture.

On the secular worldview, though, there is no “right thing” that we “ought to do”. The universe is an accident and there is no design. The only thing to do on an atheistic worldview is to be “happy”. And you can’t be happy if other people need you to take care of them. So, I think that this is what is behind the push by secularists to kill the weak and stop them from using up resources. Secularists look at people who need them, and they want to kill them. There is no objective duty of self-sacrifice for others, on atheism.

Christopher Hitchens is fond of asking people he debates to name one thing that a Christian can do that an atheist can’t do. Here’s one: an atheist can’t rationally ground the decision to sacrifice their own pursuit of happiness to take care of the needs of others. On atheism, self-sacrifice is irrational, unless it makes you happy. You only have one life. There is no way you ought to be. The purpose of life is to be happy. The needs of the weak diminish your happiness. It’s survival of the fittest. That’s what is rational on atheism.

UPDATE: I just got back from breakfast at Denny’s and I was reading Jennifer Roback Morse’s “Love and Economics”. She was talking a lot about the helplessness of babies, and what mothers and fathers do that make children grow up capably. She writes that early on in the baby’s life they scream for everything and the mother has to be there to meet those needs or the child will never learn to trust. Later on, the parents try to encourage the child to be better-behaved and self-sufficient.

All this made me recall this post. If a selfish person believes that it is too much work to care of someone sick who needs extra love, then that person isn’t going to be willing to take care of babies, either. And I guess that’s exactly where we are as a society now, with people having fewer babies, but more abortions and day care. And of course people divorce when they have small children as well, which (usually) deprives the child of a father.

Can a meaningful standard of good and evil exist without a Designer?

Check out this post over at Tough Questions Answered.

Excerpt:

If you truly believe that there is evil in the world, then you must believe that there is good in the world as well.  We can’t know what is wrong unless we know what is right.  We can’t know a crooked line unless we know a straight line.  We can’t know injustice unless we know justice.

But if there is real good and real evil in the world, then there must be an ultimate standard, a measuring stick by which to judge goodness and badness.  This measuring stick must be perfect, so that all moral activity can be compared to it, just like determining the straightness of any line requires a perfectly straight line by which to compare.

My previous post on this issue is here. The best post I’ve ever done on the problems of evil and suffering is here.

Moral judgments make no sense if the universe is an accident – there is no way we ought to be. The best that atheists can do is personal preferences or cultural conventions. But that’s just taste and fashion, not right and wrong. Atheism is an amoral worldview.

Atheists: please comment in one of my posts that I linked above, and read the post first. I’m not going to debate the TQA post here.

What helps kids to learn? Parents, teacher unions or education bureaucrats?

Christine Kim
Christine Kim

What’s the best way to help children do well in school?

On the one hand, social conservatives on the right favor the traditional family structure, complete with a father who lives in the home and is an involved parent. Parents have an incentive to help children do well in school because they are biologically linked to the children and they are paying all the bills at home. They are making sacrifices and they want to see some results.

On the other other hand, social liberals on the left favor raising taxes on working families, and funneling the proceeds to unionized public school teachers. Do teachers get paid more for improving the quality of education for students? Or do they get paid more for contributing to Democrats who will increase their salaries? Do they have an incentive to make children learn?

Parents vs teacher unions: Who does the best job?

Consider this research paper from Christine C. Kim of the Heritage Foundation, my favorite think tank.

Excerpt:

American taxpayers invest heavily in education. Last year, spending on public K–12 education totaled $553 billion, about 4 percent of gross domestic prod­uct (GDP) in 2006. For each child enrolled in a pub­lic elementary or secondary school, expenditures averaged $9,266 that year—an increase of 128 per­cent, adjusted for inflation, since 1970.

Despite this increase in public spending, student achievement and educational attainment over the last four decades has remained relatively flat. In 2007, a significant portion of students, disproportionately from disadvantaged backgrounds, scored “below basic” in reading and math on the National Assess­ment of Educational Progress (NAEP). Sadly, in many of the nation’s largest cities, fewer than half of high school students graduate.

While academic research has consistently shown that increased spending does not correlate with edu­cational gains, the research does show a strong rela­tionship between parental influences and children’s educational outcomes, from school readiness to college completion. Two compelling parental factors emerge:

  1. family structure, i.e., the number of parents living in the student’s home and their relationships to the child, and
  2. parents’ involvement in their children’s schoolwork.

Consequently, the solution to improving educa­tional outcomes begins at home, by strengthening marriage and promoting stable family formation and parental involvement.

The PDF is here. In the rest of the paper, Christine supports her conclusions using evidence.