Tag Archives: Compassion

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and bioethicists often recommend that life-sustaining treatment–including sustenance delivered through a tube–be withdrawn, sometimes days or weeks after the injury.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.

Man thought to be in vegetative state was actually conscious the whole time

Story from the UK Daily Mail. (H/T Ace of Spades via ECM)

Excerpt:

A man thought by doctors to be in a vegetative state for 23 years was actually conscious the whole time, it was revealed last night.

Student Rom Houben was misdiagnosed after a car crash left him totally paralysed.

He had no way of letting experts, family or friends know he could hear every word they said.

‘I screamed, but there was nothing to hear,’ said Mr Houben, now 46.

Doctors used a range of coma tests, recognised worldwide, before reluctantly concluding that his consciousness was ‘extinct’.

But three years ago, new hi-tech scans showed his brain was still functioning almost completely normally.

[…]Mr Houben said: ‘I shall never forget the day when they discovered what was truly wrong with me – it was my second birth.

‘I want to read, talk with my friends via the computer and enjoy my life now that people know I am not dead.’

What are we to make of the Terri Schiavo killers now? Is it morally praiseworthy to advocate for getting rid of inconvenient people? Shouldn’t we look on the misfortunes of others as opportunities to act out our love and compassion for our fellow man? Doctors can be wrong in their diagnoses.

Can a social conservative support social safety net programs?

The full text is available in a PDF here. (H/T Stephen Baskerville)

I highly recommend this essay to social conservatives who do not yet understand why limiting the size of government is vital to preserving the autonomy of the family.

Every social conservative should be in favor of limited government, even in fiscal matters, not just on social issues. In my view, any social conservative who wants the government to tax “the rich” or big corporations is in reality undermining social conservatism.

The more money is taken from individuals, families and corporations, who have no political power to influence your family, and given to secular-left government bureaucrats who cater to left-wing special interest groups, the more the family is endangered.

Excerpt:

State controlled programs today in developed countries, almost universally, are polyamorous-friendly and monogamy-hostile. This is unjust from every perspective of political analysis because those who choose monogamy are, generally, the most effective, the cheapest and the safest in raising the next generation.

But they are unjust mainly because it is a universal, inalienable right of parents to raise their children as they see fit, including raising them in their culture.

Further, the social welfare state asks the monogamous to support the polyamorous, and uses the universal safety net insurance scheme (or taxes) to ensure that the monogamous pay more to support those who choose the polyamory culture. This is plainly unjust, but even more so because the monogamous do not have their own culture-friendly programs and their own children are the target of the culture of polyamory’s “Janissary” scheme. Justice will increase and tensions decrease when that culture of polyamory begins to pay its own costs.

One way to progress in this direction and to make the behavioral bureaucracy to serve both cultures is to give all parents, parents of both cultures, and control over the program money set aside for their children. That is giving parents vouchers, in one form or another for all three program areas

The social welfare safety net will still be in place but the parents (be they monogamous or polyamorous) will choose who holds the net in place for their children.

This requires a huge political effort on the part of the monogamy culture. Diverting the flow of money from the special interest groups (organized doctors, teachers, schools) and instead directing the voucher money (cost per child served) to the parent– who can then choose the individual doctor, teacher or school they want. The professionals will still receive the same amount of money. But instead of serving a bureaucracy they will be cooperating with the parents. But such a change is a big one in the political order and the culture of monogamy must harness itself to the task.

The whole thing is worth reading.