Link-O-Rama

 Posted by on 30 November 2012 at 1:00 pm  Link-O-Rama
Nov 302012
 

Facebook’s New Advertisements

 Posted by on 30 November 2012 at 10:00 am  Business, Funny, Technology
Nov 302012
 

I have no problem with Facebook earning gobs of money from its users (i.e. the product). However, placing huge ads in the newsfeed ought to be done with some degree of care. That shouldn’t be hard, since I tell Facebook everything about my life. Hence, choosing to advertise an Israeli politician to me — in Hebrew — seems like a pretty major case of FAIL.

Still, that’s not quite as bad as advertising young single women to my mother. I kid you not.

Toys for Boys Versus Toys for Girls

 Posted by on 29 November 2012 at 2:00 pm  Children, Funny
Nov 292012
 

Christmas is just around the corner, so if you’re buying for children, be sure to consult this handy gift-giving guide, folks:

Nov 292012
 

On Wednesday’s episode of Philosophy in Action Radio, I interviewed University of Chicago geriatrician Dr. William Dale about “End-Of-Life Medical Choices.” The podcast of that episode is now available for streaming or downloading.

Remember, you can automatically download podcasts of Philosophy in Action Radio by subscribing to Philosophy in Action’s Podcast RSS Feed:


Podcast: 28 November 2012

Many people struggle with difficult decisions about complex medical problems as they near the end of their lives. That time is wrenching for family too. How can people make good decisions about medical care? What mistakes should they try to avoid? How can people prepare for that future now?

Dr. William Dale is a geriatrician at The University of Chicago Medicine with a doctorate in health policy and extensive experience in oncology. He has devoted his career to the care of older adults with cancer – particularly prostate cancer. Dr. Dale has a special interest in the identification and treatment of vulnerable older patients who have complex medical conditions, including cancer. He is actively researching the interactions of cancer therapies with changes associated with aging.

Listen or Download:

Topics:

  • Dr. Dale’s work
  • End-of-life challenges for the patient
  • End-of-life challenges for others
  • The choice of more versus less treatment
  • Doctors telling patients the whole truth
  • What patients can do to get more and better information
  • Patients’ regrets about treatment
  • The importance of knowing one’s own preferences
  • Dealing with family problems
  • Living will versus power of attorney
  • Talking to the person with your power of attorney
  • The emotions of dealing with death
  • Being a supportive and reasonable family member
  • Conflicts between in-town-and out-of-town family
  • Conflicts in the family over care
  • The “five stages of grief”
  • Differences between ethnic groups about end-of-life care

Links:

Remember the Tip Jar!

The mission of Philosophy in Action is to spread rational principles for real life… far and wide. That’s why the vast majority of my work is available to anyone, free of charge. I love doing the radio show, but each episode requires an investment of time, effort, and money to produce. So if you enjoy and value that work of mine, please contribute to the tip jar. I suggest $5 per episode or $20 per month, but any amount is appreciated. In return, contributors can request that I answer questions from the queue pronto, and regular contributors enjoy free access to premium content and other goodies.


About Philosophy in Action Radio

Philosophy in Action Radio focuses on the application of rational principles to the challenges of real life. It broadcasts live on most Sunday mornings and many Thursday evenings over the internet. For information on upcoming shows, visit the Episodes on Tap. For podcasts of past shows, visit the Show Archives.

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How Doctors Die

 Posted by on 28 November 2012 at 9:50 am  Ethics, Family, Medicine
Nov 282012
 

In tonight’s Philosophy in Action Radio, I’ll interview University of Chicago geriatrician Dr. William Dale on end-of-life medical choices. One of the topics that we’ll discuss is how doctors talk to their patients about their options as they near the end of their lives — and how and why those doctors often fail to provide those patients with the full picture required to make decisions in accordance with their wishes.

That reminded me of an article titled “How Doctors Die” that I’d been meaning to read. I finally read it yesterday, and wow, it’s powerful and fascinating. It begins:

Years ago, Charlie, a highly respected orthopedist and a mentor of mine, found a lump in his stomach. He had a surgeon explore the area, and the diagnosis was pancreatic cancer. This surgeon was one of the best in the country. He had even invented a new procedure for this exact cancer that could triple a patient’s five-year-survival odds-from 5 percent to 15 percent-albeit with a poor quality of life. Charlie was uninterested. He went home the next day, closed his practice, and never set foot in a hospital again. He focused on spending time with family and feeling as good as possible. Several months later, he died at home. He got no chemotherapy, radiation, or surgical treatment. Medicare didn’t spend much on him.

It’s not a frequent topic of discussion, but doctors die, too. And they don’t die like the rest of us. What’s unusual about them is not how much treatment they get compared to most Americans, but how little. For all the time they spend fending off the deaths of others, they tend to be fairly serene when faced with death themselves. They know exactly what is going to happen, they know the choices, and they generally have access to any sort of medical care they could want. But they go gently.

Of course, doctors don’t want to die; they want to live. But they know enough about modern medicine to know its limits. And they know enough about death to know what all people fear most: dying in pain, and dying alone. They’ve talked about this with their families. They want to be sure, when the time comes, that no heroic measures will happen-that they will never experience, during their last moments on earth, someone breaking their ribs in an attempt to resuscitate them with CPR (that’s what happens if CPR is done right).

Almost all medical professionals have seen what we call “futile care” being performed on people. That’s when doctors bring the cutting edge of technology to bear on a grievously ill person near the end of life. The patient will get cut open, perforated with tubes, hooked up to machines, and assaulted with drugs. All of this occurs in the Intensive Care Unit at a cost of tens of thousands of dollars a day. What it buys is misery we would not inflict on a terrorist. I cannot count the number of times fellow physicians have told me, in words that vary only slightly, “Promise me if you find me like this that you’ll kill me.” They mean it. Some medical personnel wear medallions stamped “NO CODE” to tell physicians not to perform CPR on them. I have even seen it as a tattoo.

Now, go read the whole thing, then join us tonight for the live broadcast of my interview with Dr. Dale or listen to the podcast later.

Odd Question in the Queue

 Posted by on 27 November 2012 at 2:00 pm  Funny, Question Queue
Nov 272012
 

I appreciate the questions that folks submit to Philosophy in Action’s Queue, but every once in a while I get a question that I just can’t answer. For instance:

Um, wow. Five points to anyone who manages to read the whole question without going cross-eyed!

 

Last week, I listened to Leonard Peikoff’s podcast question on the election results. Given my strong disagreements with his October statement on the election, I wasn’t too surprised to find that I disagreed with much that he said. However, I didn’t expect to disagree with almost his whole analysis.

Here, I want to focus on two points: (1) the reasons why people voted for Obama over Romney and (2) the “catastrophe” of these election results. However, before reading my comments below, please listen to Dr. Peikoff’s statement for yourself. It’s less than five minutes long.

First: The Voters

Peikoff claims that the election shows that some American sense of life is left, but less than he thought earlier. He claims that Obama effectively bought off the country, and that something like 47% or 50% of people are only concerned with handouts from the federal government. He claims that immigrants are coming to America en masse for the sake of the welfare state, lacking any American sense of life.

Such claims cannot be substantiated. The election concerned a wide range of topics, and people voted for one candidate over the other for a wide range of reasons. Yes, some Obama voters wanted their government handouts, but I know many people who voted for him for other, better reasons. Similarly, some Romney voters wanted to impose a social conservative agenda, but I know many people who voted for him for other, better reasons. Also, we should remember that most people just barely care about politics. As a result, they’re remarkably ignorant about even the basics of political events and elections.

As I explained in this blog post, this election was not any kind of referendum on fundamental values that could magically reveal America’s sense of life. Contrary to the claims of some Objectivist intellectuals of late, a culture’s sense of life is complex, multi-faceted, and far deeper than politics. It cannot be fairly judged by yet another election between two statist candidates of slightly different flavors. Judging America’s sense of life on the basis of this presidential election is about as reliable and fair as judging a person’s sense of life based on which of the two abysmal movies he chooses to see at his small-town duplex. (For a lengthy discussion of cultural sense of life, see Ayn Rand’s comments in “Don’t Let it Go” in Philosophy: Who Needs It.)

Much of the problem, of course is that Romney didn’t just run an “empty campaign,” as Peikoff claims. Romney wanted to initiate a trade war with China, crack down on illegal immigration, massively increase military spending (presumably for even more pointless and debasing wars abroad), force women to carry unwanted pregnancies to term, socialize medicine at the state level, and deny gays the right to marry and adopt children. Such positions are not “empty.” They are deeply wrong — and they clash with better elements of American culture, including its respect for individuals and their rights.

I do not blame ordinary voters for refusing to vote for Romney due to these abysmal positions of his. Even many Obama voters determined to preserve entitlements and subsidies were not motivated by personal greed for handouts, as Peikoff claims, but rather by a confused stew of semi-altruistic ideals. That’s bad, but it’s not the same as being bought off.

Undoubtedly, Obama will be worse than Romney would have been on many issues. Undoubtedly, Obama’s spending is dangerously out-of-control, and ObamaCare will be entrenched over the next four years. I fear another financial crisis. Yet the fact is that Romney didn’t even campaign for economic liberty. Instead, he consistently me-too’ed Obama on taxes and regulations, he supported state-level ObamaCare, and he planned to continue to spend like a drunken sailor. The result was that the two candidates didn’t look terribly different to voters, even on economics.

Second: The Catastrophe

Peikoff describes the election as a “catastrophe,” “the worst political event ever to ever occur in the history of this continent,” and even “worse than the Civil War.”

Let’s get some perspective. The secession of the southern states threatened the very existence of America, including the union of the northern states. The secession of the southern states, unless crushed, would have set a very dangerous precedent in which secession would become the solution to any political dispute. As James McPherson describes in his stellar history of the Civil War, Battle Cry of Freedom, the secession of the southern states inspired northern states and cities to contemplate their own secession from the union. (Bye-bye, New York City!) The result of that would have been very bloody anarchy. Lincoln knew that, and that’s why preserving the union was his primary objective.

However, preserving the union was not an easy task by any stretch of the imagination. The Confederacy might have won the war, particularly given the skill of Lee in comparison to the string of abysmal Union generals before Grant and Sherman emerged in the west. An independent Confederacy would not have been content to remain in its own territory: its longstanding agenda was to create an “empire of slavery.”

Also, the Civil War killed over over 600,000 Americans. Proportionately, that would equal about six million people today. That was truly catastrophic.

The secession and Civil War constituted a grave existential threat to the United States. To say, as Peikoff does, that it was known that “freedom and normalcy” would return at the end of the war is false. Americans didn’t know who would win the war. They didn’t know what kind of government or nation they would have after the war. And they didn’t know what freedoms would or would not be respected and upheld by the government after the war. Such is only known to us now, when the historical perspective smooths away the painfully rough edges and unknowns of the past.

Another four years of President Barack Obama will be damaging, undoubtedly. (Four years of Romney would have been damaging too, just in somewhat different ways.) Yet that cannot be fairly compared with the Civil War: they’re not even remotely in the same category.

In addition to the comparison to the Civil War, Peikoff said that Obama’s re-election means that “it’s going to be four years of a government single-mindedly out to destroy America at home and weaken it abroad.” Such a dire prediction is not supported by Obama’s record or by his plans. With the House controlled by the GOP, Obama will not even have the latitude that he did in his first two years in the White House, let alone any “single-minded” government at his disposal. Moreover, when is government ever “single-minded”?

Obama is not a defender of individual rights by any stretch of the imagination. Yet, as I explained in my own post-election podcast, his views are significantly better than the Republicans on some important issues. Hence, Obama’s second term offers hope for strengthening abortion rights, reforming our insane immigration laws, and repealing of the Defense of Marriage Act. Those would be positive developments not possible under Republicans.

Peikoff also indicated that totalitarian dictatorship was now perilously close, although “even after four years [of Obama], it is too early to achieve complete totalitarianism.”

Undoubtedly, America has its share of political problems. Many of those problems are quite serious, and most are unlikely to improve under Obama. Still, I simply cannot take secular apocalypticism seriously: the full context of facts paints a very different and far more hopeful picture of our future. Moreover, as I explained in this post, accurate political prediction are nearly impossible even for those immersed in the political news, and Peikoff’s 2004 prediction about the effects of a second Bush’s term is grounds for doubting his current prediction about the effects of a second Obama term.

In my view, the roots of American culture run deep — deeper than Peikoff and many other Objectivist intellectuals seem to think. On the whole, America respects the rule of law, free speech, and political dissent. It lauds achievement, technology, and hard work. It values honesty, integrity, and justice. These core values were not undone by this election, nor revealed to be illusory. They cannot and will not be undone by four more years of Obama in the White House.

America will survive Barack Obama — just as America survived George W. Bush, Bill Clinton, George H. W. Bush, Ronald Reagan, Jimmy Carter, and so on. America will survive Barack Obama — just as America would have survived Mitt Romney.

The Way Forward

Unfortunately, many Objectivists have been griping of late about how the election revealed the supposedly dismal state of the American culture. That’s unwarranted and unproductive in my view. You don’t win hard-working, responsible people over to your side by painting them as America-hating welfare queens.

American culture is far from perfect, but it’s improved tremendously in recent decades in many ways, as Dr. Eric Daniels explained in this interview on Progress in American History. Still, I recognize that free market ideas have taken a beating of late. The cause was not Obama: Obama just cashed in on the utter failure of the pragmatism and “compassionate conservatism” of George Bush and his fellow Republicans. Honestly, I’m slightly relieved that Mitt won’t be able to inflict further damage of that kind on America, as he surely would have done.

At this point, instead of bemoaning the abysmal state of American culture, advocates of free markets need to start asking themselves: “Why aren’t these ideas resonating with more Americans?” That’s a critical question to ask because many, many Americans are intelligent, thoughtful, hardworking, fair-minded, benevolent, and reasonable people, yet they don’t understand or support free markets.

I will not blame Americans for that disconnect. I want to strengthen and leverage the genuine values and virtues commonly found in Americans, whatever their political views at present. It’s my job as an intellectual to figure out how to do that well, not bemoan the supposed death of America.

Personally, my focus with Philosophy in Action Radio is finding effective ways to persuade people to embrace the principles required to live happy, healthy, and joyful lives. I want to strengthen people’s understanding and practice of justice, independence, responsibility, rationality, and other virtues in their relationships, careers, and parenting. Based on the growth of my audience (here too), I’m doing something right.

Basically, my goal is to foster people’s rationality and value-seeking — and thereby create a more rational, value-oriented culture. I don’t often gripe about the current state of politics. When I discuss politics, I much prefer to discuss the contours of a free society. I’d rather offer a positive vision of what the future can and ought to be, rather than bemoan the problems of the present.

Over the past few months, I’ve realized that promoting a free society requires more than just the usual “moral arguments for capitalism” typically offered by Objectivist intellectuals. For most people, such arguments are too far removed from their daily lives and values to even capture their attention, let alone resonate with them. That’s part of why the surge in interest in Ayn Rand hasn’t amounted to much cultural or political change, including in this election.

In my view, lasting advances in freedom require that people connect political liberty with their own deeply-held and actively-practiced positive values. First and foremost, people need to personally experience the benefits of pursuing their values on the basis of rational principles. Before they can understand and embrace rights as a principle, they need to live by reality, reason, and egoism as dominant themes in their lives. In essence, political activism can be worthwhile, but it cannot create cultural change by itself. Ultimately, I think, political change depends on cultural change, and cultural change depends on personal change.

Over the course of decades on the air, religious conservative advice talk show host Dr. Laura gradually drew that connection between practical ethics and politics for the religious right, and we’re reaping her bitter fruit today. We need to use that same method to create a culture that preaches and practices reason, egoism, and ultimately, rights.

I’m not belittling political activism. It matters, and if that’s what you want to do, that’s wonderful. My point is that lasting political change requires strengthening the basic philosophic values of the culture, at a deeper level than most Objectivists suppose.

America has time to do that, in my view. So as I work on it via Philosophy in Action Radio, I’m busy enjoying all that America has to offer, culturally and economically, thanks to the fact that we are still a fundamentally free society. That’s what I was most grateful for during this delightful Thanksgiving holiday.

Nov 262012
 

On Sunday’s episode of Philosophy in Action Radio, Greg Perkins and I answered questions on sexual harassment laws, rooting for antiheroes, child beauty pageants, teaching children philosophy, and more. The podcast of that episode is now available for streaming or downloading.

You can automatically download podcasts of Philosophy in Action Radio by subscribing to Philosophy in Action’s Podcast RSS Feed:


Whole Podcast: 25 November 2012

Listen or Download:

Remember the Tip Jar!

The mission of Philosophy in Action is to spread rational principles for real life… far and wide. That’s why the vast majority of my work is available to anyone, free of charge. I love doing the radio show, but each episode requires an investment of time, effort, and money to produce. So if you enjoy and value that work of mine, please contribute to the tip jar. I suggest $5 per episode or $20 per month, but any amount is appreciated. In return, contributors can request that I answer questions from the queue pronto, and regular contributors enjoy free access to premium content and other goodies.


Podcast Segments: 25 November 2012

You can download or listen to my answers to individual questions from this episode below.

Introduction

My News of the Week: I’ve been preparing my book Responsibility & Luck: A Defense of Praise and Blame (a.k.a. my dissertation) for publication!

Question 1: Sexual Harassment Laws

Question: Are laws against sexual harassment proper? We already have laws against sexual assault and sexual battery, so do sexual harassment laws protect or violate rights? Also, what kind of sexual harassment policies should private companies have, if any? Should people be more skeptical of sexual harassment claims of the kind levelled against Herman Cain during the Republican primary?

My Answer, In Brief: Certain kinds of sexual harassment, along with other shocking, appalling, and immoral demands in the workplace, might be grounds for damages in the form of a severance package due to wrongful termination.

Listen or Download:

Links:

To comment on this question or my answer, visit its comment thread.

Question 2: Rooting for Antiheroes

Question: Is it wrong to root for antiheroes in movies? I often root for characters like Daniel Ocean (of Ocean’s 11, 12, etc.), Erik Draven (of The Crow), Harry Callahan (a.k.a. Dirty Harry), and “Mad” Max. Should I instead seek out movies with more consistently good heroes?

My Answer, In Brief: Characters are more complex than just heroes and antiheroes. Judge the gray characters accurately, recognize that they’re just fiction, and know why you like or dislike them!

Listen or Download:

Links:

To comment on this question or my answer, visit its comment thread.

Question 3: Child Beauty Pageants

Question: Are child beauty pageants wrong? The TLC show Toddlers and Tiaras is a reality show that follows child beauty pageant contestants and their parents. Putting aside the often-questionable behavior of the people on this show who may not represent typical pageant contestants or parents, these events ask children to compete based on beauty and talent. So are child beauty pageants immoral?

My Answer, In Brief: Some, and perhaps many, child beauty pageants sexualize young children and teach them to focus on pleasing adults. Parents should avoid those kinds of pageants, instead seek out more appropriate activities to do with their kids!

Listen or Download:

Links:

To comment on this question or my answer, visit its comment thread.

Question 4: Teaching Children Philosophy

Question: Why isn’t philosophy taught to young children? It seems that teaching philosophy to young children – as young as kindergarten – might result in much better reasoning skills, as well as greater willingness to think independently and question what they’ve been taught. So is philosophy not taught to the young just because some parents and politicians might not like those good results?

My Answer, In Brief: Children can and must learn the abstract principles and skills of philosophy inductively – meaning, through subjects like history, literature, science, and mathematics. Only later can they learn philosophy explicitly.

Listen or Download:

To comment on this question or my answer, visit its comment thread.

Rapid Fire Questions

Questions:

  • Do you consider it plausible that the most current escalation by Hamas in Gaza is covering for and diverting attention from Iran entering a critical phase in its nuclear program?
  • Was Obama’s defeat a referendum on free markets in general and Ayn Rand’s ideas in particular?
  • If someone requests that you remove your shoes in their house, but you have terribly stinky feet, what should you do?

Listen or Download:

  • Start Time: 1:04:39
  • Duration: 6:09
  • Download: MP3 Segment

To comment on these questions or my answers, visit its comment thread.

Conclusion

Be sure to check out the topics scheduled for upcoming episodes! Don’t forget to submit and vote on questions for future episodes too!

  • Start Time: 1:10:49


About Philosophy in Action Radio

Philosophy in Action Radio focuses on the application of rational principles to the challenges of real life. It broadcasts live on most Sunday mornings and many Thursday evenings over the internet. For information on upcoming shows, visit the Episodes on Tap. For podcasts of past shows, visit the Show Archives.

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Activism Recap

 Posted by on 25 November 2012 at 1:00 pm  Activism Recap
Nov 252012
 

This week on We Stand FIRM, the blog of FIRM (Freedom and Individual Rights in Medicine):

Follow FIRM on Facebook and Twitter.


This week on Politics without God, the blog of the Coalition for Secular Government:

Follow the Coalition for Secular Government on Facebook and Twitter.


This week on The Blog of The Objective Standard:

Follow The Objective Standard on Facebook and Twitter.


This week on The Blog of Modern Paleo:

Follow Modern Paleo on Facebook and Twitter.

Open Thread #370

 Posted by on 25 November 2012 at 12:00 pm  Open Thread
Nov 252012
 

Bryce Canyon

For anyone wishing to ask a question, make a observation, or share a link with other NoodleFood readers, I hereby open up the comments on this post to any respectable topic. As always, please refrain from posting inappropriate comments such as personal attacks, pornographic material, copyrighted material, and commercial solicitations.

NoodleFood’s Open Threads feature creative commons photographs from Flickr that I find interesting. I hope that you enjoy them!

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