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Weiye Loh

When Insurers Put Profits Before People - NYTimes.com - 0 views

  • Late in 2007
  • A 17-year-old girl named Nataline Sarkisyan was in desperate need of a transplant after receiving aggressive treatment that cured her recurrent leukemia but caused her liver to fail. Without a new organ, she would die in a matter of a days; with one, she had a 65 percent chance of surviving. Her doctors placed her on the liver transplant waiting list.
  • She was critically ill, as close to death as one could possibly be while technically still alive, and her fate was inextricably linked to another’s. Somewhere, someone with a compatible organ had to die in time for Nataline to live.
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  • But even when the perfect liver became available a few days after she was put on the list, doctors could not operate. What made Nataline different from most transplant patients, and what eventually brought her case to the attention of much of the country, was that her survival did not depend on the availability of an organ or her clinicians or even the quality of care she received. It rested on her health insurance company.
  • Cigna had denied the initial request to cover the costs of the liver transplant. And the insurer persisted in its refusal, claiming that the treatment was “experimental” and unproven, and despite numerous pleas from Nataline’s physicians to the contrary.
  • But as relatives and friends organized campaigns to draw public attention to Nataline’s plight, the insurance conglomerate found itself embroiled in a public relations nightmare, one that could jeopardize its very existence. The company reversed its decision. But the change came too late. Nataline died just a few hours after Cigna authorized the transplant.
  • Mr. Potter was the head of corporate communications at two major insurers, first at Humana and then at Cigna. Now Mr. Potter has written a fascinating book that details the methods he and his colleagues used to manipulate public opinion
  • Mr. Potter goes on to describe the myth-making he did, interspersing descriptions of front groups, paid spies and jiggered studies with a deft retelling of the convoluted (and usually eye-glazing) history of health care insurance policies.
  • We learn that executives at Cigna worried that Nataline’s situation would only add fire to the growing public discontent with a health care system anchored by private insurance. As the case drew more national attention, the threat of a legislative overhaul that would ban for-profit insurers became real, and Mr. Potter found himself working on the biggest P.R. campaign of his career.
  • Cigna hired a large international law firm and a P.R. firm already well known to them from previous work aimed at discrediting Michael Moore and his film “Sicko.” Together with Cigna, these outside firms waged a campaign that would eventually include the aggressive placement of articles with friendly “third party” reporters, editors and producers who would “disabuse the media, politicians and the public of the notion that Nataline would have gotten the transplant if she had lived in Canada or France or England or any other developed country.” A “spy” was dispatched to Nataline’s funeral; and when the Sarkisyan family filed a lawsuit against the insurer, a team of lawyers was assigned to keep track of actions and comments by the family’s lawyer.
  • In the end, however, Nataline’s death proved to be the final straw for Mr. Potter. “It became clearer to me than ever that I was part of an industry that would do whatever it took to perpetuate its extraordinarily profitable existence,” he writes. “I had sold my soul.” He left corporate public relations for good less than six months after her death.
  • “I don’t mean to imply that all people who work for health insurance companies are greedier or more evil than other Americans,” he writes. “In fact, many of them feel — and justifiably so — that they are helping millions of people get they care they need.” The real problem, he says, lies in the fact that the United States “has entrusted one of the most important societal functions, providing health care, to private health insurance companies.” Therefore, the top executives of these companies become beholden not to the patients they have pledged to cover, but to the shareholders who hold them responsible for the bottom line.
Weiye Loh

The Great Organ Bazaar - Susanne Lundin - Project Syndicate - 0 views

  • All of this Internet activity is but the tip of the iceberg of a new and growing global human-tissue economy. Indeed, the World Health Organization (WHO) has estimated that about 10% of organ transplants around the world stem from purely commercial transactions.
  • Trade in organs follows a clear, geographically linked pattern: people from rich countries buy the organs, and people in poor countries sell them. In my research on organ trafficking, I have entered some of these shadow markets, where body parts from the poor, war victims, and prisoners are commodities, bought or stolen for transplant into affluent ill people.
  • Organ trafficking depends on several factors. One is people in distress. They are economically or socially disadvantaged, or live in war-torn societies with prevalent crime and a thriving black market. On the demand side are people who are in danger of dying unless they receive an organ transplant. Additionally, there are organ brokers who arrange the deals between sellers and buyers.
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  • Trade in humans and their bodies is not a new phenomenon, but today’s businesses are historically unique, because they require advanced biomedicine, as well as ideas and values that enhance the trade in organs. Western medicine starts from the view that human illness and death are failures to be combated. It is within this conceptual climate – the dream of the regenerative body – that transplantation technology develops and demand for biological replacement parts grows.
  • In an era of transplants on demand, there is no way around this dilemma. The biological imperatives that guide the priority system of transplant waiting lists are easily transformed into economic values. As always where demand exceeds supply, people may not accept waiting their turn – and other countries and other peoples’ bodies give them the alternative they seek.
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    The Web site 88DB.com Philippines is an active online portal that allows service providers and consumers to find and interact with each other. Naoval, an Indonesian man with "AB blood type, no drugs and no alcohol," wants to sell his kidney. Another man says, "I am a Filipino. I am willing to sell my kidney for my wife. She has breast cancer and I can't afford her medications." Then there is Enrique, who is "willing to donate my kidney for an exchange. 21 years old and healthy." Other offers of this type could, just a few years ago, be found at www.liver4you.org, which promised kidneys for $80,000-$110,000. The costs of the operation, including the fees of the surgeons - licensed in the United States, Great Britain, or the Philippines - would be included in the price.
Weiye Loh

TODAYonline | World | Off-the-shelf body parts? - 0 views

  • LONDON - Scientific advances including techniques allowing patients to grow new joints inside their own bodies will allow the elderly to remain active well beyond their 100th birthdays, researchers claim. British scientists are working on a system which should allow the elderly to buy body parts "off the shelf" and even regenerate their own damaged joints and hearts. Their ultimate aim is to fix up the body with customised replacement parts grown to order. They have already carried out human trials on heart valves which are still working four years after they were transplanted. At the University of Leeds, Britain's biggest bioengineering unit and the world leader in artificial joint replacement research is coordinating a project that aims to give people 50 active years after the age of 50."It is the rise of the bionic pensioner," said Professor Christina Doyle, whose company is working with the university to develop the new technologies. "The idea is when something wears out, your surgeon can buy a replacement off the shelf or, more accurately, in a bag."The university is spending £50 million ($114 million) over the next five years on the new project. The main thrust of the research centres on a method of tissue and medical engineering which the university is at the forefront of developing. Led by the immunologist Professor Eileen Ingham, they are pioneering a technique of stripping the living cells from donor human and animal parts, leaving just the collagen or elastin "scaffold" of the tissue. These "biological shells", which could be for knee, ankle or hip ligaments, as well as blood vessels and heart valves, are then transplanted into the patient whose own body then invades them replacing the removed cells with their own. The technique, which could be available within five years, effectively removes the need for anti-rejection drugs. It is similar to the recently developed system of using stem cells to regrow organs outside the body, but costs about a tenth of the price.
Magdaleine

Immortality only 20 years away says scientist - 9 views

wow interesting! like a start to the creation of super heroes!! it kind of sound like science is playing God here, determining and extending lives. it is already evident now in this society without...

nanotechnology rights divide

Weiye Loh

In Wired Singapore Classrooms, Cultures Clash Over Web 2.0 - Technology - The Chronicle... - 0 views

  • Dozens of freshmen at Singapore Management University spent one evening last week learning how to "wiki," or use the software that lets large numbers of people write and edit class projects online. Though many said experiencing a public editing process similar to that of Wikipedia could prove valuable, some were wary of the collaborative tool, with its public nature and the ability to toss out or revise the work of their classmates.
  • It puts students in the awkward position of having to publicly correct a peer, which can cause the corrected person to lose face.
  • "You have to be more aware of others and have a sensitivity to others."
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  • While colleges have been trumpeting the power of social media as an educational tool, here in Asia, going public with classwork runs counter to many cultural norms, surprising transplanted professors and making some students a little uneasy.
  • Publicly oriented Web 2.0 tools, like wikis, for instance, run up against ideas about how one should treat others in public. "People were very reluctant to edit things that other people had posted," said American-trained C. Jason Woodard, an assistant professor of information systems who started the wiki project two years ago. "I guess out of deference. People were very careful to not want to edit their peers. Getting people out of that mind-set has been a real challenge."
  • Students are also afraid of embarrassing themselves. Some privately expressed concern to me about putting unfinished work out on the Web for the world to see, as the assignment calls for them to do
  • faced hesitancy when asking students to use social-media tools for class projects. Few students seemed to freely post to blogs or Twitter, electing instead to communicate using Facebook accounts with the privacy set so that only close friends could see them
  • In a small country like Singapore, the traditional face-to-face network still reigns supreme. Members of a network are extremely loyal to that network, and if you are outside of it, a lot of times you aren't even given the time of day.
  • In fact, Singapore's future depends on technology and innovation at least according to its leaders, who have worked for years to position the country as friendly to the foreign investment that serves as its lifeblood. The city-state literally has no natural resources except its people, who it hopes to turn into "knowledge workers" (a buzzword I heard many times during my visit).
  • Yet this is a culture that many here describe as conservative, where people are not known for pushing boundaries. That was the first impression that Giorgos Cheliotis had when he first arrived to teach in Singapore several years ago from his native Greece.
  • he suspects they may be more comfortable because they are seniors, and because they feel that it has been assigned, and so they must.
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    In Wired Singapore Classrooms, Cultures Clash Over Web 2.0
Weiye Loh

Rationally Speaking: Are Intuitions Good Evidence? - 0 views

  • Is it legitimate to cite one’s intuitions as evidence in a philosophical argument?
  • appeals to intuitions are ubiquitous in philosophy. What are intuitions? Well, that’s part of the controversy, but most philosophers view them as intellectual “seemings.” George Bealer, perhaps the most prominent defender of intuitions-as-evidence, writes, “For you to have an intuition that A is just for it to seem to you that A… Of course, this kind of seeming is intellectual, not sensory or introspective (or imaginative).”2 Other philosophers have characterized them as “noninferential belief due neither to perception nor introspection”3 or alternatively as “applications of our ordinary capacities for judgment.”4
  • Philosophers may not agree on what, exactly, intuition is, but that doesn’t stop them from using it. “Intuitions often play the role that observation does in science – they are data that must be explained, confirmers or the falsifiers of theories,” Brian Talbot says.5 Typically, the way this works is that a philosopher challenges a theory by applying it to a real or hypothetical case and showing that it yields a result which offends his intuitions (and, he presumes, his readers’ as well).
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  • For example, John Searle famously appealed to intuition to challenge the notion that a computer could ever understand language: “Imagine a native English speaker who knows no Chinese locked in a room full of boxes of Chinese symbols (a data base) together with a book of instructions for manipulating the symbols (the program). Imagine that people outside the room send in other Chinese symbols which, unknown to the person in the room, are questions in Chinese (the input). And imagine that by following the instructions in the program the man in the room is able to pass out Chinese symbols which are correct answers to the questions (the output)… If the man in the room does not understand Chinese on the basis of implementing the appropriate program for understanding Chinese then neither does any other digital computer solely on that basis because no computer, qua computer, has anything the man does not have.” Should we take Searle’s intuition that such a system would not constitute “understanding” as good evidence that it would not? Many critics of the Chinese Room argument argue that there is no reason to expect our intuitions about intelligence and understanding to be reliable.
  • Ethics leans especially heavily on appeals to intuition, with a whole school of ethicists (“intuitionists”) maintaining that a person can see the truth of general ethical principles not through reason, but because he “just sees without argument that they are and must be true.”6
  • Intuitions are also called upon to rebut ethical theories such as utilitarianism: maximizing overall utility would require you to kill one innocent person if, in so doing, you could harvest her organs and save five people in need of transplants. Such a conclusion is taken as a reductio ad absurdum, requiring utilitarianism to be either abandoned or radically revised – not because the conclusion is logically wrong, but because it strikes nearly everyone as intuitively wrong.
  • British philosopher G.E. Moore used intuition to argue that the existence of beauty is good irrespective of whether anyone ever gets to see and enjoy that beauty. Imagine two planets, he said, one full of stunning natural wonders – trees, sunsets, rivers, and so on – and the other full of filth. Now suppose that nobody will ever have the opportunity to glimpse either of those two worlds. Moore concluded, “Well, even so, supposing them quite apart from any possible contemplation by human beings; still, is it irrational to hold that it is better that the beautiful world should exist than the one which is ugly? Would it not be well, in any case, to do what we could to produce it rather than the other? Certainly I cannot help thinking that it would."7
  • Although similar appeals to intuition can be found throughout all the philosophical subfields, their validity as evidence has come under increasing scrutiny over the last two decades, from philosophers such as Hilary Kornblith, Robert Cummins, Stephen Stich, Jonathan Weinberg, and Jaakko Hintikka (links go to representative papers from each philosopher on this issue). The severity of their criticisms vary from Weinberg’s warning that “We simply do not know enough about how intuitions work,” to Cummins’ wholesale rejection of philosophical intuition as “epistemologically useless.”
  • One central concern for the critics is that a single question can inspire totally different, and mutually contradictory, intuitions in different people.
  • For example, I disagree with Moore’s intuition that it would be better for a beautiful planet to exist than an ugly one even if there were no one around to see it. I can’t understand what the words “better” and “worse,” let alone “beautiful” and “ugly,” could possibly mean outside the domain of the experiences of conscious beings
  • If we want to take philosophers’ intuitions as reason to believe a proposition, then the existence of opposing intuitions leaves us in the uncomfortable position of having reason to believe both a proposition and its opposite.
  • “I suspect there is overall less agreement than standard philosophical practice presupposes, because having the ‘right’ intuitions is the entry ticket to various subareas of philosophy,” Weinberg says.
  • But the problem that intuitions are often not universally shared is overshadowed by another problem: even if an intuition is universally shared, that doesn’t mean it’s accurate. For in fact there are many universal intuitions that are demonstrably false.
  • People who have not been taught otherwise typically assume that an object dropped out of a moving plane will fall straight down to earth, at exactly the same latitude and longitude from which it was dropped. What will actually happen is that, because the object begins its fall with the same forward momentum it had while it was on the plane, it will continue to travel forward, tracing out a curve as it falls and not a straight line. “Considering the inadequacies of ordinary physical intuitions, it is natural to wonder whether ordinary moral intuitions might be similarly inadequate,” Princeton’s Gilbert Harman has argued,9 and the same could be said for our intuitions about consciousness, metaphysics, and so on.
  • We can’t usually “check” the truth of our philosophical intuitions externally, with an experiment or a proof, the way we can in physics or math. But it’s not clear why we should expect intuitions to be true. If we have an innate tendency towards certain intuitive beliefs, it’s likely because they were useful to our ancestors.
  • But there’s no reason to expect that the intuitions which were true in the world of our ancestors would also be true in other, unfamiliar contexts
  • And for some useful intuitions, such as moral ones, “truth” may have been beside the point. It’s not hard to see how moral intuitions in favor of fairness and generosity would have been crucial to the survival of our ancestors’ tribes, as would the intuition to condemn tribe members who betrayed those reciprocal norms. If we can account for the presence of these moral intuitions by the fact that they were useful, is there any reason left to hypothesize that they are also “true”? The same question could be asked of the moral intuitions which Jonathan Haidt has classified as “purity-based” – an aversion to incest, for example, would clearly have been beneficial to our ancestors. Since that fact alone suffices to explain the (widespread) presence of the “incest is morally wrong” intuition, why should we take that intuition as evidence that “incest is morally wrong” is true?
  • The still-young debate over intuition will likely continue to rage, especially since it’s intertwined with a rapidly growing body of cognitive and social psychological research examining where our intuitions come from and how they vary across time and place.
  • its resolution bears on the work of literally every field of analytic philosophy, except perhaps logic. Can analytic philosophy survive without intuition? (If so, what would it look like?) And can the debate over the legitimacy of appeals to intuition be resolved with an appeal to intuition?
Satveer

Why I hate stem-cell technologies & Regenerative Therapies - 5 views

http://news.bbc.co.uk/2/hi/health/8314442.stm This article is another one of those regenerative therapies article that use of stem-cell technology to reverse aging because first world countries ar...

stem cell regenerative first world third

started by Satveer on 21 Oct 09 no follow-up yet
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