Five Bad Men Screw Us Again

I didn’t want to write about the Supreme Court decision in Burwell vs. Hobby Lobby Stores. That’s the recent case in which the Republican majority ruled that a corporation can refuse to provide health insurance for certain kinds of contraception on religious grounds. However, one way to stop thinking about something is to write about it, and this is not a subject that’s fun to think about:

1) It’s no coincidence that the five Republicans on the Supreme Court are prone to rule against and ignore the rights of women to end or prevent pregnancies. Those five Republicans are all Roman Catholics.

2) Having previously declared that corporations should be allowed to spend on political campaigns because they have the same right to free speech that people do, the Republican majority has ruled again that corporations are no different from people. The law at issue in Burwell vs. Hobby states that the government should not “substantially burden a person’s religious beliefs”. Although corporations are treated as persons in some legal contexts, and it’s proper for the government to respect people’s religion up to a point, it makes no sense to ascribe religious beliefs to a corporation.

In addition, people’s right to practice their religion as they wish does not give them the right to harm other people. According to the majority opinion, however, a corporation can not only have religious beliefs, those beliefs should be honored even though acting on those beliefs negatively affects the corporation’s employees, their families and the rest of society (one of the majority’s suggestions is that taxpayers pay for contraception if corporations won’t – as if the Republicans in Congress would agree to that). 

3) Religion can be a wonderfully flexible way to justify all kinds of behavior. In this case, the corporations claimed that dropping all health insurance coverage for their employees, so that their employees could instead get insurance through the government-run exchanges, would also infringe on their (the corporations’) religious beliefs, even though allowing their employees to use the government exchanges would save the corporations money and benefit their employees. “It is our firmly-held, specific religious belief that you should get your health insurance through our company instead of a government website, but it shouldn’t cover certain kinds of care.” Right.

4) Allowing employers to dictate which health insurance their employees have, on religious or any other grounds, is yet another reason the United States should join the rest of the industrialized world and adopt taxpayer-supported, government-regulated, single-payer health insurance.

5) The idea that the owners of a business shouldn’t be forced to spend money for something they don’t like assumes that the money in question is theirs, just like the money in your checking account is yours. However, economists have found that the money a company spends on health insurance would otherwise generally be paid to employees as wages. After all, health insurance is a form of compensation and businesses tend to offer as little compensation as possible (except for senior management, of course). As Uwe Reinhardt writes:

Evidently the majority of Supreme Court justices … believe that the owners of “closely held” business firms buy health insurance for their employees out of the kindness of their hearts and with the owners’ money. On that belief, they accord these owners the right to impose some of their personal preferences – in this case their religious beliefs — on their employee’s health insurance…. [But research shows that] the premiums ostensibly paid by employers to buy health insurance coverage for their employees are actually part of the employee’s total pay package — the price of labor, in economic parlance – and that the cost of that fringe benefit is recovered from employees through commensurate reductions in take-home pay.

6) This is a case in which religion is being allowed to trump science. These corporations object to particular kinds of contraception on the grounds that they are equivalent to having an abortion. But medical researchers have shown that the methods in question (certain intrauterine devices and the “morning after” pill) don’t actually work that way, as discussed here:

The owners of Hobby Lobby told the Court that they were willing to cover some forms of contraception but believed that the so-called morning-after pills and two kinds of IUDs can cause what they believe to be a type of abortion, by preventing a fertilized egg from implanting in the uterine wall or causing an already implanted egg to fail to thrive… The scientific consensus is against this idea…Most scientists believe that [these methods] interfere with the ability of sperm to get to an egg in time to fertilize it before they die….Research does not support the idea that they prevent fertilized eggs to implant.

If a religious belief is based on faulty science, that belief should be given less respect by the rest of us. It’s safe to assume, for example, that even this Supreme Court would have ruled differently if the religious belief in question had been that certain kinds of contraception cause droughts.

7) There have been a lot of dumb arguments in favor of this decision or suggesting that it’s not a big deal. The truth is that this decision could set a very bad precedent, opening the door to other claims for special treatment, especially given the Republican majority on the Court. In addition, trying to find a job with another company isn’t a great option for many people; getting pregnant is a very big deal; IUD’s are among the most effective form of birth control; it can cost some women a month’s pay to get one; the morning after pill is an important option for women; and choosing to have sex shouldn’t disqualify people from getting appropriate medical care (people also choose to smoke, spend a lot of time on their couches and eat at McDonald’s). As the saying goes, if men could get pregnant, abortion would be a sacrament.

8) It’s been clear since their decision in Bush vs. Gore, when the Republican justices decided that we didn’t need an accurate vote count in a Presidential election, that lacking proper legal justification for their decisions won’t stop them from advancing their political agenda. All Supreme Court justices issue rulings consistent with their political perspectives, but these particular justices are extremists. They may have some shame, but it’s hardly worth mentioning.

It

I finally got around to watching Her, also known as “that movie where the guy falls in love with his computer”.

It was like being trapped in a futuristic greeting card. Which doesn’t mean it’s a bad movie. It’s an excellent movie, but not easy to watch. It’s disturbing. And also provocative.

Theodore lives in downtown Los Angeles. It’s the near future, one that is amazingly pleasant. Future L.A. is extremely clean, with lots of big, shiny buildings and terrific mass transit, but seemingly uncrowded. Theodore has a job in a beautiful office writing very personal letters for people who can’t express their feelings as well as he can.

But Theodore is lonely and depressed. He’s going through a divorce and avoiding people. One day, he hears about a new, artificially intelligent computer program, brilliantly designed to tailor itself to the customer’s needs. Theodore assigns it a female voice, after which it gives itself the name “Samantha”.

It’s easy to understand how Theodore falls in love with Samantha. It’s intuitive and funny and loving, a wonderful companion that’s constantly evolving. Besides, it does a great job handling Theodore’s email and calendar.

Complications eventually ensue, of course, but in the meantime, Theodore and Samantha get to know each other, spending lots of time expressing their deeply sensitive feelings. It’s very New Age-ish, although the two of them can’t give each other massages and can’t go beyond what amounts to really good phone sex.

Watching Her, you are immersed in a loving but cloying relationship in which one of the entities involved expresses lots of feelings but doesn’t actually have any. That’s my opinion, of course, because some people think a sufficiently complex machine with really good programming will one day become conscious and have feelings, not just express them. 

Maybe that’s true, but I still lean toward the position that in order to feel anything the way living organisms do, whether the heat of the sun or an emotion like excitement, you need to be built like a living organism. A set of programming instructions, running on a computer, even if connected to visual and auditory sensors, won’t have feelings because it can’t really feel.

Although the movie is built on the dubious premise that Samantha can always say the right thing, appropriately displaying joy, sorrow or impatience, perfectly responding to whatever Theodore says and anticipating all of his emotional needs, there is no there there. 

I don’t mean to suggest that Theodore is wrong to cherish Samantha. It’s an amazing product. But when he and it are together, he’s still alone. He’s enjoying the ultimate long distance relationship.

Your Doctors Might Kill You But Going to the Dentist Will Be a Breeze

Two pieces of medical news caught my eye this past week.

First, according to the New York Times, physicians at the highly-respected University of Pittsburgh Medical Center are going to start putting selected patients to death. Not through improper care, but on purpose.

The idea is that patients who come into the emergency room on the brink of death because of a life-threatening injury will occasionally have all of their blood replaced with freezing salt water. That means their hearts will stop beating and their brains will stop working. They’ll be dead.

This will be done in order to give surgeons more time to do their job. Instead of having a few minutes to address the gunshot wound or other injury, they may have up to an hour to operate before the patient suffers brain damage. The medical staff will then resuscitate the patient by replacing the cold salt water with nice warm blood.

This procedure has been successfully used on animals like pigs and dogs, but never before on a person. The hospital is planning to perform Emergency Preservation and Resuscitation (EPR) about once a month for a couple of years before reaching a decision on its effectiveness.

One might think that killing your patient is a clear violation of the medical maxim: “first, do no harm” (primum non nocere). But since the patients in question will already be in cardiac arrest, and very likely to die anyway, and since the kind of death they’ll suffer is expected to be temporary and should give them a much better chance of surviving their injury, it isn’t clear that the doctors will be harming anyone, at least in the usual sense.

Perhaps a more troubling issue is that patients being subjected to this kind of procedure won’t be in a position to give their consent. They’ll already be unconscious. So the medical center has publicized this new procedure in and around Pittsburgh and given prospective patients the opportunity to opt out if they choose. But the default setting in case you’re ever shot or stabbed in western Pennsylvania and end up in the UPMC emergency room will be to receive EPR (and possibly meet your maker), if you are a suitable candidate.

The other news that caught my eye is that researchers in England claim to have come up with a new treatment for tooth decay. The procedure is called Electrically Accelerated and Enhanced Remineralisation (EAER). Dentists will use a very small electrical current to accelerate “the natural movement of calcium and phosphate minerals into the damaged tooth”. In effect, your tooth will heal itself with some encouragement from your dentist. The procedure wouldn’t require an anesthetic, drilling or a filling (and dentists would become more popular people).

It isn’t clear from the article in the Guardian how long it will take to fix a cavity this way. In an ideal world, your cavities could be repaired through EAER at the same time your gunshot wound was repaired through EPR. But that probably won’t be possible for a few years yet.

There Is A Cure For Science Denial

Once Florida is underwater and we all have polio, it will be better.

That’s what Samantha Bee concludes in the Daily Show video here. Left-wing stupidity isn’t one of my usual topics, but it appears to be the relevant phenomenon in this case. The title of the video is “An Outbreak of Liberal Idiocy”.

Isaac Asimov Meets the Terminator and Guess Who Wins

According to The Atlantic, the Pentagon is going to award $7.5 million for research on how to teach ethics to robots. The idea is that robots might (or will) one day be in situations that demand ethical decision-making. For example, if a robot is on a mission to deliver ammunition to troops on the battlefield but encounters a wounded soldier along the way, should the robot delay its mission in order to take the wounded soldier to safety? Or risk the deaths of the soldiers who need that ammunition?

Since philosophers are still arguing about what ethical rules we should follow, and ethical questions don’t always have correct answers anyway, futuristic battlefield robots may need a coin flipping module. That way they won’t come to a halt, emit clouds of smoke and announce “Does not compute!” over and over.

Of course, the talented software developers who program these robots with a sense of right and wrong will avoid really poor error processing like that (presumably, they’ll have seen Star Trek too, so they’ll know what situations to code for). The big question isn’t whether robots can eventually be programmed to make life-and-death decisions, but whether we should put robots in situations that require that kind of decision-making.

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Fortunately, Pentagon policy currently prohibits letting robots decide who to kill. Human beings still have that responsibility. However, the Pentagon’s policy can be changed without the approval of the President, the Secretary of Defense or Congress. And although a U.N. official recently called for a moratorium on “lethal autonomous robotics”, it’s doubtful that even a temporary ban will be enacted. It’s even more doubtful that the world leader in military technology and the use thereof would honor such a ban if it were.

After all, most politicians will prefer putting robots at risk on the battlefield instead of men and women, even if that means the robots occasionally screw up and kill the wrong men, women and children. And, of course, once the politicians and generals think the robots are ready, they’ll find it much easier to unleash the (automated and autonomous) dogs of war.

(PS – The actual quote from Julius Caesar is “‘Cry Havoc!’, and let slip the dogs of war”. Serves me right for trying to be a bit poetic.)