Looking at nature

No time for blogging today, but I realized that I posted a couple of pictures -- in draft form only, and they might be relevant to recent events.

Mortality is of course natural. Laura at Oddly Normal was kind enough to link to my post on Leon Kass, and she adds a new observation:

[Dr. Kass] recently turned sixty-five years old and is still living and lecturing us that attempting to prolong life beyond "normal limits" is immoral. As Dr. Kass is no doubt aware in his more lucid moments, living to sixty-five is not bloody normal by any standard except that allowed by modern medicine in the twentieth and twenty-first centuries. By what rights he presumes to dictate that the raising the mean lifespan from approximately 35 in the wild to 77 in the modern world is fine*, but extending it to 120 or 160 or 300 would be grave heresy, I should like to know.
I'd like to know too.

Why should anyone have the right to tell other people that it's time to die? Modern medicine has extended the human lifespan, and it is our destiny to do so. Kass -- a man trained as a medical doctor -- would thwart that destiny. Perhaps he forgets that famous First Principle, originally enunciated by Hippocrates: DO NO HARM. To thwart those who would stop or reverse the ravages of natural decay -- which it is man's destiny to do -- is certainly not in the spirit of that oath.

Freddie pointing to natural decay:
FreddieSez.jpg

Well, that's the traditional view. Die and rot away!

But if man can prevent or reverse such things, is it not also natural? Are not advances in science and technology also part of man's nature?

Would we be better off keeping life as nasty, brutish and short as we can? (Until Dr. Kass came along, I would have thought that a rather foolish rhetorical question.)

Two or three minds on the subject:
TwoMinds.jpg

Everyone, Kass included, is entitled to his opinion. But I think a line is crossed when someone enforces his opinions by wielding the power of the state. I have watched too many people die. That may have been "nature's way" -- but it's our nature to fight it.

Kass is part of the "natural decay" that humanity has been striving over the millenia to overcome.

To me, he represents true decadence just as surely as any "natural" disease.

UPDATE: Leon Kass (who was trained as a physician) does not like something he calls "medicalization":

The “beyond therapy” project has several times touched on the matter of the creeping “medicalization” of life—not only of mental life through the offices of psychiatry, but also of procreation in screening of fetuses and embryos, of the life cycle in dealing with aging or memory, or of athletic and other performances through enhancement technologies. We have so far not made this subject thematic. To do so, we should ask: what IS medicalization—as an idea, as a practice, as social/institutional attitudes and arrangements? Is it really on the rise? If so, what is responsible for it? What are its consequences? Why should we care? What, if anything, could/should be done about it—or some aspects of it? Formulated this way, it is a very big topic, certainly too big for the Council right now, and certainly too big for one session at one meeting. But it is one of the big themes of what ought to concern us.

....[T]he push toward medicalization is thus only partly driven by new technologies, though the availability of effective drugs and other instruments lends much support to a medical conception of the problem, and contributes to creating demand for medical services as treatment. It is also driven by deep cultural and intellectual currents: for example, to see more and more things in life not as natural givens to be coped with, but as objects rightly subject to our mastery and control; to have compassion for victims more than to blame perpetrators, even when the victims are victimized by their own perpetrations; to see the human person in non-spiritual and non-moral terms, but as a highly complex and successful product of blind evolutionary forces (which still perturb him through no fault of his own). It is also driven by commerce and the love of technique, the inflation of human desires to remove all obstacles to our happiness, etc.

While Kass is discussing psychiatry here, I think the above is a fair statement of his views in general.

Kass's whole "what should be done" approach assumes there is a problem, and that Kass has the solution.

My question is who the hell elected this man to sit in judgment on a profession he obviously deserted in favor of philosophy? And he's doing a lot more than sitting in judgment. His Council is pushing for limits on the human lifespan. The ethical problem I see is far more profound than Kass will admit. He is trying to utilize the brute force of the state to limit medical practice (the relationship between doctors and consenting patients), simply because, in his view, "nature" should dictate that life not be extended.

I cannot think of a more profound violation of the Hippocratic Oath than a doctor trying to stop other doctors from helping their patients. The people (mostly Kass sympathizers, as far as I can see) involved with the "DO NO HARM" website I cited are in my view unaware of the meaning (at least in the life extension context) of the very oath they claim to champion. Talking about harm to embryos (which they see as people, and as a superior form of life to living humans, or even fetuses!) misses the most odious aspect of Kass's mission -- to limit life.

Setting limits to human life (note carefully his carefully chosen code language of "the life cycle") contravenes a central goal of all medicine, whether ancient or modern.

I think Kass hates modern medicine, but he is not honest enough to admit it.

Readers interested in another take on "DO NO HARM" (on the stem cell debate) can also read this piece by Ronald Bailey.

Once again, a seed is not a tree.

posted by Eric on 03.07.04 at 09:52 PM





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Comments

I keep reading these necrophiliac delights with a "Kassed" iron stomach.

"Keep faith with death in heart."
-Thomas Mann, "The Magic Mountain" (quoted by Leonard Peikoff in "The Ominous Parallels")

I must say somewhat in Kass's defense that Dr. Thomas Szasz, one of my long-time favorite of all libertarian or individualist thinkers, even on a par with Ayn Rand, was protesting against the medicalization or psychiatrization of human life, the labeling of everything "deviant" as a "mental illness", the abdication of individual freedom and responsibility, and the rise of the Therapeutic State, for many decades.

During the Soviet (Communist) era in Russia, dissidents were incarcerated in "mental hospitals" to "cure" them, as homosexuals were in America for a long time (and many still advocate "curing" homosexuals through so-called "reparative therapy"). During Barry Goldwater's campaign in 1964, a bunch of psychiatrists who had never even met the man diagnosed him as insane. Today, it is a common substitute for argument to say to someone "you need to take your meds".

I'm new to this site--found it through a Slate link about Kass--but I'm curious about your reference to "man's destiny." What is your authority for the specifics of what man's destiny entails, it's "direction," if you will, or even for the existence of a destiny?
I'm not trying to challenge you--I'm looking for more information about the philosophy or outlook behind this blog.

Ann   ·  March 9, 2004 02:53 PM

I am not so arrogant as to dictate to anyone what "man's destiny" should be. I do not know what our destiny might be. What I do not want is to have it artificially thwarted or controlled. (Which I suppose even definitions tend to do....)

As to the philosophy of this blog, I tend towards libertarianism. In a general sense, I am in favor of human freedom, which necessarily includes the right of individuals to live as long as conditions allow. We stand on the shoulders of all that has come before. The quest for immortality strikes me as an admirable goal (perhaps in line with the "divine discontent" although I dislike the obfuscatory nature of human definitions)-- whether we get there or not. For now, I wish people could live much longer, much healthier lives. Too bad Einstein couldn't have lived for 200 or more (and he's just one man).

Laying down rules that would prevent medical and scientific advances strikes me as backward medieval thinking, and to the extent that the ancients believed in the quest for knowledge and exploration, I like to cite them.

This does not mean that I consider anyone bound by them!

Thanks for visiting, and I hope my general answer to a general question was helpful. (If you want more specificity, please feel free to browse around.)

Eric Scheie   ·  March 9, 2004 03:31 PM

Thanks, and please accept my apologies for the erroneous "it's." I hate it when that happens.

Conversations about "destiny" usually make me nervous because they have a kind of religiosity about them, and--like "manifest destiny"--they are often used to justify some kind of atrocity.

I suppose I've read too much science fiction to crave immortality! It always seems to be a tainted gift. I'd be happy to age gracefully, but even that turns out to be a challenge!

Ann   ·  March 9, 2004 06:04 PM


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