There is no reconciliation possible between the two competing modes of moral thinking that arose out of modernity; law, duty, intention, and consequences all really do matter, and the deontologist and consequentialist are always going to be talking past each other.
According to a recent article in the BBC, some person at the MRC Laboratory of Molecular Biology was given 10 million dollars by the Wellcome Trust to start making new designer DNA. Because our DNA is such a crapshoot.
While the specific figures combine data from multiple sources, the trend is undeniable: in 1950, over half of 30-year-olds were married homeowners. By 2025, some analysts project that number as low as 13%.
I’ve never been as excited and nervous about a new book of mine. Each chapter covers an animating spirit of the historical American ethos: respect, hard work, pioneering, gratitude, patience, faith, independence, forbearance, and so on.
Welcome to the SSRI marriage apocalypse: a phenomenon so widespread that entire online communities have formed to support its casualties. Spouses gathering in digital refugee camps, comparing notes about partners who transformed into unrecognizable strangers after starting antidepressants.
Your Spouse Started Antidepressants and Became a Stranger Continue Reading
The era of corporate EBM is over, and the future of medicine is decentralized, N-of-1, non-corporate, non-government, person-to-person, direct primary care, based on the totality of evidence, decency, life experience, dialogue, and personal values.
Seven Philosophical Criticisms of Evidence-Based Medicine and Evidence Hierarchies Continue Reading
Germophobia isn’t generally considered a condition all by itself. Not all people with OCD are germophobes, but it’s much safer to say that most, if not all, germophobes are further along the OCD spectrum than most.
One of the things we have learned is just how much regulatory capture factored into the COVID response, how economics turned vaccine technology into an industrial profit machine. One crucial piece of evidence for this came from the Pfizer report.
For years, I have trained residents and students to perform brain death exams. I’ve overseen transplants. I’ve supported grieving families and celebrated recipients. But I’ve also seen the slow erosion of principle under pressure. It’s time to draw a line.
The Moral Cost of Modern Transplant Medicine Continue Reading
The Ninth Circuit has abdicated its power and authority to hold public servants accountable. When the courts cannot be relied upon to hold public servants accountable, who can? And where does that leave us?
The Ninth Circuit Rules—Court-Sanctioned Authoritarianism? Continue Reading
Autism is advertised as a natural divergence. Autism is attributed to a range of causes, from childhood vaccination to the impersonal routines of metropolitan societies. Yet we do not know what autism is.
Medicine must learn to operate in a VUCA (Volatility, Uncertainty, Complexity, and Ambiguity) world. The recognition of the importance of this is beginning, but it must be added to the clinical competencies at every step in the education of health professionals.
Embracing Ambiguity and Outliers in a VUCA World Continue Reading
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