Showing posts with label health. Show all posts
Showing posts with label health. Show all posts

Wednesday, March 05, 2025

Podcast for Inquiry S04E05: Distinguishing jargon from gobbledygook - Dr. Jonathan Stea on evidence-based medicine over wellness industry misinformation

Dr. Jonathan Stea (BlueSky, Facebook) is a full-time practicing clinical psychologist and an adjunct assistant professor in the Department of Psychology at the University of Calgary. In today’s episode, Jonathan reveals that many mental health practitioners have no scientific grounding for their treatments, which can lead to disaster - yet it can be very difficult for an layperson to distinguish between a new technique they don’t understand that works, and a new technique they don’t understand that is gibberish. “Quantum neurological reset therapy” should get your spidey sense tingling, and Jonathan shares a few other signs of pseudoscientific grift as well. 

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A video recording is also available: 



Wednesday, May 01, 2024

Podcast for Inquiry S03E09: Alternative medicine nearly killed me, says Kat Mac

Kat McLeod is passionate about dispelling misinformation, especially regarding herbal remedies. Taking herbal supplements nearly killed her, so she volunteers at the University of Alberta as a mentor for pharmacy and medical students, arming them with the knowledge that can hopefully prevent the kind of suffering she has endured.

Kat and Leslie talk about some of the problems in Canada and elsewhere with standard medical practice, then delve into how herbal supplements are often mislabeled, concealing (in her case) an unlisted potent steroid. They also discuss other aspects of the alt-med industry, and steps Canada can take to improve the safety and well-being of all Canadians. 

Health Canada report on Natural Health Products: “Overall, Health Canada’s oversight of natural health products available for sale in Canada fell short of ensuring that products were safe and effective.”

Vanessa's Law (which aims to strengthen safety oversight, improve reporting, and increase transparency for therapeutic products in Canada).

Support Podcast for Inquiry on Patreon, subscribe wherever you listen to podcasts (Spotify Apple Google Deezer Player.fm), or listen here:  

A video recording is also available: 



Wednesday, August 30, 2023

Podcast for Inquiry S02E18: SciComm in the time of Covid, with Tara Moriarty

Dr. Tara Moriarty (@MoriartyLab) was happy being a research scientist, studying how Lyme disease bacteria travel to different parts of our body using the bloodstream. Then the COVID-19 pandemic struck, and she saw a vast need for disseminating accurate information to the public. So she founded COVID-19 Resources Canada and learned on the fly to become a science communicator. Dr. Moriarty describes the reaction from the scientific community and the public, and shares some surprising statistics about the current state of the COVID-19 pandemic in Canada.

Support Podcast for Inquiry on Patreon, subscribe wherever you listen to podcasts (Spotify Apple Google Deezer Player.fm), or listen here:  

A video recording is also available:



Friday, July 14, 2023

Podcast for Inquiry Diatribe #2: Catholic Health Care “Ethics”

In this second episode of Leslie’s Diatribes, I sound off on the Health Ethics Guide, a publication of the Catholic Health Alliance of Canada. Employees in Catholic health care facilities in eight provinces are told to sign this code of ethics every year, and many do so without reading it. Leslie highlights some salient aspects of its contents, and encourages those who object to what it demands to refrain from agreeing to it.

The opinions expressed in this episode are mine, and do not represent the Centre for Inquiry Canada or any other organization.

Subscribe to Podcast for Inquiry today wherever you listen to podcasts (Spotify Apple Google Deezer Stitcher Player.fm) or listen here:  

A video recording is also available:




Wednesday, October 12, 2022

Podcast for Inquiry Diatribe #1: Covid Vaccine Patents

 On an irregular basis, I will use my platform on Podcast for Inquiry to rail against something that really gets under my skin. In today's episode, I talk about covid vaccine patents. These are wonderful innovations, responsible for saving the lives of tens of millions of people (and preventing hundreds of millions or even billions of people from serious illness). All of them were paid for by public funds, in full or in significant part. So why did governments around the world grant patents - an exclusive right to manufacture these vaccines - to pharmaceutical companies?

Listen to my diatribe here:

A video recording is also available:



Wednesday, June 29, 2022

Podcast for Inquiry S01E13: Emma Allen-Vercoe on the importance of microbes to human health

Dr. Allen-Vercoe (@EmmaAllenVercoe) talks about how to think of microbe populations across different people, and why they are important for digestion and overall health. She describes her research on the microbiome of the Yanomami, and why it is important. The role of serendipity in scientific progress is often underemphasized, and Emma shares how one such moment led to an enormous grant for colorectal cancer research. She explains her role in improving a disgusting but effective medical intervention. Finally, Emma summarizes her extensive efforts to fight pseudoscience and the need for personalized medicine in the years to come. 

Listen to our conversation here:

A video recording is also available: 



Wednesday, April 06, 2022

Humanist Perspectives publishes an egregious editorial

When I read Weld's editorial in Humanist Perspectives back in December or January, it disturbed me so much I had to write a refutation in order to stop it churning around my brain. Just before publishing it here, I asked the editorial board of Humanist Perspectives if they would run the piece below as a Letter to the Editor. To their credit, my response was published in full in the subsequent issue of the periodical. You may read it on the Humanist Perspectives site or below.

To the editors of Humanist Perspectives

I read your editorial entitled, "A Prescription For Dealing With The Pandemic: Less Fear, More Reason" in your Winter 2021/2022 issue with some interest. I favour addressing pressing issues with reason over fear, and the subject matter is of particular interest to me: in February 2020 (just before the pandemic reached North America) I gave a talk about how to talk to anti-vaxxers called Stab Everyone You Love. I have been a secular activist for over 15 years and had previously heard of Humanist Perspectives but never read it. I looked forward to correcting that lacuna with the article written by Madeline Weld, co-editor of Humanist Perspectives and vice-president of Canadian Humanist Publications. Unfortunately, her essay is polemical propaganda, filled with falsehoods presented as facts and logical fallacies sufficient to undermine her thesis. If Weld's composition is indicative of Humanist Perspectives' editorial quality, I am unlikely to read much else from the publication.

The first sign that the piece does not hew to its promise of "less fear, more reason" is its regular use of loaded language. A few examples:

  • "government-mandated discrimination" 
  • "mainstream media’s suppression of dissenting viewpoints on Covid vaccines and lockdowns" 
  • "Does anyone remember the Nuremberg Code? Apparently not the Ontario Human Rights Commission" 
  • "mass hysteria is being fomented [...] as they tighten their authoritarian grip on society"

This is hardly the tone to set if one is seeking to foster rational discourse. It is, however, pitch perfect if one's goal is to provoke outrage.

Weld's opening anecdote is about a downtown Ottawa restaurant. At a rally "against coerced Covid vaccines and rolling lockdowns", she heard a rumour about a food establishment that served the unvaccinated. When it tells her their policy was "no vax, no service" she concludes that "government inspectors must have gotten to them", rather acknowledging that a restaurant may quite reasonably insist on operating within the law. 

Throughout the editorial, Weld shows a worrying disregard for facts and logic, despite her professed commitment to reason. She seems to prioritize subjective impressions over objective observation: "What I don’t like about the Covid vaccines is that they force a person’s own cells to make a protein that their own immune system will attack. To me, that sounds like asking for trouble." In other words, according to Weld, there is no need to understand immunology, examine the relative risks of vaccination vs. remaining unvaccinated, or look at any scientific data. "Foreign genetic material" sounds sketchy to her, so the vaccine mandate must be immoral.

She writes, "The death rates in various countries have not shown a year-to-year rise because of Covid". She chooses a bizarre statistic to defend this contention: "According to Statistics Canada, in 2019 (i.e., pre-Covid), the average age of death was 76.5 years, while the average age of Canadians who died of Covid in 2020 was 83.8 years." While the linked page does contain those data points, they do not support her claim that Covid did not cause the death rate to rise. In fact, the very same paragraph also states "COVID-19 caused over 15,600 deaths in the country in 2020". Furthermore, Weld is wrong. The death rate in Canada spiked to 691.4 per 100,000 in 2020, from 654.6 in 2019. This was the highest death rate since 2012. From StatsCan: "Overall, increases in the mortality rates in 2020 were closely aligned with mortality rates directly attributed to COVID-19." It's hard to characterize Weld's statement that Covid has not increased death rates as anything but a lie. 

Regrettably, the inaccurate presentation of data does not stop there. Weld writes, "it has long since become obvious that the virus presents little risk of severe illness or death for those who are not elderly and do not have comorbidities." This is little more than wishful thinking. Harvard Medical School tells us, "Adults in the 18 to 39 age range account for about 2.4% of COVID deaths [...] And they may be among the long haulers — people who continue to experience fatigue, brain fog, shortness of breath, or other symptoms weeks and months after their illness."

Weld declares, "Vaccination does not stop the transmission of the virus; it merely reduces the symptoms." This is highly misleading. While it's true even triple-vaccinated adults can contract and spread Covid, unvaccinated adults are 13 times more likely to test positive for covid-19 and 68 times more likely to die, according to the CDC. I question the appropriateness of Weld's use of "merely" to describe these results; we should celebrate the order-of-magnitude reduction in transmission that vaccination brings, and the even larger reduction in mortality. But for Weld, it seems, anything short of perfection renders the entire endeavour ineffective. 

I encountered this sort of "logic" a decade ago in a breathtakingly unreliable book

Weld draws on questionable sources to support her argument. 

  • She cites the Justice Centre for Constitutional Freedoms in her essay, which has launched a "constitutional challenge in Ontario’s Superior Court of Justice [against] the province’s Covid-19 vaccine passport mandate". This is an organization that hired a private investigator to follow the Manitoba chief justice. Its founder and president, John Carpay, has compared pride flags to swastikas
  • In her criticism of Jacinda Ardern, Prime Minister of New Zealand, Weld links to a Breitbart article, a site that Media Bias / Fact Check states has "extreme right-wing bias, [publishing] conspiracy theories and propaganda as well as numerous false claims." 
  • Weld refers to the "20,244 Covid vaccine-related deaths reported to the US Vaccine Adverse Event Reporting System (VAERS)" without mentioning that "VAERS data cannot be used to determine if a vaccine caused an adverse event." Indeed, research has shown "More than two-thirds of the common side-effects people experience after a Covid jab can be attributed to a negative version of the placebo effect rather than the vaccine itself".
This is not how one restores reason to public discourse.

From misrepresenting facts and relying on questionable sources, Weld pivots toward pseudoscience. "The political and medical opposition to the therapeutic and preventative use of hydroxychloroquine (HCQ) and Ivermectin seems incomprehensible," she writes. Weld's stand against Covid vaccines ("I am not an anti-vaxxer," she claims) is due to "no long-term studies assuring us of the safety of the vaccines." Why, then, is she jumping on the bandwagon for other drugs that have, at best, ambiguous results in Covid studies to date? Is Weld aware that there are often vast differences in drug efficacy between lab and animal studies and its effects in humans? Why does she dismiss the recommendations, based on a review of all available data, against the use of hydroxychloroquine and Ivermectin for Covid-19 from the National Institute of Health? Weld is either woefully ignorant or deliberately dishonest. 

Finally, she ends the article by approvingly quoting a German doctor claiming it is "wrong and dangerous to speak of a pandemic of the unvaccinated," because "vaccinated people also play a significant role in transmitting the virus". Once again, Weld misleads her readers. We *do* have a pandemic of the unvaccinated. The unvaccinated are more sick, require more care, and spread this disease at far greater rates. Hospitals are not overloaded because there has been a sudden surge in traffic accidents - emergency wards have been over capacity for nearly two years because of the large numbers of unvaccinated patients suffering from Covid. As a result, "elective" procedures (brain surgery, hip and knee replacements, heart bypasses, etc.) are being postponed, contributing to excess deaths (though not directly from Covid-19). To Weld, claims that the unvaccinated "place an inordinate burden on the healthcare system" is "fear-mongering". She is wrong. 

I do agree with Weld's final sentence: "Surely this is an issue that humanists and their organizations could weigh in on, on the side of reason." I hope humanists and their organizations unite to oppose Weld's shoddily-argued and poorly referenced editorial. 


Sunday, October 11, 2020

Stab Everyone You Love at Toronto Oasis

After my August presentation about how talk to anti-vaxxers for the Centre for Inquiry Canada, I was asked to give a reprise for the folks at Toronto Oasis. Below is the recorded video from that session on September 27, 2020.

The content of my main address is much the same as it was in August, and is about 30 minutes long. This is followed by a vibrant Q&A session that lasts a bit under an hour. 

Enjoy!





Friday, August 28, 2020

Stab Everyone You Love

 On August 20, 2020, the Centre for Inquiry Canada hosted an online event where I gave an updated version of my February Nerd Nite presentation on how to talk to anti-vaxxers. I hope you enjoy Stab Everyone You Love. Please let me know what you think in the comments. 




Sunday, March 22, 2020

Nerd Nite presentation


For the past couple of years, I have been a regular attendee of Nerd Nite, which is exactly what it sounds like. Once a month, two nerds stand up in front of fellow geeks and talk about something they are passionate about - anything from time travel to forensic pathology, from the science of beer to a summary of the careers of people like Stephen King or "Weird" Al Yankovic.

Last month was my first time being a Nerd Nite speaker. I decided to turn the Facebook post that led to a months-long online discussion about vaccines into a 20-minute presentation. I hoped to make it educational and entertaining. Since it was a Valentine's Day theme, I called my talk: Stab Everyone You Love.

It was filmed on my cell phone by my son, who hit record about 15 seconds after the start of my talk.



After my talk, there was about ten minutes of questions and answers.



I hope you enjoy watching this. Let me know what you think in the comments.

Friday, January 10, 2020

Two short articles: Atheism is not a Religion and Alternatives to God-driven Addiction Recovery

I wrote two short articles for January 2020 edition of Critical Links, the Centre for Inquiry Canada's monthly newsletter.

Atheism is not a religion, says Federal Court of Appeals


All Canadian charities must declare their primary purpose when the register with the Canada Revenue Agency; approximately 40% of Canadian charities exist for the "advancement of religion".

The Church of Atheism of Central Canada applied for charitable status under the "advancement of religion" category. Its request was denied by the CRA, and this decision was upheld by the Canadian Federal Court of Appeal. It is possible this will go the the Supreme Court, but that remains to be seen.

The core of the decision is: "Fundamental characteristics of religion include that the followers have a faith in a higher power such as God, entity, or Supreme Being; that followers worship this higher power; and that the religion consists of a particular and comprehensive system of faith and worship." The Church of Atheism of Central Canada lacks belief in a deity, and therefore can not revere a Supreme Being, and does not have a system of worship, according the the Court. (That Buddhism is eligible for charitable status while also lacking belief in a God failed to persuade the Court that the Church of Atheism should also be considered a religion for charitable purposes.)

The Court also stated that charitable registration is a privilege, not a right, so no Charter considerations come into play.

Mark Blumberg, a lawyer specializing in charity law, writes, "Ultimately the courts are not planning on changing the status quo “In the absence of legislative reform”." This is likely a correct prediction. In my opinion, removing "Advancement of Religion" as a criterion sufficient to gain charitable status is preferable to including atheism within the definition of religious belief and practice.

Non-theistic addiction recovery programs now offered for BC Health workers


In the July 2019 edition of Critical Links, we told you about Byron Wood, an atheist nurse and alcoholic. He wanted to attend a rehabilitation program that was non-theistic in nature. His union did not provide one, and when he did not complete the Alcoholics Anonymous program because he refused to turn his life "over the care of God",  he was fired. (Half of AA's 12 steps directly refer to God or a greater Power.)

Though popular, AA and similar programs do not work for everyone. How effective they actually are is a matter of considerable dispute, with AA claiming "up to 75 percent of its members maintain abstinence," while addiction specialists "cite numbers closer to 8% to 12% for sobriety by [AA] members after the first year." Gabrielle Glaser in the Atlantic writes, "In 2006, the Cochrane Collaboration, a health-care research group, reviewed studies going back to the 1960s and found that “no experimental studies unequivocally demonstrated the effectiveness of AA or [12-step] approaches for reducing alcohol dependence or problems.”" A 2012 report by the National Center on Addiction and Substance Abuse at Columbia University stated, “The vast majority of people in need of addiction treatment do not receive anything that approximates evidence-based care.”

For many addicts, other treatment methods - including medication, counselling, cognitive behavioural therapy, and deep-brain stimulation - have proven to be superior to the more well known 12-step programs.

Mr. Wood launched a complaint with the British Columbia Human Rights Tribunal in 2015, with support from the Centre for Inquiry Canada and the BC Humanist Association (among others). He reached a settlement with Vancouver Coastal Health (VCH) in early December 2019. Though the details of the settlement are confidential, Wood writes, "I'm really happy about the outcome — it means that VCH employees are not required to attend 12-step rehab centres, 12-step meetings, or participate in any 12-step activities if they object for religious reasons. It's what I've been fighting for, for the last six years."

As a result, the 14,000 employees of Vancouver Coastal Health will no longer have to attend AA "if that approach to treatment conflicts with their religious or non-religious beliefs."

The agreement is a settlement between Mr. Wood and VCH, not a ruling by the BC Human Rights Tribunal. As result, its terms are not binding on other organizations. However, CFIC hopes that other employers realize the intrinsic theistic nature of 12-step programs, accept the principle that attending any religious gathering should never be a requirement for employment, and provide an option for secular addiction rehabilitation services to their employees.

CFIC salutes the courage and stamina Mr. Wood has shown in his fight to have secular approaches to sobriety recognized by his former employer. Mr. Wood is applying to have his nursing license reinstated, and CFIC wishes him good luck in his future endeavours.

Thursday, October 24, 2019

Decretum Symposium summary

Last month I was a panelist at the Cardus Institute's third Decretum Symposium, representing a secular perspective on the practical implications of human dignity. I applaud Cardus for a sincere effort to reach out to others in order to hear different philosophical outlooks. For important topics in society where significant portions of the country disagree on principles and the policies that flow from them, it is essential to have a frank and respectful exchange of ideas. This was my goal with my prepared remarks on human dignity from a secular perspective.

I did not expect to change anyone's core philosophy, in the sense of converting the audience to adopt my worldview. My aim was get attendees - who were all adherents to a religious tradition, primarily Catholic - to think differently, and perhaps to recognize that people on the "other" side (secular folk, atheists, and non-Catholics) also had morals, values, and a philosophy based on a considered ethical foundation. If I was truly successful, they would realize that secularism (government neutrality in matters of religion) is the most reasonable compromise in a pluralistic society.

I had a couple interesting conversations before the event began. (Note that none of what follows is a transcript, though I am recalling what was said and maintaining the fidelity of all arguments to the best of my ability).

The Canadian federal election campaign had recently begun, so politics was a natural topic for conversation. There was a clear preference for the Conservative party in the room. The first person I spoke with told me, "One of my kids said the other day, 'I don't like team Red.' When I asked why, she said, 'Mommy told me they hate us.'" The "us" in his anecdote were observant Catholics. He didn't approve of his wife inculcating political partisanship in the children, though it was apparent he agreed with the sentiment.

Another individual (after introductions and an appropriate amount of small talk) lamented what he saw as an increasing trend toward censorship in today's society. He found there to be a trend of shutting down conversations, with a justification that once a decision has been made, it was time to move on. Surely, he asked rhetorically, we should welcome discussion, including dissenting views?

I inferred that the subtext was MAiD - Medical Assistance in Dying - but since he declined to make the topic explicit, I decided to follow his lead, and instead used a different concrete example to illustrate my thoughts.

I started by agreeing with him. I concurred that we should not censor dissenting views, suppress questions or ban conversation on just about any topic. But I provided two caveats: 1) Time is scarce. As the potential list of things to talk about is infinite, we ought to choose our discussion topics wisely. A person or organization may choose not to discuss something, or to discuss something other than your preferred topic, but that decision is not tantamount to censorship. Flat earthers are not censored, even if geologists won't talk with them or put their items on the agenda of meeting of their professional societies. 2) If a deliberative body has reached a conclusion on a matter, presumably there were valid reasons for coming to the decision. Anyone wanting it to be reconsidered has an obligation to review the arguments and evidence that underpinned the original conclusion. Unless members have new information, reveal a flaw in the decision making methodology, or can point out errors in the original premises, evidence, or reasoning, then there is no reason for an organization to heed some members' calls for a review. Again, as with those proclaiming the earth is flat, in the absence of any evidence of their claims, scientists are right to largely ignore them. They have better things to do with their time.

The Symposium began with a panel of four philosophers and theologians. As I had predicted, each presenter had a different definition of human dignity.

The first speaker, Dr. Moira McQueen of the Canadian Catholic Bioethics Institute, argued that human dignity arises due to each individual's uniqueness. This leads to a perspective of "radical equality, as each person has inherent worth." We should be considered full human beings "from conception to natural death, with no exceptions," and any definition of personhood that begins after conception "is an assault on human dignity." She stated that non-religious people are moral, who value truth and the good - which is a kind of faith, even if not in God. She also claimed that there was "no possibility of a state being neutral" in matters of religion.

Next up was Faisal Bhabha, a law professor at Osgoode. He believes that "what it is to be human is a philosophical and religious question, not a scientific one." There is no straight line between the Enlightenment and the development of human rights, he said, which came to the fore only after World War II. Though dignity is often mentioned in the law, especially Human Rights law, it is nowhere defined. The Supreme Court of Canada has "linked dignity to equality the exclusion of other human rights," which Professor Bhabha laments. Human dignity is a widespread concept, as illustrated by the Arab Spring's rallying cry of, "Bread, Freedom, and Dignity!"

The third panelist was Dr. Douglas Farrow. His address consisted almost entirely of Christian apologetics. It was biblical theism, he stated, that brought the Universal Declaration of Human Rights into being. Dr. Farrow gives Christianity credit for all the good in the world. If a worthy idea was in a Psalm, then it clearly inspired all implementations of that notion.

The final contributor to the first panel was Dr. Victor Muñiz-Fraticelli. He said he was surprised to be representing the secular perspective, because he's usually an apologist for religious authority. He is a moral constructivist, which follows from the writings of John Rawls. He spoke at length about Immanuel Kant's ideas about the categorical imperative. He argued that because humans have reason, we act contra-causally (that is, we have free will). He claimed that in liberal circles, only a philosophical account matters when justifying moral or ethical propositions; religious arguments are discounted, or must be translated. He seemed saddened by this state of affairs, though it's not clear to me why, and he did not elaborate.

My presentation was immediately after dinner. Between performing in innumerable plays and debates during my high school and university years, as well as more recent conference and debate appearances, I have some experience in reading an audience to gauge how my words are being received. However, during my speech I could get no sense of the mood of the room. There were still some people finishing their dessert or concluding their conversations from dinner when I began; within thirty seconds, however, I had everyone's full attention, which I kept for the duration of my speech. Whether it was because I was a compelling speaker that maintained everyone's rapt attention, or people were shocked into silence due to the heresies I was seriously proposing, I could not tell.

My counterpart for the second panel was Dr. Lucas Vivas of the Canadian Federation of Catholic Physicians and Societies. He started by asking, "Why should we care for others, beyond family, loved ones, and for economic benefit?" His answer was human dignity and an ethic of care. Of dignity, he said, "I know what it is - but I don't really know what it is." Doctors tend to define dignity by its absence. For Dr. Vivas, human dignity is inextricably merged with God: if He doesn't exist, there is no such thing as dignity.

Dr. Vivas attempted to refute my contention that "Human dignity demands that we be pro-choice." He argued that autonomy is the equivalent to rationality, so if human dignity is grounded in autonomy, it would be permissible to kill babies. He continued, "Rape is an affront. But carrying life is a blessing, while killing a baby is not. Being pro-life is not an affront to a woman's dignity."

After the formal addresses was a discussion among all six panelists, moderated by Dr. Andrew Bennett. As soon as he was given the floor for some brief remarks, Dr. Farrow spent nearly fifteen minutes laying into me. It was the only time at the Symposium when I experienced overt hostility. To start with, he took great umbrage that my address contained
So many - I counted at least a dozen - "should", "must", and "ought" statements. On what basis do you demand so much of others? Your speech had no philosophical grounding - it was anchored in nothing more substantial than clouds!
Though I was asked to focus on practical applications of human dignity (since the mandate of the first panel was to establish its theological and philosophical underpinnings), this was a a fair criticism. He refused to allow me a chance to answer, however, and continued his rant. He "cannot imagine a civilized society not based in gratitude to the Creator," which - though it allowed for other faiths that worship a different Deity - poses an intrinsic conflict with my proposed secular outlook.

At this point I managed to offer a brief  rebuttal: "No. There is no inherent conflict with a secular person coexisting peacefully with those observing any religious tradition. An issue arises only when one party uses force to coerce the other into adhering to their worldview." His retort was, "Your arguments remind me of Michael Ignatieff," - someone I respect greatly as an academic (and considerably less so as a politician), but I didn't get the chance to say so - "whose position I utterly demolish in Chapter One of my book." (He didn't specify which of his publications.)

He asked me directly: "What would happen if I reject your premise of mutual non-antagonism? What if I want your head on a platter?" He claimed to know all about Hobbes' Leviathan and dismissed it with a wave of his hand, asking, "In your proposed worldview, what's to stop me from killing you?" I'm not sure I truly understood what he was driving at - was he implying that the only reason he didn't decapitate me was his faith in God and fear of His disapproval? I tried to explain that there were laws and norms against such an action, on top of which I would attempt to defend myself against such an onslaught, but I was interrupted several times and couldn't get my point across effectively.

Dr. Farrow then linked increasing secularization in society with the observation that things are getting steadily worse. I rejected his premise, saying that overall humanity is making progress, as average lifespans are increasing and levels of violence, with some unfortunate spikes, are generally decreasing. The audience gasped in shock at this claim; it was clear they vehemently disagreed, and Dr. Farrow mocked me for it, saying this was only true if one cherry picked the data by ignoring all the wars of the 20th century. When I had the chance to speak again, I mentioned that my argument is documented in Steven Pinker's "Better Angels of our Nature", but unfortunately by that point it was too late to be an effective bolster.

Most interesting for me was the audience Q&A session. One attendee was struggling with Dr. McQueen's statement that human dignity is inherent, not something that is given or needs to be earned. "You are claiming," he said, "that humans do not have dignity because we are made in God's image, because that is in reference to God. If dignity is inherent, then God is simply an overlay, and He is not necessary for human dignity!" I realized I was leaning forward in my seat at this point - though the question was not directed at me, I was intensely interested in how he resolved his cognitive dissonance. In the end, motivated thinking won out - he had to reject the notion that human dignity is inherent because he could not accept that an important concept in how we relate to each other did not have God at its centre.

Dr. Bennett directed a question to me. "If we acknowledge that we should respect people's wish to die, does it made sense to spend money on suicide prevention? For these days we are investing millions of dollars to fight an epidemic of suicides among native communities in Canada."

I responded as follows:
There are two parts to this. First, there is a qualitative difference between suicide and assisted death. The first is an over-reaction; a transitory, passionate response to a temporary state of affairs, which the individual lacks the perspective to realize at that moment. We know this to be true because of the many people who have attempted suicide and are subsequently glad that they were unsuccessful. Assisted death, at least in Canada, is restricted to those that have a permanent, degenerative, and fatal condition for which there is no effective treatment or cure, and even then only after significant consultation and evaluation by medical and psychological experts. 
Second, and more importantly, before we start creating rationales to halt suicide prevention programs on reserves, we have an obligation to give first nation communities the same opportunities that other Canadians living in urban and rural areas have. We could start by ensuring that all First Nations have safe drinking water, as some have had boil water advisories for decades. We should increase the amount spent on education and child welfare to match what other Canadians receive. And we need to eliminate the bias in our policing and judicial systems that has discriminated against aboriginals since the first Europeans set foot in North America. If we do that, it is entirely possible that there would no suicide epidemic among First Nations communities to contend with.
A little later, Dr. Bennett directed a second question toward me. He led with a quotation, "He who drools has just as much dignity as he who does not." (I do not recall the source.) He proceeded by querying whether our shared commitment to human dignity (though defined differently by each of us) precluded us from actively terminating a person's life. I decided that there had been enough talk about broad principles and abstract ideas, so I hoped that a personal anecdote might demonstrate the point more poignantly:
A dear friend contracted ALS several years ago. She did not speak of human dignity explicitly, but what gave her life meaning was her interactions with others. The nightmare scenario, for her, was to be trapped in a body with full awareness but be completely unable to communicate. Medical technology could have kept her alive with a feeding tube and a ventilator.
How can anyone claim it is ethical to put her through years or decades of what would be, for her, the worst torture she could imagine? If the key objection is taking active steps to end her life, can one genuinely argue it would be better to let her drown in her own saliva or suffocate because her body no longer could bring sufficient oxygen to her lungs? A decision to end one's life, and to assist someone to do so, should not be undertaken lightly - but I cannot agree that the moral thing to do would be to prolong her life, against her wishes, condemning her to a personal hell, indefinitely.
The conference ended on a positive note, from my perspective. Dr. Vivas had lamented during his speech that he did not practice in a Catholic hospital (and that many such hospitals are Catholic in name only). Further, the Ontario Medical Association is "prosecutorial" towards faith having any role in his medical practice - that is, while he is allowed to be a Catholic who practiced medicine, he risked official censure if he practiced Catholic medicine. In his final remarks to the conference, he explained that in Brampton his patients are overwhelmingly Sikh and Muslim. If his hospital reflected the local demographics, he would be a doctor in a Sikh or Islamic environment, a prospect that made him "distinctly uncomfortable". Perhaps, he acknowledged, "there is some merit in a secular approach," which allowed everyone, regardless of their personal faith, to focus on health.

Overall, I was pleased that I was able to contribute to the public discourse on the role of faith and secular ethics in a pluralistic society.


Monday, January 28, 2013

Twenty-five years after R v. Morgentaler

Today is the 25th anniversary of Canada's Supreme Court decision to strike down its abortion law, which had prevented a woman from obtaining an abortion until after a panel of medical experts agreed the mother's life was at risk. Thanks to Dr. Morgentaler's long efforts, for a quarter-century most Canadians (though only few in New Brunswick and none on Prince Edward Island) have had ready access to safe, professional, confidential procedures to terminate unwanted pregnancies. Canada has largely avoided the ongoing embarrassing spectacle still seen in the United States to overturn the 40 year old Roe v. Wade decision that granted women there the right to an abortion. The most recent American attempt to restrict access is only one week old - in New Mexico, a Republican lawmaker proposed a measure that would "legally require victims of rape to carry their pregnancies to term in order to use the fetus as evidence for a sexual assault trial."

This brought to mind Canadian federal Conservative Member of Parliament Stephen Woodworth's proposed Motion 312, which last fall would have created a special committee to examine whether "a child is or is not a human being before the moment of complete birth". 

I was appalled at the motion, and relieved when it was soundly defeated in the House of Commons in September 2012. But as someone who treasures scientific discovery and the pursuit of knowledge for its own sake, why was I against a government committee whose stated purpose is the advancement of human knowledge? I found my reaction to be somewhat inconsistent.

My stance is not an absolute one. I recognize that sometimes placing a moratorium on certain aspects of research is justified while ethical, environmental, and other implications of potential discoveries can be considered and appropriate codes of conduct, safety protocols, and other procedures developed and implemented. The foremost example of this is from early 1975, when most leading biologists endorsed a self-imposed pause on genetic engineering research until the US National Institute of Health released guidelines in 1976 (these have been regularly updated). More recently, a debate rages within political and scientific circles about the wisdom of research into the H5N1 influenza virus.

But my response was not based on any variant of the precautionary principle. There were other issues that disturbed me. Why would this government, hardly known for its commitment to scientific inquiry, suddenly be interested in discovering a scientific definition for a human being? Is a government panel the right body to investigate this question? Could Mr. Woodworth, as many claimed, have had a hidden agenda, and use the findings of the committee (whatever they were) to restrict abortions in Canada to the maximum possible extent?

Furthermore, I was fundamentally uncomfortable with how the motion was phrased.

The development of life is a continuum. There is no distinct threshold before which there is only a collection of dividing cells, and after which there is a fully formed human being. It is ridiculous to argue that the few cells of a just-fertilized embryo are a complete person with full rights and protections, just as it is to say we have no moral responsibility to care for a healthy nine-month gestated unborn fetus. (This is implicitly recognized by the medical profession, as virtually no one performs an abortion after the first trimester or so unless the mother's life is at significant risk.)

Any answers such a commission would have come up with would crucially depend on how "human being" is defined. The following have all been proposed for the definition of a human being:
  • The point of development at which the fetus can survive outside the womb; 
  • When the first heartbeat, brain activity, or some other physiological trait can be first detected;
  • As soon as the fetus displays a detectable personality or identifiable set of behaviours such as pain avoidance.
All of the above are highly dependent on the current state of technology. As our knowledge of fetal development increases and detection equipment gains greater resolution, any of these definitions could in principle push back when we classify the fetus as a human being earlier and earlier in the embryonic development process.

As a scientific endeavour, such an investigation is legitimate. The problem arises, in my view, with public policy. Anti-abortion activists are not renowned for accurately reflecting the subtleties of scientific knowledge. If, for example, a paper is published claiming that a fetus displays an aversion reaction (or "pain") as early as 2.5 months, it won't matter how provisional the conclusion is, what the disclaimers are, or what caveats are attached - it will be used by religiously motivated activists (such as Stephen Woodworth) to argue that no abortions can be performed past that point. That, fundamentally, was why there was such a strong reaction from myself and many other Canadians to Mr. Woodworth's motion in the House of Commons in September. It was not based on a belief that the question is taboo or that science should not inform public policy. Instead, there is a well-founded concern that any discussion based on these premises will not be undertaken in good faith. The motion, as phrased, could not be answered in a reasonable fashion and would likely be used for purposes that stray far from scientific inquiry.
 


Which leads me to an observation that I hope to substantiate. I find that, in practice, the label "pro-life" is misleading. Anti-abortion activists do not seem to be generally pro-life - only very specifically pro-fetus. I do not hear of any anti-abortion protesters taking any practical steps to ensure the children resulting from pregnancies carried to term are cared for (which reminds me of my favourite bumper sticker: "If you cannot trust me with a choice, how can you trust me with a child?"). I have not noticed any support from "pro-life" groups for the elimination of capital punishment (which unambiguously kills a human being). National and global vaccination programs would be a natural fit for those that believed longer, healthier human life is a good thing. It seems to me genuine pro-life activists should support stricter gun control laws, as gun violence takes innocent lives every day in the United States. School food programs in poor neighbourhoods significantly improve the well-being of children's lives, and have large effects even into adulthood. Yet the only correlation I am aware of between being anti-abortion and supporting initiatives that are genuinely pro-life is a negative one. 

In the interest of accuracy, perhaps we should refer to those on opposite sides of the abortion debate as "pro-choice" and "pro-fetus".