The question whether rights to health care should be altered by smoking behaviour involves wideranging implications for all who indulge in hazardous behaviours, and involves complex economic utilitarian arguments. This paper examines current debate in the UK and suggest the major significance of the controversy has been ignored. That this discussion exists at all implies increasing division over the scope and purpose of a nationalised health service, bestowing health rights on all. When individuals bear the cost of their own health (...) care, they appear to take responsibility for health implications of personal behaviour, but when the state bears the cost, moral obligations of the community and its doctors to care for those who do not value health are called into question. The debate has far-reaching implications as ethical problems of smokers' rights to health care are common to situations where health as a value comes into conflict with other values, such as pleasure or wealth. (shrink)

The British Government is implementing some major alterations to the way health services in Great Britain are organised. As well as the introduction of competition between health care providers, their financial interests are to be linked to their output, in efforts to use market forces to increase efficiency and cut costs. This paper looks at the possible impact of these changes of health care organisation on ethical medical practice. This is investigated with particular reference to the country whose health service (...) has embraced most closely these elements of the market--the United States of America. The question to be answered is whether high standards of ethical care are ensured by factors somehow intrinsic to the medical profession, and are therefore immune to changes in the economics of health care. This assumption is shown to be questionable in light of what is known about the determinants of ethical medical practice. (shrink)

KEY POINTS In Canada, commercial data brokers collect deidentified patient data from pharmacies, private drug insurers, the federal government and medical clinics without patient consent. Although pharmaceutical companies are the data brokers’ primary customers, academics and nonprofit and public entities also use commercial data sets, given the absence of a coordinated public approach to collecting these data across Canada. Risks of commercialized patient data include loss of anonymity, surveillance and marketing, discrimination and violation of Indigenous data sovereignty. Coordinated infrastructure for (...) the collection and coordination of health data across Canada and updated privacy legislation would protect individuals and communities and enable appropriate data uses. (shrink)

A recent report by Persaud et al. [Persaud, N., McLeod, P. & Cowey, A. . Post-decision wagering objectively measures awareness. Nature Neuroscience 10, 257–261] addresses a fundamental issue in consciousness science: the experimental measurement of conscious content. The authors propose a novel technique, ‘post-decision wagering’, in which subjects place bets on the correctness of decisions or discriminations. In this note, I critique the authors’ claim that their method “measures awareness directly”.

Post-decision wagering has been proposed as a method of demonstrating that perception can occur without conscious awareness. When wagering is independent from above-chance performance there is evidence of a lack of awareness of the correctness of the first-order discriminations. However, there are reasons to believe that the contingency analysis conducted by Persaud and colleagues failed to measure “the zero accuracy-wagering criterion”. The author shows that a Pearson chi-square test employed by Persaud and colleagues is unable to accommodate the hypothesis of (...) partial independence between accuracy and advantageous wagering. On the contrary, the problem of “the zero accuracy-wagering criterion” is best conducted with log-linear models. Moreover, log-linear analysis suggests that absence of advantageous wagering is not sufficient evidence for a lack of conscious awareness. In the case of the blindsight study, there was compelling evidence that the patient GY was partially aware of having information about the correctness of his decisions. (shrink)

We all have a mind, but how much do we know about what it is, and how it works? How do philosophers, physiologists, pyschologists and psychiatrists differ in their understanding of its processes? This second edition of the highly acclaimed Oxford Companion to the Mind attempts to answer these questions, and raises more, as it explores this most-intriguing of subjects. Includes Roger Penrose and Steven Rose on consciousness; Beryl Bainbridge on construction of fiction; Raj Persaud on depression; Richard Gregory on (...) facial expression, illusions of vision and consciousness; Ted Honderich on free will; and Noam Chomsky on language. New to this edition Three new mini symposia – on consciousness, brain imaging and artificial intelligence – with contributions from a range of specialists, representing the variety of approaches to these major subjects in a balanced but lively and personal way New entries include artificial life, attachment theory, caffeine, conjuring, cruelty, drama, extra-terrestrial intelligence, face-to-face communication, genetics of mental illness, imagination, lying, puzzles and twins. (shrink)