Daily Archives: February 6, 2017

Trump gently ‘testing waters’ with sanctions relief amid anti-Russia sentiment Ron Paul – RT

Posted: February 6, 2017 at 2:45 pm

The slight easing of sanctions on Russias FSB is a step in the right direction and President Trump cant be any bolder at the moment, while awaiting reaction from the US political establishment, Ron Paul, the veteran US politician, has said.

Further easing or the outright lifting of sanctions imposed on Russia over alleged meddling in American elections wont be easy for the new US President, since anti-Russian sentiment is very strong within the US political class, the former US Senator told RT.

The order to ease some restrictions on the Russian Federal Security Service (FSB) is a step in the right direction and a feeler of sorts.

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I think he wants to reduce the sanctions and I think hes going to get a lot of heat for it, Paul told RT. A lot of people believe in all the rhetoric and the discourse about The Russians are coming, the Russians are coming, we got to punish them. So he has to deal with this more gently. So he puts on this example of trying to reduce sanctions, and he doesnt remove them, but I think he sort of testing the waters.

Hopefully, the possible opposition against the decision wont be too strong and Trump would be able to be consistent with his campaign promises to seek common ground with Moscow. Its still too early, however, to predict whether the US President will be able to get bold and remove all the sanctions, according to Paul.

I think thats very good, very significant and hopefully he doesnt get too much pressure therefore he backs down and goes in the other direction, Paul said. This is one thing that shouldnt be a surprise because he talked about better relations with Russia, and that is very good.

The decision to impose sanctions over quite weak allegations of Russian hackers meddling with the elections was very politicized in its root. A part of the US political establishment, which is eager to drift back to Cold War times, convinced Obama that it was a serious matter but Trump does not seem to believe that, according to Paul. All in all, intelligence activity, if even there was any, is such a common thing that it shouldnt have resulted in sanctions.

To me that was so superficial and should have been dismissed. Just generally speaking governments are spying on each other all the time. For me it was no big deal either way, Paul said. But I dont think the politicians and the political people, the party people might try to make fun of it People know that all governments spy on everybody, you spy on your friends and everything else. I find it rather disgusting.

READ MORE:Hard to expect a better start: Russian lawmakers & economists optimistic after Putin-Trump call

While the decision to ease anti-Russian sanctions is a good thing, the big picture of past two weeks is quite worrisome, as the new administration has already shown a consistent policy of picking fights.

He looks for battle with China but not with Russia. He wants to get in long battle with Iran. Its back and forth, Paul said. I just cant understand why if something is good for one country, why it cant be good for everybody. And I dont think any country should go out looking for enemies.

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Ron Paul: How About a Better Solution Than Donald Trump’s Border Wall? – Noozhawk

Posted: at 2:45 pm

Just one week in office, President Donald Trump is already following through on his pledge to address illegal immigration. His Jan. 25 executive order called for the construction of a wall along the entire length of the U.S.-Mexico border.

While he is right to focus on the issue, there are several reasons why his proposed solution will unfortunately not lead us anywhere closer to solving the problem.

First, the wall will not work. Texas already started building a border fence about 10 years ago. It divided people from their own property across the border, it deprived people of their land through the use of eminent domain, and in the end the problem of drug and human smuggling was not solved.

Second, the wall will be expensive; it is estimated to cost between $12 billion and $15 billion. You can bet it will be more than that.

Trump has claimed that if the Mexican government doesnt pay for it, he will impose a 20 percent duty on products imported from Mexico. Who will pay this tax? Ultimately, the American consumer, as the additional costs will be passed on. This will of course hurt the poorest Americans the most.

Third, building a wall ignores the real causes of illegal border crossings into the United States. Although Trump is right to prioritize the problem of border security, he misses the point on how it can be done effectively and at an actual financial benefit to the country rather than a huge economic drain.

The solution to really addressing the problem of illegal immigration, drug smuggling and the threat of cross-border terrorism is clear: remove the welfare magnet that attracts so many to cross the border illegally, stop the 25-year U.S. war in the Middle East and end the drug war that incentivizes smugglers to cross the border.

The various taxpayer-funded programs that benefit illegal immigrants in the United States such as direct financial transfers, medical benefits, food assistance and education cost an estimated $100 billion per year. That is a significant burden on citizens and legal residents.

The promise of free money, free food, free education and free medical care if you cross the border illegally is a powerful incentive for people to do so. It especially makes no sense for the U.S. government to provide these services to those who are not in the United States legally.

Likewise, the 40-year war on drugs has produced no benefit to the American people at a great cost. It is estimated that since President Richard Nixon declared a war on drugs, the United States has spent more than $1 trillion to fight what is a losing battle. That is because just as with the welfare magnet, there is an enormous incentive to smuggle drugs into the country.

We already know the effect that ending the war on drugs has on illegal smuggling: as more and more states decriminalize marijuana for medical and recreational uses, marijuana smuggling from Mexico to the United States has dropped by 50 percent from 2010.

Finally, the threat of terrorists crossing into the United States from Mexico must be taken seriously; however, once again we must soberly consider why they may seek to do us harm.

We have been dropping bombs on the Middle East since at least 1990. Last year, President Barack Obama dropped more than 26,000 bombs. Thousands of civilians have been killed in U.S. drone attacks.

The grand U.S.plan to remake the Middle East has produced only misery, bloodshed and terrorism. Ending this senseless intervention will go a long way toward removing the incentive to attack the United States.

I believe it is important for the United States to have secure borders, but unfortunately, Trumps plan to build a wall will end up costing a fortune while ignoring the real problem of why people cross the borders illegally. They will keep coming as long as those incentives remain.

Ron Paul is a retired congressman, former presidential candidate, and founder and chairman of the Ron Paul Institute for Peace & Prosperity. Click here to contact him, follow him on Twitter: @RonPaul, or click here to read previous columns. The opinions expressed are his own.

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Ron Paul on Trump’s Travel Ban: Targeting Terrorism Or Iran? – Antiwar.com (blog)

Posted: at 2:45 pm

President Trumps recent Executive Order banning entry to citizens of seven mostly-Muslim countries for 90 days has sparked protest and outrage. Lost in the din created by the protests is the fact that these seven countries have something in common: they have been targeted by the US for bombs or regime change. Where Iraq and Syria are now considered terrorist threats, for example, before US regime change and invasion there was no terrorist problem. Iran has never attacked or threatened the United States, but it is on the list of banned countries. Saudi Arabia was complicit in the 9/11 attacks on the US and 15 of the 19 attackers were Saudi citizens, however somehow the Saudis escaped President Trumps notice. Is this really about protecting us from terrorism, or is it about politics? We discuss today in the Liberty Report:

Reprinted from The Ron Paul Institute for Peace & Prosperity.

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What is Libertarianism? An Examination of it and Some Resources for Further Research – The Libertarian Republic

Posted: at 2:44 pm

by Ian Tartt

You may have heard the term libertarianism, but what does it mean? Simply put, libertarianism is the philosophy that says you have the right to do anything you like as long as you dont violate anyone elses rights or cause unjust harm to another person.

This definition comes from the fact thatwe all own ourselves, a concept which cant be logically denied because any attempt to deny self-ownership would involve using the mouth, the body, and the brain; thus, to attempt to argue against self-ownership requires the use of self-ownership, making any arguments against it self-defeating. Because we own ourselves, we have the right to do with ourselves what we like. As such, libertarians oppose laws prohibiting behavior which may hurt the individual engaging in such behavior but does not hurt anybodyelse (i.e. the War on Drugs).

Now, sincewe own ourselves and must make use of the natural world to live, we also have the right to own property. We can come to own property through homesteading (mixing our labor with un-owned resources) or by trading with the legitimate owner of a piece of property. Thus, other essential components of libertarianism include respect for both property rights and the free exchange of property between individuals.

The above are examples of conclusions drawn from deontological, or natural rights, libertarianism. The other main type of libertarianism is utilitarian, or consequentialist, in nature. Rather than focusing on rights, the utilitarian libertarian opposes overreaching laws and supports free exchange because he believes it will lead to the greatest amount of good for the greatest number of people. Because the conclusions reached by both deontological and utilitarian libertarians are generally the same, the two are normally happy to work with each other to advance freedom.

Unlike many other ideologies, libertarianism focuses more in individuals than on groups. One reason for this is the fact that groups are merely two or more individuals coming together. There can be individuals without groups, but there cant be groups without individuals. Also, respecting the rights of every individual would lead to the same type of equality before the law that most people want to achieve but go about by trying to help groups rather than individuals. For these reasons, libertarianism is a philosophy based on individuals.

While libertarians are mostly in agreement about the justifications for liberty (whether deontological or utilitarian), they often disagree about how to get to a free society. Some use political action (voting, fundraising for candidates, running for office, etc) while others oppose it. Many, whether they affirm or reject political action, will write articles or books and create videos in which they express their ideas. There are frequent clashes over the best strategy to attaina free society; these clashes usually result in setting back the liberty movement rather than advancing it, and thus making it that much harder to recover freedom.

Another point of disagreement, common to libertarians, is over the proper amount of government, or whether there should be a government at all. There are many different types of libertarians, each with their own thoughts on the subject. Some libertarians want the government to return to its Constitutional limits; others want to see it provide nothing more than courts, police, and national defense; and still others want to see all of the useful functions of government handled insteadby private enterprise. Regardless of their ultimate views on government, all libertarians want to see much more freedom than currently exists, and thus would benefit from working together instead of fighting over their differences.

This has been a basic introduction to libertarianism. While the philosophy is simple to explain and understand, one article is wholly insufficient to cover all the views, arguments, subjects, and people that have been part of the liberty movement over its hundreds of years in existence. For those interested in learning about some of the different types of libertarians, heres an article and a video that explain the major differences between them. Julie Borowski has a lot of funny YouTube videos that cover economics, foreign policy, current events, and numerous other subjects. A few prominent libertarian institutions include the Mises Institute, the Cato Institute, and the Reason Foundation. An article containing many links to books, TV ads, speeches, and radio shows from the amazing Harry Browne can be found here.For the bookworms, some great reads include the works of Ron Paul, Harry Browne, Ayn Rand, and Murray Rothbard. These are a few of the many great resources available for learning more about libertarianism and should be more than sufficient to give anyone interested a better understanding of the philosophy of liberty.

libertarianismLibertynatural rightsphilosophyutilitarianism

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A Donald Trump Presidency Indicates The Necessity Of Alt-Right Libertarianism – The Liberty Conservative

Posted: at 2:44 pm


The Liberty Conservative
A Donald Trump Presidency Indicates The Necessity Of Alt-Right Libertarianism
The Liberty Conservative
The exit of the TPP should be seen as a welcome sign for libertarians who see the danger in entangling alliances and how the TPP would erode national sovereignty. This bizarre alliance of Neoconservatives, Obama supporters, and Beltway libertarians for ...

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On Love and Libertarianism – Being Libertarian (blog)

Posted: at 2:44 pm


Being Libertarian (blog)
On Love and Libertarianism
Being Libertarian (blog)
Well, my dear libertarians, here we are at the precipice of a new chapter in American history, desperately trying to keep our eyes and minds clear while everyone else is either punching Nazis or forcing gays into electroshock therapy. And here I am ...

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*Of Course* Libertarians Are Leading the Charge Against Trump’s Authoritarianism – Reason (blog)

Posted: at 2:44 pm

GuardianThe Guardian has pulled together five pieces from conservatives and libertarians who are critical of President Donald Trump's authoritarian tendencies and policies. I'm happy to be represented in the mix (for my commentary about Trump's awful, inhumane, and idiotic ban on refugees and travelers from seven countries tied to terrorism). It's a good mix of people, including some conservative critics (The New York Time's Ross Douthat, National Review's David French, Commentary's Noah Rothman) and Steve Horwitz of Bleeding Heart Libertarians along with yours truly. Here's a snippet from my piece:

That's certainly the case with Trump and his orders on sanctuary cities and on immigration and refugee policy. The laws were not just poorly phrased and timed, they clearly will not work to address the basic issues they ostensibly are meant to ameliorate. As Anthony Fisher noted here earlier today, the US embassy in Iraq has said that Trump's action is a recruitment tool for jihadists, as pro-American Middle Easterners realize they're being hung out to dry. As for keeping America safe from terrorists entering the country as refugees, the fact is the country has an incredibly safe record.

Read the whole collection of pieces here.

Because no good deed or kind word can go unpunished, I'd like to add a bit of nuance to the way the writer, Jason Wilson, encapsulates his piece. Here's the headline and subhed:

Burst your bubble: five conservative articles to read as Trump riles libertarians

Some libertarians are reacting with alarm to Donald Trump's discriminatory executive orders, his authoritarian tendencies and international sabre-rattling

I think it's accurate to call Douthat, French, and Rothman conservatives, but it's clear that neither Horwitz or I have nothing to do with conservatism.

Yet the confusion is right there in headline: The "conservative articles" are the product of Trump "ril[ing] libertarians"? Wuh?

I just don't get the slowness with which people are fully grokking that libertarianism is as distinct from conservativism as it is from progressivism or leftism. I'm not trying to be pedantic or coy here, but there's a reason why libertarians (certainly those at Reason) were intensely critical of George W. Bush's executive branch overreach and Barack Obama's too, while conservatives and liberals generally stayed silent when their guy was doing the power grabbing. And so it makes total sense that libertarians are leading the attacks on Trump's attempts to be a one-man (or at least one-branch) government. Libertarianism is nothing if not the antithesis of authoritarianism. Always has been, always will be. Be sure to check out Reason's attitude toward whoever eventually replaces Trump. The minute he (or she) starts down an authoritarian road, we'll be on the case.

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The contradiction of classical liberalism and libertarianism – USAPP American Politics and Policy (blog)

Posted: at 2:44 pm

A standard assumption in policy analyses and political debates is that classical liberal or libertarian views represent a radical alternative to a progressive or egalitarian agenda.

In the political arena, classical liberalism and libertarianism often inform the policy agenda of centre-right and far-right parties. They underpin laissez-faire policies and reject any redistributive action, including welfare state provisions and progressive taxation. This is motivated by a fundamental belief in the value of personal autonomy and protection from (unjustified) external interference, including from the state.

It is difficult to overestimate the philosophical and political relevance of classical liberalism and libertarianism. President Trumps proposal to repeal the Affordable Care Act (Obamacare), for example, is clearly inspired by a libertarian philosophical outlook whereby No person should be required to buy insurance unless he or she wants to (Healthcare Reform to Make America Great Again).

More generally, in the last four decades the political consensus, and the spectrum of policy proposals and outcomes, has significantly moved in a less interventionist, more laissez faire direction. The centrality of classical liberal and libertarian views has been such that the historical period after the end of the 1970s following the election of Margaret Thatcher in the UK and Ronald Reagan in the US has come to be known as the Neoliberal era.

Yet the very coherence of the classical liberal and libertarian view of society, and its consistency with the fundamental tenets of modern democracies, have been questioned. Thanks to the work of Nobel laureate Amartya Sen, for example, it has long been known that classical liberalism and libertarianism may contradict some fundamental democratic principles as they are inconsistent with the principle of unanimity (also known as the Pareto Principle) the idea that if everyone in society prefers a policy A to a policy B, then the former should be adopted.

In a new study, we have analysed the consistency of classical liberalism and libertarianism in the light of the challenges that modern societies face, such as environmental problems and the allocation of resources between generations. In particular, we have adopted the modern tools of economic analysis in order to provide rigorous answers to the following questions:

To be precise, we study a property formally, an axiom capturing a liberal non-interfering view of society, the harm principle, whose roots can be traced back to John Stuart Mills classic book On Liberty (1859).

The basic idea of the harm principle is that: The only purpose for which power can be rightfully exercised over any member of a civilised community, against his will, is to prevent harm to others The only part of the conduct of anyone, for which he is amenable to society, is that which concerns others. In the part which merely concerns himself, his independence is, of right, absolute. (John Stuart Mill, On Liberty, Chapter I).

Formally, we translate this intuition as follows: suppose that society chooses policy A say, a flat tax over policy B say, a progressive tax. Suppose next that after this choice, but before the implementation of the policy, your welfare decreases for reasons independent of the policy. Perhaps you have been unlucky and have broken your leg. Or maybe you have been careless and your house has burnt down. Either way, nobody else but you is affected. In this scenario we argue that, in a liberal perspective, if after the decrease in welfare you still prefer policy A (flat tax) to policy B (progressive tax), then society should not switch to a progressive tax.

The principle captures the idea that an agent can veto society from switching choices after a negative change that affects only her and nobody else. A switch in societys choices against someone after she has incurred a welfare loss would represent a punishment for her which does not yield any benefits to others. This would run directly counter a liberal ethics.

The Harm Principle, as we formalise it, is intuitive and not particularly demanding. For example, it does not impose the adoption of a flat tax in our example: it says that if a flat tax was chosen, then it should still be chosen in the circumstances described. Although it does not outline the boundaries of a complete liberal theory of the state, the Harm Principle does capture some of the core liberal intuitions, and in particular a liberal view of noninterference whenever someone suffers a welfare loss and nobody else is affected. This mild and reasonable principle has some rather startling implications.

We show that, unlike in Amartya Sens seminal contribution, classical liberal views of individual autonomy and freedom as embodied in the harm principle can provide consistent foundations for collective evaluations, and are consistent with the fundamental democratic principle of unanimity.

In particular, a liberal non-interfering approach can help to adjudicate some fundamental distributive issues, including those related to intergenerational justice. This is a key policy area in the light of current debates on climate change and carbon emissions, and a natural application of the harm principle, which embodies some important aspects of the very idea of sustainability as defined in the United Nations Brundtland Report.

Yet, the harm principle has a surprising and counter-intuitive implication when coupled with the principle of unanimity and a basic notion of fairness, known as the principle of Anonymity, according to which policies should not be ad hominem and be designed independently of individual identities.

We show that, together with Anonymity and the Pareto Principle, the Harm Principle leads straight to the adoption of strongly egalitarian policies more precisely, policies promoting the equality of welfare among all members of society, as advocated by the American political philosopher John Rawls. In other words, contrary to the received view, classical liberalism and libertarianism do not provide a radical alternative to egalitarianism: rather, this analysis can be interpreted as showing that if one adopts a liberal view of non-interference (and the fundamental democratic principle of unanimity), then one is forced to embrace egalitarian redistributive policies, including progressive taxation and the welfare state.

Some important implications derive for both of the main contending approaches in political philosophy. Our result can be read as suggesting that classical liberals and libertarians need to reconsider the philosophical foundations of their political outlook: if they want to escape the egalitarian implications of our result without rejecting the fundamental democratic principle of unanimity then they must reconsider the central role traditionally attributed to John Stuart Mills Harm Principle.

Alternatively, and perhaps more provocatively, our results can be seen as shedding new light on the normative foundations of egalitarian principles and progressive politics. For a strong support for redistributive policies derives from a combination of a belief in democratic procedures and a liberal principle of non-interference and individual autonomy. So perhaps our work provides a rigorous, novel justification for the label `liberal egalitarianism usually associated with modern approaches to progressive politics.

Notes:

Michele Lombardi is a senior lecturer at the Adam Smith Business School of the University of Glasgow. An Italian citizen, he taught at the University of Warwick, University of Surrey and Maastricht University. Michele received his BSc from the University of Foggia in 2002 and also spent time as a Master student at Queen Mary University of London. He completed his Ph.D. in Economics at Queen Mary University of London in 2007. Micheles research interests include the design of mechanisms for resource allocation (fair allocation) as well as for group decision making (social choice), bounded rationality, psychology and philosophy. He is also interested in experimental works and applications in these areas. Michele has published articles in a number of economic journals such as theEconomic Journal,Economic Letters,Economic Theory,International Journal of Game Theory,Journal of Economic Theory, Journal of Mathematical Economics, Mathematical Social Sciences andSocial choice and Welfare. He has also acted as a reviewer for more than twenty different journals in economics, game theory, political science and mathematics.

Kaname Miyagishima holds a Ph.D. in Economics from Hitotsubashi University. He is an Associate Professor at the Department of Economics, Aoyama Gakuin University. His research interests include topics of axiomatic approach to fair resource allocations and social evaluation criteria. He has published articles in peer-reviewed academic journals such as the Economic Journal, Social Choice and Welfare, Mathematical Social Sciences, and Review of Economic Design.

Roberto Veneziani holds a Ph.D. in Economics from LSE. He is Reader in Economics at the School of Economics and Finance, Queen Mary University of London. His research interests include topics of liberal principles of distributive justice, axiomatic exploitation theory, macrodynamic models of growth and distribution, egalitarian principles, distribution of resources between generations, sustainable development, and normative principles in economics. He is also interested in the history of economic thought and in political economy from a mathematical perspective. He has published articles in a number of outlets in economics, political scienceand philosophy. He has refereed for more than thirty different journals in economics, political science and philosophy. He is a co-founder of the Analytical Economy Workshop, which has met annually since 2007, and an Editor of Metroeconomica, the Journal of Economic Surveys, and the Review of Social Economy.

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Have Your Wishes For Care Known Before A Health Crisis Strikes … – NPR

Posted: at 2:43 pm

Helen was 82. She'd survived both breast cancer and outlived her husband.

One summer day she began bleeding from her colon and was admitted to the hospital. We assumed the worst another cancer. But after she endured a series of scans and being poked with scopes, we figured out that she had an abnormal jumble of blood vessels called an arteriovenous malformation in the wall of her colon.

The finding surprised us, but the solution was clear: Surgery to remove that part of her colon should stop the bleeding once and for all. The operation went well. But afterward Helen's lungs filled with fluid from congestive heart failure. Then she caught pneumonia and had to be put on a ventilator in the intensive care unit.

Her medical problems and our treatments had simply stressed her aging organs beyond their capability.

On morning rounds I took inventory: Helen had a breathing tube in her throat connected to the ventilator; a large IV in her neck; a wire inserted into her wrist artery to measure her blood pressure; a surgical wound drain and a bladder catheter to collect her urine.

Helen was tethered to our ICU, with no clear sign of when or even if she would leave. Helen's only daughter was distraughtboth about her mother's condition and because she had never discussed what her mother would want in such a situation.

Helen was living out the fate of millions of Americans who don't clearly state their medical wishes with an advance directive. Only about a quarter of American adults have an advance directive, according to a 2014 study published in the American Journal of Preventive Medicine.

I found myself wishing we could just stop our full-court press on Helen. The humane thing to do, it seemed to me, would be to stop aggressive medical treatment and let nature take its course. After nearly two weeks of intensive care with no improvement in her condition, Helen's daughter instructed us to stop the mechanical ventilator. She died an hour later.

Stories like Helen's occur in ICUs all over the country every day, unfortunately. Often these situations are flashpoints of tension between the hopes and expectations of families and the realities seen by the medical team. But it doesn't have to be this way. If we lessen the stigma around death as an unmentionable topic by forcing ourselves to talk to our loved ones about what we want at the end of life, we can vastly diminish the amount of energy and suffering that come with trying to prolong life when nature tells us otherwise.

Many of us in the medical profession who have seen the futility of cases like Helen's take steps to avoid spending our dying days in a hospital that way (or in a hospital at all). As Dr. Ken Murray wrote in a 2011 essay, doctors die differently, often forgoing invasive and expensive treatment. This approach is different than the one taken by most Americans, but shouldn't be, he argued.

We know that Medicare typically spends a lot on people near the end of life. Medicare spending on inpatient hospital services in 2014 was seven times higher for people who died ('decedents') that year than those who survived.

I'll admit that this is a bit of a tautology, because people sick enough to die from chronic illnesses and complications related to aging are much more likely to make ample use of their health insurance.

But in my view, the crux of the problem is the wide mismatch between what people say they want (to die at home) and where they wind up (still dying mostly in hospitals and nursing homes). As a result too many American deaths are still overly medicalized, robbing us of our chance at a peaceful passage.

The trend is moving in the right direction, however, as more of us express our care goals and die at home or in hospice.

One strategy is to imagine a point in your life when fighting to stay alive would be counterproductive. Would it be when you had advanced dementia and couldn't recognize your family? What if you lost your ability to feed yourself? Work backward from there, and remember that when it comes to medical care, less is often more.

At that key point, your directive could limit your health care to seeking comfort rather than an attempted cure. You'll have to be decisive about foregoing life-sustaining treatment, because of the inertia of the health care system and reluctance from our loved ones. Dr. Ezekiel Emanuel, a bioethicist, famously offered this viewpoint in a 2014 article titled, "Why I Hope to Die at 75."

Emanuel's argument led to pushback. Many people, like my parents, were offended at the idea of giving up on life at 75.

But that's not what Emanuel was actually arguing. He didn't write the story's headline, which more accurately would have been something like, "Why I Plan to Stop Screening Tests at Age 75 Because They're More Likely to Hurt Me Than Help Me."

I checked with Emanuel, now 59, to see if he'd had any change of opinion.

"The article reflects my view," he replied by email. "I am stopping ... colonoscopies and other screening tests at age 75. I am stopping statins and other medications where the rationale is to extend my life." He said he's not trying to provoke. "It is my view. It is provocative only because other people find it so."

Having cared for many patients like Helen, who wind up in a vortex of intense medical care, I find what Murray and Emanuel have suggested to be highly appealing.

That said, it's important for those of us looking to de-medicalize death to remember that is our choice. Many people opt instead to do everything to stave off death.

The message is simple: Think deeply about what you want beforehand. Then tell your family. Share it with your doctor. We truly want to honor your wishes.

John Henning Schumann is an internal medicine doctor and serves as president of the University of Oklahoma's Tulsa campus. He also hosts Studio Tulsa: Medical Monday on KWGS Public Radio Tulsa. You can follow him on Twitter: @GlassHospital.

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Have Your Wishes For Care Known Before A Health Crisis Strikes ... - NPR

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Marketing Immortality – JSTOR Daily

Posted: at 2:43 pm

Weve long been fascinated with the ideas of immortality and eternal youth. Around 220 BCE, Emperor Shihuangdi searched for the elixir of life. Juan Ponce de Len searched for the Fountain of Youth in the 1500s, and in 1890, Oscar Wildes Dorian Gray sold his soul for a perpetually pretty face. The Methuselah Mouse Prize, an award granted to teams that engineer older and healthier mice, took the fantasy out of our myths and put it into our laboratories.

Recently, a controversial $8,000 blood transfusion treatment shows that its also moved into our clinics.

Anti-aging technology isnt limited to groundbreaking medicine.

The provider, Jesse Karmazin, based the idea on a study that suggested aging in mice could be reversed, after old mice that were given blood from young ones for four weeks showed changes in hallmark signs of getting older. Participants can pay for an infusion of young peoples blood and plasma in the hopes itll rejuvenate their own systems.The study itself is unreliable, the treatment unproven, and the cost toclients is astronomical. Karmazin himself isnt a medical professional, but an entrepreneur who sees anti-aging research as a market opportunity. The business has the potential to garner $4.8 million.

Anti-aging technology isnt limited to groundbreaking medicine. It lines pharmacies and makeup counters. Wrinkle creams, skin repair formulas, vitamins, Viagra; these are small but concrete examples of the money poured into researching, packaging, and selling youth.Our aversion to aging has enabled the commercialization of immortality, despite its impossibility.

Given our current enthusiasm for staving it off, we may not realize age didnt always terrify us, perhaps because we didnt live long enough for it to.

Senectitude in 1481 originally meant old age; senescence was used in 1695 to mean growing old; and senile was used in 1661 to signify what was suited to old age. The term senility was used in 1791 to mean a state of being old or infirm due to old age. But by 1848 senile meant weakness, and by the late nineteenth century it indicated a pathological state. The term has taken on greater medical negative connotations ever since.

As our lives have grown longer, life span and health span have become crucially different. Although age brings benefitsfamilies, wisdom, stabilitythe accompanying physical degeneration, and its correlating limitations, make us hyperfocused on old ageas the signpost for the approaching end of life.

The fixation on defeating death has had the sideeffect of vilifying age. John A. Vincent writes, science as culture misdirects the way in which old age is understood. Rather than valuing life in all its diversity, including its final phase, it leads to misguided devotion of resources to solving the problem of death. The focus on biological failure sets up a cultural construction of old age which leads to the low esteem in which it is currently held.

Our desire for youth isnt just a fear of dying; its the desire to keep a life worth living, and for us, that means immortality is not merely living to 150. It means living to 150, perpetually age 30.

By: John A. Vincent

Sociology, Vol. 40, No. 4 (AUGUST 2006), pp. 681-698

Sage Publications, Ltd.

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