A Philosopher's Blog

Defining Rape IV: Men as Victims of Women

Posted in Ethics, Law, Philosophy, Politics, Universities & Colleges by Michael LaBossiere on July 2, 2014
Women on Top: How Real Life Has Changed Women'...

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In my previous essay, I ended by noting that while college men are the victims of sexual assault by college women, this matter is rarely mentioned. It certainly does not get the attention of the mainstream media. Perhaps because this would run afoul of the current media narrative regarding the rape epidemic on campus.

Of course, it might be claimed that men cannot, in general, be victims of women. One common view is that men are not at all picky about sex and a man would be fine with a woman taking advantage of him while he was drunk or unconscious. Or, somewhat less extreme is the view that while a man might not be fine with it, he would not be too put out by it. He might feel some embarrassment if the woman was unattractive or might be angry if she gave him a STD, but he (some might claim) would not be psychologically harmed in the way a woman would be harmed. The gist is that men are psychologically incapable of being raped by woman—that is, a man would always consent or, at the very least, would not be very bothered by the sex.

Even if this were true (which it is not), the fact that a victim of a crime is not as upset as other victims might be would not seem to make it less of a crime. To use an analogy, if Sally is a stoic and is not very upset when her car is stolen, this does not make it any less of a theft than if she was distraught over the loss. As such, even if men are not as bother by women, this would not entail that men are not or cannot be victims. In any case, as will be shown, men are generally not cool with being assaulted by women—despite the bravado and stereotypes.

Another approach is to argue that men and women are fundamentally different so that women cannot (in general) rape men. Some people think that a man cannot become erect if he does not wish to do so and hence it is impossible for a man to have heterosexual intercourse without his consent. However, this view is on par with claiming that men have an ability to “shut down” an erection when it is a case of “legitimate” rape. This is, unfortunately, no more true than the claim that a woman can shut down a pregnancy when she is the victim of a “legitimate rape.”

Yet another counter is to claim that while women could sexual victimize men, it does not happen that often—if at all. This would, if true, be wonderful. Sadly, it is not true.

While it is rarely discussed and never seems to grab headlines, college men are subject to sexual victimization by college women and are emotionally harmed by it.  While men are often presented as happy to have sex with anyone at any time, this is not true and men can be as hurt by sexual victimization as women. So, to claim that a man wants to be raped by a woman is just as awful as claiming that a woman wants to be raped by a man. While it might be true of some, it is certainly not true of most.

In a mostly ignored study, 51.2% of college males reported being sexually victimized (ranging from unwanted sexual contact, to sexual coercion to rape). Naturally, given that sexual violence is often unreported and men are extremely likely not to admit to being assaulted by a woman, the number of cases could be quite large. But, of course, it is not possible to make an estimate since this would require claiming to know what is unknown. This does not, of course, stop some people from making estimates about unreported assaults on women.

Interestingly, being “made to penetrate” is not legally classified as a form of rape. Thus, by this definition, a woman forcing a man to have sex with her is not rape. But if a man commits the same act with an unwilling woman, it is rape. This seems to allow sexual victimization of men by women to be dismissed as less serious than the victimization of women by men, all by definition. To use an analogy, this would be like saying that when a man steals from a woman, it is theft. When a woman steals from a man, it is involuntary lending.

While men are generally not subject to being forcibly raped by women, women do pursue other tactics that mirror those of male rapists including selecting victims who are impaired or unconscious. If having sex with a woman by these means is rape, then having sex with a man by these means should also be rape.

It might also be claimed that women are not inclined to sexual violence. While the stereotypes cast men as victimizer and women as victims, the terrible truth is that sexual violence is equal opportunity. As the National Geographic reported, a study determined that males and females commit roughly the same amount of sexual violence by the time they reach the age of 18. This is certainly consistent with the claim that college men are subject to sexual assault by women. As such, evil does not discriminate based on sex.

At this point I might be accused of having nefarious motivations or of playing the old “victim switch” tactic to get men off the hook. However, my goals are merely to insist on a consistent standard when it comes to sexual assault and to call attention to an important truth: sexual victimization is an equal opportunity crime. I am not asserting that we should dismiss or ignore the assaults on women. Rather, I am saying that we should not be blinded to the fact that men are victims as well. If the campus rape epidemic is going to be stopped, we cannot be concerned with just the victims who are women and just the victimizers who are men.

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Relative Cost of Education

Posted in Business, Philosophy, Politics, Universities & Colleges by Michael LaBossiere on April 23, 2014
A Plumber at work.

A Plumber at work. (Photo credit: Wikipedia)

As a professor I am aware that the cost of a university education has increased significantly, even adjusting for inflation. I am also well aware that this cost increase is not due to proportional increases in faculty salary. One reason for this is that the salaries of professors, especially those at state school, tend to be compressed. For faculty who have been around a long time, such as myself, the compression can be quite extreme. This is one reason why star faculty move around relentlessly in search of ever larger salaries. Another reason is that universities are relying very heavily on badly paid adjuncts. While the rates vary, a typical adjunct can make about $24,000 over nine months for teaching eight classes. There are generally no benefits at all, so the cost to schools is rather low. Given that such faculty typically have advanced degrees, they are perhaps the worst paid of the best educated.

It is true, as I mentioned, that there are some star faculty—they are the celebrities of academics who can use their status and connections to slide smoothly from one well-paying job to an even better paying job. Such stars also sometimes enjoy exemptions from the mundane duties of faculty, such as teaching. As with any profession, such stars are relatively rare and they are generally not a significant factor in the increased cost of education. As such, blaming the faculty for the higher cost is not, in general, a legitimate complaint.

That said, I do agree that complaining about the cost of education is legitimate: costs have increased significantly while there are increasing doubts about the quality and value of education. However, it is worthwhile to put the cost of education into perspective. Being a professor, I will focus on the educational aspects of the matter.

At a state school like my own Florida A&M University, a student will typically take a class from a person with a terminal degree in her field, usually a doctorate. A standard class is three credit hours, which means that a student is supposed to be in class for two and a half hours per week. My fellows and I typically teach four classes per semester and we are required to hold two hours of office hours per class. We also have various other research, advising and administrative duties. Thanks to email, students can also contact us around the clock—and many faculty, including myself, respond to emails outside of normal hours and on the weekends. We also typically do work for the classes, such as grading, preparing lessons and so on throughout the week and during “vacations.”

While the exact hours will vary, a student at a school like FAMU will have access to a professional with and advanced degree for 2.5 hours in the classroom, have access to 8 hours of office hours, and typically have unlimited email access. Most faculty are also willing to engage with students in their off time—for example, I have stopped while grocery shopping to explain a paper to a student who also happened to be shopping at that time. This is in return for the cost of tuition, only a small fraction of which goes to the professor.

Now, compare this to the cost per hour for other professionals. For example, a psychiatrist might charge between $125-$285 per hour. As another example, a plumber might charge $90 an hour. As a third example, a consultant might charge anywhere from $30 to thousands of dollars an hour. As a fourth example, an attorney might charge hundreds of dollars per hour.

Imagine what it would cost to have a plumber, medical doctor, or attorney spend 2.5 hours a week with you for 16 weeks (divided by the other people, of course), be available an additional eight hours a week, do work for you outside of those hours, respond personally to your emails and so on.  If professors billed like plumbers, lawyers or medical doctors, the cost of school would be insanely high.

It might be replied that plumbers, lawyers and medical doctors perform services that are more valuable than mere professors. After all, a plumber might fix your pipes, a lawyer might get you a nice settlement and a medical doctor might re-attach your quadriceps tendon. A professor merely teaches and surely that has far, far less value. The obvious practical reply is that people with college degrees make considerably more than those without—this would suggest that teaching does provide some value. There is also the obvious fact that plumbers, medical doctors and lawyers need education in order to do what they do—thus showing that education does provide something of value (although plumbers typically do not go to college to become plumbers).

As such, while education is too expensive, the actual cost of paying professors is ridiculously cheap relative to what other comparable professionals cost.

 

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Brain Games

Posted in Philosophy, Technology by Michael LaBossiere on April 7, 2014
Brain Games box art

Brain Games box art (Photo credit: Wikipedia)

As a general rule, most people want to gain for as little as possible effort. For example, people seem to often buy exercise equipment thinking that it will make exercise easier. They usually find out that is not the case—thus the brisk trade in lightly used exercise equipment and its regularly being buried under clothes. The latest brain training games seem to be offering the same temptation: if a person plays these brain games, she will become smarter. The appeal is, of course, that the games are supposed to fun rather than burdensome—like education tends to be. The obvious questions is whether such games work or not.

On the face of it, the idea that playing these brain games can have positive effects does make some sense. After all, exercising the body improves it—so, by analogy, the same should hold for the brain. The obvious concern is that not everything that people think is exercise actually improves the body. Likewise, the brain games might be like useless exercises for the body: you are doing something, but it is having no effect. To address this matter, the thing to do is to turn to some actual science.

As it stands, the unbiased research seems to show that the current crop of commercial brain training games have no meaningful impact. While people do get better at the games, this is most likely due to familiarity. To use an analogy to another type of video game, doing the same scripted event over and over in a game like World of Warcraft or Deadspace III will cause a person to improve at that specific task. To use a specific example, in Deadspace III the player has to “fly” through a field of debris and avoid being smashed. My friend and I smashed into the debris repeatedly until we finally made it—through familiarity with the process rather than by getting “better.” The same seems to be true of the current brain games and getting better at such a game does not entail that one is smarter or more mentally capable. In light of the existing evidence, spending money on the commercial brain games would be a waste of money—unless one is just playing them for fun.

Interestingly enough, video games of the more “traditional” sort can improve memory and mental skills. This is not surprising—such video games typically place players in challenging environments that often mimic general challenges in the real world. As such, rather than simply focusing on a relatively simple game that is narrowly focused, the gamer is forced to fully engage the general challenge and develop a broader set of capabilities. As such, video games of this sort probably help improve mental abilities in a way analogous to how reality does so. In the case of video games, the challenges will tend to be more challenging and more frequent than what a person would generally encounter in the real world. For example, participating in a World of Warcraft raid involves tracking abilities, maintaining situational awareness, following (or giving) orders, following a strategy and so on. That is, it provides an actual mental workout. So, a person looking for games to make her smarter would be better off getting a gaming console or PC and selecting challenging games. They will probably be much more fun than the brain games and apparently more effective.

I would also like to put in a plug for traditional table top games as well—be they games like Risk or D&D. These games provide enjoyable challenges that seem to have a positive impact on cognitive abilities. Plus, they are social activities—and that is no doubt better for a person than playing brain games online solo.

 

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Orientation & Ethics

Posted in Ethics, Philosophy by Michael LaBossiere on February 19, 2014
English: Gender symbols, sexual orientation: h...

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When discussing the ethics of sexual orientation, it is not uncommon for people to draw comparisons between being gay and being a rapist, pedophile, practitioner of bestiality or a necrophiliac.  My stock response to such comparisons is that there is at least one glaringly obvious difference between being gay and engaging in the sexual behavior mentions. To specific, rapists, pedophiles and so forth engage in sexual behavior that does not involve the consent of their victims. This, in part, makes their behavior immoral. There is also the fact that cases involving sexual coercion inflict harm on the victim. As such, consensual sex between homosexuals would seem to be nothing like those other things. Obviously enough, homosexual rape and homosexual pedophilia would be wrong—but because of the rape and pedophilia.

While it seems impossible to deny that consensual homosexual sex differs from rape and such in regards to consent, there are those who do claim that homosexuality is itself wrong. The question is, obviously enough, this: in what does its wrongness consist?

I’ll run through some scenarios and questions that I hope will lead to some consideration and discussion.

Imagine two married couples: Sam & Ashley and Mel & Fran.  Suppose that Sam and Ashley have the following relationship: they love each other, treat each other well, only have consensual sex, and are faithful to each other. Suppose that Mel and Fran have the following relationship: Mel does not love Fran, Mel treats Fran badly, Mel rapes Fran when Fran is unwilling to consent, and Mel has affairs regularly.

Given just this information, which relationship is morally superior? Why? Now, suppose that Sam and Ashley are the same sex while Mel and Fran have different sexes. Given this information, which relationship is morally superior? Why? Now, suppose that Sam and Ashely are different sexes while Mel and Fran are the same sex. Is this worse than the scenario in which Sam and Ashley are a straight couple? Why? Or why not?

Based on arguments I have seen before, some might argue that the scenario in which Sam and Ashley are a same sex couple is impossible. That is, people of the same sex cannot love each other, or have only consensual sex, or treat each other well, or be faithful. This could, of course, be argued—but arguments would be what is needed. However, even if it is argued that the scenario could not occur, there would still be the interesting question of whether such a (hypothetical) scenario would be morally superior to the scenario in which the straight couple’s situation involves rape, infidelity and abuse.

Overall, this matter can be distilled down the following question: what is intrinsically wrong, if anything, with being homosexual—even in the context of what would be considered an ideal relationship if it held between heterosexuals.

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Homosexuality, Choice & Engineering

Posted in Ethics, Metaphysics, Philosophy by Michael LaBossiere on February 14, 2014
English: Venn diagram depicting the relationsh...

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In my previous essay I rambled a bit about homosexuality and choice. The main point of this was to set up this essay, which focuses on the ethics of engineering people to be straight.

In general terms, sexual orientation is either a choice or it is not (though choice can be a matter of degree). Currently, many of the people who are against homosexuality take the view that it is a matter of choice. This allows them to condemn homosexuality and to push for methods aimed at motivating people to choose to be straight. Many of those who are at least tolerant of homosexuality contend that sexual orientation is not a matter of choice. They are, of course, careful to take the view that being homosexual is more like being left-handed than having an inherited disease. This view is taken as justification for at least tolerating homosexuality and as a reason to not allow attempts to push homosexuals in an impossible effort to get them to choose to be straight.

For the sake of this essay, let it be assumed that homosexuality is not a matter of choice—a person is either born with her orientation or it develops in a way that is beyond her choice. To blame or condemn the person would be on par with blaming a person for being born with blue eyes or to condemn a person for being left-handed. As such, if homosexuality is not a choice, then it would be unjust to condemn or blame a person for her sexual orientation. This seems reasonable.

Ironically, this line of reasoning might make it morally permissible to change a person’s orientation from gay to straight. The argument for this is as follows.

As has been supposed, a person’s sexual orientation is not a matter of choice: she is either born that way or becomes that way without being able to effect the result. The person is thus a “victim” of whatever forces made her that way. If these forces had been different in certain ways, then she would have had a different sexual orientation—either by chance or by the inexorable machinery of determinism. Given that the person is not making a choice either way, it would seem to be morally acceptable for these factors to be altered to ensure a specific orientation. To use an analogy, I did not choose my eye color and it would not matter, it would seem, whether this was due to a natural process or due to an intentional intervention on the part of others (by modifying me genetically). After all, the choice is not mine either way.

It could be replied that other people would not have the right to make the choice—that it should be left to blind chance (or blind determinism). This does have some merit—whatever they do to change a person, they would be morally accountable for. However, from the standpoint of the person, there would seem to be no difference: they do not get a choice either way. I ended up with blue eyes by chance, but if I was engineered to have green eyes, then the result would be the same: my eye color would not be my choice. I ended a heterosexual, but if I had been engineered to be a homosexual, I would have had no more or less choice.

Thus, robbing a person of choice would not be a moral concern here: if a person does not get a choice, she cannot be robbed of that choice. What is, however, of moral concern is the ethics of the choice being made to change (or not change) the person. If the change is beneficial, such as changing a person so that her heart develops properly rather than failing before she is born, then it would seem to be the right thing to do. If the change is harmful, such as altering the person’s brain so that he suffers from paranoia and psychosis, then it would seem to be the wrong thing to do.

In the matter at hand, the key concern would be whether making a person a heterosexual or a homosexual would be good or bad. As noted above, since it is assumed that sexual orientation is not a choice, engineering a person to be straight or gay would not be robbing them of a choice. Also, the change of orientation can be assumed to be thorough so that a person would be equally happy either way. In this case, the right choice would seem to be a matter of consequences: would a person be more or less likely to be happy straight or not? Given the hostility that still exists towards homosexuals, it would seem that engineering people to be straight would be the right choice.

This might strike some as horrifying and a form of orientation genocide (oriocide?) in which homosexuals are eliminated. Or, more accurately, homosexuality is eliminated. After all, the people who would have been homosexual (by change or by the mechanisms of determinism) would instead be straight, but they would still presumably be the same people they would be if they were gay (unless sexual orientation is an essential quality in Aristotle’s sense of the term). If orientation is not a choice, it would seem that this would not matter: no one is robbed of a choice because one cannot be robbed of what one never possessed.

A rather interesting question remains: if sexual orientation is not a choice, what harm would be done if everyone where engineered to be straight? Or gay?

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Picking between Studies

Posted in Philosophy, Reasoning/Logic by Michael LaBossiere on January 31, 2014
Illustration of swan-necked flask experiment u...

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In my last essay I looked briefly at how to pick between experts. While people often reply on experts when making arguments, they also rely on studies (and experiments). Since most people do not do their own research, the studies mentioned are typically those conducted by others. While using study results in an argument is quite reasonable, making a good argument based on study results requires being able to pick between studies rationally.

Not surprisingly, people tend to pick based on fallacious reasoning. One common approach is to pick a study based on the fact that it agrees with what you already believe. This is rather obviously not good reasoning: to infer that something is true simply because I believe it gets things backwards. It should be first established that a claim is probably true, then it is reasonable to believe it.

Another common approach is to accept a study as correct because the results match what you really want to be true. For example, a liberal might accept a study that claims liberals are smarter and more generous than conservatives.  This sort of “reasoning” is the classic fallacy of wishful thinking. Obviously enough, wishing that something is true (or false) does not prove that the claim is true (or false).

In some cases, people try to create their own “studies” by appealing to their own anecdotal data about some matter. For example, a person might claim that poor people are lazy based on his experience with some poor people. While anecdotes can be interesting, to take an anecdote as evidence is to fall victim to the classic fallacy of anecdotal evidence.

While fully assessing a study requires expertise in the relevant field, non-experts can still make rational evaluations of studies, provided that they have the relevant information about the study. The following provides a concise guide to studies—and experiments.

In normal use, people often jam together studies and experiments. While this is fine for informal purposes, this distinction is actually important. A properly done controlled cause-to-effect experiment is the gold standard of research, although it is not always a viable option.

The objective of the experiment is to determine the effect of a cause and this is done by the following general method. First, a random sample is selected from the population. Second, the sample is split into two groups: the experimental group and the control group. The two groups need to be as alike as possible—the more alike the two groups, the better the experiment.

The experimental group is then exposed to the causal agent while the control group is not. Ideally, that should be the only difference between the groups. The experiment then runs its course and the results are examined to determine if there is a statistically significant difference between the two. If there is such a difference, then it is reasonable to infer that the causal factor brought about the difference.

Assuming that the experiment was conducted properly, whether or not the results are statistically significant depends on the size of the sample and the difference between the control group and experimental group. The key idea is that experiments with smaller samples are less able to reliably capture effects. As such, when considering whether an experiment actually shows there is a causal connection it is important to know the size of the sample used. After all, the difference between the experimental and control groups might be rather large, but might not be significant. For example, imagine that an experiment is conducted involving 10 people. 5 people get a diet drug (experimental group) while 5 do not (control group). Suppose that those in the experimental group lose 30% more weight than those in the control group. While this might seem impressive, it is actually not statistically significant: the sample is so small, the difference could be due entirely to chance. The following table shows some information about statistical significance.

Sample Size (Control group + Experimental Group)

Approximate Figure That The Difference Must Exceed

To Be Statistically Significant

(in percentage points)

10 40
100 13
500 6
1,000 4
1,500 3

While the experiment is the gold standard, there are cases in which it would be impractical, impossible or unethical to conduct an experiment. For example, exposing people to radiation to test its effect would be immoral. In such cases studies are used rather than experiments.

One type of study is the Nonexperimental Cause-to-Effect Study. Like the experiment, it is intended to determine the effect of a suspected cause. The main difference between the experiment and this sort of study is that those conducting the study do not expose the experimental group to the suspected cause. Rather, those selected for the experimental group were exposed to the suspected cause by their own actions or by circumstances. For example, a study of this sort might include people who were exposed to radiation by an accident. A control group is then matched to the experimental group and, as with the experiment, the more alike the groups are, the better the study.

After the study has run its course, the results are compared to see if these is a statistically significant difference between the two groups. As with the experiment, merely having a large difference between the groups need not be statistically significant.

Since the study relies on using an experimental group that was exposed to the suspected cause by the actions of those in the group or by circumstances, the study is weaker (less reliable) than the experiment. After all, in the study the researchers have to take what they can find rather than conducting a proper experiment.

In some cases, what is known is the effect and what is not known is the cause. For example, we might know that there is a new illness, but not know what is causing it. In these cases, a Nonexperimental Effect-to-Cause Study can be used to sort things out.

Since this is a study rather than an experiment, those in the experimental group were not exposed to the suspected cause by those conducting the study. In fact, the cause it not known, so those in the experimental group are those showing the effect.

Since this is an effect-to-cause study, the effect is known, but the cause must be determined. This is done by running the study and determining if these is a statistically significant suspected causal factor. If such a factor is found, then that can be tentatively taken as a causal factor—one that will probably require additional study. As with the other study and experiment, the statistical significance of the results depends on the size of the study—which is why a study of adequate size is important.

Of the three methods, this is the weakest (least reliable). One reason for this is that those showing the effect might be different in important ways from the rest of the population. For example, a study that links cancer of the mouth to chewing tobacco would face the problem that those who chew tobacco are often ex-smokers. As such, the smoking might be the actual cause. To sort this out would involve a study involving chewers who are not ex-smokers.

It is also worth referring back to my essay on experts—when assessing a study, it is also important to consider the quality of the experts conducting the study. If those conducting the study are biased, lack expertise, and so on, then the study would be less credible. If those conducting it are proper experts, then that increases the credibility of the study.

As a final point, there is also a reasonable concern about psychological effects. If an experiment or study involves people, what people think can influence the results. For example, if an experiment is conducted and one group knows it is getting pain medicine, the people might be influenced to think they are feeling less pain. To counter this, the common approach is a blind study/experiment in which the participants do not know which group they are in, often by the use of placebos. For example, an experiment with pain medicine would include “sugar pills” for those in the control group.

Those conducting the experiment can also be subject to psychological influences—especially if they have a stake in the outcome. As such, there are studies/experiments in which those conducting the research do not know which group is which until the end. In some cases, neither the researchers nor those in the study/experiment know which group is which—this is a double blind experiment/study.

Overall, here are some key questions to ask when picking a study:

Was the study/experiment properly conducted?

Was the sample size large enough?

Were the results statistically significant?

Were those conducting the study/experiment experts?

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Emergency Rooms & Obamacare

Posted in Business, Ethics, Law, Medicine/Health, Philosophy, Politics by Michael LaBossiere on January 24, 2014
Typical scene at a local emergency room

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On the face of it, the idea seems reasonable enough: if a person has health insurance, then she is less likely to use the emergency room. To expand on this a bit, what seems sensible is that a person with health insurance will be more likely to use primary care and thus less likely to need to use the emergency room. It also seems to make sense that a person with insurance would get more preventative care and thus be less likely to need a trip to the emergency room.

Intuitively, reducing emergency room visits would be a good thing. One reason is that emergency room care is rather expensive and reducing it would save money—which is good for patients and also good for those who have to pay the bills for the uninsured. Another reason is that the emergency room should be for emergencies—reducing the number of visits can help free up resources and lower waiting times.

As such, extending insurance coverage to everyone should be a good thing: it would reduce emergency room visits and this is good. However, it turns out that extending insurance might actually increase emergency room visits. In what seems to be an excellent study, insurance coverage actually results in more emergency room visits.

One obvious explanation is that people who are insured would be more likely to use medical services for the same reason that insured motorists are likely to use the service of mechanics: they are more likely to be able to pay the bills for repairs.

On the face of it, this would not be so bad. After all, if people can afford to go to the emergency room and be treated because they have insurance, that is certainly better than having people suffer simply because they lack insurance or the money to pay for care. However, what is most interesting about the study is that the expansion of Medicaid coverage resulted in an increase in emergency room visits for treatments that would have been more suitable in a primary care environment. That is, people decided to go to the emergency room for non-emergencies. The increase in emergency use was significant—about 40%. The study was large enough that this is statistically significant.

Given that Obamacare aims to both expand Medicaid and ensure that everyone is insured, it is certainly worth being concerned about the impact of these changes on the emergency room situation. Especially since one key claim has been that these changes would reduce costs by reducing emergency room visits.

One possibility is that the results from the Medicaid study will hold true across the country and will also apply to the insurance expansion. If so, there would be a significant increase in emergency room visits and this would certainly not results in a reduction of health care costs—especially if people go to the expensive emergency room rather than the less costly primary care options. Given the size and nature of the study, this concern is certainly legitimate in regards to the Medicaid expansion.

The general insurance expansion might not result in significantly more non-necessary emergency room visits. The reason is that private insurance companies often try to deter emergency room visits by imposing higher payments for patients. In contrast, Medicaid does not impose this higher cost. Thus, those with private insurance will tend to have a financial incentive to avoid the emergency room while those on Medicaid will not. While it would be wrong to impose a draconian penalty for going to the emergency room, one obvious solution is to impose a financial penalty for emergency room visits—preferably tied to using the emergency room for services that can be provided by primary care facilities. This can be quite reasonable, given that emergency room treatment is more expensive than comparable primary care treatment.  In my own case, I know that the emergency room costs me more than visiting my primary care doctor—which gives me yet another good reason to avoid the emergency room.

There is also some reason to think that people use emergency rooms rather than primary care because they do not know their options. That is, if more people were better educated about their medical options, they would chose primary care options over the emergency room when they did not need the emergency room services. Given that going to the emergency room is generally stressful and typically involves a long wait (especially for non-emergencies) people are likely to elect for primary care when they know they have that option.  This is not to say education will be a cure-all, but it is likely to help reduce unnecessary emergency room visits. Which is certainly a worthwhile objective.

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The Decline of the Humanities

Posted in Philosophy, Politics, Universities & Colleges by Michael LaBossiere on November 1, 2013
Head of Platon, roman copy. The original was e...

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One of the current narratives is that the humanities are in danger at American universities. Some schools are cutting funding for the humanities while others are actually eliminating majors and departments. At my own university, the college of arts and sciences was split apart with the humanities and soft sciences in one new college and the now exalted STEM programs in another. Not surprisingly, I was called upon (at a moment’s notice) to defend the continued existence of the philosophy and religion unit I head up. Fortunately, I could point to the fact that our classes regularly overload with students and the fact that our majors have been very successful.

While this narrative is certainly worrisome to faculty in the humanities, this is actually not a new narrative. For example, while about 7% of majors are in the humanities, this has been the case since the 1980s. As another example, humanities programs have been subject to cuts for decades. That said, there is clearly a strong current trend towards supporting STEM and cutting the humanities.

As might be suspected, the push to build up the STEM programs has contributed to the decline of funding for humanities programs. Universities and colleges have to allocate their funds and if more funds are allocated to STEM, this leaves less for other programs. There is also the fact that there is much more outside funding (such as from the federal government) for STEM programs. As such, STEM programs can find themselves getting a “double shot” of increased funding from the university and support from outside while humanities programs face reduced support from within the institutions and little or nothing from outside.

Those who argue for STEM over the humanities would make the case that STEM programs should receive more funding. If more students enroll in STEM than in the humanities, then it would clearly be fair that these programs receive more funding. If humanities programs want more funding, then they would need to take steps to improve their numbers.

There is also the argument based on the claim that funding STEM provides a greater return for the money in terms of job creation, educating job fillers and generating research that can be monetized. That is, STEM provides a bigger financial and practical payoff than the humanities. This would, clearly, serve to justify greater funding for STEM. Assuming, of course, that funding should be determined primarily in terms of financial and practical values defined in this manner. As such, if humanities programs are going to earn increased funding, they would need to show that they can generate value of a sort that would warrant their increased funding. This could be done by showing that the humanities have such practical and financial value or, alternatively, arguing that the humanities generate value of a different sort that is still worthy of funding.

Those in the humanities not only need to convince those who redistribute the money, they also need to convince students that the humanities are valuable. This need not require convincing students to major in the humanities—getting students to accept the value of the humanities to the degree that they will willingly enroll in such classes and support the programs that offer them.

It has long been a challenge to get students to accept the value of the humanities. When I was an undergraduate almost three decades ago most students looked down on the humanities and this has not changed. Now that I am a professor, honestly compels me to admit that most students sign up for my classes because they have to knock out some sort of requirement. I do manage to win some of these students over by showing them the value of philosophy, but many remain indifferent at best.

While it is a tradition to claim that things are worse now than they were when I was a youngster, this is actually the case. Recently, there has been a conceptual shift in regards to education: now the majority of students regard the main function of college as job preparation or as vocational training. That is, students predominantly see college as a machine that will make them into job fillers for the job creators.

Because of the nature of our economic system, most students do have to worry about competing in a very difficult job market and surviving in a system that is most unkind. As such, it is not unwise of students to take this very practical approach to education.

While it is something of a stereotype, parents do often worry that their children will major in the humanities and it is not uncommon for students to pressure their kids to major in something “useful.” When I was a student, people I knew said just that. Now that I am a professor, my students sometimes tell me that their parents are against them taking philosophy classes. While some are worried that their children will be corrupted, the main concerns are the same as that expressed by students: the worry that majoring in the humanities is a dead end and that the humanities requirements are delaying graduation and wasting their money.

Those of us in the humanities have two main options here. One is to make the case that the humanities actually do provide the skills needed to make it in the world of the job creators. While some regard philosophy as useless, an excellent case can be made that classes in philosophy can be very helpful in getting ready for employment. To use the most obvious example, philosophy is the best choice for those who are considering a career in law. This approach runs the risk of devaluing the humanities and just making them yet another form of job training.

The second is the usual argument from the humanities, which is based on the idea there is more to life than being a job filler for the job creators. The usual line of argument is that the humanities teaches students to address matters of value, to appreciate the arts, and to both think and question. This, as might be imagined, sounds good in principle but can be a very hard sell.

Unfortunately, humanities faculty often fail to convince students, parents and those who control the money that the humanities are valuable. Sometimes the failure is on the part of the audience, but often it is on the part of the faculty. As such, those of us in the humanities need to up our game or watch the shadow over the humanities grow.

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Another Litter Rant

Posted in Environment, Philosophy by Michael LaBossiere on October 28, 2013
English: Garbage in Romania

(Photo credit: Wikipedia)

As a runner, I cover a lot of ground on foot. While this allows me to be part of the world in a way that driving through it in a car does not, it also means that I get to see all the trash that people just throw to the ground.

While some folks are content to complain about the trash, I’ve generally followed what a friend of mine said years ago: “talk into this hand and do something with that hand: which gets something done?” So, my response to litter is to pick it up. Then write a self-righteous blog about it latter. The blogging is mostly therapeutic-I feel a bit better after a good rant.

One thing that annoys me about litter is how needless it is. After all, if a person can carry an item to a place, then can surely carry it out again-or at least carry it to a trash can. But, this is apparently a bit too hard for some folks-on a typical run in the park by my house, I end up carry a few armfuls of debris from the trails to the trash cans and recycle can.

When I run on the roads, I also see a lot of trash-many people seem to think nothing of throwing out bottles, cans, food containers and other trash. Presumably it is too much for them to just bring the trash with them to their next destination. I can understand it when people toss out really awful things-like bags of vomit. However, throwing beer cans or Styrofoam trays into the road seems to be either laziness or contempt.

Ranting on, one thing that also annoys me is when people litter in the park by throwing their trash out into the woods. While they are presumably trying to hide their crime, they just make it harder to get their trash-especially in places that have thick and thorny vegetation. So, I’d like to ask folks who simply cannot avoid littering to just leave their trash by the side of the trail-that way it is easy for me or the park workers to get their trash. If one must be an ass and litter, at least don’t be a bigger ass and make it hard to pick it up.

Fortunately, I am not alone in my litter picking. There are two women in my neighborhood area who walk everyday and carry bags to clean up the messes left by others. They are good citizens and get the idea that public spaces are not dumps. Naturally, expecting everyone to pitch in and clean up is probably expecting too much. But expecting people not to litter is expecting the very least they can do-which is surely not too much.

Rant terminates. For now.

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Cruzing & Obamacaring

Posted in Business, Ethics, Law, Medicine/Health, Philosophy by Michael LaBossiere on September 27, 2013
English: Logo of The Goldman Sachs Group, Inc....

(Photo credit: Wikipedia)

Ted Cruz undertook an almost marathon talking session against Obamacare. Not surprisingly, he does not have any need of Obamacare. As a senator, he already has access to government funded healthcare. However, he also does not need this coverage as, apparently, he falls under his wife’s Goldman Sachs’ coverage. Interestingly, while one of the anti-Obamacare talking points is that the cost of providing insurance will destroy business, the top executives at Goldman Sachs have their $40,500+ family premiums paid for by the company. As a point of comparison, the median household income in the United States is $50,000.

Naturally, to attack Cruz’s claims by pointing out his health care situation would be a mere ad homimem. However, his situation does serve to illustrate the incredible health care gap between the wealthy pundits and politicians attacking Obamacare and average Americans. It is certainly a thing of beauty to see a man with incredible coverage provided for by his wife’s employer rail against a law that would require almost many employers to provide lesser coverage to their employees.

It also illustrates an interesting inconsistency, namely that he seems to hold to the position that his wife should receive health care benefits from her employer but that the same is not true for other Americans. Of course, it is consistent with the view that the wealthy should be treated differently from everyone else.

It might, however, be objected that Cruz is right. After all, Goldman Sachs is incredibly profitable and can easily afford such premiums as part of the very generous (some might say excessive) compensation packages they offer to their “top talent.” Lesser businesses, those run by and employing the little people, cannot afford to provide even the minimum health care benefits required by Obamacare and, apparently, the employees do not deserve such coverage. As such, health care benefits from employers are for the wealthy but not for the little people.

While this approach has some merit when it comes to small businesses, the obvious counter is that the smaller businesses are exempt from this requirement. However, the potential economic impact of Obamacare is worth considering. As is the potential economic damage of the threatened government shut down.

It has been claimed that the cost of implementing Obamacare will cause businesses to fire people and to cut employee hours so that they are not full time employees. Presumably this will not impact the wealthy—Cruz did not seem worried that Goldman Sachs would fire his wife or cut her hours so they would not need to provide healthcare benefits.

While cost is a point of concern, there is the obvious question of whether businesses actually need to fire people and reduce hours or not as a rational response to Obamacare. That is, would the increased cost be so onerous that the firing and cutting would be a matter of survival? Or would it merely be a matter of slightly less profits?  After all, some businesses obviously believe they can afford to provide extremely generous health care benefits to some people, so perhaps those affected can afford to provide lesser benefits to their workers.

This does, of course, raise some interesting questions about what benefits employees should receive and what constitutes economic necessity. However, these matters go beyond the scope of this essay. However, I will note that I do agree that health care should not be linked to employment and that I do agree that it should not be the responsibility of businesses to provide health care coverage. Unfortunately, the structure of health care benefits in the United States is such that having businesses as the provider is the main viable option. The other is, of course, having it provided by the state. Unless, of course, health care could be reformed to the point where average individuals could afford quality health care on their average incomes.

Oddly enough, Cruz and others have spoken of all the terrible damage that Obamacare has done and is doing. While this might be merely a slip of tenses, Obamacare cannot be doing any damage yet—it has not gone into effect. As such, it is an error to speak of the damage it has done—at least until it starts doing damage.

Cruz also made use of hyperbole and a rhetorical analogy by trotting out the absurd comparison of Obamacare to the Nazis. In the past, I have advocated a bi-partisan ban on this (Democrats use it, too) and I still support this proposal. As a general rule, only things that are comparable in badness to the Nazis should be compared to the Nazis. Even if Obamacare does all the awful things that certain Republicans claim it will do, it will obviously fall far short of starting a world war and engaging in genocide. Making the Nazi comparsion seems to show that a person has nothing substantial to say or that he has an impaired grasp of reality.

While Obamacare will certainly have problems, Cruz and his fellows have not offered any alternative plan of any substance. For the most part they make vague claims about market reforms and some even advance the absurd idea that people can just rely on the emergency room. While it is fair to be critical of a law when one does not have an alternative, the Republicans need to offer something other than threats to shut down the government. This makes these Republicans seem rather crazy.

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