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Category: Health

Economics / General / Governance / Health / Liberty

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What I Really, Really Want: Why True Preferences Matter for Nudging

In this post, Bart Engelen (Tilburg University) and Viktor Ivanković (Institute of Philosophy, Zagreb) discuss their recently published article in the Journal of Applied Philosophy, where they explore what it means to have ‘true preferences’ and how this affects our understanding of autonomy and nudging.

Failing to do what we really, really want seems all-too familiar in everyday life. You might want to lead a healthier lifestyle or aspire to a career in a girl band but turn out to be too sluggish to go for a run or practice your singing and dancing skills. If you really are committed to those aims, these are clear instances where you fail to satisfy your ‘true preferences’.

Laziness and akrasia

So, what is it that you really, really want? And why does it matter whether or not others can know your deepest desires? In our new article in the Journal of Applied Philosophy, we argue why some of your preferences are truer than others and why policy-makers can and should steer you in the direction of these preferences by nudging you when you veer off course.

Image from DHE-Art

True preferences, we contend, are real and should be taken seriously, by ourselves, by philosophers and by policy-makers. They are more fundamental and stable than our more superficial, impulsive and flimsy preferences. They also have special status and carry special normative weight. We care about them; it really matters to us whether or not we succeed in realizing what we set out to do, whether this is akin to a New Year’s resolution or something more vital to our central life plans.

All of this might sound rather obvious. Who would deny this? Oddly enough, more than a few (behavioral) economists do. In our article, we discuss and respond to three types of objections that they raise against true preferences. First, true preferences have been claimed not to exist. Even when preferences are incoherent, the objection goes, there is no indication as to why some preferences might be meaningfully “truer” than others.

And even if there are true preferences, a second objection states, they remain unknowable to others, and particularly to meddlesome governments. Of the many, changing and often incoherent preferences, how can one possibly single out those that are somehow true or special? How can an outsider know whether you suffer from procrastination or simply prefer not to chase after a life of fame?

Third, true preferences might simply lack normative weight and the fact that someone is veering of course might not justify governmental interference. Governments then, have no business promoting true preferences. Surely, policy-makers shouldn’t make it their business to help you become the next Mel B or Posh Spice, even if that is your deepest desire.

Image from Rawpixel.com

True preferences

In the article, we attend to these objections. True preferences, we show, are quite essential to how we understand core concepts of moral philosophy, like autonomy and authenticity. We point to several plausible ways of understanding true preferences developed by philosophers such as Harry Frankfurt (higher-order preferences), Bernard Williams (authentic preferences), Tyler DesRoches (values-based preferences) and Mark Fabian and Malte Dold (agentic preferences). All of these understandings establish a connection between true preferences and the core concepts of moral philosophy.

All of these philosophers claim that some of our preferences are (more) special (than other preferences), as they express (more) closely who we are. They make up the kind of person we consider ourselves to be or that we aspire to become. Those who deny that true preferences exist or have special normative weight, we argue, undermine our ability to make sense of autonomy and authenticity. When people fail to act on their commitments, they are not leading the life they want to live. We need a notion of ‘true preferences’ to capture the fundamental thought that some of our preferences are more ‘ours’ and that others are more ‘alien’ to us.

Policy implications

So what does this mean for policy-makers? Knowing what you really, really want might be nice for yourself, your partner and your friends but should politicians and policy-makers be in the business of figuring out your deepest desires? In the article, we defend the case for ‘paternalistic nudges’ that promote true preferences. Policy-makers, in our view, can and should nudge citizens when they predictably veer off course and fail to satisfy their own true preferences.

So far, nudge advocates have mostly assumed what people’s true preferences might be. This has been heavily criticized as an objectionable kind of paternalism because it supposedly ends up with policy-makers imposing their values on citizens. Instead of really catering to people’s true preferences, policy-makers will nudge citizens in directions that the policy-makers regard as beneficial, be it health, wealth, or some other aspect of wellbeing. Say, people can be nudged into doing more regular check-ups, eat healthier food, or drive safely, all things that they surely prefer…or do they? How can policy-makers hope to find this out? Economists are all too keen to point out knowledge problems in government operations.

And while they make some important points, the knowledge problem for true preferences represents a challenge to be overcome, not a cause for defeatism. We are not helpless in its wake. It is perfectly possible to identify scenarios in which people predictably form false beliefs, exercise poor evaluative judgments or suffer from incompetence. We can use generalizations and statistical evidence for what contributes to a healthy and financially stable life and we can use surveys and other scientific methodologies to gauge people’s desires.

Importantly, we can do all of this while making absolutely sure that dissenters can go their separate ways. This is the advantage of nudges. They can help people get things right (when they steer them in the direction of a true preference), while preserving their freedom to resist (if they steer in the wrong direction). So, even if it turns out that you really prefer to watch rather than be a Spice Girl, you won’t be forced in either direction.

Academia / Distribution / General / Health / Moral values / Technology

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Just do(pe) it? Why the academic project is at risk from proposals to pharmacologically enhance researchers.

In this post, Heidi Matisonn (University of Cape Town) and Jacek Brzozowski (University of KwaZulu-Natal) discuss their recently published article in the Journal of Applied Philosophy in which they explore the justifiability and potential risks of cognitive enhancement in academia.

Image created with ChatGPT.

The human desire to enhance our cognitive abilities, to push the boundaries of intelligence through education, tools, and technology has a long history. Fifteen years ago, confronted by the possibility that a ‘morally corrupt’ minority could misuse cognitive gains to catastrophic effect, Persson and Savulescu proposed that research into cognitive enhancement should be halted unless accompanied by advancements in moral enhancement.

In response to this, and following on from Harris’ worries about the mass suffering that could result from delaying cognitive enhancement until moral enhancement could catch up, in 2023, Gordon and Ragonese offered what they termed a ‘practical approach’ to cognitive enhancement research in which they advocated for targeted cognitive enhancement —specifically for researchers working on moral enhancement.

Our recent article in the Journal of Applied Philosophy suggests that while both sets of authors are correct in their concerns about the significant risks related to cognitive enhancement outrunning moral enhancement, their focus on the ‘extremes’ neglects some more practical consequences that a general acceptance of cognitive enhancement may bring — not least of which relate to the academic project itself.

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General / Health / Moral values

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Is there anything wrong with allowing oneself to feel liked by a chatbot?

In this post, Emilia Kaczmarek (University of Warsaw) discusses her recently published article in the Journal of Applied Philosophy in which she explores the ethical implications of self-deception in emotional relationships of humans with AI entities.

Photo: Free to use by Mateusz Haberny.

The popularity of AI girlfriend apps is growing. Unlike multi-purpose AI such as ChatGPT, companion chatbots are designed to build relationships. They respond to social, emotional or erotic needs of their users. Numerous studies indicate that humans are capable of forming emotional relationships with AI, partly due to our tendency to anthropomorphize it.

The debate on the ethical aspects of human-AI emotional relations is multi-threaded. In my recent article, I focus only on one topic: the problem of self-deception. I want to explore whether there is anything wrong with allowing oneself to feel liked by a chatbot.

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Climate / Economics / Environment / General / Health

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Redefining limited liability

Different phases of economic development call for different institutional arrangements. When an institution outlives the economic circumstances for which it was designed, it can lead to unintended negative consequences. The limited liability of corporations, at least under certain conditions, represents an example for such an institution.

Limited liability is one of the key features that distinguishes a partnership from a business corporation. When a partnership goes bankrupt, it is not just the capital of the partnership that is liable but also the private wealth of each of the partners. When a corporation goes bankrupt, by contrast, the reach of the creditors is limited to the capital that shareholders have invested in the corporation. They are off the hook as far as their private wealth is concerned.

It is easy to see why this arrangement leads to a significant increase in the capital that corporations are able to raise compared to partnerships. Which investor would turn down a setup with significant potential upside in terms of capital gain but limited downside? The justification for limited liability from a social perspective is equally obvious. Separating individual property from corporate property in this way hugely enhances financing capacity and thus output across the economy.

Limited liability under climate change

Limited liability worked well under conditions where any growth was good growth. However, independently of whether that was ever true, it is certainly not true in the 21st century. Some economic growth generates negative externalities in the form of social and environmental costs. Corporations only pay for the private costs of their production, whereas the social and environmental costs are borne by society as a whole.

The classic example in this category are greenhouse gas emissions. Corporations in the fossil fuel sector only pay for the private costs of getting the stuff out of the ground. Beyond the insufficient forms of carbon pricing in place today, corporations do not pay for the human and environmental costs measured in human deaths, respiratory disease from pollution, extreme weather events such as heat domes or atmospheric rivers, food shortages due to droughts, and loss in biodiversity. The results are overproduction and overconsumption of carbon-intensive products at inefficiently low prices.

Investor liability as a complement to carbon pricing

The conventional wisdom in the discipline of economics tells us that the most efficient way to reduce fossil fuel production and use to efficient levels is a form of carbon pricing, for example by charging a carbon tax. It is true that carbon taxes could be effective if they were both high enough and progressive. However, they clearly fall short on both counts today.

The above considerations point to a complementary regulatory lever. Under conditions of climate change, the justification for limited liability breaks down. Letting shareholders off the hook is not a good idea when doing so amplifies irresponsible corporate behaviour in the form of overproduction. Instead, in order to convince corporations to meet the challenge of producing sustainably, we have an interest to ensure that both the corporations and their investors have some skin in the game.

Note that this does necessarily imply that investors would have to be liable with all of their wealth, but a limited liability rather than zero liability would encourage corporations to price in negative externalities right away rather than wait for adequate levels of carbon pricing. One might also envisage a progressive form of liability where wealthier investors have more skin in the game than their less well-off counterparts. Indeed, if they did not, their incentives to invest responsibly would be reduced.

Extending the corporate time horizon

Corporations, their managers, and their shareholders are often criticized for maximising profit in the short-term. The current forms of carbon pricing have not succeeded in changing that. Redefining limited liability in the way sketched above promises to have an immediate impact in this regard. After all, under this arrangement, and in contrast to carbon pricing, it is not primarily up to the government to ensure that negative externalities are priced in, but it is up to the corporation and its investors. If the corporation and its shareholders get the numbers wrong, they will have to pay for it.

Some people will no doubt object that liability of this sort would represent a form of red tape restricting private business activity. They have things the wrong way round. Limited liability for shareholders is an enormous privilege bestowed on the corporate sector and its investors. As shown above, this privilege is no longer warranted, at least not for sectors with significant negative externalities. Today, corporations in the fossil fuel sector are able to privatise gains while they socialise losses. This is untenable. Reforming liability arrangements for these kinds of corporations offers one promising path of reform.

Distribution / General / Health / Social justice

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What is the real problem with food deserts?

“Hispanic Sodas Sabor Tropical Supermarket Miami” by Phillip Pessar is licensed under CC BY 2.0.

This is a guest post by Emma Holmes (University of St Andrews/University of Stirling)

Why do some people choose to eat unhealthy food? Earlier this year, Kate Manne – Cornell philosopher and author of several books about misogyny – published Unshrinking, a fascinating and compelling critique of fatphobia. Throughout, she argues against moralising our food choices. There is nothing immoral about wanting to eat greasy, salty, delicious, processed food, says Manne. I agree – but I think she misses something. People’s food preferences are not just random – some people prefer to eat unhealthy foods because their desires have been shaped by an unjust system.

I’ll focus on Manne’s discussion of food deserts to make this point. A so-called ‘food desert’ is a place where there is nowhere nearby or affordable to access healthy food. The term ‘desert’ makes it sound as if this problem is naturally occurring, which it is not – food deserts are the result of urban planning decisions and they disproportionately affect poor people and people of colour. I argue that people who live in food deserts are done an injustice because they are influenced to prefer foods which are bad for their health.  

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Democracy / General / Governance / Health

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Why policymakers should care about post-truth

Post-truth is often viewed as a threat to public affairs such as vaccination policy, climate change denialism, or the erosion of public discourse. Yet combating post-truth is rarely viewed as a priority for policymakers, and the preferred ways of combating it usually take the form of localised epistemic interventions such as fact-checking websites or information campaigns.

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General / Health

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Listening to executive dysfunction

Chatting with an UK psychologist over a pint, I asked if the UK, like my native Finland, currently struggles to accommodate the large number of women coming to the clinic with ADHD symptoms. He confirmed it did, and so does The Guardian, headlining “ADHD services ‘swamped’, say experts as more UK women seek diagnosis”. Likewise, the New York Post declaims how women “are diagnosing themselves with neurodivergent conditions such as ADHD (attention-deficit/hyperactivity disorder) after watching trending TikTok videos”.

ADHD is a neurodevelopmental disability characterized by differences in sustained attention, impulse control, and motor activity. Not all symptoms need to be present for all patients: symptom presentation can differ among people with ADHD. In the 1980s and 1990s, responses to this heterogeneity have included the advent of concepts such as ADD (attention deficit disorder without hyperactivity) and ADHD ‘subtypes’. However, neither subtypes nor a differential ADD diagnosis are any longer recognized, and it is instead accepted that ADHD presents in many different ways.


Source: social media meme

In the 1980s, ADHD was conceived of mainly as a disorder of motor hyperactivity, as a disorder that only affects children, and that mainly affects boys. However, we now know that for some people with ADHD, their symptoms persist to adulthood, although the symptom presentation may change. We also now understand that ADHD has long been underdiagnosed in girls and women.
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Animals / Health

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The four-legged therapist: Why getting a pet to improve our mental health may be unethical

Every once in a while, I read news articles about the mental health benefits of owning pets. These articles always leave me feelings uncomfortable. They seem to ignore what appears to be obvious: these benefits are the side-effects of a positive, caring relationship with a member of another species, and getting a pet will not necessarily improve our mental health. One would hardly suggest that someone should make a friend, get married or have a child primarily, or even merely in order to improve their mental health.

Dog looking upset. Text reads After listening to her owner drone on for hours, Ginger Ginger suddenly realised she was NOT cut out to be an emotional support dog after all.

Source: social media meme

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Children / Education / Gender / General / Governance / Health / Liberty

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How could paternalism ever be a good thing?

NobodyWantsToGoWhereIWantToLeadThem.png

Recently, as I was discussing with a friend of mine, the conversation brought us to the issue of paternalism. Taking the bad habit of playing the philosopher’s role, I said something like “You know, paternalism is actually not always wrong.” My friend reacted very surprised – as if I had said “You know, patriarchy is actually not always wrong.” And as it happens, for her, “paternalism” and “patriarchy” were closely linked – which I had never considered before. (more…)

Health

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How Should We Talk About the Pandemic?

In this post, Mark Bowker (Lund University) discusses their recent article in Journal of Applied Philosophy on our responsibility to be careful with scientific generalisations.

In a pandemic it is extremely important for the public to know how they can keep themselves and others safe. This requires effective communication to circulate information about scientific developments. In a recent article, I argue that even the most basic statements can be misleading, so we must think very carefully about the words they use. You may have heard, for example, that children do not transmit coronavirus, but this statement is not as simple as it may seem.

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