The Tucker Carlson Show - Medical Ethicist Charles Camosy Debunks Media Lies About Abortion and Kamala’s Love for Infanticide
Episode Date: October 3, 2024Do Harris and Walz support infanticide? The media claim they don’t. Charlie Camosy is a medical ethicist who trains physicians. He knows for a fact they do. (0:47) Why Are Democrats Promoting Inf...anticide? (16:59) Who’s Funding This Mass Infanticide? (23:59) Something Is Shifting in the Pro-Life Movement (32:30) Brain Death (1:01:32) Organ Harvesting (1:20:54) There Is a Massive Revival Happening (1:28:33) Porn Addiction (1:44:13) The Corruption of Medical Ethicists (1:53:30) Why Are Our Politicians Anti-Reproduction? Paid partnerships: ExpressVPN: Get 3 months free at https://ExpressVPN.com/Tucker PreBorn: Save babies and souls. Go to https://PreBorn.com/Tucker Learn more about your ad choices. Visit megaphone.fm/adchoices
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Here's the episode.
Okay, so let me ask you.
The Trump campaign has, and Donald Trump himself at the presidential debate,
has accused Kamala Harris and Tim Walz of supporting infanticide,
which is to say laws that allow doctors to kill children post viability and allow them to stand by as
babies born in botched abortions die and the media in the democratic party same thing have
pushed back ferociously on this fact checked it um you know you're a medical ethicist this is
right at the center of what you study for a living.
Is that true? It's absolutely true. And until this whole political thing got in the way,
everyone knew it was true. I was doing my dissertation at Notre Dame on neonatal
bioethics and I rounded with neonatal teams in hospitals in the United States and Europe.
And everyone knew that not only in the abortion context you're discussing, but in many other kinds of contexts, we would just simply choose not to treat certain children, especially if they were too disabled.
And we would call it comfort care.
We'd call it something else.
But everyone knew exactly what was happening.
So it's not just the abortion case,
far from it. It's just a matter of routine and NICUs across the country and around the world.
Okay. And this is longstanding.
Yeah. I mean, for instance, you could do it in a way where you bypass the parents. It's called
slow coding or show coding where the medical team basically says, you know, I'm not sure this baby is, or I think this
baby is too disabled, right? Or has, will have too hard a life. It's not in this baby's interest
in living. The couple wants to do everything. The family wants to do everything. We don't agree with
it. And so it's a well-known practice actually to show code or slow code your way into getting
the outcome you want. That's without the families.
Wait, so hospitals kill people's kids without telling them?
I mean, it's a little more complex than that.
It's not what Trump unfortunately uses the phrase when he talks about it
in a particular Trumpian way, execution, right?
It's not as if there's like a pillow put over their head or a
sharp object is used or even like a poison is administered. It's more like throwing someone
away or discarding them in a way that keeps them comfortable. So, it's called comfort care. The
debate over the law in Minnesota that has prompted so much debate over this, insists that the babies be given comfort care, but that's actually hiding what's actually going
on in these particular circumstances. They're given comfort care because they're not given
the typical care that others get. What is comfort care?
It's mostly a kind of palliative care or a sense of trying to keep someone from not feeling pain
or something like this. Like giving them opioids?
Yeah, or keeping the temperature appropriate and that sort of thing.
In fact, the former governor of Virginia, right, was caught on tape, essentially, or
not caught on tape.
He gave a radio interview saying this happens all the time.
The baby would be kept comfortable.
And then he said, I'll tell you what would happen.
The baby kept comfortable, and then we'd make a decision together with the parents about what exactly to do.
And he said this in his interview, right? Very matter-of-factly. And he was right to do so,
because until recently, this was not a controversial thing, or it's a controversial
thing, but it's not controversial that this goes on at all. And you're saying it goes on,
I mean, there's so many questions. Sure. One, I think, I wasn't aware this happened with children.
I mean, of course, with the elderly, at the request of the patient very often, physicians stop treatment.
Right.
Which strikes me as fine.
I don't, you know, something that I would want, I don't, you know, most people don't want extraordinary treatment't want extraordinary treatment at 90 or something.
But you're saying it's very common with children. And then you're further saying that it happens
without the parent's knowledge or consent. That strikes me. How is that not a crime?
Well, it should be a crime. And to be clear, it doesn't happen very often, right? That is not
routine, the slow coding or show coding. Most slow coding. Coding means death, right?
Well, coding is specifically coding somebody as a particular kind of patient.
So if it's full code, you do everything to save the child's life, right?
But if it's a different kind of code, like, say, a DNR, right, or a different kind of code would be put in to say, no, we're not going to do anything to save the person, which is totally legitimate in many other contexts, right? At the end of life, we might make a choice about how to live,
right? And say, I want to live the rest of my life in this very particular way. So, I'm going
to have a- Yeah, I don't want chemo.
Yeah, something like that. Slower show coding- And I'm sorry to interrupt you, but just to be
clear, as an ethicist, you're okay with that? Yeah, yeah. As long as what we're saying is,
it's a choice about how to live, not a choice about dying. Right. So if I say I want to live the
rest of my life without chemotherapy or without other aggressive treatments and to use the language
of moral philosophy and moral theology and bioethics, I foresee, but don't intend that
death is going to be the likely result of this or death will be sped up as a result of this. Totally fine, totally legitimate. Centuries we've been doing
this. It's quite different, of course, to say either as a person yourself or as a medical team
or as a surrogate for another person to say, let's not treat you so that you die, right?
Like we are aiming at your death. We were trying to kill you. And the context of abortion
reveals exactly what's going on here.
So Tim Walz and company in Minnesota
specifically rewrote laws in that state to say,
yeah, I know we have this
Infant Born Alive Protection Act here,
but we need to make it available
to medical teams and others
when there's a botched abortion to give the baby only comfort care and let them die.
But we know that it's not foreseen but not intending death because there was an abortion attempt, right?
That was an attempt to kill.
And so the attempt to kill is transferred over into the newborn context.
And so we're just doing it by omission, right?
We call it comfort care again.
But let me give you another example of how this works.
Sometimes, very often, parents are encouraged to have abortions in these cases where they choose not to, right?
They push back on the medical team.
Like if there's a Down syndrome diagnosis, for instance, prenatally, the medical teams, this is well documented, will push them time and time again to have abortions
even very pro-life very uh prenatal justice focused parents get bombarded by medical teams
again i've lived that you've lived it yes and um yes with a false diagnosis without even getting
it's not about me but or my family but i know for a fact that what you're saying is true because
i've seen it with my own eyes it It's extraordinary. And what sometimes happens, and this again reveals what's
actually happening in the post-birth context, these teams will get so frustrated that they'll
say, okay, we can't convince you to have an abortion. There's still things we can do after
birth, right? So if you say there was this case I just saw recently of a child who was diagnosed prenatally with spina bifida and the medical team tried to get
the mom to abort and was unable to do so. And the OBGYN said, okay, we can still choose not
to treat the child after birth. We'll give the child comfort care after birth. Now,
you might be able to say in the abstract, well, what exactly is going on here? Is it more like
foreseen but not intending death? But you know exactly what's going on here because the whole
point- They're trying to kill the kid.
They're trying to kill the kid. The child is too disabled. We've decided-
I mean, I have thought this for almost 30 years since I first saw it. But how can someone like that be allowed to be a
doctor in our country if you're pushing a mother to kill her child? Like, isn't that the opposite
of your job? You would think so. We have a lot of good doctors who don't participate in these
kinds of things. Do we have a lot of them? I don't believe you. We have a lot of them i don't believe you we have a large number um who either feel uh neutral about
this or who feel positive about it who are who are active in it and the re and let me just give
you an example of how the thought process goes i wrote an article about this for the public discourse
um called the right to a dead baby question mark and the way that they sort of try to justify it and i i cite all the literature in
this article justifying this claim the way they justified is they say well you know after a
certain time we would never neglect a baby to death and call it comfort care because we've
decided that there is a new person here that we're saving actually who's disabled right and um but before that time and it's for
for every uh medical team or every doctor it'll vary um they think of it more as um stopping an
individual uh who's disabled from coming into existence right now we're talking about newborn
children here or neonatal children here and this is well documented again uh the article is in the
public discourse,
the right to a dead baby question mark. And I cite all the research that shows that this is how
this is thought of. And what's so interesting about this, Tucker, is this is what's,
I think if we think about history, if we think about the pagan Greek and Roman culture that
existed before Christianity came on the scene, these are the kinds of judgments that were made before a Christian ethic came to dominate in our
culture in the West. Because as you probably know, it was thought of as not a big deal at all
in ancient Greece and Rome to simply discard children that were too disabled or were female.
Females were too expensive for many families, and so they were just discarded.
And it's no surprise that as we have repaganized,
as the Christian culture has retreated,
especially in medicine, right?
Secularized medicine is deeply, deeply problematic and dominant at the moment,
even in some contexts where you might not expect it to be.
It's no accident we're moving towards this practice.
It's a little weird if sex-selective abortion is defended by feminists, which I just find,
I mean, I don't take feminists very seriously, but even by their low standards, that seems
hard to explain. If your job is to defend women and fight against anyone who thinks of women
as less valuable than men,
how can you not say anything
when sex-selective abortion changes the demographic mix
and say the biggest country in the world, China?
I don't understand that.
Yeah.
I mean, it's no accident that abortion is used
as a tool of oppression for this in China and other places. It's no accident
that it was used this way in ancient Greece and Rome. The disabled were also very much
part of the group that would have been discarded. And just to give you a sense of how ubiquitous it
was before Christians came on the scene, there were systems in place
where you would sometimes abandon your baby in specific areas with the hope that maybe somehow
they would not die from exposure or be eaten by animals or something, but maybe they'd be picked
up by slavers or sold into prostitution or something like this. Even the early church
fathers said one reason you shouldn't visit a prostitute among the many is it could be a kind of incest perhaps
because so many people in this area
would be exposed and then prostitutes, right?
You might have a family member there.
I gotta tell you one other case that just shows,
it's terrible, but it shows how ubiquitous it was.
We have a ancient papyrus letter from,
I think it's the year 1 AD of a migrant
worker named Hilarion, who is writing his pregnant wife, Alice, and he's in Alexandria
doing migrant work.
And he's worried that because his buddies are going to go home, we don't know quite
where home is, but they're going to go home.
And he's worried that she might think that he's abandoned her because he's not going to go with them. So he's writing her saying, dude, don't worry. I'm
going to send you the money as soon as I get it. I'm going to stay in Alexandria and try to make
some more money. By the way, if you're pregnant, oh, and then he says, take care of our loved ones.
They already have kids. Take care of our little one. And by the way, if you're pregnant, if it's
a boy, keep it. If it's a girl, throw it out.
K-bye, essentially.
It's an amazing letter.
It reveals so much about the culture, including, again, when you don't have a Christian ethic that says all human beings are equal.
It doesn't matter how old you are.
It doesn't matter how young you are, how disabled you are, how expensive you are, how quote-unquote burdensome you are.
That vision of the good is not present
in pre-Christian pagan Greece and Rome. And increasingly, it's not present in our own
repaganizing culture. And it wasn't, you know, present in supposedly Christian Europe in the
30s and 40s. And I just find it so interesting that, you know, we spend a lot of time 80 years
later talking about the Nazis, and obviously the Nazis were bad. Everyone agrees with that,
very much including me but
the one thing that we almost never mention is that before they started rounding up other populations
the nazis killed hundreds of thousands about 300 000 germans in hospitals uh the disabled children
a lot of them had comfort care but it was murder and we never talk about that for some reason
and it's sort of weird to see the American medical establishment, which I think thinks of itself as anti-Nazi.
It's weird to see them embrace Nazi eugenics policy because that's exactly what they're doing, it sounds like.
At the early stages of life, yes.
I think it's no accident this is defended as kind of an extension of abortion, which is a sacred cow that apparently we find it very difficult to ask questions about, even just very basic critical questions about saving lives after birth.
There is a little more hope, I think, at the end of life.
The American Medical Association still says that physician-assisted suicide can't be consistent with any rational understanding of what healthcare is.
That's still explicitly said by them, though it's under fire every year.
And the beginning of medical ethics was actually the Nuremberg trials.
The secular medical ethics was the Nuremberg trials,
which called out a lot of these practices.
Then I'm aware of that, and I'm grateful for the codification
of the lessons
of the Second World War in our medical ethics. And this is what you do for a living. But it's
just kind of weird to see that same medical establishment embrace Nazi medical ethics,
which they have. So does anyone say that? Yeah. I mean, as you know, the critique, you're a Nazi is so overused that it sort of loses its bite sometimes.
But-
Well, if being a Nazi means anything, it means euthanizing children who aren't fit.
That's right. That's exactly right.
And that sort of mentality was only possible with the retreat of a Christian ethic, right, in Nazi Germany. And increasingly, as the retreat of the Christian ethic today takes place,
we're finding it more and more difficult to marshal the resources
to say why we shouldn't have very similar kinds of practices.
Canada is already almost a totally lost cause in this regard.
We've had it in the Netherlands and Belgium and Switzerland for some time.
Many U.S. states have adopted this, unfortunately.
I do think it's interesting that some deep blue states
out here on the East Coast have resisted,
in part because of the disability rights community.
You're talking about euthanasia.
Right, right, right.
So yeah, we're talking about euthanasia,
physician-assisted suicide.
In fact, I think both Maryland, New York, Massachusetts, Connecticut, all these states have resisted well-funded attempts to try to legalize physician-assisted suicide.
So who's funding the attempts to kill?
Who's paying for that?
Yeah, I don't have all of the information about
that, but the main activist group is a group called Compassion and Choices,
formerly known, as you may know, as the Hemlock Society, the charmingly named Hemlock Society.
You might imagine why the board got together and changed their name to Compassion and Choices.
And they've been successful. They've been successful in California. They've been
successful in my home state of New Jersey, unfortunately. Who are the donors to
Compassion and Choices, to the pro-killing lobby? That's a good question. I'll tell you,
I don't know the answer to that. It's weird that they're not famous, because if you're
pushing the medical establishment
and the state, inevitably the state,
because the state really does control healthcare,
to murder people or convince them to, quote,
kill themselves because they're poor or unhappy,
then you're a monster and you should be well-known,
I would think.
I can imagine donors not wanting to be publicly known.
So maybe this is just pure speculation.
I don't
know maybe maybe there's a place we can look this up it'd be good to know about these questions
yeah but you know what's what's interesting about this is that um they are well funded and they have
um narratives that they like uh that they can use their well-funded resources to promote and
one of those narratives is very sympathetic a a narrative, right? Like how could anyone, and we were just talking at breakfast, right? How can anyone see
somebody at the end stages of their life or in racking pain, losing control of their bodily
functions? You know, like that's almost where everyone goes, right? Is the first example.
Well, because that's where really almost everyone goes in life. I mean, that is what having seen, we've all at a certain age seen people die who we love.
Yeah.
And that is what it looks like.
It's unbearably painful and ugly and sad.
You know, it's the worst thing.
So that is a compelling argument.
It is.
What is not widely known, though, is that it's a misleading argument because um oregon for
instance has had legalized physician-assisted killing since the 90s and um never has physical
pain ever made the top five reasons people in oregon request physician-assisted killing
the number one reason is fear of a loss of autonomy um also in the top five is fear of
being a burden on others of course um you can understand why
disability rights communities are some of the most effective and energetic uh resistors of
these practices because when they say things like loss of autonomy fear of enjoyable activities
which is another loss of enjoyable activities fear of being a burden others disability rights
communities say um that sounds a lot like us are you telling us that we're sort of making this judgment that people like us maybe have the kind of lives that should be killed or
not worth living anymore? And I think that's actually interesting to think about why these
blue states out here have been successful. I think it's pretty clear, actually, that the
arguments made by disability rights groups saying we matter just as much as anybody else have been so far persuasive.
It shows that the Christian ethic of fundamental human equality has not totally died.
Because, again, these are populations without that Christian ethic that would otherwise just simply be discarded.
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Go to AmmoSquared.com to learn more. Yeah, I'm so mad at the Down syndrome people that it's hard to accept what you're saying, but I know that it's true.
I don't understand why the Down syndrome groups haven't said something about the genocide of people with Down syndrome.
And I think they should be ashamed of their cowardice.
But that doesn't mean that
there aren't great disability rights groups. Well, it's interesting to think about how can
we do a better job on our end as pro-lifers to welcome, we need them at the fight at the
beginning of life for prenatal justice and neonatal justice now. Because again, it's not
just abortion. These babies who are neglected to death very often have
disabilities and were targeted for abortion in the first place precisely because they had
disabilities. And so I think there seems to be some movement now post-Dobbs. I was heartened by
some of the language that J.D. Vance used in a recent debate with Governor Walz, thinking about
ways to expand the pro-life message in ways that would be
focused on social support and broadening the message out in ways that are really helpful.
And I think if we continue on that track, we might be able to bring in some of the disability
rights groups into the fight for prenatal justice. Because you're just totally right that
it's a mass slaughter. I think that's the way we need to
talk about it well how can you get up there and be like i'm advocating for people with down syndrome
and i'm so grateful someone is of course and then ignore the fact that they're basically they've
been eliminated by prenatal testing and then abortion they've been targeted for killing and
it succeeded and if you run again i'm just grinding an ax here, but I wrote about
them 30 years ago. I've never forgotten it. The arc, like, have you ever asked them that?
We get into, I've been in part of the pro-life movement for a very long time now. My first real
job was actually communications director for pro-life Wisconsin back in the day.
So I've been around the movement a long time and I've been aware of attempts to
reach out, especially at the beginning of life. Our relationships are really solid at the end of
life, really solid. Beginning of life, we have this political stuff going on that makes it very
difficult. But again, I think we're at this moment perhaps where something is clearly shifting in the
pro-life movement, I think, along with our politics that would make it easier to welcome those folks in.
If I can tell you just one story to highlight why this has moved me so much, too.
It sounds like you have a lot of stories in your background.
I was giving a talk post-mortem after the 2016 election in Connecticut, I think.
I was on a panel discussion with that.
And, uh, I was talking about, um, this very topic, uh, you know, abortion and the, and,
and the slaughter of disabled people, um, via abortion.
And, uh, after the talk, this gentleman in his seventies, um, with a, a guy I later learned
was his son in his thirties clearly clearly had Down syndrome, came up to me
and he just thanked me, the older gentleman,
and said, you know, nobody ever talks about this.
As you pointed out, nobody ever talks about,
thank you for bringing it up.
I lost my wife, you know, two years ago
and all I have in my life now is my son.
He's the joy of my existence.
And he's, you know, it's so hard to hear
the kinds of things we hear about abortion
and how it's used against people like him.
And in the middle of us talking, this guy who's probably in his 30s
just grabbed me and hugged me as hard as I've ever been hugged in my entire life.
Yeah, it makes me emotional.
Yes.
Because he feels it too.
He can't really articulate it as well, but he feels the surrounding culture.
Well, I mean, anytime you're around someone with Down syndrome,
or at least I'll speak for myself, anytime I've been around someone with Down syndrome,
the spirit coming off that person is really unlike any other person you meet. I mean,
that's just hard to imagine, you know, thinking that it's good to get rid of people like that.
I mean, there's just a kindness that it's impossible not to notice.
And there's data now to support this.
People with Down syndrome actually rate their lives
happier than those of us who don't have Down syndrome.
Of course, of course.
I'm not surprised at all,
having spent time around people with Down syndrome.
I couldn't be less shocked by that.
And yet we have a regime of prenatal violence,
which targets them in a way that's just reprehensible.
But I'm also, you know, in addition to feeling sorry for anyone who's targeted for genocide,
I also worry about the attitudes that make that possible and that make it mostly unnoticed.
And the core underlying attitude seems to be some people aren't worth anything.
They're just objects that can be
discarded. And I don't think that's a good attitude at all to have for our fellow human beings.
Where did that come from? Well, throughout human history, we've seen this be the norm rather than
the exception, right? It was not great for disabled people at all before a Judeo-Christian ethic came on the scene in the West.
And with this idea that every single human being,
in virtue of there being a member of the species Homo sapiens,
a fellow human animal, in a way of speaking,
has exactly the same value,
because that human being bears the image
and likeness of god in precisely the same way regardless of age regardless of disability
regardless of burden regardless of any accidental trait in their very nature and the very nature of
who they are the the face of um the image of god is is present they have, we used to say. People have souls. Yeah, they have souls.
Before that, it was just a matter of course to consider human beings in this way.
After that, though we didn't always live out, as Martin Luther King said, the true meaning
of our creed, but we were on this trajectory, right?
We were trying to better live out this principle
of fundamental human equality.
As the declaration says,
we hold these truths to be self-evident
that all of us are created equal by God, right?
Try to live that out more consistently.
I think it's fair to say,
and it's especially true in medicine,
but I think it's true more broadly throughout the culture.
As we've become post-Christianian as we've repaganized at
least again within our sort of spheres of power not necessarily with the broader people
uh we've lost the ability to say that all human beings are equal we've lost the
basis we're saying now we do affirm the view like equality is maybe one of the most
uh overused buzzwords around, right?
But I think of it almost like cut flowers as an analogy.
You can cut the flower off of its roots and put it in water and it'll stay beautiful for a little while, right?
But everybody knows that once you cut the flower
from its foundation, from its roots, it's dying.
It's going to die.
These ideas, these foundational ideas like fundamental
human equality have their roots in Judeo-Christian ethics. There's just absolutely no doubt about it.
And we have cut these ideas away from their roots and we still talk about them, right? We still
even use them as important ideas. But the issue is the idea is dying. The idea of fundamental
human equality is dying. We're no longer on the trajectory of trying to live this idea out more consistently. We are now in a very different trajectory. Like, people are losing their fundamental equality, right? We are thinking less about how to do this and more about, well, you know, is it really being human that matters at the end of the day? Maybe it's about autonomy. Maybe it's about rationality. Maybe it's about self-awareness. Maybe it's about IQ.
I've heard more and more people talking about IQ recently in ways that I find sort of disturbing,
especially given what you said about Nazi Germany. And so once you move away from fundamental human
equality, you're left with these trait Xs, I call them. And it's very clear that human beings don't have those in equal capacity,
right? Or some human beings don't appear to have them at all.
Right. I mean, it doesn't, I think it's really obvious that IQ determines more than any other
factor, your material success in life. I don't think there's any question about that. And I
also think it has a huge effect on your interactions with the criminal justice system I think it's a very important predictor of your life I
don't think it has anything to do with your value so that this is my opinion in
other words I think IQ is super important we should talk about it okay
but God doesn't care what your IQ is it has nothing to do with whether or not
you have a soul you have a soul because you're a human being. Your soul is identical in value to mine.
You may have an IQ twice mine.
You may be three times as rich as me.
It doesn't matter.
None of that matters.
So just to be clear about my view on this.
Yeah, yeah.
And if it's all right with you, I'd just like to name some of the categories of human beings that are on there.
If we think about the trajectory before of trying to live out this more consistently,
we're now moving in a very different direction where people are falling out of the circle of
protection for fundamental human equality. And so we've already talked about prenatal human
beings and neonatal human beings as classic examples of that. In fact, it's so interesting
to think about the early church's response to ancient Greece and Rome's infanticide was found in the Didache, which is a first century, essentially, catechism, which gives us a really important insight into how they lived.
And they contrast the way of life with the way of death and say Christians need to lead the way of life.
And the way of life is explicitly focused on a couple of things.
One,
don't do abortion and infanticide
and they were talked about
together explicitly
because that's how
the ancient pagan
Greeks and Romans
thought about them.
When was this written?
First century.
I don't know exactly
when in the first century
but first century.
So,
it's very,
very old.
It's very,
very old.
It's called the Didache.
You can find it online.
You can find-
It's got to be one of the
oldest Christian documents.
Yeah,
it's one of the oldest Christian documents. Yeah, it's one of the oldest Christian documents.
It also, interestingly, contrasts the way of life with the way of death in a way that those who are the rich and unjust judges of the poor are part of the way of death.
And the way of life is explicitly focused on one of the central messages of Christ, which is to see my face,
he says, in the poor, right? See my image in the poor. But okay, so this goes all the way back to
the very earliest parts of the church, right? And now we're not just seeing this with regard to the
populations that so perfectly mirror that, newborn children and prenatal human beings,
but now we're seeing it
with people with catastrophic brain injuries so if i can just speak briefly about um brain death
um maybe not so briefly because we have a two-hour podcast here and it's it's somewhat
complicated but i need to set it up a little bit so so i am uh i do a lot of work on secular utilitarian philosophy, and I'm actually friends with Peter Singer, who's a very well-known secular utilitarian philosopher. We don't agree on many, many things, but I think he's wrong in really interesting ways. And he's seen, since the 70s, he's seen what it has meant to reject a Christian ethic of human life. And he said very explicitly, if you're pro-choice
for abortion, you also need to be pro-choice for infanticide. He's right about that, just to work
the other way. If we're protecting babies, we should protect prenatal babies as well.
But interestingly, he says it really wasn't abortion that was the first moment where we
decided to say being human doesn't matter. It was brain so around the time of the 60s and 70s when a lot of a lot of stuff went down that involved
cultural shifts there was a confluence of two inventions the first was the ventilator so
a machine that helps people breathe and the second was the transplantation of vital organs
from one individual to another.
And once we got the capacity to transplant organs,
as you might imagine, as we have today,
huge waiting lists developed, right, for this resource.
And then the ventilator was invented
and suddenly we had people
with catastrophic brain injuries
on ventilators.
And something called
the Harvard Ad Hoc,
Harvard Committee
to Determine Death
or Brain Death
came up with a proposal.
They said,
let's decide
that all these individuals
with catastrophic brain injuries on ventilators have something called brain death and are dead.
And therefore, we can take their organs and give them to others who need them.
And by the way, I'm not hating on organ donation.
I'm an organ donor myself.
I'm just trying to tell the story that both Peter Singer and I agree on actually was a major turning point in in all of this so what the dean of harvard medical
school said at the time was um it sounds like you just are redefining death in order to get more
organs we don't want to release a document that says that's what we're doing and so they they
changed the um they changed the document but it's it's still even with the edited document it's very
clear and this is historically well known that this is what happened and so what peter singer
and i and others who are aware of this history say is,
this is when we first said a living member of the species Homo sapiens,
a fellow human being, did not count, was dead essentially.
Did not have the same moral status as others.
Because guess what, Tucker?
People in these so-called brain-dead states can gestate children.
They can fight off infections.
If you cut into their body, they release adrenaline and their heart rate speeds up.
There is even this case of, oh, and by the way, the gestating children case often happens, unfortunately, in very tragic cases where a pregnant woman gets into a car accident or
something, has a catastrophic brain injury, and her body is herself. She's able to gestate a child
despite being declared brain dead. One of my favorite all-time headlines about this that
shows the confusion we have about this in the culture is from the AP. It said,
brain dead woman gives birth then dies. So, it's just like the full confusion on display in one very short headline.
But maybe you remember this case from a few years ago, Jahai McMath in California.
She was this African-American girl who had a surgery go really terrible for sleep apnea, had a catastrophic brain injury.
And the state of California declared her dead.
And her very Christian, also African-American parents said of California declared her dead. And, uh, and her very Christian also
African-American parents said, um, she's not dead. And, uh, the state of California said,
and her medical team, yes, said, yes, she is. And by the way, according to her family's lawyer,
to high as family's lawyer, um, the chief of pediatrics at, I think it was UC San Francisco
hospital pounded his fists on the table and said,
she's dead, she's dead.
What is it you don't understand? She's dead.
And then a few days later, she got her first period.
And they managed to convince both the state of California
and her medical team to essentially allow them to transfer to New Jersey,
where I live, which
happens to be the only state in the union that allows religious freedom for people like
Jahai's family to say, I don't think this individual who just got her first period is
dead and I want to take care of my daughter.
And the other states don't allow that?
They don't allow it.
They don't allow it.
What does that mean?
They don't allow it? It would be as if, from their, in my view, deeply misguided view, they would say, well, you know, you can't just say a corpse is alive, right?
Like, this is a dead individual.
This is a corpse.
In fact, some of the medical ethics, the deans of medical ethics around the United States reacted to this case, the Jahai McMath case saying, this is a corpse. They're animating a corpse. Who are these people?
She's going to decompose, they said. Why did it make them so mad? Why are they so,
so many physicians, most physicians seem like they just love death. What is that?
Yeah. I don't know exactly. I think, because I want to talk about vegetation.
I know, I know.
And I want you to, but I just keep,
five different times in the last half an hour,
you've made reference to the views of doctors on these things.
And each time I had the same question,
which is, I would hope that the default desire for doctors
would be to see people live.
And yet I have seen it in my own life most
doctors i know get off on death they love death that is just my observation maybe you've got a
different one but what is that i do think there's a strain within contemporary secularized medicine
that um is so ideological that if there's something that pushes back against their very secularized, whatever, I don't know what to call it, whatever the opposite of pro-life is perspective.
Well, pro-death, I think would be the opposite.
Is anathema, right?
But why? Because they're, and this is,
I don't want to speak with too broad a brush,
but in many cases, the ideology is far more important
than their oath they took to protect and care for life.
But you would just think like,
okay, so this girl, they think she's dead,
but then she has her period, she's clearly not dead.
Why would you pound your fist on the table
and demand that other people think she's dead?
Or why would you push parents to abort a child with Down syndrome or spinal bifida, both of which are survivable and you can thrive with both of those things?
So why are they so vested in a we must kill?
They're not neutral on it.
That's right.
What is that?
Well, I think there would be at least two sets of reasons in the case of brain death. The first one would be unique to brain death. The other one would connect with what's called vegetative state, I think maybe offensively vegetative state, which is different. I'm going to say more about that in a minute if that's all right. committee was concerned with organs right so if if we suddenly say that individuals with
catastrophic brain injuries are not dead and we still have the dead donor rule that says you need
to be dead in order to donate a non-paired vital organ like a heart say then the number of uh of um
then the waiting list for organs just goes way through the roof right now and this is actually brought up
there have been um champions secular champions of of attempts to to really call brain death for what
it is a kind of fiction well originally it was a fiction that was just um designed to uh to put
us in a position to get better organs and more organs um who when he gives talks uh he routinely
gets questions like you shouldn't be talking about this you know what's going to be the result of
what you're talking about here people are going to die because they're not going to get organs
right that they need they're going to die on organ waiting lists and so don't talk about this
because people will die don't talk about vax injuries because vaccines are too important.
It's a classic utilitarian perspective on these things.
But if you find yourself lying or ignoring harm to individuals
on behalf of some imagined greater good,
then you're just evil.
I mean, I don't really see another plausible description of that.
If one has a view that what's at bottom true about ethics and morality is maximizing the greatest good for the greatest number, we can call it evil.
I think in many cases it is, but this just follows logically.
Why would we get bent out of shape about whether Juhai McMath is a person or not or has human dignity or not? What really matters at the end of the day is that we maximize good outcomes from this situation. Because that's a Nazi attitude. That's literally
the attitude that they were not ashamed of. They bragged about it. They wrote about it
extensively. We seem to have forgotten all of this. We remember all the lessons about Poland
and Czechoslovakia. Well, you missed the basic lesson, which is you cannot treat people like objects or else you end up committing genocide.
It's like super simple.
Right.
Sorry.
No, that's well said. a different kind of ideological angle which is if we say that individuals who have catastrophic
brain injuries um but are clearly still functioning members of the species homo sapiens just like you
and i are though very seriously disabled um that has implications uh for human dignity that if
applied consistently would undermine very foundational views including with regard to
abortion right um and this is explicitly said so um let let's talk, if you don't mind, about
so-called vegetative state. Yeah, okay. So, if I could, sorry.
Yeah, no, go ahead. I'm getting so spun up, I keep interrupting you. I beg your pardon.
No. You've said three times that brain death is a category that was
kind of devised. It's really almost like a marketing tool in order to increase
the supply of organs. But what is brain death exactly? When it's explained to laymen like me,
it's their flatlining. We're measuring brain activity and there's none. Is that real?
Yeah. So, part of the problem here is there really isn't a good way to test for what's called whole brain death. group that has surprisingly a lot of power to propose uniform language for states across the
country without federal law to sort of make sure they're basically on the same page with regard to
legislation. So there wouldn't be like one kind of brain death laws in California and a different
kind in New York. And so I think it was 1981, certainly the early 80s, they proposed language
that basically mirrored the recommendations of the Harvard Brain Death Commission, which said brain death, which means death of the whole brain, including the brain stem, is death.
And that's fine.
You could say that as a thing, but then we have to find ways to determine that.
And there's…
To measure to see if it's true?
See if it's true see if it's true and um most of the ways especially
to determine whether there's brain stem activity like in the very center of the brain um it's just
super super difficult there's a there's a big debate right now in my world about whether the
hypothalamus which controls a lot of different things but is this sort of tiny organ um or part
of the inner part of the um brain stem um there's all sorts of debates now
about how precisely to test for whether the hypothalamus is still alive and some people
will say well who cares whether hypothalamus is still alive other people will say well no we got
to determine whether the whole brain is that or not and meanwhile we got this individual regardless
of what's happening here who's fighting off infections infections maybe gestating a child
right maybe reaching their first period and so i, I don't, so anyway, to answer
your question. None of it should be possible if the brain was dead. Well, this is an interesting
question. These, I think the push for organs, the connection to organs really pushed us through to
determine that people were dead who had dead brains too quickly. I think we just sort of said,
well, that sounds right. Especially, you know, in the developed West, I think in a, I think we just sort of said, well, that sounds right, especially in the developed
West, I think, in a, I think, therefore I am sort of inspired world that's focused on the head.
I wonder if we don't too quickly just assume that these things are controlled by our brain.
One of the interesting things I like to point out, or I think it's interesting, I hope you and
your viewers think it's interesting. When the ancient Egyptians would mummify somebody, do you know what they did with the brain?
They threw it out. They thought it cooled the blood. Now, what would a culture have to be
thinking about themselves, right? To think that the brain is something you're really not going
to need in the afterlife. It just cools the blood. It's sort of this thing don't you won't really need as opposed to us you really sort of imagine ourselves like
ice i'm i'm raised in this culture i kind of imagine myself inside my head here all these
thought experiments in my world imagine like what if you had your brain in a vat on mars right would
that be you right in in a in that vat like if we could put it in a tub of nutrients and give it electric shocks.
We talk about in this current transhumanism moment, what if we could do this modeling of your brain's information and upload it to the cloud and then download it into a robot or something.
These are questions that transhumanists are really asking right now.
Very serious people are asking these questions. But I think it's because we sort of just imagine ourselves as this kind of creature that thinks of ourselves,
well, maybe we just are our brains.
I want to push back on that.
I want to say we are in soul bodies, right?
We are our bodies and that we were who we were
before we had our brains, right?
Prenatally, we were who we were before we had brains.
And there is some evidence, though it still needs to be explored, that especially young people, Tucker, can have other parts of their body take over for the functions of the brains in a kind of a really interesting plasticity of the body.
I think some people have speculated.
Wait, what?
So it's no accident that a lot of these cases, these so-called brain death cases, are children, right?
So, there's been some speculation, some informed speculation that says, well, you know what?
These children have the ability to have other parts of their bodies take over for their brains when their brains are destroyed.
Perhaps their spinal cord, perhaps some other way of thinking about this the body as you know is an incredibly
mysterious thing and um and by the way we still have not found the place where consciousness
exists in our brain maybe you've heard about this for for now for decades we've been exploring the
brain where is the consciousness where is the consciousness is it here is in this part of the
brain is it here it's nowhere nobody can find any seat of consciousness in the brain. Where is the consciousness? Where is the consciousness? Is it here? Is it in this part of the brain? Is it here?
It's nowhere.
Nobody can find any seat of consciousness in the brain to the point where some philosophers of mind like Daniel Dennett have said, you know what?
Maybe consciousness is an illusion because it must be in the brain.
The consciousness must be part of the brain.
And that is such a revealing claim because it's an absurd claim, right? It's claim right and that's also a non-scientific claim i mean the basis of science
is inquiry yeah and taking your preconceptions and setting them aside and trying to see things
if i if i know for a fact my car keys are in the kitchen i'm never going to find them in my bedroom
that's right so why why would you start with that assumption? I mean, I agree with your critique.
I think it's because we are so, especially in the developed West, focusing on rationality.
Again, I'm the Kantian sort of, I think, therefore I am, cogito ergo sum.
I'm a thinking thing.
That's not a Christian vision of the human person.
We are not thinking things.
We are in soul bodies, right?
And we can have in soul living bodies with a very seriously
damaged brain perhaps a fully dead brain and what's so interesting again about children is
it looks like the spinal cord can maybe take over for some of what the brain did and we we know that
we're conscious beings right that's that's a um that's just a brute fact about us and we also
know that at least so far after many decades of trying, we can't find consciousness in the brain anywhere.
And so that suggests to me anyway, that consciousness is a product of something else, right?
It's not a product of the brain, most likely.
It's probably a product of some, there are actually some philosophers of mind, secular ones who say, it's probably the product of like our whole bodies holistically considered in relationship with each other in our environment.
I don't fully understand some of those arguments. But at the very least, I think we need to expand
this idea that we're more than just our brains. Well, and also at the very least, I think we need
to approach medicine and science with renewed humility. If we don't even know where consciousness
resides, self-awareness as people, which is the whole, you know, that's the main, that's what makes the brain
different from the spinal cord, I would argue, actually, or we thought made it different,
then we don't know squat. And why don't, I feel like you're wiser when you concede that rather
than bounding forward with the false pretense that you're all knowing. Like, why don't we
admit that? It helps to believe in God. Why not force doctors to admit that at gunpoint, actually? Like, how can you get a medical license if you
won't admit that? Doctors, shots fired, right? No, no, I'm sorry. I don't mean literally at gunpoint.
Yeah, I know, I know, I know. Why don't we force that? I think it helps to have a context in which
there is a God, right, who is all-knowing and who, in whom ultimate truth resides, and it's
not from you, right? It's not up to us. It's not in us. I agree, but I mean, I don't know. Most of
my life, I haven't spent thinking about God. I do now, but I mean, most of my life, I didn't.
Yeah. But I don't know, just trying to be honest with myself, it was always pretty clear to me that
I didn't really know anything and that nobody does. And if you don't know, just trying to be honest with myself. It was always pretty clear to me that I didn't really know anything and that nobody does.
And if you don't know that, then you're dangerous.
Yeah, this is just pure speculation.
I guess I'm just trying to, especially now that I teach at a medical school and I've been in these structures, in these systems.
What is rewarded is saying, I've got the answer, or I'm on my way to finding the answer.
I've got this new piece of information about this. That's one of the reasons I think that
so many theologians, at least in my world, have reacted negatively to this sort of publish or
perish, come up with new ideas, constantly sort of a model of higher education. Because boy, oh boy,
if we're truly exhibiting the virtue of humility in the way you suggest, we need to make far fewer claims
about the kinds of things that we do precisely because we need to start with the virtue of
humility first. Well, right. And in a system that actually wanted to expand knowledge and
perpetuate it, pass it on, there would be much more reading and much less writing.
That's right.
Much more listening, much less talking.
And it seems the opposite.
That's absolutely true.
There's a tremendous amount of pressure put on academics,
including those in academic medicine, to just publish your ass off, right?
And just get paper after paper out there. And we have, have as you know a replication crisis now in part because of this um can you explain for people
don't follow what that is so um in part but not only because of the the intense pressure on
academics and especially in academic medicine to advance one's career through publications.
There's been a real lack of humility in sort of sitting with data and books and studies and an attempt to sort of just push things out and get your name out there and get your
publications out there.
And then when people come behind them, and it's actually more and more difficult for people to come behind them
because there's not a lot of glory
in either confirming what somebody's already published
or there's some glory in finding
that they were wrong about it,
but not a lot of people spend a lot of time
trying to confirm or replicate studies,
but when they do,
we now have found a replication crisis
that a lot of these-
The replication is not just like a virtue,
it's a prerequisite for science.
That's right.
It's a basic scientific precept.
That's right. If you're going to make a claim in order for us to declare it true, it has to be replicated.
That's right.
And it's a deep and foundational problem that especially in areas which are ideologically charged, let's say the the replication crisis is particularly profound
so it's not just it's not just about um publish or perish get a ton of articles out there for
your to advance your career it's also to get the right kind of articles out there the ones that
say the right things that have the right conclusions about some of the issues we've
been discussing so far on the show right right? These are politically charged things. And in order to
get it published in the best journals, you probably need to have the quote unquote right answer as
well. It seems like total corruption. There's corruption. I mean, there's absolutely no doubt
about it. I mean, I experienced this even in my own world of bioethics where you just sort of know what journals you need to submit to if you have a particular sort of argument and a sort of conclusion.
You say, well, you know, I could submit it there, but it's never going to be published there.
It doesn't matter how good the argument is.
It doesn't really matter whether I've done good research or have adequately investigated this and I'm making very tight arguments.
I have the wrong conclusion for that journal.
And so you submit it to a different journal, right?
Or you don't submit it at all or you submit it to an online journal or something that
might actually get read by people.
Just submit it to Twitter.
Yeah.
I mean, that's increasingly where a lot of this is headed.
Twitter has actually been one of the places where we've been able to most clearly see
the replication crisis, right?
I was half joking, but what do you mean?
Well, I mean, so many of these things
before Twitter and before social media
happened on the down low, right?
They would just be,
only the specialists would sort of know like,
oh, so-and-so, their article got retracted
or like so-and-so followed
behind them and wasn't able to replicate their work or whatever. Now, as soon as that happens,
happily, there's a place where you can go and see people saying, hey, look, this data was
problematic. This data was faulty. And there's public pressure, in fact, to then have the journal
address that and say, well, maybe we need to have a note here or something like that and address the problem.
So that kind of transparency, which is only just a few years old now, I think we've yet
to see the end result of that.
So I'm sorry, back to the topic that you were explaining before I once again so rudely sidetracked
the conversation, which was brain death and a persistent vegetative state.
So when we left, you were explaining, I think, that there is no way or universally agreed upon way to measure whether or not a brain is dead.
I think that's right.
We're trying to get ways, for instance, to do a better job testing for hypothalamic function, for instance, and brainstem function.
But actually, one of the difficulties that is pushing us in ways that I find pretty disturbing about declaring somebody brain dead is a lot of people are sort of throwing up their hands and say, it's actually pretty arbitrary how we test.
Like, who cares whether we can test for the function of the hypothalamus?
Who cares, actually, how much of the brain is dead?
They're not the person they ever will be again or something like this. tests for the function of the hypothalamus. Who cares actually how much of the brain is dead?
They're not the person they ever will be again or something like this.
There is something in most people that kind of agrees with that though.
They don't want themselves or their loved ones living on a ventilator.
And I think that's fair to say.
That's right. And getting back to one of our earlier discussions, it's perfectly legitimate to take somebody off a ventilator as long as one is
not aiming at their own death, right? As long as it's a choice about how to live. If somebody
says to me and my parents, a friend, spouse, listen, Charlie, I would not want to be on a
ventilator. So can you make sure I'm not living on a ventilator it's not that I want to die in any particular moment I just don't want to live
my life that way yes that's again to use the more fancy language that's foreseeing but not
intending one's death but making a choice about how to live rather than a choice to die and we
do that all the time right even the food we eat as your show has helpfully pointed out is maybe
a choice how to live we can foresee if we eat or behave or exercise a certain way we these have certain outcomes right it's a choice about
how to live not a choice about um how to die so that's different from saying quite different from
saying um because you're on a ventilator and you don't have the requisite brain activity
you're dead right you're done that's different. And so we can perfectly say, and we should say,
and let me make this clear if I haven't already,
we don't need to keep people alive indefinitely.
In fact, this is not at all a Christian ethic.
I mean, just look up at Christ on the cross.
It's pretty obvious.
You don't need to do everything to save your life, right?
If we're imitating Christ,
the early, the church's martyrs
also give a great example of this.
It can be a very clear example of idolatry, in fact, to just pursue life, extended life.
I agree.
So, I hope I'm making it clear that that's not what I'm saying, that we have to do everything.
We should not do everything.
We don't make an idol out of life.
At the same time, we don't tell ourselves silly bedtime stories about individuals who gestate children or get their first period as being dead.
Do you remember when Democrats used to refer to abortion as something that should be safe, legal, and rare?
Well, they've changed their view on that.
It went from a rite to a sacrament, and Kamala Harris is celebrating it at full volume.
She was the first vice president to visit an abortion mill.
And then the Democratic National Convention offered abortions on demand,
basically right outside the convention hall.
As the publication First Things reported, Tim Walz, who's running with Harris,
supports the right to kill babies after birth, to infanticide.
And that's true, despite what the fact checkers may tell you.
And it's also evil.
The media are calling this the abortion election.
You shouldn't sit by without registering your position on it.
This isn't the pro-choice movement you may remember from 30 years ago.
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It's one of the saddest things about this country.
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Yeah, and I think we should, I agree with everything you've said. I would never want to be in a ventilator.
I mean, I'm 55, my kids are grown.
I'm, you know, I have no reason to want to prolong life to that extent at all.
And I think it's degrading and I would hate it.
So I'm definitely in the do not resuscitate side of this argument and that we are the ethicist, but tell me if that's immoral.
No, you're perfectly legitimate.
But I do think we should really care about whether a person is alive or dead. I do think
we should fret about these questions because every life has intrinsic value. And again,
if you treat people like objects, you're going to wind up murdering millions of them because
we've seen that again and again. So, to the question of
organ donation and, quote, harvesting organs, repulsive phrase, but I think it's still used,
right? Harvesting? Yeah. And it's repulsive because it treats people like farmland.
Just like a medium in which this thing grows, this heart, liver, kidney. I don't like that at all.
But it raises the question, are people from whom organs are, quote, harvested still alive?
I think these are deep questions we need to ask, Tucker. And I'm giving a talk at the seminary
where I teach next week, which is essentially, should Catholics be organ donors, precisely in
light of these questions.
Again, I'm an organ donor. I have people in my life who are walking around right now because of organ donation. It's an incredibly important thing. But again, we should not be telling
ourselves false stories about who is alive and who is dead just because we want more organs.
That was the foundational mistake of- So, it sounds like we're harvesting organs,
taking organs from living people. If brain death is not death, then that's definitely what we're doing. Do you like we're harvesting organs taking organs from living people if brain
death is not death then that's definitely what we're doing do you think we're doing that yeah
okay so that's kind of heavy it's really heavy it's really heavy i'm sure you're going to be
yelled at for saying that because like how dare you get in the way of progress but
and let me say it for a third time i'm'm an organ donor. I support organ donation. Yes.
I also support telling the truth about whether people are alive or dead. And to get back to the original reason for bringing this up, Peter Singer and I both agree that it was this foundational place where we said an obviously living human being no longer counts as a legal person and therefore we can take their organs.
That was the foundational shift where we moved away from fundamental human equality
and we moved it to something else.
And then we slid into
persistent vegetative state.
You probably remember
the Terry Schiavo case very well.
Very well.
Terry Schiavo,
for your listeners who aren't aware,
was a woman who also
underwent a catastrophic brain injury
due to an eating disorder,
as I recall.
And her husband and her family
disagreed about what should be done to be clear persistent so-called vegetative state no person
no human beings a vegetable but that's just sort of the language we use or have used it's changing
now but she did not have brain death she was she had other parts a large part of her brain had been fundamentally compromised, but she had sleep and wake cycles, and she responded.
There's an amazing video online you can watch of her responding to music.
Somebody plays music.
She just sort of leans over and sort of makes a noise that sort of almost smiles.
People who were there, like her parents said, they responded to her.
It was a huge fight.
You remember it sort of engulfed the nation in the early part of this millennium, early aughts.
Anyway, it's interesting. Her, I think, nefarious husband won that battle and they
starved her and dehydrated her to death after declaring essentially that she was no longer
there. In fact, if anybody would
challenge me on this, I challenged them to look at the gravestone that her husband created for her.
It says that on the date of her catastrophic brain injury that she departed this earth,
I think it was 1990. He uses the phrase departed this earth. then in the i think it was 2003 when they um dehydrated
her to death um it says she was at peace and so when i give talks on this topic i often start with
that um gravestone as a really indicative um uh important um insight into what we are doing here what we are saying is this individual has departed this earth
as a person and yet can leave behind somehow a body that is responding to music has sleep-wake
cycles all the things now even since that time tucker maybe you are you aren't aware of this
there's been research into people who've been lumped into this category of vegetative state joe fins who's a secular um bioethicist wrote a great book called rights come to mind if listeners
want to explore it we now know that a significant percentage of people in a vegetative so-called
vegetative state are actually conscious they've done scans of their brains fmri scans and they
ask them yes or no questions with yes being imagine you're
playing tennis and and no being read a book in your room and they answer but by what parts of
their brain light up correctly they answer these yes or no yes or no questions correctly we've
further learned that with the right kind of therapies Joe Finn's points out in this book
you can actually prove that more and
more, either they weren't conscious before and then they become conscious because of the therapy,
or they were conscious the whole time and the therapies end up showing that they give them
opportunity. In fact, he tells this amazing story of this neurologist who was working on a patient
and suddenly he realized she was blinking and trying to communicate with her through her blinking uh just an extraordinary story um but yet so many people have this idea
that uh that uh terry chavo's husband had which is like people who are in a vegetative state have
departed this earth despite this human body that is very clearly here i see that as the sort of
next step from brain death to say well you know and that's why some people aren't too concerned
about whether the hypothalamus is really functioning or not, because who cares at the end of the day?
So, it's the concern that I'm concerned about or the lack of concern.
I mean, I, you know, these are all emotional subjects for people, particularly the end of life stuff, because everyone by middle age has seen it with a loved one.
And it's so sad.
And you imagine yourself in that position.
You think, I don't want this for myself.
I mean, I understand all of that. I'm not judging anybody. But the core idea is so important that all of us have identical moral value because without it, society becomes really dark and evil. That's right. Not just in the way we treat the weak in hospice or in
neonatal care, but in the way that we treat everybody, the way our economy is structured.
So when I was a kid, I grew up in a rich world. Rich people had a sense of noblesse oblige,
we're fortunate. That was the word people used. But there are good people who are not fortunate,
and we should feel at the very least bad about that.
We're not gods because we're rich.
Like that was a, I mean, I know, I was there.
That was a prevalent feeling that is totally absent.
You think Larry Fink thinks that like poor people
are as good as him?
No, he's like a disgusting money worshiper
who thinks he's better than poor people.
And they all think that.
It's not just Larry Fink, though he's obviously genuinely repulsive but they're all that way that's right and that
that's a big change is it not am i imagining this well this gets back for me anyway back to the
didache right because when they contrasted the way of life with the way of death they weren't
just interested in what you might call today classical bioethics issues of abortion and
fantasize they were interested in the what you just described, right?
Yeah, the rest of life from birth till death.
Like there's a lot of years in there.
The rich and unjust judges of the poor were named explicitly in the Dicke
as part of the way of death, part of the way of death.
And all the early church fathers, Tucker,
thought about abandoning the poor as akin to indirect homicide, right?
And you owe the poor from your substance, actually. And
you put your salvation in peril if you don't give from your substance. Because they deserve it. It's
owed them as a matter of natural right. If you have too much, you owe it to them. And this isn't
something that's made up. It comes right out of sacred scripture. Jesus couldn't be more clear
about this. That culture was still alive when i was a kid like i remember
that very well i remember people saying that and i remember them acting like it was true and these
are not even faithful christians that i grew up around at all but there was this feeling you had
a moral obligation to help people beneath you not to scoff at them not to try and put their
presidential candidate in prison but to listen to them and help them it's all gone it's gone i mean just get there back in the day and in
i think it was a medieval practice um rich people would routinely ask um
uh invite the the poor beggars outside the cathedral to pray for their loved ones at their
funeral because they would think these people bear bear the face of Christ in a special way.
And I better get-
Well, that's taken directly, of course, from a story of the New Testament.
Yeah.
Yeah.
And that's what I've loved so much about this kind of shift that we've seen.
I don't know if it's on the right or that's even the way to describe it today.
You've been an important leader, I think, in this shift for conservatives, for people who are more traditional to say,
we don't need to choose actually between more traditional pro-life ideas and human dignity
and focusing on giving the poor what they are owed, giving the most vulnerable social classes
what they are owed. In fact, vulnerable social classes what they are owed.
In fact, not only do we not have to choose between them, it's part of the same ethic. It's part of
the same vision. It's part of the same seeing individuals as not mere things to be discarded,
but as fellow image bearers, exactly the same as I am in value totally. And again, to go back to
the debate that the vice presidential candidates had recently, it was so heartening for me to hear J.D. Vance talk about both to say like, yeah, we got some challenges right now with prenatal justice and we have to re-earn trust. in utero and neonatally now, and supporting very poor women and families who feel pushed often into
contexts where they have a desperate situation in front of them and they don't know what else to do.
And so, to have someone like him be so public about saying, we're going to do both of these
things together. We're going to pursue prenatal justice and we're going to pursue economic justice for women and families who are
in these difficult circumstances. What a beautiful thing. If that takes fire, if that takes hold,
I am just so excited about what that could mean. Because this is something I haven't really
emphasized. I want to make sure I emphasize this, Tucker. In so many of these contexts that we've been discussing this, the push away from fundamental human equality has been in part a question of resources, a question of consumerism, a question of allocation of resources. So again, with brain death, what pushed it? Organs, right? So many people thought
Terry Schiavo, why would we put resources into caring for her? Why would anybody put,
Joe Finn says, hey, I'm trying to tell people you can help people in these states and we can
actually bring them back and let's get on the horn here and let's figure out how to do this.
And he's had crickets from his colleagues. Because we've got wars to fund.
We've got lots of things that people- Well, we have a lot of wars and i have to say that's the last and i will get off my soapbox but that is the last
big effect of this attitude change is the callousness that you see displayed everywhere
on the right a lot and universally on the left now about the killing of other people it's like
i don't know if you're in a war with somebody and it's a just war, maybe you have to kill people, but you should never gloat over it. You should never be happy
or cavalier about the deaths, particularly of like huge civilian populations, a million people in
Iraq. And no one has, obviously no one has gone to prison. Lots of people should go to prison for
it and no one ever will. But we should at least say that's really bad. That's like a million human
beings. Or, you know, what's going on in the middle east now i mean half the right the whole daily wire
every day they're so excited about all these people getting killed and it's like there's not
one person who stands up and says look i you know i'm not for this or that group these people are
terrorists that's all fine i get all that i'm not even contesting it but if civilians get killed
non-combatants get killed we should feel bad about that.
I don't understand.
And if we don't feel bad about that, that suggests a darkness that's really scary.
And it's no surprise that the same people who are thrilled when giant bombs drop on
apartment blocks, those people have, I think, really dark attitudes about Americans who,
say, die of fentanyl ODs or find their towns invaded by, you know, people who shouldn't be
here or whatever, victims of crime. They don't care because they don't care about other people,
actually. That's the theme that connects those two. It connects all of this.
Oh, I couldn't. And I'm thinking of a couple leaders on the so-called right they're not conservative in any sense that i recognize at all um who were like this and i just i just i think to
myself i can't believe i'm in the same category with these people i have nothing in common with
them i'm never going to celebrate someone's death ever and why would you and it's wrong
sorry and what a beauty do you, please. Do you see this?
Oh, yeah.
And by the way, this is again, I hate to keep coming back to this, but maybe I'll pull my
moral theologian card one more time.
This is just Jesus and the gospels and the early church again, right?
This is this anti-war, uh, swords into plowshares, turn the other cheek, love your enemies.
Augustine thought it was so important to love your enemies that he, he not a pacifist but he said if you're going to kill your enemies
you got to do it out of love for your enemy well i agree with that or at least it should be
accompanied by guilt and shame yes i've done all kinds of bad things in my life i'm sure i'll do
more unfortunately but my only defense would be i i think i felt guilt and shame probably not
like you should feel bad. And I even,
I'm probably make myself super unpopular for saying this, but I remember when Osama bin Laden
got shot to death and I hated Osama bin Laden. He killed a friend of mine, actually. I'm not for
Osama bin Laden, but I thought, you know, we should just have, when someone dies, we should
have reverence for death itself. I mean, we can be happy that someone who was attacking us is gone and the threat is gone.
I think that's worth celebrating.
But we should never feel glee watching a human soul be extinguished.
I just don't.
I think that's a really ugly habit to get into.
And it diminishes us and turns us into monsters.
It turns us into osama bin
laden type people and i didn't have the balls to say this at the time but i remember thinking
i'm not into celebrating some guy an unarmed man getting shot in the face i don't care if it's
osama bin laden the guy i like least but that's precisely okay i probably shouldn't even have
said that but i felt that at the time like it sounds like you're talking about trying to find a way to love your enemy i don't think a country can i mean could there really be a truly
christian country that loved its enemies maybe we get invaded the first day i don't know i'm not a
statesman or theologian so i don't have to make these but i just think at the level of the
individual the human being we should be on guard for the natural impulse to treat other people as objects
and to worship death. I just think it's important not to worship death. I just, I don't know. I
mean, all of us have it in ourselves. How many videos have I seen on the internet of someone,
you know, a robber getting shot to death at a 7-Eleven. And I'm like, you go shoot
that robber. Like, I get it. I understand that impulse. It's very human, but it's ugly and we
should fight against it. That's right. That's right. And again, what a beautiful image of human
dignity, an image of resisting a throwaway culture that would combine all these things together to see
them and not as dichotomous or even strange but of course you would be for anti-war of course you
would be for justice for uh impoverished and middle-class populations who are under siege of
course you would be uh for disability rights of course you would be anti-abortion of course you
would be anti-infanticide and of, you would be anti-infanticide.
And of course, you would be anti-euthanasia,
physician-assisted killing,
because it's all part of the same vision.
And not throwing away old people
and putting them in some super depressing facility.
I don't know, the whole thing.
I don't think there's any surprise
when I look at how little our leaders care about Americans.
They just don't care.
They step over the bodies of drug addicts on the way to go vote to fund the Ukraine war.
Like those two things, those two facts are connected.
Yeah.
I think if you don't care about people, you will mistreat them.
And the last category you should have ruling over you is people who don't care about other
people like that oh man like keep them away from power right can i can i say one thing about older
people here in light of this um especially those who are um i mean we're in the midst we're in the
very early stages of a dementia crisis as you know and. And, um, what is that? Can you be more sure? So,
um, so we already don't care properly for reasons you just suggested, uh, for people with, um,
moderate and later stage dementia. Essentially we, um, shuffle them off into, uh, so-called care
homes. Um, and, and really, uh, the New York Times did this very interesting expose about how many of
them are treated, and essentially, many of them, a high percentage, because they're sort of difficult
to take care of in some contexts, are given antipsychotic drugs, not because they have any
psychosis, but it's essentially a way of keeping them more docile, in part because we don't put
enough resources into caring for them. And I don't know about you, Tucker, but when I talk to
immigrants about how we treat our elderly
and those who have dementia,
they are shocked.
They are shocked that we put them away
in the way that we do.
We literally throw them away into a room until they die.
And this is what we're doing now.
In the next 20 years,
unless the mean siblings get what they want
in terms of treating type 3 diabetes,
the number of people with later stage dementia is going to double.
In 30 years, it's going to triple.
In 30 years, Tucker, what are we going to do with three times the number of people with dementia?
Are we going to adequately care for them?
Are we going to find new ways to help them?
Or are we going to slouch towards physician-assisted killing as we go?
We're going to kill them.
We're going to kill them.
We're going to do what Canada's doing.
That's right.
And so that's the next, in a book I wrote called Losing Our Dignity,
How Secularized Medicine is Undermining Fundamental Human Equality,
I finished the last three chapters by saying this is the next shoe to drop
in our loss of fundamental equality.
We're going to end up saying that individuals who've lost their rationality and self-awareness
at the end of life no longer count as persons, just as we say it about prenatal and neonatal
children, just as we say it about those in a so-called vegetative state, just as we say
it about those in a so-called brain-dead state.
Canada's already saying it about individuals at the end of life with with later stage dementia
and we're gonna unless we can have a recovery of uh the concept of fundamental human equality and
this i hope you don't mind me asking you this question the only hope i really have that we
don't have a dementia crisis along the lines we suggest is if there's a kind of revival a kind of recovery of the kinds of, the vision of human dignity, fundamental equality
that we've been talking about here. You've spent the last month or so traveling around the country.
I've heard you say you've been, I don't know if I'm putting words in your mouth here, but
rejuvenated or you have some sort of really positive experience as a result of this.
Do you think, you know, I'm isolated in academia in a lot of ways.
Do you think we can have a kind of revival in this country that could recapture a vision of human dignity that would cause us to say, yes, grandpa, dad, my neighbor, he doesn't know his name. He doesn't know his
wife's name, but he matters just the same as anyone else. And we are going to rearrange our
lives to care for him in his final journey on this earth. Or do you think the ship has sailed?
Like we've just jettisoned. The cut flowers are dying.
There's no way to reattach them to the roots.
And we just have to find a way to work through it somehow.
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Shop now at nofrills.ca. I mean, one of the reasons that immigrants can't believe how we treat our elderly is because they have intact families and we don't.
Right?
So it's pretty hard when you have a lot of elderly without any family, actually, way more than any other time in our history.
This is just one among countless issues that every person deals with every single day that turn on how we see each other.
Do we see other human beings as fellow human beings as people with souls uh whose lives inherently matter whether we like them or the life they're living or not it's kind of not up to us how do
we see ourselves do we understand ourselves as you know as subjects to a greater authority
not a government authority but authority above that um Or do we see ourselves as gods? I mean, these are all like basic questions. And I think the way that we understand all of these things
depends on our core understanding of who we are and how much power we have. Do you really believe
you have the right to kill somebody except in self-defense? Where do we get that idea? Only
God has that power power i will just say
this here's what i believe is happening i think the last 80 years really since we dropped um that
second bomb on nagasaki have been an anomaly in human history and i think because of these
profound technological very rapid technological advances people have lost context and lost perspective on themselves.
And I think they think they're God and the result has been a pretty hollow culture.
It's just based on buying crap and sensual pleasure.
And I don't think that, you know, I'm not against buying crap or sensual pleasure.
I've engaged in both quite ardently, but I don't think in the end they satisfy.
It is like eating Snickers bars,
which I've also done a lot of,
and they just don't fill you up.
And I do think that there's a recognition of that
among almost every single person I know,
and the result is a spiritual yearning
that's becoming explicit.
And what that becomes, I have no idea.
I'm terrible at predictions,
but it is a kind of revival underway.
There's no question about it right now.
And that will change people's attitudes.
Like you're not going to change.
One of the things I've learned from covering politics
for more than 30 years
is that we're coming at the story at the very end.
Like if there's a real debate over a law,
then that means that, or even if you get a law,
attitudes have changed on the ground, like fundamentally.
And, you know, I think people's attitudes are changing back.
I do think.
And with the rise of AI and transhumanism
and phenomenon
that are really designed
to degrade
and eliminate people
and make them
redundant and irrelevant
that is the point of AI
and transhumanism
is to kind of eliminate people
the body
yeah the body and the mind
actually both
I think people can feel that
it scares the crap out of them
and they're reacting against that
thank heaven and i know of course it's not too late i mean ai and transhumanism will you know
a thousand or ten thousand years ago from now will seem like the absurd jokes they are i mean
ai is not going to extinguish people forever it may extinguish 99 of them but people
will live on and they'll mock ai you know in future generations and transhumanism will just
be like phrenology or some other stupid cult that we make fun of slavery you know something we look
back on and think do people really do that um do you know what I mean? It's absurd. It's like,
it's only for creepy billionaires in the tech world think that's a good idea. And of course,
they're being controlled by spiritual forces, by demons. That's so obvious to me,
but they're not going to win. Are you joking? They're not going to win.
They may win short-term, but they're not going to win win long term. So anyway, yeah, no, I think there's massive change in people's, uh, like deepest feelings about the world right now.
And I think it's fair to call it a revival. It's my sense too. And, um, in part because I've
listened to some of the people you've interviewed and talked with over the last few weeks. And, um,
and I've, I've looked at some of the data which suggests that there's actually young men
are the ones leading a return to church.
18 to 29 year olds are leading a return to church.
In fact, that more-
Yeah, like how much can you eat?
How many random people can you sleep with?
It's not that fun.
How much time can you spend on your phone?
How much porn can you sleep with? It's not that fun. How much time can you spend on your phone? How much porn can you watch?
It's a deep,
and they have a very strong sense too,
maybe even better than you and I have,
about it being foisted on them.
They just grew up in a culture that was,
that had these structures already in place.
And interestingly,
when some of my colleagues do things like
teach a class that would involve a technology fast, for instance, those classes are totally full.
And people want to get out of it.
They want an excuse to get out of it.
They want an excuse to get out of it.
I just am amazed, given how many addictions I've beaten in my life, you know, things I never thought I would stop doing, like smoking, especially amazingly, I quit at the age of 45 or drinking,
you know, no problem. I quit it. No problem. I never would go back to either one of those things.
Pretty hard to get off bad food and your phone. Like I just have, I'll just say from my own
experience, I think I'm pretty good at beating addiction. Hard to get off your phone, hard to stop eating wheat thins. Like those are
very addictive, both of those things. And we've got, as you've talked about on your show a few
times now, we've got the best scientists and including social scientists and chemists and
others who are working very hard to
make sure that's the case, right? Because it makes a lot of people a lot of money.
Well, yeah.
That's good. Yeah. Yeah.
I sort of missed the porn thing and thank God I didn't grow up with that. And, you know,
obviously my phone's totally monitored. So I'm like, even if I was into porn, I would not look
at porn. I wish I'm not. But my sense is that like the whole country's addicted to porn i don't know too much about it oh it's
an extraordinary thing i mean we basically have a pornified culture or the kind of things that you
and i grew up with is sort of odd you say well that's how a porn star dresses or these these
are attitudes that um that come from porn this thing that's out there that's separate from the
rest of the culture it's now pretty well accepted that the culture itself has been pornified so the logic of porn
is now the logic of the culture more broadly in fact that's how this is how most young people
today understand what sex is and what it's for um this is why i don't know if you've seen uh in
recent um i think it's been over the last couple of years, this has been a phenomenon. More since you brought up something that forbidden and naughty,
I'll just say for whatever it's worth, probably nothing.
But I've heard a lot about this from, you know,
younger people I come into contact with.
And it sounds like that's driven 100% by women.
Just being honest from every report.
I mean, I was so shocked the first time I heard that
since I don't really see a connection
between violence and sex.
I never have.
It's just deeply unappealing to me.
Maybe I'm revealing too much here, but I mean it.
You know, we all have preferences.
I've never really understood that.
Violence, really?
No, violence is not hot.
But anyway, here's the point.
I've talked to like more than three young
men who were like oh yeah this is like a constant request that i'm not that into from women okay i
didn't know that i've heard that so much that i think it's really interesting what is that
i don't know what that's about i don't know what that's about but it does show that the
impact now is not just on men right so we we used to think that porn was mostly consumed and still
as i think the numbers say mostly by men and boys but with that i think it really strongly indicates
is that women and girls are also you know i really i don't know i'm really interested in how people
live just because i'm a curious person so i've like i always ask questions about all sorts of
stuff with people probably too many questions but um but do you know who has the most sex and the best sex of all yeah married people by far by far and i know that as a pretty very pro-sex
protestant because i'm i don't for reproduction you know yeah um it seems like people are not
having sex no no they're not i would joke with my students and say you know you guys claim to be
these wild people you look at my generation older older generation as fuddy-duddies or whatever.
That's not what the numbers say.
No, at all.
That's not what the numbers say at all.
And so it's interesting to think about what that is.
It doesn't seem to be a kind of, I mean, it's not clear.
I mean, if there is a revival underway and if young men are returning to church in significant ways, maybe it has something to do with that.
But it could also be just, again, the ubiquity of sitting around playing video games and watching porn all day long too.
Well, it does, my strong overwhelming sense is that the distrust between the sexes, particularly among younger people, is kind of the defining fact.
Like they don't trust each other and they don't, they seem to have a lot of trouble getting along.
I don't know.
I don't want this to turn into like a long catalog of all of our social problems, but I guess all I'm saying is in response to your original question, I think things are coming to
a head where whatever we're doing is just not working at all. And that's become really obvious
at every level. At the personal level, men and women are having a lot of trouble understanding
each other, getting married, having having children buying a home finding a
job that sustains all of that in terms of basic middle class life that's like beyond people's
reach and then looming above us is the constant threat of annihilation right by ai or war things
that were created by our lunatic leaders like actual lunatics who run the country who hate us and hate humanity. But everyone feels that anxiety of like, holy shit, any minute this could all end.
And that's a weird environment. Like I grew up during the Cold War, you know, I was on my
honeymoon when it ended. So that's how old I am. And I never felt, I was sort of aware, you know,
I never really felt like any second we could die in a nuclear conflagration.
Now I definitely feel that way.
Don't you?
And we have, obviously, something that didn't exist back then,
our addiction to our phones and our social media,
which is constantly calibrated to make us feel anxious and depressed.
And it works.
And it totally works.
Again, we got the best social scientists in the world working for these companies it would be strange if we weren't be strange if we weren't
how long after you wake up do you check your phone oh my gosh it's i don't want i want to i
don't want to admit it it's okay i've admitted i love wheat thins yeah yeah no i my phone is
is my alarm clock so yeah so like, like, for so many people.
So, immediately.
So, my phone wakes me up,
and then my phone is in my hand.
And so, I see the notifications on my phone,
and I want to see what's going on in the news that day,
or somebody's texted me.
Like, right when you wake up?
Oh, yeah.
Oh, yeah. So, how bad for your spirit is that?
It's horrific.
Like, how many mornings have been wrecked?
You're speaking for everyone right now,
not just yourself. Well, I'm mostly speaking, I mean, to to be honest with you about my but i'm definitely speaking for lots of other
people yeah you are yeah but how many mornings have you sort of woken up and there's you know
your bride next to you and maybe a dog or two and you're sort of happy and sunlight streaming in
and you pick up your phone and you think oh oh man, Western civilization is over. I mean, we just spent an hour and a half talking about infanticide.
So, the kinds of things I think about almost all day long are horrific things.
And my algorithm knows that.
So, I get sent these things.
People also send these things because they know I'm interested.
So, oh, did you see what so-and-so hospital is doing now and that, this, that, and the other?
So, yeah, I mean, it's something that I've thought about and many of us,
I'm sure, have thought about for a long time now is how can I do my job? How can I be aware of the things I need to be aware of and yet have a much healthier? And people have written books and I've
read the books and I've talked with other people my wife and i uh have talked about this at some length how we can
negotiate these things in our life because she's not as bad as i am but it's you know she's involved
in this in this lifestyle as well um but but again the the companies that make shit tons of money
from this stuff have have hired the best social scientists in the world uh to make sure that we
that we that we're gonna try to do the best job to make us fail in these in these opportunities
and i've tried multiple times we even have this uh thing that we haven't used yet we bought it
it's apparently this box you can sort of put your phone into and like you have to have a specific
combination um to open it it's sitting there in our kitchen sort of laughing at us because we
haven't used it,
but it's there as a reminder,
like we probably should be using this thing.
But yeah.
I used to feel that way about drinking,
you know,
Sunday morning,
I'd think I've just,
I've got to stop this.
This is just too bad.
And,
you know,
ultimately I did,
but,
and I always knew I would like,
you can't be that hung over and like keep doing it.
But I suspect I'll never get rid of this.
So how do we live with it?
Like what is the good way that we live with those things?
It's very, it's difficult for me to imagine because I've thought about this.
I've obsessed, frankly frankly over this question. And I think we need, I think one of the solutions
is to have a community of people, right, around you
that can hold you accountable for this.
And so much of what happens here, it seems to me anyway,
is we lead isolated lives.
Unlike the lives we used to lead, both as a species
and sort of as a culture not that long ago,
where there could be people that would hold you accountable
to that sort of thing.
Like I at least would, of course,
make my kids leave their phones
away from the dinner table, for instance.
That's one small thing you can do.
But now I find myself at the dinner table
pulling it out, right?
And say, well, we're at dessert.
I guess I can sort of check
and see what's going on here.
Well, of course, or in a restaurant,
people leave it on the table.
Like they used to leave a pack of cigarettes.
They leave the phone.
I prefer the cigarettes.
Less harmful.
Much less harmful.
I think there's a strong case for that.
Oh my God.
Marlboros compared to the iPhone?
Bring back the Marlboros.
Are you joking?
Yes.
So you live to 65.
So, you know what I mean?
Okay.
So I want to get back.
Speaking of holding people accountable.
So doctors have a unique power in that they are present at the beginning and the end of life.
And they have the power to kill.
And it's not regulated at all, I've noticed.
And so really we're all dependent on the attitudes of physicians to stay alive. Like we need them to be pro-life,
not simply against abortion,
but in favor of life as a default position
or else we're screwed.
And yet so many of them I have,
in my personal experience,
are vehemently pro-death.
And I'm not saying all,
but most doctors I have known are strongly pro-death.
So what do you do about that?
Well, we are living through an epic change right now in our culture, a change with regard to our technology, a change with regard to our politics, a change perhaps with regard to this religious revival that may be coming. We currently have a medical culture which is dominated by secularism,
by a hostility to the vision of human dignity and equality
that we've been articulating so far.
Could that change? I think the answer is yes.
It could also change in a very similar way to the way that
younger people more generally
are changing.
So young doctors, young nurses, young whoever will be caring for us.
I think there's an important case to be made actually that maybe healthcare needs like
a different kind of category to care for people that doesn't exist just in a clinic with a
bed somewhere, but is a broader sort of understanding of people more broadly
outside of just caring for them in their sickness,
but also in their health
or in this in-between stage
before they need to go to the hospital
or get checked out by a clinician.
And maybe that sort of thing is coming.
I hope it is.
But if we can recover,
and by the way,
it was, you know,
the first hospital was,
it was of course a Christian hospital, right?
Like this was invented in the
middle ages um nurses we were talking about at um at breakfast uh the all the original nurses were
catholic women religious um nuns nuns nuns um they taught nightingale everything that she knew
um the uh there's still a really strong proliferation of religious um hospitals religious
um uh health organizations health systems many of which are catholic one in seven beds in the
united states is actually at a catholic facility um there are ways to recover this image of human
dignity and replace the one that's in there now especially
again if we have this broader religious revival underway that you're talking about can we recover
this vision of human dignity that we've been articulating i think the answer is yes but we're
going to need to and this is very much connected again to the show you did with the mean siblings
about how what is the god that is actually governing healthcare. Is it the God of mammon?
Is it the God of consumerism? Is it the God of efficiency? Or is it something else, right? Is it
a center of ultimate concern, God, that is nonviolent, that is about fundamental equality,
that is about the most vulnerable, it is about not using individuals as mere means to another end
for profit and efficiency and consumerism. There are enough people out there, there are enough people out
there, good people, to be a form of resistance to that. I'm biased. I'm a Catholic moral theologian.
I teach at a Catholic medical school. Again, I teach at a seminary as well. I think one place
to start would be institutions of the Catholic church church to say we are going to rebuild these institutions in ways that resist the kinds of things that um the kinds
of things that happen when we put mammon and consumerism and efficiency at the center of what
we do um and and we are well primed to do something like that again one in seven beds it's a massive
uh opportunity and it doesn't need to be limited
to Catholic institutions.
There are plenty of non-Catholic institutions as well.
But at least that's where I put my hope.
That's where I say we can have a revival.
Could you start a Christian hospital center
and just say, you know,
that we're not in the business of killing,
we're in the business of healing.
We're not going to do any killing here.
That's right.
But could you do that?
There's no hospital like that that I'm aware of. Oh yeah, there's really no reason why you couldn't
do it. I mean, in fact, this is what Catholic hospitals say. We have ethical and religious
directives, which we say we aren't going to do these things. There's no abortion in Catholic
hospitals? There's no hospital, there's no abortion, there's no euthanasia. Now, I'm not
going to say that there aren't hospitals and systems that try to find their way around these things. They do. But it's at least in principle something that is forbidden
and it's not a no, it's a broader yes, right? It's a yes to a particular vision of human
dignity that requires no's. But we have for decades now in the United States had a really powerful
attempt to carve out the space for ourselves through religious freedom to say, yeah, I know you guys, you're for abortion.
Yeah, I know you guys are doing this other thing.
We're not going to do that in these hospitals.
And by the way, we can no longer call this a Catholic hospital if you're going to force us to do that.
We will shut ourselves down, in fact, if you tell us we need to do this. And so far, we've had pretty good success, frankly, especially from the Supreme Court in telling us that, yes, you're free as Catholic hospitals and other institutions to not do abortions, to not do physician-assisted suicide, even contraception, even something like that.
Catholic hospitals don't prescribe contraception, at least in principle shouldn't.
And so there's no reason, again,
it needs to be limited to Catholic hospitals. Again, it was the, oh, I didn't mention this,
that you know who carved out the religious freedom exemption for brain death in New Jersey?
Orthodox Jews. So, it was Orthodox Jews who said, yeah, our guys who have brain dead, not dead,
and you're not going to force us to call them dead, and we're going to carve out religious
freedom exemption for ourselves here in New Jersey.
So again, it doesn't need to be limited
to even Christianity at all.
Plenty of religious folks and even non-religious folks
can imagine how this might work apart from it.
I agree completely.
People who think there's an authority
higher than themselves
have the humility that is the foundation of wisdom and good decision
making and people who think they're god you know always wind up going way off the rails i think i
think that's right and and it's not an accident right again that historically um it was jews
it was christians and even muslims to a certain extent who are very much connected in their early stages to both Christianity and Judaism who pushed back on abortion and infanticide in the ancient world for the reasons that we've already talked about. tampering with the building blocks of life and doing Frankenstein-like experiments, one of which resulted in COVID, in order not to save lives but to feel like God,
because there's an awful lot of that, genetic engineering and the rest of it.
Are there any ethical guidelines to that at all?
There are medical ethicists who work in those spaces.
Most of them, if I can just speak frankly, have been compromised with regard to the kinds of stuff we've been talking about so far. So, most of them would either be neutral or have no connection to the kinds of visions of human dignity and nonviolence.
So, they're not really ethicists then?
Well, they're certainly not ethicists that you and I would recognize as being good ethicists. In fact, we might call them bad ethicists.
Or propagandists for murder.
That's what I would say.
I mean, I don't know.
I'm sure the Nazis had ethicists too.
I mean, it doesn't mean anything at a certain point.
If you kill Dietrich Bonhoeffer, I'm sorry, you don't have any working ethicists on staff.
Yeah, the largest conference in bioethics in the United States is something called the ASBH, the American Society
for Bioethics and Humanities Conference. And I stopped going a few years ago because I realized
that the only place that my voice was really welcome there was in the Christian ethics interest
group that met in the evenings. The main papers, the main panels, not at all interested in hearing
from someone like me.
Justifying evil was kind of their job.
Like, what are their guidelines exactly?
Well, it depends who you talk to, but a secularized context in bioethics has been sort of taken over by what's called principalism, which is this idea that there are four main principles in bioethics.
Turns out autonomy, really high on the list, the first principle, actually.
Non-maleficence, do no harm,
which is a classic bioethics principle.
Beneficence, do good and justice,
give everyone their due.
But those things, those principles, Tucker,
are just so generic and so unspecific
that virtually anyone can manipulate those principles
and sort of end up with what they want
at the end of the day.
But don't kill people is not on the list.
Well, you might say that's not maleficence.
Well, clearly it's not.
Or offending against justice, right?
But that's what I'm talking about.
So, you know, what is harm is parasitic on what is good, right?
And if we have a disagreement about what is good, then we're going to disagree about what non-maleficence is.
You know, I have to say, say first do no harm right well if i think uh you know that there's no such thing as human dignity and
that we really just need to be maximizing organs for transplant what is doing no harm in any
situation will look quite different right it might in fact be saying i don't really need to test for
hypothalamic function let's just declare this individual dead and decide that we can take their
organs right so when we have these four sort of generic
principles which rule the day in secular bioethics today, you can really get anywhere you want with
them. And so, it turns out, frankly, that those of us who are doing theological bioethics end up
having our own conferences, our own journals, our own sort of intra-insulated discussions.
And secularized medicine really does,
with few exceptions,
there are some exceptions,
secularized medicine rarely gives us
the kind of hearing.
So there are no ethics without God.
Like, why would there be, actually?
I mean, I think there's a strong case to be made
that especially, I mean,
the first bioethicists were, in fact, theologians.
We invented the field.
Well, if there's no higher power, then how can there be absolute right or wrong?
You can't say that.
You can say, I prefer this thing to that thing, but you can't say that anything is wrong.
Why is slavery wrong?
Why is murdering your neighbor wrong?
You can say, well, it's bad in some sense, but you can't say it's wrong, can you?
I think-
On what basis are you saying that?
Yeah, I think it's kind of,
I like the cut flower analogy, right?
You can still say, well, here's a flower, right?
And it's pretty and it's whatever,
but it's been cut off from the thing that gives it life.
It's dying, it's on its way out.
So there are secular people
who do offer visions of human dignity.
They offer visions of human equality, but they've been so cut off from the tradition that God gave us.
But they can't justify it.
Yeah, if you pin them down and you just walk them all the way back.
Well, I just think this is preferable.
Like, life is better than death.
Cruelty is bad.
Why is it bad?
That's right.
Because I don't like it.
Okay, but that, well, maybe I do like it.
So how can you say you're right and I'm wrong?
Because they're not appealing to anything above themselves. They're forced to circular argument. sort of criticize religious people for being, you know, believing in superstition,
irrational, you know, and trying to impose their point of view on others. But in reality,
if you just walk these secular folks back to their first principles, their vision of the good,
and you say, okay, we've walked you back and you believe in the greatest good for the greatest
number. Why do you think that, right? Why do you think you should maximize the greatest good for the greatest number?
And why do you think that's the primary thing you should do
and there aren't any rules governing that at all?
They don't have an answer for that, Tucker.
It's just something that grabs them by some sort of authority or intuition or self-evidence.
But that sounds a lot like a faith claim.
Right. They're just children.
Have you ever asked them, what do you think of the Nazi euthanasia program? Was that justifiable? And how is it different from what we have now?
Oh, they would say that the reason why the Nazi program was problematic is because it didn't respect patient autonomy, the first principle of bioethics.
And we differ in what way?
Well, given the conversation over the last hour and a half or whatever it's been i think we it's very clear we also uh do not respect patient autonomy anyone who forces a
vaccine on somebody by definition is not respecting patient autonomy if i'm telling you you're
required by law to put some drug in your body that you don't want how am i treating you as a human
being i'm treating you as my slave, as a subhuman, right?
Well, that's the argument that we've heard now for several years,
which is, isn't it interesting that many of you were all about bodily autonomy,
are all about bodily autonomy when it comes to reproductive rights, so-called,
but then were very happy to jettison conscience rights and bodily autonomy rights when it came
to those sorts of issues. It doesn't seem to be, again, a kind of coherent vision of the good.
What did the ethicist community say to that? Well, I'm sure they went all in on the VAX mandates.
I mean, of course they did. Yeah. I mean, as you know, there've been a lot of important questions
asked across the board recently that weren't asked at the time. But at that point, I think there was just a ton of fear, right? A sense that like, you know, this is almost always how it works, right? These sort of things get eroded for the moments that are ruled by fear? Isn't that,
that is what,
when we lack a clear consensus on the right direction and when our judgment is muddled by panic,
that's exactly the moment we need clear thinking ethicists.
Correct.
Correct.
That's why we employ them.
That's right.
And it was at that moment that they were swept away by panic too?
What?
Not all of them, but a lot of them.
A lot of them.
I was one of the ones arguing that Catholicism actually has a very robust sense of conscience.
Say like, oh, conscience is the place where you meet God in the most profound way and where God speaks to you in the most profound way.
And conscience rites actually have been coded left for a lot of the church's history in recent years.
But it's interesting, again, when this sort of fear took over, the focus on conscience sort of went away, right?
Like this sense of, I mean,
I don't agree with some of the claims
that people were making about, you know,
the kinds of connections to aborted body parts
and things like that.
Reasonable people can disagree about that.
But I would say, hey,
this is enough of a serious argument.
We ought to respect people's conscience rights
to choose not to take the vaccine.
It's exactly right.
But it's so interesting that those arguments sort of evaporated in light of all that fear.
Well, you didn't even hear them.
At least I didn't.
Okay, so last question.
I have no...
I'll just say it because I know that you're...
Well, you're a Catholic theologian
and I'm a lifelong Protestant.
So I've always been for contraception.
I've never really thought about it.
It was one of the things we used to make fun of the Catholics
about they were against birth control.
Okay.
They had these giant families,
which we, for some reason, considered bad.
Dope.
Like low rent, too many children.
What are you, Irish?
Oh, stop.
It's like I'm laughing because it's like,
it's hard even to imagine having those attitudes now, but I once did.
But anyway, I'm saying that by way of confession.
But in the last few years, I have noticed, the reason I've had cause to rethink all this is because I've noticed that almost every major push from the public health community and certainly from our politicians is anti-fertility.
That's what they're focused on.
It's the one right you possess
is the right to have an abortion.
That's the only, you don't have the right to speak freely,
to have control of your own money,
to gather with like-minded people,
to protest or petition your government.
None of those rights still exist.
The only right you have is the right to end your pregnancy.
And of course, to prevent it
in the first place through birth control. And I just, I'm sensing a theme here. I'm not a genius,
but I have noticed that the thread that connects all of their main concerns is the same,
and it's they don't want you to have kids. And why is that?
It's a multivariant problem. I mean, if you look at surveys, women are very consistently reporting that they would like to have more kids than the kids they actually have.
You think? Yeah. Vance and Waltz in the recent debate were asked about paid family leave as a possible option to pursue and it was very interesting to hear them both offer sort of vaguely supportive
ideas with regard to that a number of women give lack of paid family leave as reasons for why they
don't have the number of kids that they want to have others uh suggest, you know, they would much rather have a not be in a two-income trap, right, where they length on Fox News once without identifying the author.
And I could hear people applauding in the audience until they found it was Elizabeth Warren who wrote it, but she did write it. And she made that point. If you ask women what they
actually want, not all, of course, but the overwhelming majority would like to raise
their own children, particularly when they're little. No one wants to hang around a 15-year-old,
I got it. But when they're five, most women would like to raise their own kids and not
import people from another country to do it. And that seems like the most human of
all desires and is the one desire that we thwart. And I found that conversation about paid family
leave nauseating, actually, because no one ever mentioned the possibility that maybe women
could raise their own kids. That's right. Why do we have to choose between the two, right?
Exactly. How about the thing that people really want,
like above all else,
which is to be with their own children?
The most important thing they'll ever do is have children.
Maybe they'd like to be with them for a couple of years.
No one even mentioned that.
I think they don't.
You know, this is pure speculation.
I think one reason people don't mention it
is precisely because of how deeply
the systems and structures which have
led to the two income trap are foundational in our culture. We would have to undo so much of
what our culture has become. Well, I hope we do it immediately because it's so rotten and anti-human.
It's denying people the true source of joy in their lives and substituting it with like a
banking job or something that's utterly
pointless and destructive. No, what you really need to do instead of having kids is help us
loan money at interest. I mean, that's so disgusting to me. Sorry. And actually the
exploit of lending money at interest used to be called usury and it used to be considered a
intrinsically evil act in the tradition, by the way. Well, it still is in my house, so that's how I feel about it, strongly.
But that's considered wildly controversial.
I mean, like, you know, having six trans kids is considered great, but criticizing usury is considered like, whoa, off the charts, you're a bigot, you're crazy.
Well, I find it disgusting.
I just want to be on the record saying that.
But anyway, why would you want to deny people children?
What is that impulse?
Again, I think it's multivariant.
The other variable I would include is the climate crisis that is constantly thrown at people, right?
To say, I don't want to bring children into a world where everyone's going to die for things related to climate change.
I think also-
They're not worried about nuclear war, which they've,
I mean, they brought us to the brink of nuclear war,
where we are as of right now, October 2nd,
I think it's October 2nd.
We're on the brink of nuclear war right now,
but nobody cares.
But they're worried about climate change.
I mean, what is going on?
It doesn't make any sense.
And again, there's no reason that we need to choose between the two.
But at least I can't think of one.
But then there's also the drug companies here as well.
And this is, again, I keep on bringing up this amazing show you did with the mean siblings that brought up big pharma and exploitive practices of contraception as part of big pharma.
We talk about getting kids on a regimen, which makes pharma shit tons of money for almost their whole lives.
Well, how about getting a young girl on birth control from the time she's 12 until the time she has menopause, right?
Think about that windfall.
Think about what that means for the broader culture too.
And we support patient autonomy, right?
Except for 12-year-old girls where the doctor just says,
okay, it's time for you to be on contraception now.
And everyone sort of goes along, ho-hum.
And we're just now really starting to reckon
with what this might be doing to women's
bodies and beyond. Well, it's a disaster and young women know that. And I think the number of young
women getting off the pill is extraordinary. For the first time in my lifetime, I mean,
it was always considered really subversive and not acceptable really to point out that the pill
increased stroke risk, for example, just as abortion increases breast cancer risk.
I can only mention that either.
Not allowed.
But I never put it all together in my mind,
which is the one thing that all of these attitudes have in common
is the desire to stifle fertility.
And it's hard to escape the conclusion that there's a spiritual force behind that.
Yeah, and it's a spiritual force that may, again, run throughout the different topics we've engaged.
It's, again, treating women not as fully autonomous individuals.
Ironically, though, that's the language which is used to suggest that they need to do this, right?
Except for women who do want to prescind from this who want
to lead a different kind of lifestyle who are often actually not religious at all but sort of
crunchy progressive lefties who say i don't want to put this carcinogen in my body i want to put
this poison in my body right um that's again one of the things that's pushing uh back from this
we we use the language which actually inverts what is actually happening we use the language
of autonomy and empowering women when in reality it's doing precisely the opposite.
It's interesting though, the connection.
I'm so glad you pointed that out.
It's not just like evangelicals in Iowa
who are suspicious of the current program.
It's also like the furry armpit girls who are for that,
who I support strongly.
I should just say that.
But what do those two have in common? No, but it's kind of secular granola people too,
to the extent they still exist. There aren't many of those left. I wish we had more. They're great
people. But what do they have in common with religious people? Well, they're both kind of
grounded actually in something beyond the digital world.
And they're both more in touch with themselves.
Like those are the two groups in America who might actually have a moment of silence every
day where they can listen.
You know what I mean?
Yeah.
And skeptical of what's being foisted on them by corporations and others who want to make
money off of that.
It's only when you have that silence that you can be skeptical.
Otherwise, your senses are hijacked by the machine in your hand and you don't have even you don't have time to
think and more important you don't have time to listen you don't have time for silence and it's
in silence that you receive wisdom obviously obviously um and so the rest of the country
goes to sleep with the tv on and only the granola chicks and the religious
people don't have it on.
And maybe they're hearing something that the rest of us should be hearing.
And that's, yeah, that's a wonderful thing to, I don't know if this is what we're going
to finish on, but that's a wonderful thing.
Can we make space for that silence, right?
That place again, where God meets us in our most foundational way.
Like that is, I think that maybe, I don't want to speak for you, maybe one reason you moved up here
to Maine, because at least in my short time here, this seems like a wonderful place to encounter
that silence, to put the phone away, to put the pounding feed that just helps you do, like not
helps you, pushes you to doom scroll and feel terrible but instead think critically but also think creatively i can't tell you how many times
my creative thoughts even whole book ideas have come just when i was holding my infant son in my
in my lap and just and just had nothing else to do but let that happen but that's always where
it comes i have a chair outside my i take a a sauna every day, not for health reasons. I'm obviously like one of the more unhealthy people you'll meet.
I plan to buy a tin of chewing tobacco today.
So I'm not a health guy at all, but I am a silence person.
And that's why I do it.
And it's known as my cedar church.
And I was like, you know, if I get 15 minutes to sit buck naked in a hot room in silence,
like that's a massive improvement over not doing it.
And I have a chair outside my sauna.
I used to write my whole script just sitting there.
You know, like you just, in silence,
only in silence can you receive, you know,
actual clarity and wisdom.
So I'm not articulating it for you.
You are. No, you got it.
And that's historically again to take it back to the to the tradition um that i'm that i'm bound by uh
there was so much emphasis on finding these times for silence right to imitate christ going into
the wilderness to to hang out with the with the monks to to get out of the situation you're in
and allow this voice to speak to you
in a way that allows you to be both critical and creative.
It seems like a pretty scary religion
you've signed up with, Charlie.
I can see why people hate it.
Turns out.
Silence and nonviolence and-
Imagination and critical thinking.
Who wants that?
Caring for disabled kids.
Yeah, man.
Whoa, slow down, man man you're freaking me out
sorry about that tucker i sure appreciate your taking all this time that was absolutely to talk
about all of this last question where if people are interested in and i interrupted you so many
times i'm afraid we didn't get to a lot of things, but for people who want to understand more about how you think and the way you've connected a lot of seemingly disconnected trends in our society, which are of a piece, I think.
Yeah.
Where can they read you?
So my Twitter handle is at C Camosy.
So at C C A-A-M-O-S-Y. But probably the book I've written, I'm starting book 10 or I'm trying to finish book 10 by Thanksgiving.
But probably the book that makes, I'm actually writing a book right now, trying to finish a book on how understanding what a good death looks like can resist physician-assisted suicide.
So maybe we could talk about that some other time too.
But to answer the question you asked me, I wrote a book called Resisting Throwaway Culture, How a Consistent Life Ethic Can Unite a Fractured People.
And that book really offers the kind of vision that I've been trying to articulate.
I hope you'll come back when your death book comes out.
I actually have seen a good death.
Yeah.
I was privileged, really privileged to see that with someone I love.
And boy, you know it when you see it, don't you?
Yeah.
Yes.
Yeah.
But I haven't thought very deeply about it.
You clearly have.
So I hope you will come back.
I will.
Thank you.
Thank you, Tucker.
The one thing that unites us all.
It's going to happen.
Charlie, thank you very much.
My pleasure.
Thank you.
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