Coleman Hughes Contemplates the End of Life

Coleman Hughes has written a personal account of the excruciating death of his mother. What follows is an excerpt from "My Mom—and the Case for Assisted Death: My dying mother chose to end terrible suffering. I want others to have that choice, too."

Instead of a slippery slope, what has emerged over the past three decades are two distinct policies: one restricted to people on their deathbed and exemplified by Oregon, Australia, and New Zealand; and the other open to anyone who is “suffering” and exemplified by the Benelux nations and Canada, without any slippage between the two. It is not a coincidence that all the horror stories come from the latter. The lesson for the rest of the world is not to throw out assisted dying altogether, but to copy the policy that works, and avoid the policy that doesn’t.

Aside from the major objections, critics have leveled many practical objections: Do doctors always know when someone has six months to live? Are fatal drugs always painless? What if relatives pressure someone to commit suicide? I may go through these one by one some other time, but here I will simply say this: Once you understand how much suffering is on the other side of this moral equation—that is, once you understand just how bad “bad deaths” are—then you must view these practical objections as problems to be addressed, rather than as reasons to jettison the whole policy.

It is commonly said that a huge percentage of our healthcare spending comes in the last year of life. But the far more important corollary is rarely said: In many cases, a huge portion—perhaps a majority—of our lifetime suffering comes not just in the last year, but in the last few months. Assisted dying therefore represents an opportunity to prevent an immense amount of needless suffering in the world. If my mother’s story can help even one person come around to this view, then I can say that she did not suffer completely in vain.

I think of these issues every so often. And I often think back to my college days when I volunteered as a counselor and trainer for Suicide Prevention in St. Louis. After doing my best for several years I left. I had had several cases where I did my best to encourage people to live another day, but where I privately wondered whether that was the kind of advice I would want were I in a situation that was truly (not merely apparently) hopeless. I'm referring to people who were terminally ill, jobless, in constant pain, who had no longer had family or friends to look out for them. People who had worked hard for months to find reasons to keep on living but no longer could. People for whom the things that once brought them great joy were no longer interesting to them.

I hope that humane people will step up to help me in my moment of need, people who have the courage to show mercy rather than to obsess about the "rules."

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Our Incredible Shrinking Attention Span

Gloria Mark is a professor of informatics at the University of California, Irvine. She has documented an overall shrinking of the attention span of Americans. This is not a good thing for various reasons, including switching costs. Here is an excerpt from her interview by Kim Mills:

Mills: . . . How much have our attention spans shrunk?

Mark: So we started measuring this back in 2004, and at the time the measures that we used were stopwatches because that was the most precise thing we had at the time. We would shadow people with stopwatches for every single activity they did. We would record the start time and the stop time. So you're on a screen where you're working in a Word doc, as soon as you get to that screen, we clicked start time, soon as they turned away and checked email, we clicked stop time for the Word document, start time for the email. But fortunately, sophisticated computer logging methods were developed, and so of course we switched to those. So back in 2004, we found the average attention span on any screen to be two and a half minutes on average. Throughout the years it became shorter. So around 2012 we found it to be 75 seconds.

This is with logging techniques. This is an average. And then in the last five, six years, we found it to average about 47 seconds, and others have replicated this result within a few seconds. So it seems to be quite robust. Now, another way to think about this result is the median. The median means the midpoint of observations. The median is 40 seconds. And what this means is that half of all the measurements that we found were 40 seconds or less of people's attention spans. Now obviously because we're talking about averages and medians, sometimes people do spend longer, but quite a good bit of the time, their attention spans are much shorter and with an average coming to 47 seconds.

Mills: So why is this a problem? Since it seems to be happening almost universally at this point, is this just the new normal?

Mark: It seems to be the new normal because we seem to have reached a steady state over the last five or six years where these are the measures that we're seeing. Is this a good thing? I would argue it's not a good thing for the following reasons. First of all, we find in our research a correlation between frequency of attention switching and stress. So the faster the attention switching occurs, stress is measured by people wearing heart rate monitors. We show that stress goes up. We know from decades of research in the laboratory that when people multitask, they experience stress, blood pressure rises. There's a physiological marker in the body that indicates people are stressed. And in our studies, we've also simply asked people with well valid instruments to report their stress, their perceived stress, and it's reported to be higher the faster that we measure attention shifting.

So all of these measures seem to be consistent. I'll also measure that when people shift their attention so fast, and this is multitasking, when you keep switching your attention among different activities, people make more errors. And that's been shown in studies in the real world with physicians, nurses, pilots. We also know that performance slows. Why? Because there's something called a switch cost. So every time you switch your attention, you have to reorient to that new activity, that new thing you're paying attention to, and it takes a little bit of time.

An article by Jac Mullen of The Nation indicates that this is hurting students:

By many measures, our powers of attention appear to be rapidly deteriorating. The average attention span of the individual has seemingly contracted almost 70 percent in the last 20 years, for instance, and our collective attention span is reported to be shrinking as well. Overwhelmingly, people report that their capacity for sustained focus is declining, along with their ability to engage in deep thought. There is growing evidence that many of the methods devised to continually reengage an already depleted attention, or to seize a developing capacity for focus, pose special dangers to children: A recent spate of publications, for instance, highlight evidence linking“chronic sensory overstimulation (i.e., excessive screen time)” during brain development to cognitive impairment and substantially increased risks of early-onset dementia in adulthood.

According to Cal Newport, in his 2021 book, Deep Work: Rules for Focused Success in a Distracted World. What we need is less of the above and more "deep work":

Deep Work: Professional activities performed in a state of distraction-free concentration that push your cognitive capabilities to their limit. These efforts create new value, improve your skill, and are hard to replicate. Deep work is necessary to wring every last drop of value out of your current intellectual capacity. We now know from decades of research in both psychology and neuroscience that the state of mental strain that accompanies deep work is also necessary to improve your abilities. . . Indeed, if you study the lives of other influential figures from both distant and recent history, you’ll find that a commitment to deep work is a common theme. . . .

A 2012 McKinsey study found that the average knowledge worker now spends more than 60 percent of the workweek engaged in electronic communication and Internet searching, with close to 30 percent of a worker’s time dedicated to reading and answering e-mail alone.

This state of fragmented attention cannot accommodate deep work, which requires long periods of uninterrupted thinking. At the same time, however, modern knowledge workers are not loafing. In fact, they report that they are as busy as ever. What explains the discrepancy? A lot can be explained by another type of effort, which provides a counterpart to the idea of deep work:

Shallow Work: Noncognitively demanding, logistical-style tasks, often performed while distracted. These efforts tend to not create much new value in the world and are easy to replicate.

In an age of network tools, in other words, knowledge workers increasingly replace deep work with the shallow alternative— constantly sending and receiving e-mail messages like human network routers, with frequent breaks for quick hits of distraction. Larger efforts that would be well served by deep thinking, such as forming a new business strategy or writing an important grant application, get fragmented into distracted dashes that produce muted quality.

To make matters worse for depth, there’s increasing evidence that this shift toward the shallow is not a choice that can be easily reversed. Spend enough time in a state of frenetic shallowness and you permanently reduce your capacity to perform deep work.

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Robert Malone’s Bleak Assessment of Where We are Headed

Compare this bleak assessment by Robert Malone to the fairy tale version of how government works that many of us learned in grade school. I wish I could disagree with Malone. I see no reason that any of these things are going to get any better, despite the fact that many intelligent and good-hearted people are out there fighting for free speech and government accountability.

Functionally, unlike either industry (market forces) or the military (failed wars), there are no external forces currently limiting the expansion of the dysfunctional, counterproductive and (frankly) parasitic behavior of today’s Executive branch. Legislative branch oversight has been emasculated by consent with lobbyists collectively clamping down the Burdizzo, and in 1984 the Judicial branch conceded its authority to serve as a functional check on Executive/administrative branch arrogance via the Supreme Court Chevron Deference decision. And like the Federal Reserve, the informal “fourth estate” (corporate media), which historically provided a separate and semi-autonomous oversight function, has also been captured by this permanent bureaucracy.

The administrative and deep state has been so successful in capturing and manipulating media and related communication (largely via CIA, FBI, CISA and intelligence community infiltration) that they are able to seamlessly deploy advanced modern propaganda, PsyWar technologies and financial giveaways to control all narratives and information which might otherwise cause the majority of the electorate to check their actions, and in this way they completely avoid accountability. The CIA, FBI, CISA and intelligence community have become enablers of administrative and deep state excesses and overreach. With this corrupted information ecosystem, there cannot be any accountability of the administrative and deep state. In cooperation with a variety of corporate and NGO partners via “public-private partnerships”, the executive branch has completely captured and co-opted all oversight mechanisms which could enable or enforce checks and balances. The “ballot box” is well on its way to being a mere inconvenience, because for the majority of voters the synthetic false reality projected by captured media is the only political “reality” they encounter.

This is how modern nation-states abruptly collapse. As one recent example, recall the history of the USSR and most of the former communist Eastern European states. Modern nation-states fail by suffocating under the weight of bloated unaccountable bureaucracies whose primary objectives are to serve and sustain themselves rather than to promote and defend the general welfare and security of the citizenry. The social contract is stomped into dust by the boot of an uncontrollably arrogant, authoritarian, self-serving bureaucracy...

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U.S. and Texas: It is too Dangerous to Vacation in Mexico

Texas Travel Advisory regarding Mexico:. See also here for similar U.S. warnings.

The Texas Department of Public Safety warned Americans to skip spring break vacations in Mexico, noting that ongoing violence poses a significant safety threat.

The warning —which adds to State Department advisories not to travel to large swathes of the country — comes in the wake of the kidnapping of four Americans in Mexico earlier this month. There's a "Level 4: Do Not Travel" advisory for Tamaulipas, the Mexican state the Americans were in when they were kidnapped.

In the meantime, here are the numbers of murders over the past year in various American cities:

Portland Oregon: 93 Philadelphia: 516 San Antonio: 231 Saint Louis: 200 Memphis: 288 New Orleans: 280 Chicago: 697 Houston: 435 Washington DC: 203 Kansas City: 167

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