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Author Topic:   Where is the line between a disorder and else?
Perdition
Member (Idle past 3258 days)
Posts: 1593
From: Wisconsin
Joined: 05-15-2003


(1)
Message 53 of 77 (704925)
08-20-2013 2:21 PM
Reply to: Message 51 by Rahvin
08-20-2013 1:45 PM


Harm to others
In a way, yes. More generally, we're asking about the limits of self-determinism, body integrity rights, and mental fitness. If we refuse to cut off a man's leg, we're essentially saying "you are not mentally fit to make this decision."
I'm very much a believer that people should be free to do whatever they want so long as it doesn't harm anyone else. The trouble I run into is defining "harm to someone else."
For instance, in Wisconsin, we have two completely at odds laws. On one hand, it is illegal to drive without a seatbelt, on the other hand it is perfectly legal to ride a motorcycle without a helmet. I tend to side with the people who want to be able to choose (poorly) to drive without a seatbelt. I would never make that choice, but I don't think it should be codified in law.
However, if that person drives without a seatbelt, crashes and gets hurt, who is really being harmed. The person driving, obviously, but it was their choice, so "oh well". But then, if they have family, that family is distraught, not to mention perhaps financially dependent on them (or even just paying for their medical bills). Even if the person is completely familyless, they're now in surgery in the ER, taking the spot of someone else who may need surgery but not quite as urgently, or who merely got injured a little bit after the first person.
In the case of BIID, I'd like to agree that if they truly want to amputate an appendage, and are mentally competent enough to make that decision, then let them. But then again, if they have a family who depends on them for financial support, or if they'll be thrown onto disability and now taking resources from all tax payers (or others who could use the assistance) based on a choice rather than an accident, I'm less inclined to their side.
I guess I'd say, if they can be treated and brought closer to the "mainstream" then that should be the first choice.
Would that mean that if a person wants to have an amputation as a form of extreme body modification, fully understanding that the procedure is not in any way necessary, that the limb in question is not harmful, that the procedure carries risk in and of itself, and the consequences afterward, that we should allow that person to receive the amputation? With no delusional belief motivating the desire for amputation, does the argument of mental fitness no longer apply?
The thing to look at is again, harm to others. Getting piercings, tattoos, scars, etc doesn't stop a person from being able to work. There may be some positions that won't allow a lot of tattoos or piercings, but that's actually becoming more and more acceptable in many work environments. What removing a part of your body does is remove certain occupations from being a consideration. Without arms, you can't carry things, without legs, you can't do many jobs, etc.
It might come down to how "extreme" the removal will be. Removing a pinky probably won't have much of an impact, and if ti will really improve their quality of life, then I say "Off with the finger." If they want to remove their leg or their arm, we need to see what the plan is for after the surgery. If they have a job that doesn't require that appendage, and they'll be able to continue to take car eof their obligations, then again, if it will actually increase their enjoyment of life, let them.
Sorry if this was a bit of a ramble, but I'm trying to figure this out myself.

This message is a reply to:
 Message 51 by Rahvin, posted 08-20-2013 1:45 PM Rahvin has not replied

Replies to this message:
 Message 56 by jar, posted 08-20-2013 3:09 PM Perdition has replied

  
Perdition
Member (Idle past 3258 days)
Posts: 1593
From: Wisconsin
Joined: 05-15-2003


(2)
Message 57 of 77 (704931)
08-20-2013 4:26 PM
Reply to: Message 56 by jar
08-20-2013 3:09 PM


Re: Harm to others
The seatbelt was developed not for safety but rather to anchor the driver behind the controls, steering, braking, accelerating. When a driver does not wear a seatbelt that driver is NOT capable of maintaining position and control during violent evasive maneuvers. Passengers in a car not wearing a seatbelt become just another projectile that can also interfere with the driver avoiding an accident.
That may be true, though I would say that in the event where I would be thrown from my seat were I not wearing a seatbelt, I'm probably not going to be in much control regardless.
The person on a motorcycle not wearing a helmet though is a threat only to himself.
Only compared to a driver with a helmet. A motorcycle driver could be thrown into oncoming traffic or walkers on the sidewalk, but I agree, the helmet or lack thereof won't make much difference to those people.
I do not think it is reasonable though to expect the public to subsidize medical care for someone too **** to wear a helmet.
I'm torn on this. I think stupid idiots deserve as much healthcare as the rest of us, but I can understand the thought that they need to live (or not) with the consequences of their actions. But again, we're left with the fact that they may not be the only victims in this case. They may have family dependent on them, and now you're depriving them of somene who may be able to provide for the family in the future,given care and treatment, but who won't if left untreated.
I guess we could insist that they pay their medical bills, regardless of their insurance status, garnishing their pay and such to ensure full repayment. At the moment, not paying your medical bills has nearly no detrimental effect on you or your credit rating.

This message is a reply to:
 Message 56 by jar, posted 08-20-2013 3:09 PM jar has replied

Replies to this message:
 Message 58 by jar, posted 08-20-2013 4:43 PM Perdition has replied

  
Perdition
Member (Idle past 3258 days)
Posts: 1593
From: Wisconsin
Joined: 05-15-2003


Message 60 of 77 (704936)
08-20-2013 5:24 PM
Reply to: Message 58 by jar
08-20-2013 4:43 PM


Re: Harm to others
Believe me, it is amazing how much a driver can do if strapped in place.
Of course, at least in the US we don't teach accident avoidance or even defensive driving.
And that's what I was getting at. If I knew what to do in those situations, then having the stabilization of a seatbelt would be very beneficial. But seeing as how I don't, the stabilization doesn't help me much if I've pressed the brake as hard as I can and thrown my hands over my eyes.
Not that I would do that, but there are a lot of drivers who would.
Correct. But if the wife and kids know that if Dad gets on a motorcycle without a helmet and gets in an accident they will be left without support maybe they may tell Dad it's helmet and highway or just highway.
Unfortunately, they don't. If they're dependent on Dad for things like shelter, food, electricity, clothing, etc, then what can they threaten him with, leaving and letting him keep more money?
Besides, people tend to have an overinflated sense of their own ability. They figure that people who crash motorcycles just weren't as good as them, since they've never crashed one, so why bother with a helmet that won't be needed?

This message is a reply to:
 Message 58 by jar, posted 08-20-2013 4:43 PM jar has seen this message but not replied

  
Perdition
Member (Idle past 3258 days)
Posts: 1593
From: Wisconsin
Joined: 05-15-2003


Message 67 of 77 (704980)
08-21-2013 1:51 PM
Reply to: Message 66 by ringo
08-21-2013 1:21 PM


Re: Harm to others
I believe in unconditional universal publicly-funded healthcare.
Unconditional? Really? That seems a bit extreme. Are you really expecting everyone else to pay for Joan Rivers' next face lift?
I'm for universal, publicly-funded healthcare for all necessary procedures (and I would even use the most loose definition of necessary), but elective ones should be on the person who wants to have an unnecessary procedure.

This message is a reply to:
 Message 66 by ringo, posted 08-21-2013 1:21 PM ringo has replied

Replies to this message:
 Message 70 by ringo, posted 08-21-2013 4:50 PM Perdition has replied

  
Perdition
Member (Idle past 3258 days)
Posts: 1593
From: Wisconsin
Joined: 05-15-2003


(1)
Message 73 of 77 (704996)
08-21-2013 5:14 PM
Reply to: Message 70 by ringo
08-21-2013 4:50 PM


Re: Harm to others
Well, I wasn't really thinking of that as "health" care.
Neither do I, but that's why there are conditions on what a person can have done. As you said, if someone "needs" it due to a mental disorder, it could be considered "health care," but if someone just wants to have it done so they can face their next high school reunion, it shouldn't. But it's the exact same procedure.
That's why I mention necessity. Determining necessity would require a discussion with the patient, any relevant doctor, and the agency that actually pays out the money.

This message is a reply to:
 Message 70 by ringo, posted 08-21-2013 4:50 PM ringo has replied

Replies to this message:
 Message 74 by ringo, posted 08-22-2013 11:45 AM Perdition has replied

  
Perdition
Member (Idle past 3258 days)
Posts: 1593
From: Wisconsin
Joined: 05-15-2003


Message 75 of 77 (705041)
08-22-2013 12:42 PM
Reply to: Message 74 by ringo
08-22-2013 11:45 AM


Re: Harm to others
To recap: How the patient got into a state of "disorder" is irrelevant (to me). He should have unconditional cost-free access to any procedure necessary to get him out of it.
Well, nothing is "cost-free" it would just come out of everyone's taxes, creating a huge pool of "medical money" set aside for each and every person in the country to dip from when necessary. But yeah, I agree with that.

This message is a reply to:
 Message 74 by ringo, posted 08-22-2013 11:45 AM ringo has replied

Replies to this message:
 Message 76 by ringo, posted 08-22-2013 1:14 PM Perdition has replied

  
Perdition
Member (Idle past 3258 days)
Posts: 1593
From: Wisconsin
Joined: 05-15-2003


Message 77 of 77 (705051)
08-22-2013 1:32 PM
Reply to: Message 76 by ringo
08-22-2013 1:14 PM


Re: Harm to others
not cost-free to the entire universe for all time.
But that's what I want!
or something...mutter, mutter.

This message is a reply to:
 Message 76 by ringo, posted 08-22-2013 1:14 PM ringo has seen this message but not replied

  
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