Plantinga on why he believes in God, dislikes the New Atheists, and finds naturalism and evolution incompatible

August 14, 2012 • 7:54 am

Because I wrote about Alvin Plantinga yesterday, and one commenter wondered if I wasn’t mistaken in saying that Plantinga finds naturalism and evolution incompatible, I’m showing a short interview with the man. Here Simon Smart, of the Australian Centre for Public Christianity, gets Plantinga’s take on several issues. Three items are worth noting:

  1. Plantinga’s reason for believing in the Christian God, which essentially boils down to “I just know it’s true.”
  2. The dissing of New Atheists by both Smart and Plantinga as either money-hungry or unsophisticated (begins at 1:53). It’s the usual trope: New Atheist arguments are inferior to those adumbrated by the “old” atheists (usually Bertrand Russell, Albert Camus, and so on).
  3. Plantinga’s explanation of the incompatibility of naturalism and materialistic evolution beginning at 2:56. As I noted, Plantinga feels that pure materialistic evolution gives us no reason to think that our “beliefs” are true. I love this statement.

“If you accept naturalism and materialism—that combination—then it seems to me that you’ll have to take it that for any particular belief, the probability that it’s true is about a half. It could as likely be true as false.”

Therefore, if you see a lion running toward you, roaring and baring its fangs, your belief that it wants to kill you has only half a chance of being true. Or your belief that, if you’re thirsty, drinking water will make you feel better, is as likely untrue as true. And so on.  The man simply can’t understand that evolution will instill in us representations and perceptions of the real world that are generally accurate.

A Sci Am essay: Are humanities scientific?

August 14, 2012 • 5:37 am

I’ve found a very strange article on the Scientific American blog Literally Psyched. Maria Konnikova, a doctoral candidate in psychology at Columbia University, claims that “Humanities aren’t a science. Stop treating them like one.

Her point appears to be that humanities and social sciences (“social sciences” aren’t mentioned in the title)—including history, literature, psychology, political science, linguistics, and psychology—shouldn’t be treated like “hard sciences.” What does she mean by that?  And that’s the problem, for her criterion for “hard science” appears to be the use of mathematics and statistics:

I don’t mean to pick on this single paper. It’s simply a timely illustration of a far deeper trend, a tendency that is strong in almost all humanities and social sciences, from literature to psychology, history to political science. Every softer discipline these days seems to feel inadequate unless it becomes harder, more quantifiable, more scientific, more precise. That, it seems, would confer some sort of missing legitimacy in our computerized, digitized, number-happy world. But does it really? Or is it actually undermining the very heart of each discipline that falls into the trap of data, numbers, statistics, and charts? Because here’s the truth: most of these disciplines aren’t quantifiable, scientific, or precise. They are messy and complicated. And when you try to straighten out the tangle, you may find that you lose far more than you gain.

. . .over and over, with alarming frequency, researchers and scholars have felt the need to take clear-cut, scientific-seeming approaches to disciplines that have, until recent memory, been far from any notions of precise quantifiability. And the trend is an alarming one.

. . . It’s one of the things that irked me about political science and that irks me about psychology—the reliance, insistence, even, on increasingly fancy statistics and data sets to prove any given point, whether it lends itself to that kind of proof or not.

Konnikova gives a few examples of what she considers misguided attempts to apply mathematical models or statistics to “humanities,” including assessment of the factuality of stories like Beowulf or The Iliad using likelihood analysis, and forensic linguistics, the application of linguistic methods to legal jargon and practice.

Now I don’t know anything about either of these fields, and perhaps Konnikova is right here.  But where she goes wrong is in concluding two things: that all “hard scientific” study must involve math or statistics, and that there are other “nonscientific” ways of knowing involved in what she calls the “humanities.”

First of all, not all science involves math or statistics. Granted, much of it does, but much is simply observational, especially in biology.  One example comprises observations of mimicry, like the fly-mimicking beetle I posted the other day. And there is not a single equation in On the Origin of Species, the greatest and most influential biology book of all time.  Finding a transitional fossil (like Tiktaalik) in the right sediments is science, for it gives substantial evidence for what early tetrapods were like (yes, I know some math is involved in dating strata).

The point is that the methods of science do not absolutely require statistics or mathematics. Those methods rely on replicated observation, eliminating alternative hypotheses, generating new and testable hypotheses, and constant doubt.   That’s not so different from the methods used by archaeologists, historians, linguists, psychologists, and, yes, Biblical scholars.  Is Konnikova unaware of the gazillions of psychology experiments that use statistics, including the recent flap about whether our “decisions” are made before we’re conscious of them?

Second, Konnikova fails to make the case that the “humanities” can tell us something real about the world without using the methods of science outlined above.  Instead, she just throws sand in the reader’s eye.  For example:

It’s one of the things that irked me about political science and that irks me about psychology—the reliance, insistence, even, on increasingly fancy statistics and data sets to prove any given point, whether it lends itself to that kind of proof or not. I’m not alone in thinking that such a blanket approach ruins the basic nature of the inquiry. Just consider this review of Jerome Kagan’s new book, Psychology’s Ghosts, by the social psychologist Carol Tavris. “Many researchers fail to consider that their measurements of brains, behavior and self-reported experience are profoundly influenced by their subjects’ culture, class and experience, as well as by the situation in which the research is conducted,” Tavris writes. “This is not a new concern, but it takes on a special urgency in this era of high-tech inspired biological reductionism.” The tools of hard science have a part to play, but they are far from the whole story. Forget the qualitative, unquantifiable and irreducible elements, and you are left with so much junk.

Well, how does one go about finding out whether self-reported experience is influenced by culture, class, experience, and a particular research situation? You do a scientific test! And that often involves statistics.  One researcher, for example (I can’t recall the paper), did an analysis of genetic studies of IQ, and discovered that the political leanings, upbringing, and education of the researcher was strongly correlated with whether or not that researcher found significant genetic differences in IQ between races.  (The differences were in the expected direction.) In other words, the methods of hard science uncovered a possible observer bias.

And I disagree profoundly with this statement:

Sometimes, there is no easy approach to studying the intricate vagaries that are the human mind and human behavior. Sometimes, we have to be okay with qualitative questions and approaches that, while reliable and valid and experimentally sound, do not lend themselves to an easy linear narrative—or a narrative that has a base in hard science or concrete math and statistics. Psychology is not a natural science. It’s a social science. And it shouldn’t try to be what it’s not.

I’m not sure what Konnikova means by “qualitative approaches”—I hope it’s not just storytelling—for she gives no examples.  But how do you find out if a “qualitative approach” is valid and experimentally sound without a). proper controls, and b). replication?  That is, without the methods of science.  (The “linear narrative” thing is just postmodern obfuscation.) And of course you can hardly open an experimental psychology journal without finding statistics!

Here’s what she says about history:

To be of equal use, each quantitative analysis must rely on comparable data – but historical records are spotty and available proxies differ from event to event, issues that don’t plague something like a plane crash. What’s more, each conclusion, each analysis, each input and output must be justified and qualified (same root as qualitative; coincidence?) by a historian who knows—really knows—what he’s doing. But can’t you just see the models taking on a life of their own, being used to make political statements and flashy headlines? It’s happened before. Time and time again. And what does history do, according to the cliodynamists, if not repeat itself?

To hear Konnikova tell it, one can’t really learn anything about history, because it’s all mushy and fuzzy.  I agree that history doesn’t often use statistics (although read Steve Pinker’s Better Angels of our Nature to see how he deploys fancy statistics to argue that societies are getting better); but historians can still make hypotheses and do sleuthing, as well as interview people and cross-check their statements.  That’s how we know that the Holocaust really happened despite the claims of denialists.

Finally, she excludes nearly everything in humanities and social science as being outside the domain of “hard science”:

It’s tempting to want things to be nice and neat. To rely on an important-seeming analysis instead of drowning in the quagmire of nuance and incomplete information. To think black and white instead of grey. But at the end, no matter how meticulous you’ve been, history is not a hard science. Nor is literature. Or political science. Or ethics. Or linguistics. Or psychology. Or any other number of disciplines. They don’t care about your highly involved quantitative analysis. They behave by their own rules. And you know what? Whether you agree with me or not, what you think—and what I think—matters not a jot to them.

Well, if she defines “hard science” as “science that involves mathematics and statistics,” then her claim is true by definition—except that some hard science, as I’ve noted above—doesn’t use math or stats, and some social sciences do. But what she fails to recognize is that for many of these disciplines (I exclude literature), one finds out what is true by using the same methods of rational inquiry that undergird the “hard” sciences.  Archaeologists and historians try to cross-check facts and authenticate documents and dates. Linguists do indeed use quantitative analysis, and reconstruct the history of languages in ways similar to those used by biologists to reconstruct the history of life.

And as for ethics, well, yes, you can’t determine what is right by the methods of science, but you can certainly inform moral decisions, and learn about morality, from science. One example is Pyysiäinen and Hauser’s moral-situation study, which showed (statistically) that atheists and believers resolve novel moral dilemmas in the same way.  If your stand on abortion or animal rights depends on whether fetuses or animals seem to feel pain, those questions are also subject to scientific study.

In the end, I’m not quite sure why Konnikova goes off on the incursion of “hard-science” methods into social science and the humanities.  The underlying principles of finding truth are the same in all of these areas, regardless of whether one uses math or not.

It may be uncharitable of me, but I suspect Konnikova’s trying to tout the humanities and social sciences as “other ways of knowing.” But that won’t work. As the social sciences and humanities mature, they come to realize that their criteria for finding truth are the same as those used in biology and physics. Indeed, they even become more mathematical.  It may be harder to suss out what’s true about humans than about, say, ants, but that reflects our more complex culture, not different ways of knowing about different organisms.  (This does not apply, of course, to things like literature, where the notion of “truth” is itself slippery.)

There is only one way of finding out what is true, and that doesn’t involve revelation or making up stories.

Atheist-community auction for Doctors without Borders

August 14, 2012 • 3:44 am

As with last year,  the annual atheist charity run by D. P. R. Jones is having an auction on the weekend of September 8 and 9, with all proceeds going to the very worthy organization Doctors without Borders (Médecins sans Frontières [MSF]), which uses 86% of its receipts for direct services for the medically needy.  The eBay auction will feature items donated by readers (including autographed copies of WEIT); please c0nsider donating an item for auction. It’s not hard because Jones’s group will do all the listings on eBay.  As they say:

If you have anything that you would like to donate to ebay please send us a message here: msfebay@ymail.com

We will do all the hard work for you. All you need to do is tell us what you would like to donate and we will do the rest. All you will have to do is put it in the post once someone has paid for it.

As with last year, there will be a 24-hour atheist marathon, associated with the charity, run on the Magic Sandwich Show site (see my post last year for the schedule then).  The last three years of the auction have raised $100,000 for MSF, with a quarter of that coming from the eBay auction

The auction, show, and other information are described in the following YouTube video:

Go to the YouTube page for information on how to donate either money or eBay items.  I’ll put the direct donation websites here, though:

THE DONATION PAGES FOR THIS YEAR’S EVENT ARE OPEN AND ARE HERE:

The justgiving page
(If you use the justgiving page and you are resident in the UK then please make sure that you claim the gift aid.)

The firstgiving page.

Please consider donating an item and emailing a description to the address above, or give directly on the pages above (all the money goes to MSF).  Here’s a guilt trip: I make no money from my posts, but if you like them I would appreciate your giving a bit to one of my favorite organizations.  But even if you don’t like the cats, boots, and food, give anyway!

Sophisticated Theology: Plantinga explains why God makes animals suffer

August 13, 2012 • 9:40 am

Theologians don’t get more sophisticated than Alvin Plantinga, philosopher of religion (emeritus) at Notre Dame and Calvin College. He’s loaded with honors, and was once president of the Western Division of the American Philosophical Association.  He’s written a gazillion books, many of which say the same thing, and I’ve posted about his bizarre defenses of Christianity several times before (e.g., here, here, and here).

My latest incursion into Sophisticated Theology™ involves reading Plantinga’s new book, Where the Conflict Really Lies: Science, Religion, and Naturalism (2011, Oxford University Press).  His thesis is, as usual, that there is no conflict between science and religion, but a profound one between science and naturalism.  I won’t reprise his argument except to say that involves the specious claim that natural selection could not have given us senses that enable us to reliably detect the truth, so that ability must have been conferred by God (see my post on that argument here).

Today I want to highlight one bit of bizarre apologetics that Plantinga offers in his new book. It stems from the oft-made criticism that the existence of “natural” evil—that is, evils like childhood cancers and deaths by tsunamis—conflicts with the idea of a loving and all-powerful God. Lately this argument has been applied to the idea of natural selection: why would God use a process of creation that would lead to the suffering of so many animals? Couldn’t God have done it otherwise? This argument is part of Philip Kitcher’s “Enlightenment case against supernaturalism” in his excellent short book Living With Darwin. As Kitcher says there (p. 127):

When you consider the millions of years in which sentient creatures have suffered, the uncounted number of extended and agonizing deaths, it simply rings hollow to suppose that all this is needed so that, at the very tail end of history, our species can manifest the allegedly transcendent good of free and virtuous action.

Well, Plantinga, who can explain anything using his convoluted apologetics, has an answer on pp. 58-59 of his book.  It is so stunningly absurd, even humorous, that I must convey it in full. Read this to get the full import of Sophisticated Theology™:

The same [why God permits suffering] goes for processes in the natural world that cause pain and suffering. Various candidates for these reasons have been suggested. . .

God wanted to create a really good world; among all the possible worlds, he wanted to choose one of very great goodness.  But what sorts of properties make for a good world? What are the good-making properties for worlds? Many and various: containing rational creatures who live together in harmony, containing happy creatures, containing creatures who know and love God, and many more. Among good-making properties for worlds, however, there is one of special, transcendent importance, and it is a property that according to Christians characterizes our world.  For according to the Christian story, God, the almighty first being of the universe and creator of everything else, was willing to undergo enormous suffering in order to redeem creatures who had turned their backs on him.  He created human beings; they rebelled against him and constantly go contrary to his will. Instead of treating them as some Oriental monarch would, he sent his Son, the Word, the second person of the Trinity into the world. The Word became flesh and dwelt among us. He was subjected to ridicule, rejection, and finally the cruel and humiliating death of the cross. Horrifying as that is, Jesus, the Word, the son of God, suffered something vastly more horrifying: abandonment by God, exclusion from his love and affection: “My God, my God, why have you forsaken me?” This overwhelming display of love and mercy is not merely the greatest story ever told; it is the greatest story that could be told. No other great-making property of a world can match this one.

If so, however, perhaps all the best possible worlds contain incarnation and atonement, or at any rate atonement. But any world that contains atonement will contain sin and evil and consequent suffering and pain. Furthermore, if the remedy is to be proportionate to the sickness, such a world will contain a great deal of sin and a great deal of suffering and pain. Still further, it may very well contain sin and suffering, not just on the part of human beings but perhaps also on the part of other creatures as well. Indeed, some of these other creatures might be vastly more powerful than human beings, and some of them—Satan and his minions, for example—may have been permitted to play a role in the evolution of life on earth, steering it in the direction of predation, waste and pain. (Some may snort with disdain at this suggestion; it is none the worse for that.)

And that, brothers and sisters, is the best that modern theology has to offer. It is the kind of theology that people like Dawkins and I are accused of ignoring—or of not taking seriously.

No wonder Plantinga notes that this argument “is unlikely to become popular among secularists”! It not only claims that animals have to suffer because Jesus did, as well as we miserable sinners, but floats the idea that “Satan and his minions” also have a bit part in the creation of suffering.  Eagles, lions, ichneumon wasps—all the sufferings inflicted on animals by other animals?  They come from Satan! And why, exactly, did God allow Satan to do that? What is the purpose of animals suffering unnecessary pain?  (Naturalistic evolution, of course, explains all this: pain is an adaptation to detect damage, and predation the inevitable result of a new food supply.)

I could go on and on about the argument, but what’s the point? Despite Massimo’s caution, I aver that Plantinga’s idea is simply silly and laughable. Satan indeed! Must I take this seriously and discuss the evidence for The Hornéd One?

If I may be allowed an observation, I think that Plantinga has been driven mad by Christianity.

Guest post: Pigliuicci defines the “community of reason”

August 13, 2012 • 5:51 am

In a post over at Rationally Speaking, “The community of reason: a self-assessment and a manifesto,” philosopher and one-time biologist Massimo Pigliucci defines what he calls the “community of reason,” sets out criteria for belonging, criticizes those who pretend to belong but violate Massimo’s canons for inclusion and, finally, names those whom he considers role models of rationalism.  I thought it was a pretty good post, though marred by a few unfair accusations and by Pigliucci’s willgness to name good atheists but not bad ones. At any rate, guest poster Grania Spingies, a member of Atheist Ireland, has set down her reaction.

___________

Pigliucci reviews our community of reason

by Grania Spingies

Massimo Pigliucci has a new article up at Rationally Thinking called “The Community of Reason, a self-assessment and a manifesto.”

He lays out his criticisms of the loosely associated group of atheists, skeptics and secularists and tenders his recommendations for how things can be improved. I agree with quite a lot of what he has to say.

The atheist /skeptic online community is not always a bastion of the very best of rationality and reason, and is often rife with muddled thinking, odd ideas and sometimes plain anti-science beliefs. One is mistaken in assuming that the labels “atheist” or “skeptic” denote a worldview that means the same for everyone. An atheist can, for example, be an climate-change denialist, or someone can claim they are a skeptic but then profess skepticism about the efficacy of vaccines, e.g.:

It is also true, as Pigliucci notes, that lot of people in this community use personal abuse instead of critical analysis when confronted by people with whom they disagree. But it is worth noting that in recent weeks a number of prominent bloggers and atheists have drawn attention to the fact that this tactic is harmful and damaging, and that several prominent websites are doing something to address this by implementing moderation policies and advisories on how to engage in civil debate.

Pigliucci gives a list of rationalists that he thinks are good role models:

Sean Carroll, Dan Dennett, Neil deGrasse Tyson, D.J. Groethe, Tim Farley, Ken Frazier (and pretty much anyone else who writes for Skeptical Inquirer, really), Ron Lindsey, Hemant Metha, Chris Mooney, Phil Plaitt, Steve Novella (as well as the other Novellas), John Rennie, Genie Scott, Michael Shermer, Carl Zimmer, etc.

I can’t disagree that these are, in general, outstanding people who have contributed substantially to the promotion of scientific literacy and rationality. But having just called out skeptics who feel that religion is not a proper area of application for skepticism, Pigliucci nevertheless included a number of accommodationists on his list. They do valuable work to be sure, but there are certainly others less charitable toward faith who deserve mention as well.

Pigliucci also lists “bizarre beliefs” that he takes issue with but have sometimes been promulgated by self-styled atheists and skeptics. These run the gamut from the wacky and indefensible alt-med beliefs to the behavior of “scientism”: those who, argues Pigliucci, rigidly and mistakenly apply science to everything.

While I don’t disagree with some of these criticisms (alternative medicine is wishful thinking based on snake-oil salesman pitches), I’m not convinced that others are really a big problem for the atheist/skeptical community at large. Sure, some people hold bizarre ideas and appear impervious to reason. That doesn’t hurt the community. It simply shows that we have a long way to go, and also suggests many potential debates and teaching opportunities for scientists and critical thinkers.

However, there are some items on the list that don’t seem to belong, for Pigliucci oversimplifies the positions put forth by their original proponents. One can hardly hold those proponents responsible for misreading or misinterpretation of what they actually said, even after repeated attempts by authors to clarify their position. Here are a few of Pigliucci’s criticisms of the “community of reason”:

  • Dismissal of philosophy. There are some scientist/bloggers who do this, but most hold a more nuanced position: they are simply critical of the kind of philosophy that reads like theology, involving assumptions and assertions that are dubious and questionable. [JAC: Aside from Alex Rosenberg, I can’t think of many rationalists who completely dismiss the value of philosophy.]
  • Determinism that negates “free will”. I think that most scientists on the determinism side of the Free Will debate are very aware that the science on this subject is not complete and there is still more to discover and learn about the subject. [JAC:  I still maintain that while there is certainly more to learn about the brain, our “decisions” are completely predetermined by physical factors, although a bit of quantum indeterminacy may occasionally intrude. In that sense, at least, our will isn’t free. Nor does Pigliucci offer an alternative.]
  • Richard Dawkins on religious instruction as child abuse. Richard has repeatedly clarified this statement by explaining that he didn’t mean that religious instruction was identical to other forms of child abuse such as beating or neglecting one’s offspring. Rather, he asked us to consider that this idea was meant as a consciousness-raising exercise—to show that brainwashing children in this way is injurious. Yes, some people use this as an anti-Dawkins slogan. They missed the point.
  • Scientism. It is hard—really hard—to find anyone who dogmatically insists that science has all the answers, or is the only way to find any answers. This accusation is nearly always a straw-man. The most extreme position I have seen any of the big name scientist-atheists take is that science is the only way to test whether something is true or not.

Pigliucci also has a list of suggestions of how communities could improve, and many of these are good—and have in fact been seen recently on several other well-known sites and blogs in recent weeks (including this one).

The only one I dispute is this:

Keep in mind the distinction between humor and sarcasm, leave the latter to comedians.

The tone of Ben Goldacre’s excellent Bad Science was at least a part of its attraction for me when I first read it. Goldacre has both the writing skills and the careful research and expertise in his area to back up his snark. Sarcasm works, and sometimes is appropriate. While not everyone who is sarcastic has a good point to make, it isn’t necessarily a conversation-stopper, and even the untrained can sometimes use it with sufficient panache to make it an appropriate weapon.

In that respect, I think this quote from Henry Van Dyke is apposite:

The woods would be very silent if no birds sang there except those that sang best.

This community’s strength is its many voices that are silent no more.

. . . even the ones who don’t know their Latin.

An amazing dolphin video

August 13, 2012 • 4:12 am

Matthew Cobb (via Ed Yong and Robert Krulwich) sent me this fantastic footage of Pacific white-sided dolphins (Lagenorhynchus obliquidens) off the coast of California.  The action begins about two minutes in.  I won’t say more.

To make it large, and you should, click on the word “Vimeo” on the lower right of the video.

The Vimeo caption is this:

Albacore hunting off Santa Cruz, with an unexpected result with the new GoPro torpedo I built…

New laws allowing physician-assisted suicide opposed by doctors and Catholic church

August 12, 2012 • 10:09 am

Today’s New York Times has a piece on physician-assisted suicide: two states, Washington and Orgon, have laws that allow doctors to prescribe fatal doses of barbiturates for terminally ill patients.  As far as I can see (and have witnessed on one video from Dignitas, the Swiss organization that helps organize doctor-assisted suicides), one just goes to sleep.

The piece highlights Dr. Richard Wesley, a physician who was diagnosed with ALS four years ago, is now wheelchair bound, and seems to find immense relief in knowing when he can choose his end.

As the Times piece notes, Massachusetts residents will vote on a similar law in November, but initiatives like this one have failed in California, Maine, and Hawaii.  I don’t understand why this form of euthanasia isn’t legal everywhere. First, and most important, it saves patients (and their families) immense suffering.

Second, there are strict rules for undergoing the procedure:

In both Oregon and Washington, the law is rigorous in determining who is eligible to receive the drugs. Two physicians must confirm that a patient has six months or less to live. And the request for the drugs must be made twice, 15 days apart, before they are handed out. They must be self-administered, which creates a special challenge for people with A.L.S.

Finally, fears that such laws would lead to mass suicides have proven groundless:

Oregon put its Death With Dignity Act in place in 1997, and Washington’s law went into effect in 2009. Some officials worried that thousands of people would migrate to both states for the drugs.

“There was a lot of fear that the elderly would be lined up in their R.V.’s at the Oregon border,” said Barbara Glidewell, an assistant professor at Oregon Health and Science University.

That has not happened, although the number of people who have taken advantage of the law has risen over time. In the first years, Oregon residents who died using drugs they received under the law accounted for one in 1,000 deaths. The number is now roughly one in 500 deaths. At least 596 Oregonians have died that way since 1997. In Washington, 157 such deaths have been reported, roughly one in 1,000.

. . . There were fears of a “slippery slope” — that the law would gradually expand to include those with nonterminal illnesses or that it would permit physicians to take a more active role in the dying process itself. But those worries have not been borne out, experts say.

Well, there are at least two reasons why these laws aren’t universal, at least in America:

Such laws have influential opponents, including the Roman Catholic Church, which considers suicide a sin but was an early leader in encouraging terminal patients to consider hospice care. Dr. Christine K. Cassel, a bioethicist who is president of the American Board of Internal Medicine, credits the church with that effort. “But you can see why they can go right up to that line and not cross over it,” she said.

The American Medical Association also opposes physician-assisted dying. Writing prescriptions for the drugs is antithetical to doctors’ role as healers, the group says. Many individual physicians share that concern.

The Catholic Church’s stand is immoral, for its activities prevent even non-Catholics, who don’t see suicide as a sin, from ending their suffering.  And surely one can see the immorality of forcing terminal patients to continue suffering when they could end it all (and presumably meet the same post-mortem fate that they would have had they not taken barbiturates).  Would God really send such patients to hell? What kind of God would that be?

The American Medical Association also needs to reconsider its stance.  True, I agree that doctors shouldn’t assist with lethal injections of prison inmates, but this is a different situation.  Why would doctors prolong suffering by withholding medication when they know the patient is doomed to a terrible end without it? Besides, as all doctors know, they already engage in a similar practice.  That involves giving overdoses of painkillers like morphine to terminal patients: overdoses that they know will kill them by stopping breathing.  The euphemism it goes by is “reducing pain,” since doctors are bound to do that if they can.  They ask a patient if he/she is in pain, and if the answer is “yes,” they give more morphine—often enough to cause death.

But if they do that, why not reduce the pain by ending the suffering deliberately and permanently? It amounts to exactly the same thing.

I see no rationale, neither medical nor religious, for forcing terminal patients to meet a “natural” death, enduring mental and physical suffering right up to the end.