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Culture War Roundup for the week of August 11, 2025

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Following up on the post about assisted suicide, here's more about that Swiss clinic which is the subject of allegations by an Irish family:

Two families whose loved ones ended their lives at a Swiss clinic in secret have said they are heartbroken that another family has been put through a similar ordeal.

Anne Canning (51), from Wales, travelled to the Pegasos clinic, near Basel, to end her life in January following the tragic death of her only son. She told her family she was going on holidays.

Under similar circumstances, Alastair Hamilton (47) travelled from the UK to the clinic in 2023.

Following Mr Hamilton’s death, the clinic reportedly promised last year that it would always contact a person’s family before carrying out an assisted death.

However, Ms Canning’s family claim they were never informed.

Last week, the daughter of a Co ­Cavan-based woman who ended her life alone at the same clinic told the Irish Independent that the first she knew that her mother had died was when a volunteer for the group sent her a WhatsApp message.

Maureen Slough (58), who had a history of mental illness, travelled to the Pegasos clinic on July 8, having told her family she was going to Lithuania with a friend.

Now, I'm not going to argue over the right to die, when is suffering intolerable, religious objections, slippery slopes or the rest of it. What I'm going to do is say that this is a business (indeed, this is a claim made in the story by one of the families). And, just the same way that IVF has become a business, and embryonic selection (see the Herasight proceedings) will become a business, when we get into business territory, it's about profit. And to maximise profits, we reduce costs. If that means setting up a clinic that looks like a blocky industrial estate unit and skimping on postage, so be it.

There's some indication, at least from claims by these families, that procedures are not being followed through, or at the very least, merely rubber-stamped and not, in fact, keeping the promises they made about communication with and informing the families:

The Pegasos group said it received a letter from Ms Slough’s daughter, ­Megan ­Royal, saying she was aware of her mother’s wishes and accepted them.

It also said it verified the letter through an email response to her using an email address allegedly supplied by Ms Royal.

Ms Royal said she never wrote such a letter or verified any contact from ­Pegasos, and her family think Ms Slough may have forged the letter and verified it using an email address she created herself.

Her family have questioned why ­Pegasos staff did not ring Ms Royal on a number that Ms Slough had supplied to them for her.

The same way that someone in the comments over on ACX described her experiences with IVF and why the clinic downplayed/ignored her problems, it's the same answer here: it's a business now, and profit (not the message about "we'll compassionately give you what you so emotionally desire") is the motivation. And the more it becomes just another business, the more slippage we'll see. No, I don't mean slippery slope, I mean this kind of thing: we don't email you, you have to track your mother's ashes "using a code, like she was a parcel in the post", and hey, verbal promises aren't worth the paper they're written on, we're legal in this country so too bad.

Standards only last as long as the brakes are on. When we take the brakes off, then it's a business and death (and life) is a commodity to be monetised.

I don't see the need to complicate things. Assisted suicide is objectively bad, and restricting a persons freedom to commit suicide is objectively bad if and only if said person is having an episode (a temporary state of mind of lowered lucidity).

Making it into a business incentivizes death (by incentivizing profits, which is a trivial result of the death of unproductive members of society). Do I need more arguments? Did I even need this one? Assisted suicide is never needed. Suicide is trivial, and obvious. Obviously trivial. But in case there's some psychological defense mechanism which blind people to obvious, painless methods of suicide, I'm not going to write the method for now. If anyone reading this is suicidal, it's a good thing that they think they need to travel to an entire other country just to stop being alive. Being unable to think of a fast, easy and painless way out is great.

Can you, uh, rely on the most miserable, desperate portion of the population to make optimal decisions? Optimal for the rest of us, that is. It’s not like they’re going to be around to clean up.

In the best case, that’s first responders removing a body. I think most cases are messier, more personal, or otherwise worse. They’re externalities to the suicide. Mitigating those is worth something.

incentivizing profits

Okay, but that’s a fully general argument against doing stuff. Plenty of companies are naturally incentivized towards collateral damage. We generally handle this by regulating them instead of banning their industry outright.

Well, you can't, but I still think this is the only correct answer. If somebody wants to kill themselves for say, a year non stop, then at that point, it's not just a hasty decision they've made because they sank into a bad mindset for some time. Depriving them of freedom for extended periods of time in order to 'keep them safe' wouldn't be right.

Assisted suicide is a terrible idea. You cannot possibly regulate this, it's simply a lost cause. It will be used to mass-murder the elder population for economic reasons. I can see many many ways to abuse this and zero ways to make it even slightly unlikely to happen. Suicide should remain one of these things which is illegal, but which nobody can stop you from doing if you really, really want to.

I'm skeptical of every popular modern thing which could have been introduced decades earlier if we wanted to. In almost every case, the reason we didn't do said thing earlier is because we argued that they were terrible ideas. And only now, as the modern world is becoming increasingly ignorant of traditional arguments against these things do we consider them "good ideas". They're chesterton's fences. Other examples are IoT, online IDs, social credit scores, mass immigration, censorship laws, guilt by association and "fact checking". I'm too lazy to think of more, but the years to come will provide us with plenty more examples

Given that somebody has waited a whole year longing, nonstop, for death, he should be allowed to die. If he must die, it should minimize the harm done to those who survive him. Therefore, he should be allowed to seek assistance.

I understand the perverse incentives for his caretakers, his beneficiaries, his insurer, and the welfare state. A random nonprofit in a foreign country does not have these same incentives.

I'm skeptical of every popular modern thing which could have been introduced decades earlier if we wanted to.

Naturally.

In almost every case, the reason we didn't do said thing earlier is because we argued that they were terrible ideas.

This is certainly not true. It’s not even true for your examples. Some of them didn’t make any sense before modern technology. Others are playing games with definitions—how much immigration is “mass” immigration, exactly? And the others are laughable. Do you seriously think censorship laws were held at bay by “traditional arguments”?

I think assisted suicide also harms those close to you, so being found in your apartment is not that much worse. Except maybe for the cleaning. Anyway, I'd agree if not for the pervsese incentives. You can have two entities A and B which are structurally safe from exploitation, but which can be exploited if you connect them as (A + B). An easy example is that countries cannot lagally spy on their own citizens, so they spy on each others citizens and share the information (FVEY). In my intuition, corruption is the inability to keep things separated, but "optimization" pushes us in the direction of centralization and higher connectivity between everything, which is why I expect these issues to get worse.

IoT is kind of new, but you still have this line from 1979: "A computer can never be held accountable, therefore a computer must never make a management decision". 46 years later, and idiots go "What if my fridge could order new milk by itself!? I'm a genius!"

"mass" is quite subjective, but the numbers have gone up a lot and there's many clear reasons for that. One of them is that we used to filter migration so that people who seemed skilled/competent and at least somewhat aligned with the culture of the destination made it through. That filter is now gone, immigration is purely altruism, it's not an economic investment.

And yes, censorship was held at bay by clear principles. Almost everything wrong with the internet is because we've ignored these insights:

1: You're innocent until proven guilty.

2: Guns are not to blame for murderers, knives are not to blame for stabbings, supermarkets are not to blame for theft, an online service is not to blame for criminal behaviour by users, car manufacturers are not to blame for my reckless driving, Google is not to blame for torrent websites, and torrent websites are not to blame for pirated content, and I'm not a criminal if a friend of mine commits a crime. Sentences like "You're either with us or against us" are mere propaganda. These are basically all the same thing, but I'm not sure there's a word for this concept, so I cannot describe it well.

3: Open communication is the best path to truth. Silencing anyone is objectively worse. An arbiter of truth is a ridiculus concept (which is why the 1949 book 1984 ridiculed the idea). Blind faith to science, too, goes against the principles of science.

4: You cannot have your cake and eat it too. Those who would give up essential Liberty, to purchase a little temporary Safety, deserve neither Liberty nor Safety.

5: Ownership. You don't really own anything like you use to. This has a lot of negative consequences as well.

I'm fairly sure even John Stuart Mill understood all these principles, why there can be no exceptions, and why there can be no hybrid solution which is better. I'm not too knowledgable about politics, or even history, but I do know some very important principles, and most issues which appears "new" to regular people is something that I consider solved more than 100 years ago. My heuristic is "if it breaches any of these principles, it's bad", and no matter what issues I throw at my principles, they gracefully solve them

If those principles were enough to gracefully preempt censorship, we’d never have had the original Comstock Act. Puritanical book-bannings. Witch hunts for communists and anarchists. Acting as if our elders had it all figured out is the laziest sort of rose-tinted glasses.

I find myself curious. Are there any cases where your principles haven’t guided you to agree with whatever Fox News has most recently said?

That's likely due to the influence of Christianity being stronger than the influence of classic liberalism. But isn't this also explained by most people being stupid? I think most dumb ideas are prevented by a low ratio of the population (perhaps 10%) knowing that they're dumb ideas. When the ratio of knowledgeable people falls too low, bad things happen. This is especially true today, since the dumb average person has more decision power than ever, and since there's a lot of money in promoting dumb ideas (smarthomes, cars with internet access, useless LLMs in every product, etc). It's memetic warfare. Since most people are too dumb to think ahead, they will need to experience negative consequences first hand in order to learn. And these learned lessons are quickly forgotten. Online IDs are being now implimented in the UK, but this was actually tried before in the past, around year 2020. The idea was already shut down once before, and the arguments that people wrote against it online were a sort of vaccine, but like I said, insights disappear, and then people retry terrible ideas.

I can't answer your second question as I've never watched Fox News. I basically reject everything modern. How could anything I say be downstream of recent propaganda when I came to these conclusions more than 15 years ago?