X-Message-Number: 32469 Date: Tue, 09 Mar 2010 00:47:09 -0700 From: Mike Perry <> Subject: Re: Some cryonicists just don't underestand. [david pizer] References: <> Here are my responses to my good friend David Pizer. > DAVID PIZER: > The reason this debate is important is that it illustrates the downplaying of the disastrous public relations policy of cryonics companies in (as the public sees it) cutting off people's heads. > > My good friend Mike (Dr,) Perry has responded to my Cryonet post in another forum. I am replying to him in that forum and on Cryonet where I originated the discussion. Below are Mike's comments and my responses. > > UNKNOWN WROTE: Please see the two messages that David Pizer wrote in the attached CryoNet digest. I think he has a good idea here regarding cryonics. (ORIGINAL MESSAGES FROM PIZER DELETED) MIKE PERRY: This was David Croft > MIKE PERRY: > With due respect for others' opinions I am opposed to eliminating the neuro option. I think that the long-term storage cost advantage of neuro over whole body is substantial (10 neuros will fit in the same size storage container as one whole body) and the negative publicity is overrated. > > PIZER'S RESPONSE: Mike gives no actual figures of the difference in cost. He just says 10 heads will fit in the same container as a whole body. This is a way of misleading the reader into thinking that doing a "Neuro" suspension only costs 1/10 that of a whole body. Nothing could be further than the truth. MIKE PERRY: I don't actually say that, however, and immediately after this I do acknowledge that there are other costs to consider. Alcor currently charges $80,000 for Neuro and $150,000 for whole body preservation (plus a surcharge for overseas cases). The $70,000 difference between the two has to be considered significant. The disparity would be greater still if any of us who signed up for neuro years ago at lower rates were forced to switch to whole body. For instance I signed up for neuro in 1984 at the then-going rate of $35,000. I would have to come up with another $115,000 to convert to whole body at current rates. (As it happens, I have $85,000 insurance, so I am overfunded for neuro, but not by much.) DAVID PIZER: Most of the cost of doing a suspension (as I pointed out in my original posing and Mike conveniently overlooked) is in keeping the organization going to be there at suspension time, and in doing the standby and other costs. The storage is not that big of the overall cost of either a Neuro or Whole Body suspension. MIKE PERRY: Still though, there is a substantial difference in the cost of neuro versus whole body. Moreover, some of us even if we could afford whole body would prefer to put the funds into saving the most important part, the head, rather than distributing over a larger field. (That's the way I feel.) > >DAVID PIZER: AND, the attorney fees and roadblocks thrown up in Alcor's face, because the public detests Neuros, adds much more than the savings of a Neuro suspension to the over all costs of doing cryonics and Alcor staying in business (just look at Alcor's annual costs of hiring consultants and attorneys, and other related expenses each year). MIKE PERRY: As far as I can see, the attorney fees etc. are mainly concerned with other issues than the neuros Alcor does. Relatives claiming funds that were to be used for cryopreservation are one major case in point. Indirectly, undoubtedly there is some effect from neuros, e.g., litigation over certain claims made about Alcor's operations. That issue I think is pretty much one-of-a-kind, and will not persist longterm (see my comments below). > > DAVID PIZER: ALSO, doing Neuros causes the relatives of Alcor members to cause the members to cancel their membership. MIKE PERRY: I don't see any figures on this. (And I didn't see any on the added cost of attorney's fees, etc. that is caused by the fact that Alcor does neuros.) DAVID PIZER: This leads to lost patients - those members who quit us every year in droves would have become patients some day. We lost and they lost - thanks to public perception of Neuro Option! MIKE PERRY: I have yet to hear of anyone who dropped their membership in Alcor because Alcor does neuros. If they didn't want or select the neuro option themselves, it won't be applied against their will when they are cryopreserved. So why would someone drop their membership because others than themselves are being preserved by neuro? > DAVID PIZER: > Mike says: "... the negative publicity is overrated." > > Pizer: I have talked to thousands of individuals and groups on cryonics over the years and Mike is just plain *DEAD* wrong. People won't always tell a cryonicists, to his face, that they detest Neuros, so a while ago when we were speaking to groups we let the audience fill out cards after the talk (without revealing their identity) about what they thought of our talk and cryonics in general and they detest Neuros. It is the single one thing that turns them against cryonics and against Alcor! MIKE PERRY: I don't think there is a substantial anti-neuro backlash and if there was I would have heard about it from our Membership Administrator. Why would someone "detest" neuros? It doesn't make much logical sense, since the brain is the important part to preserve, and we acknowledge that substantial repairs will be necessary so that that one part can function normally again. When people asked me about the missing body, I brought up Dolly the Sheep which was created from one cell (all organs etc.) and by appearances they accept the idea that recreating the body does not seem so farfetched. > > MIKE SAID: (Storage costs are not the entire cost of long-term patient maintenance, but still quite a significant part.) TW strictly speaking was not a neuro. His whole body was preserved but in two parts. At the time of his cryopreservation Alcor had a vitrification protocol that required cephalic isolation (removing the head) to access the vasculature so the brain could be vitrified. It was either do that or accept a by-then substandard cryopreservation, the old kind with glycerol perfusion, not vitrification, if the whole body was perfused intact. Since this time Alcor has developed a protocol in which the whole body can be vitrified so that cephalic isolation is no longer required. > > PIZER: Come on Mike! EVERYONE Knew that TW's head was removed. > > That is what turned most of the public against Alcor in this case - not the fact that we suspended him! > MIKE: There were questions raised based on the decapitation. I get the impression they were well handled by Alcor and there has not been any strong backlash from the public at large. (Here I am refraining from comment about a certain matter relating to this because it is in litigation. But I don't think this one issue changes the conclusion. I think it is basically a one-time phenomenon that we are safely putting behind us.) > MIKE: the negative publicity is overrated., no neuropreservation has ever terminated. No lawsuit has ever been instigated *because* someone was preserved as a neuro rather than whole body. > > PIZER: Hundred of Alcor memberships have been canceled over the years. MIKE: Again, do you have actual figures? I don't know of a membership canceled because Alcor does neuros for those who choose this option. PIZER: I believe it is because (in some/many cases) the relatives of the member hate Alcor so much - mainly because the are sicken by the Neuro option that we offer. (In other cases, I believe, it is because the relatives know if the member cancels "they" can get the proceeds of the funding vehicle.) MIKE: My feeling is that the latter far outnumber the former. If it were otherwise I would be hearing about it. > > MIKE: The failure to consider the neuro option in the early days was, in my estimation, a major factor in the loss of patients that occurred. Time after time a whole body case would be abandoned rather than converted into lower-cost neuro. As for the negative publicity today, yes, neuro seems creepy to some people but can also make people think about what is really important about cryonics--preserving g the brain above all else. If we want to be rational we should allow this option. It can also be emphasized that nobody *requires* that someone sign up for neuro, you can go whole body if you choose (and can afford it). > > PIZER: The "major" factor was the cryonics company in question ran out of money, good judgment and support from the relatives of the patients. MIKE: If neuroconversion had been used a lot of these cases could have been saved, as a few actually were. > > Plus they were not set up like Alcor, They took suspensions on credit where Alcor solved that problem by requiring full payment up front. > Yes, I agree. Some final comments: I am in a position to hear of reasons why people either drop membership or won't sign up in the first place at Alcor. I have so far never heard "because you do neuros" as a reason given. I won't say it doesn't happen. But logically it seems reasonable that people who don't want neuro for themselves would be satisfied as long as *they* could sign up for whole body, whatever choice someone else might make. And I think *most people* feel that way. Another point to make is that I think it is sad that the cost of cryonics is as high as it is, whatever the option chosen. Neuro *is* a lower-cost option than whole body, significantly so, when all factors are taken into account. It is probably not the lowest reasonable option, however, and I would like to see even lower-cost options offered. (Here I am not specifying the organization. Just somebody!) One possibility (suggested recently by Aschwin De Wolf) is to combine some form of rapid postmortem fixation with storage at -80C, about dry ice temperature. There are freezers that could accomplish this. If the patient ever warmed up to room temperature, it would not be the end of the world, in view of the fixation, though reestablishing the low temperature would be an urgent priority. A neuro done this way might be cheaper than storage in LN2, with more protection against the effects of warming. At least this idea should be researched. Mike Perry Rate This Message: http://www.cryonet.org/cgi-bin/rate.cgi?msg=32469