X-Message-Number: 6230 From: (Thomas Donaldson) Subject: answers.to.2.questions Date: Fri, 17 May 1996 23:03:10 -0700 (PDT) Hi! I've just read through all the Cryonet messages which accumulated while I wasn't reading them. I have a couple of points to make on some questions and statements which were made. 1. Ensuring members excellent medical care up until they deanimate. Because of my brain tumor I had to think this issue out personally. It's not so clear as some people on Cryonet seem to think. The problem is that good medical care, even palliative care, costs MONEY. Even if it fails, treatment of cancer (or any other such condition) just is not cheap. Sure I would like to hang on for as long as I could: BUT I must also somehow ensure that enough money is available to pay for standby(s) and my eventual suspension. It is not so clear just where to decide to put the dividing line. At one extreme we might all be thought of as terminal --- but getting frozen right now would be very foolish. So just how hopeless must our situation be to justify abandoning all attempts to prolong our lives in favor of suspension? I don't see this as a question with any general answers: it depends on our finances, our particular condition, and what we hope to get done before we are suspended. In my case, I am a member of a special California-funded medical plan with Kaiser. There is a limit (which I have not touched at all, basically because I've been reasonably well ever since I joined) to the amount that Kaiser will pay for my further medical care --- say, if I were to have a relapse of my tumor. After that limit, I must either pay for my treatment myself, or have no treatment. When I recovered from radiation treatment enough to think about this question, two things mattered most: first, I did not want my brain to turn to mush, or even to START turning to mush. And second, given the funding constraints, I decided that if I ran out of insurance money with no signs of likely recovery that would be time to devote my resources to cryonic suspension rather than normal medicine. Sure, I might want to take something which might help the pain --- if it did not dull my ability to think out my situation (and ultimatelyI would probably end up dulled by drugs --- at which time I should be frozen). ASSUMING THAT ALL NORMAL TREATMENT LOOKED LIKE IT WOULD FAIL, yes, then it would be time for my cryonic suspension. One thing I did notice all through my illness was the way in which my doctors (at least to my face) were more cheerful than the medical literature seemed to support. No one wants to fail, of course, and I don't hold it against them. But that taught me something, too: it's hard, even if you beg for plain truth rather than cheerful nothings, even to find out the truth. I would hope that any doctor associated with a cryonics group is willing to tell me openly and plainly how well my treatment is doing. And I would urge any cryonicist to take this particular lesson to their own heart, too. Even if it may be clear to others that you have not got many months or weeks of life remaining, many of those others will never tell you that. You must work out such things for yourself, not an easy problem at all when you are sick in the first place. And providing help to do that is one thing your cryonics group might usefully do --- and if that causes legal problems, then it's easy to see ways around them. So NO, it's not just a matter of good care until your suspension. 2. This is a point for Jean-Yves Sireau, if he's still listening: I have a PhD myself (mathematics) although I don't normally wear it. And as someone with a PhD, I will say that anyone who believes that research (into cryonics or anything else) takes years of study and expertise (separate from the years of study and learning that you do to ACTUALLY DO THE RESEARCH) has basically accepted a load of B. At ANU, where I taught and did research as a mathematician for 16 years, there was one fellow who had a BS and nothing else --- in the Australian Institute of Advanced Studies, doing research on ODE's and (for fun) number theory. He'd published lots of papers, etc, and done so for years. By then it had become a point of honor with him NOT to accept a PhD (he could have gotten one 10 times over), not even if it were an honorary degree. It does not take any special titles or parchment to do research. What it does take is funding (of course), hard work (of course), and the humility to see that no matter how much you know and how intelligent you are, there are other people who have ALSO had very good ideas and worked them out years before you began. (That is, you must understand about reading the literature first before you try something which seems new to you but was really done, better than you could do it now, 30 years ago--- and also the humility to learn from what those people have done). Of course, funding is key. The possession of a PhD is very important nowadays if you are to have any hope at all of funding. And if that PhD comes from some prestigious school, much better. Right now, in fact, for many research fields there is a glut of people with PhDs (it is a union, in fact though not in name). And while I was at ANU (I had tenure) I could see this happen: at one time ordinary students could get jobs marking papers... but by the time I left, you needed a PhD to do that. I'm sure that there are people who would willingly hire PhDs to sweep the floor and clean the windows... and yes, some would accept such a job, if only to have to possibility of someday doing research. The main thing to understand about PhDs is that they let you into an exclusive club. And clubs may be very exclusive even if their members spend their time staring into space and blowing bubbles with their saliva. Of course, if you want to judge someone for what they know about a subject, really judge them rather than just accept their union card, you have to see what they've done and what they know. Ignore the parchment and look at the person. And naturally references from other people whose expertise you do respect would help --- but ultimately it all falls on you. And so to Mr. Sireau or anyone else, I would point out that if anything the lack of Authorities doing cryonics research may even be a Good Thing. If you want to decide how many experts there are in cryonics, you will have to look at the people rather than their degrees. Best and long long life, Thomas Donaldson Rate This Message: http://www.cryonet.org/cgi-bin/rate.cgi?msg=6230