Showing posts with label AIDS. Show all posts
Showing posts with label AIDS. Show all posts

Tuesday, July 10, 2012

Technology and the church: an analogy

Following the reflections on technology vs. technologism I posted a week ago, I thought I'd offer an extended analogy to tease out what I think are some of the implications for the church of rejecting such technologism in relation to our ecological predicament.

The AIDS epidemic in sub-Saharan Africa is a large and wicked* social problem. Its causes are complex and involve (amongst others) both individual lifestyle choices and broader cultural assumptions. It is a slow-burn problem, with cases multiplying in largely invisible ways (that is, infection is not an experience that a subject is usually aware of at the time) and symptoms only really becoming manifest years later. It is also a problem where the accumulation of individual cases generates further complex social realities (AIDS orphans, child-headed households, a culture of stigmatism and so on). In South Africa, for quite some time, the government held a position of officially denying the link between HIV and AIDS, holding back implementation of various policies that, while being very unlikely to "solve" the problem, nonetheless could have significantly reduced the spread of the disease and hence the resulting human suffering.
*Wicked in the technical sense, that is, a complex and multifaceted problem without a single "solution".

I'm just sketching a little and I'm going to assume that the parallels to a number of ecological problems are more or less obvious to those paying attention to such matters.

The point I'd like to make concerns the role and limitations of technology. In this case, I have in view both the very low tech option of condoms and the considerably higher tech option of antiretroviral drugs. Widespread adoption of safer sex practices would very significantly slow down the spread of the disease. Therefore, government and NGO programmes that promote such harm minimisation are, to my mind, basically a no-brainer. The widespread provision of antiretroviral drugs is slightly more complex, involving various economic implications and calculations, though still clearly a good idea on balance. These do not cure the disease, but they do slow its progression in an infected individual, and so increase his/her life expectancy. Now, in this situation, technology serves to provide real social and personal goods, and any responsible government ought to be implementing such actions amongst their many priorities.

Nonetheless, such provisions, while reducing the pace and severity of the crisis, do not by themselves decisively solve it. Huge damage has already been sustained and more is in the pipeline in the form of millions of carriers whose lives are likely to be shorter than they would otherwise be, and whose future sexual activities will be conducted under a shadow. Grief remains a healthy and appropriate response, not as a replacement for these policies, but simply out of emotional honesty.

Furthermore, implementing these policies doesn't remove the moral evaluation (at both personal and cultural levels) of the failures that enabled the problem to spiral to such magnitude. It would be easy to indulge in cheap and simplistic condemnation of the lax sexual ethics of many of those who end up infected (though of course, many spouses and children may contract the condition entirely innocently), and this would be reductionist if that were the extent of one's response. Conversely, not to comment on the sexual sins as a spiritual problem manifest in grave social harms would also be to miss an important component of the situation.

Now the analogy is not perfect and I'm sure there are all kinds of important differences between AIDS and ecological crises, but perhaps this example may illustrate the possibility that technological responses of real social benefit do not render the problem less wicked (in the technical sense) and do not sidestep the need for careful moral evaluation of the situation.

Now, consider the position of a Christian church facing an AIDS epidemic amongst the congregation. There are all kinds of possible responses, and a healthy one will include many facets: caring for the sick and orphaned; seeking honesty and reconciliation in relationships damaged by sexual misdeeds; helping the congregation understand the nature of the disease including causes and its likely effects; calling on governments to implement responsible social policies; planning for a future in which more families are broken and child-headed households increase. Amidst this, I presume that it would be a good idea to lay out sensitively the good news of sexually committed exclusive covenant relationships (within a full-orbed proclamation of the gospel of grace, repentance, forgiveness, freedom and reconciliation). Now, to speak of the goodness of sexual relationships as they were intended may not "cut it" as a social policy, and nor need this proclamation imply ecclesial support is restricted purely to abstinence/chastity programmes. But if the church does not recognise that one of the significant contributing factors to this epidemic is the eclipse of scriptural sexual ethics, then it would only be doing part of its job. Ultimately, the church will be praying and working towards becoming a community within which healthy sexual relationships of trust and commitment are the norm, where failures are handled sensitively and graciously, where reconciliation and stronger relationships are the goal. And even if to some observers it appears foolish, naïve or old-fashioned, it will hold onto the possibility of the partial and provisional healing of desire amidst a sinful world that at times shows little evidence of such a message being effective. It will hold onto the hope of eschatological healing, yet without confusing this with any sort of divine guarantee for miraculous deliverance from the consequence of our actions today.

Similarly, while technology may offer certain paths that reduce the pace and severity of ecological harms, and while governments may well be wise to consider various options carefully and responsibly (rather than the present mix of short term opportunism, denial and misguided or cynical tokenism), nonetheless, the church cannot but notice that behind our ecological woes are certain assumptions and patterns of behaviour: a reckless indifference to the consequences of our pursuit of ever higher levels of consumption; an insatiable acquisitiveness that desperately tries to find meaning in stuff; a foolish arrogance that claims to wield ultimate mastery over matter; a short-sighted willingness to sell our children's inheritance for a quick thrill today coupled with an inordinate unwillingness to let go of luxuries; and an ignorant inattentiveness to the plight of our fellow creatures. Noting these roots needn't remove the possibility that the church will support responsible technological mitigation of our crises, but the church will continue to hold out - despite the apathy and scorn of the surrounding culture - a picture of human communities not based primarily on acquisition, of a good life that is not built primarily around consumption or material wealth, of a heart that is content and generous and which desires neither poverty nor riches. It will speak out against the personal and systemic greed whose manifestation is a destabilised and scarred planet. It will grieve over the damage already done, and the more that is in the pipeline. It will speak of grace, forgiveness, repentance, reconciliation - and of a divine eschatological healing of a groaning world, yet without assuming that this implies we will not face the more or less predictable consequences of our present failures and so not at all neglecting the task of both caring for victims and advocating on behalf of those without a voice in the matter: the global poor, future generations and other species.

In short, the church is not unmindful of the potential benefits of technology, but it is called to be free from the slavish fascination that treats it as our saviour. A world in peril needs more than a renewable clean source of power; it needs a renewed and cleansed heart.

Tuesday, February 15, 2011

The cost of cars

"According to the World Health Organisation, road deaths in Africa could double between 2008 and 2030. Road traffic crashes already account for more deaths than from malaria, and by 2030 road death is expected to exceed AIDS as a cause of death world-wide. [...] Road traffic crashes are estimated to cost developing countries [US]$53 billion per year, which is more than they receive in development aid."
- Ian Roberts with Phil Edwards, The Energy Glut: Climate Change
and the Politics of Fatness
(Zed: London, 2010), 107.
This is an interesting little book. Although it has relatively little to say about climate change, which is largely taken for granted in the discussion despite the title, it effectively explores the many other costs of our globally growing reliance on fossil fuel driven transport. The primary angle is public health, and apart from a series of eyebrow-raising statistics about traffic mortalities, the main thrust is drawing a strong and quite convincing social link between the obesity epidemic and automobile use.

In short (and with various caveats and nuances), the book argues that obesity is not a problem of the obese. We are not faced with a sudden widespread loss of dietary self-control. We are collectively getting fatter (even the thin people), as measured in global and national BMI statistics, and as a result, a rapidly rising percentage of the population now fall into the medical category of obese (BMI ≥ 30). This isn't because we're eating more (we're not: calorie intake is actually declining) but because we're less physically active. And at a broad scale the strongest statistical correlation with physical inactivity is automobile use. Our reliance on the cheap energy of fossil fuels is the root of both climate change and obesity (hence the book's subtitle).

And this is where traffic mortalities and injuries make this trend self-perpetuating. The more cars on the road, the more dangerous the road becomes to pedestrians and cyclists, and the greater incentive there is to participate in a transportation arms race by purchasing a vehicle for oneself. In a given society, after a certain point of automobile use is reached, traffic mortality figures start to decline. The author, whose background is in public health associated with motor vehicle accident trauma, argues that this has relatively little to do public safety campaigns and much more to do with the fact that pedestrians and cyclists, having lost the battle, largely quit the field (or road in this case). A road thus dominated by lumps of steel and iron each hurtling along with more kinetic energy than a speeding bullet becomes a barrier to cyclists and pedestrians, and a powerful motoring lobby* ensures that "accidents" are blamed on the individuals rather than the system as a whole (in a move parallel to the gun lobby: "cars don't kill people, bad drivers and erratic pedestrians do").
*The text notes that eight of the ten largest global corporations (based on the Fortune 500 in 2008) are either oil companies or car manufacturers. And the largest is a supermarket chain, which has its own links to both fossil fuel transport and cheap food energy.

Those excluded, of course, include all children, who are then conditioned into a sedentary lifestyle from a young age.

Ironically, obesity is actually a greater health threat than cycling on dangerous roads dominated by cars and trucks.
"The overall risk of death for adults who cycle to work on a regular basis is between 10 and 30 per cent lower than for those who drive to work (Woodcock et al., 2009). This survival benefit persists after controlling for a range of factors that might differ between cyclists and motorists. In other words, even taking into account road danger, the balance of health risks and benefits is strongly in favour of cycling. Cycling in traffic may be dangerous but not cycling is more dangerous. There are consistently fewer deaths than expected from heart attacks, strokes and cancer among cycle commuters. [...] There is also evidence that the injury risks for cyclists decrease as more people take up cycling. Per kilometre, cycling is safer when there are a lots of other cyclists around. It has been estimated that a doubling in the percentage of the population that cycle results in a 34 per cent reduction in the death rate per kilometre cycled (Jacobsen, 2003). By cycling, you will improve your own health and you will help to make cycling safer for others, encouraging more to join the growing movement."

- The Energy Glut, 108.

Cycling is revolutionary in more ways than one. Get on your bike.
Image by JKS.

Friday, December 03, 2010

The real climate debate

"The scientific debate [concerning climate] is not between deniers and those who can prove that releasing massive amounts of warming gases will make the world warmer. Every major scientific academy in the world, and all the peer-reviewed literature, says global warming denialism is a pseudo-science, on a par with Intelligent Design, homeopathy, or the claim that HIV doesn’t cause AIDS. [...] No: the debate is between the scientists who say the damage we are doing is a disaster, and the scientists who say it is catastrophe."

- Johann Hari, There won't be a bailout for the earth".

There are many more climate scientists who think that the IPCC position in the 2007 report is understated, conservative and outdated than who consider it alarmist. Debate still rages and the science is far from settled, but amongst those in the field, the uncertainty is almost entirely between those who think that our current path leads to misery, precipitous ecosystem and biodiversity decline, stronger droughts and more damaging floods, to dangerously rising sea levels, huge financial losses, widespread food insecurity and large numbers of refugees, and those who think that things are considerably worse than that.

It doesn't have to be this way.
Image by JKS. H/T Bryan for the link.

Tuesday, March 23, 2010

Freed to love: why (rich) Christians need to think about climate change

For you were called to freedom, brothers and sisters; only do not use your freedom as an opportunity for self-indulgence, but through love become slaves to one another. For the whole law is summed up in a single commandment, ‘You shall love your neighbour as yourself.’

Galatians 5.13-14.

Freedom is ordered towards love; we are free in order that we might love, and in love become slaves to one another. Christian liberty is the freedom to do good to my neighbour. Central amongst the goods I might do for my neighbour is echoing the divine call to enter into this very freedom to love. And so part of my free service will be inviting my brothers and sisters into the service of those around them: "Let us serve our neighbours and do good to everyone, especially to the household of faith!"

Yet this service is not exhausted by issuing such an invitation. There are many other ways of serving one another as well as proclaiming the good news of freedom in Christ. To be of service to my neighbours, some of the good things I can do will require more specific knowledge of my neighbours and their condition and context. Do they need food? Do they need to learn how to fish for themselves? Do they need to have their fish stocks protected from illegal fishing? Do they need medical aid? Do they need a healthcare system that delivers better care? Do they need a friend they can trust? Do they need a society in which trust is prized and protected? What fear or guilt is oppressing them? Is a fearful society confusing their ability to discriminate between threats? Are they a victim of crime? Is corruption undermining the rule of law in their community? Are they addicted to self-destructive behaviours? Does their society encourage them towards the idolatry of greed? Towards superficiality of judgement? Does their lifestyle (and that of their society) contribute to reducing the freedom of others to love and serve?

The answers to these questions will not be easy or simple. They will not be found only by studying the scriptures (though that will of course be part of it!). To love our neighbour, we have to pay close attention to the world and how it works, including the disputed areas.

At stake is the relation of knowledge to ethics. Saint Paul prayed that the Philippians’ love would "overflow more and more in knowledge and depth of insight" - knowledge of God and the good news of Jesus, yes, but also knowledge of one another and the world in which they are called to love. We cannot love our neighbours without some attempt at understanding them, their history and gifts, their situation and the world which we share, including its threats and possibilities.

For example, Christians amongst areas ravaged by AIDS will need to come to an opinion about whether HIV leads to AIDS or not (this is hotly contested in parts of Africa, and there are campaigns against the use of retro-viral drugs, and shoddy pseudo-scientists throwing mud into the air). Christian parents will need to come to an opinion about the benefits and costs of immunisation (where again, confusing signals have often been sent by the media based on poor scientific work). And Christians with influence in energy, in public policy, or those with carbon-intensive lifestyles and with global neighbours who live in drought or flood-prone areas will sooner or later have to have some kind of opinion on climatology and carbon.

Not every Christian is able or obliged to answer every conceivable question about how to love our neighbours, or to evaluate the variety of threats and opportunities we focus upon. But Christians do need to think carefully about which sources of knowledge are trustworthy, and what we do with that knowledge. Will we trust the IPCC and the national scientific bodies of thirty-two nations when they tell us they have over 90% confidence that human activities (particularly those in developed nations) are significantly contributing to changes with very serious negative effects now and increasingly into future decades (particularly on the world's poorest peoples)?

God doesn’t give us an exhaustive list of who we are to trust and how far. But that doesn’t mean the question is morally irrelevant or that refraining from the discussion is the best use of Christian freedom to love. This may not be the only or the greatest moral issue of our time, but it is a very significant one.

Christian freedom does not mean that we are released from the responsibility to consider carefully the effect that our habits, actions and beliefs have on those around us. Quite the opposite: we are liberated from the intolerable burden of having to save ourselves or our world, and given many opportunities to do all kinds of good. Let us use our freedom in order to love.

Thursday, October 05, 2006

Marty on AIDS

Marty starts a new series on a Christian response to the AIDS crisis.