In his recent book Losing Our Dignity, Charles Camosy, a Catholic, examines certain disturbing trends in medicine and bioethics regarding children born with severe congenital illnesses, adults suffering from brain damage, and other difficult cases and attributes them to what he terms “the secularization of medicine.” Devorah Goldman writes in her review:

Camosy makes a forceful case that an “irreligious understanding of medicine” has contributed to a distorted view of what makes life worth living. Medical systems often operate on the belief that life can be measured along material lines, dismissing the idea that human life is inherently sacred. In such cases, people who are chronically ill, disabled, or elderly are not given the same consideration as those with the potential to contribute materially to society.

Respecting life at different stages, though, is not the same thing as arriving at a common understanding of death. This is one wrinkle in the book: as technologies for sustaining human organs and basic functions (including breathing) have improved, it has become more challenging to identify death, particularly in cases of catastrophic brain injury. This is less a question of equal care than of life itself, and of our capacity to know when it is over.

Camosy rightfully skewers the [British National Health Service’s] “quality-adjusted life year system,” . . . which is used to determine “whether a treatment or intervention’s cost can be justified.” The NHS employs a tortured calculation based in part on how long a person might be expected to live after receiving treatment, as well as (in the NHS’s language) his “ability to carry out the activities of daily life, and freedom from pain and mental disturbance.” This arbitrary and materialist approach to healthcare places elderly and disabled people at risk of being rejected wholesale by the UK’s medical system.

But in placing all the blame for such grotesqueries on a single trend in a single discipline—bioethics—Camosy misses the broader picture. Specifically, he does not adequately acknowledge how this academic attitude is driven by, or at least interacts with, the political and technological realities of modern medicine.

While it is commendable that administrators of several universities finally called upon police to crack down on violent and disruptive anti-Israel protests, the actions they have taken may be insufficient. At Columbia, demonstrators reestablished their encampment on the main quad after it had been cleared by the police, and the university seems reluctant to use force again. The school also decided to hold classes remotely until the end of the semester. Such moves, whatever their merits, do nothing to fix the factors that allowed campuses to become hotbeds of pro-Hamas activism in the first place. The editors of National Review examine how things go to this point:

Since the 10/7 massacre, Columbia’s Jewish students have been forced to endure routine calls for their execution. It shouldn’t have taken the slaughter, rape, and brutalization of Israeli Jews to expose chants like “Globalize the intifada” and “Death to the Zionist state” as calls for violence, but the university refused to intervene on behalf of its besieged students. When an Israeli student was beaten with a stick outside Columbia’s library, it occasioned little soul-searching from faculty. Indeed, it served only as the impetus to establish an “Anti-Semitism Task Force,” which subsequently expressed “serious concerns” about the university’s commitment to enforcing its codes of conduct against anti-Semitic violators.

But little was done. Indeed, as late as last month the school served as host to speakers who praised the 10/7 attacks and even “hijacking airplanes” as “important tactics that the Palestinian resistance have engaged in.”

The school’s lackadaisical approach created a permission structure to menace and harass Jewish students, and that’s what happened. . . . Now is the time finally to do something about this kind of harassment and associated acts of trespass and disorder. Yale did the right thing when police cleared out an encampment [on Monday]. But Columbia remains a daily reminder of what happens when freaks and haters are allowed to impose their will on campus.