discourse

Corporate-Speak and the Language of Healthcare

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You Are What You Say

Corporate-speak infests healthcare. Buzzwords invaded medicine thirty years ago, but the infection was contained to hospital administration. Now healthcare is controlled by insurance companies, global technology firms and for-profit outfits of all sorts. Business slang, the jargon of greed, is fouling the language of care.

The corporate-speak contagion spread, pushed from hospital C-suites to the wards. Doctors and nurses were encouraged to “drive behavior”. Or “align incentives”. Or even “align incentives to drive behavior while leveraging assets”. All business claptrap.

Except it’s harmful claptrap. Corporate clichés exterminated medicine’s touchstone words. Talk of profit margins, marketing and competition doesn’t inspire trust. Technobabble isn’t the language of compassion. It’s hard to translate caring into bureaucratese.

Sticks And Stones

Healthcare is not innocent. Doctors and nurses stand accused of using baffling shoptalk. We have our own lingo, phrases, acronyms and abbreviations. Most are shorthand. Many are glib and dehumanizing:

–       The MI in 415 (The patient in Room 415 has suffered a heart attack.)

–       Gomer (Elderly and confused patient, almost always male; the word has uncertain origins.)

–       Frequent fliers (People who show up in the emergency room too often.)

–       Treat and street (Rapidly care for emergency room patients and get ‘em out the door ASAP.)

We’re equally scathing about each other:

–       Gas passer (Anesthesiologist)

–       Jock (Orthopedic surgeon)

–       Scoping for dollars (Gastroenterologist)

–       Pediatrician = Geriatrician = Veterinarian (Self-explanatory)

Dark humor helps cope with stress in healthcare; the daily onslaught of pain, heartbreak and frustration most clinicians face. But our slang doesn’t reduce patients to cost centers or data points.

Let Those Who Are Without Sin

Buzzwords are business parasites. They swarmed into health care along with big tech, hospital systems and payers. Like fleas on rats. The medical-industrial complex treats patients, physicians and nurses as costly business problems to be solved. Threats to profit margins.

Hands-on care of sick patients is the most important duty in medicine and the most expensive. Care that relieves suffering is the heart of medicine. But hospital stays are costly. Skilled professionals aren’t cheap.

The biggest boosts in profits come from the greatest reductions in costs. Patients and clinicians quickly run up the tab, so chopping their costs yields the largest earnings lift. In theory, anyway.

The Words

Corporate-speak blurs reality. It reduces accuracy to vagueness and sucks humanity from patients and clinicians. Hundreds of business buzzwords have infiltrated healthcare. More slither in daily.

A few dozen pop up constantly. Ten of the worst offenders are featured.

What The Top Ten Words Have in Common

The word fleas share some traits:

–       The words have common meanings in everyday speech of ordinary people.

–       They replace ordinary words, either to sound official or important.

–       Many started life as nouns and transmogrified into verbs.

–       The words are used broadly across the medical-industrial complex by insurers, policymakers, technology consultants and bureaucrats.

–       The words are rarely used by bedside doctors and nurses who are up to their elbows in…well…you get the idea.

They’re in alphabetical order. Too difficult to rank them by their jargon quotient.

Nonsense Means No Sense

ACCELERATOR: In common use, an accelerator or gas pedal powers a vehicle by regulating gas flow to the engine. The car’s speed is controlled by how much pressure is applied to the accelerator pedal.

Now healthcare accelerators are investors and venture capitalists. Accelerators feed money to health tech start-ups in hopes of funding the next great thing. Most have wads of money but usually no clinical experience. Many envision their lives as billionaires while foisting more useless apps on medicine.

Suggested Replacement: Investor

ALIGN(MENT): Align as a verb means arranging objects in a straight line. The noun alignment, used in everyday speech, refers to the wheels of a vehicle. Mention your car needs an alignment job and most Americans will understand the reference.

Align and alignment are used with equal frequency in healthcare. Both noun and verb substitute for “agreement”. As in: “We must align penalties to drive cost savings and leverage our economic power.”

Suggested Replacement: Agree(ment)

CROSSWALK: Crosswalks are paths showing pedestrians the safest route across busy streets. Often striped, outlined or marked in some way, crosswalks are usually placed at intersections.

In corporate-speak, crosswalks (noun or verb) are virtual pathways linking healthcare data from one source to another: “Need to crosswalk lab data siloed in Claims over to Disease Management to model diabetes programs.”

Suggested Replacement: Link

DISRUPT: Small children are scolded for disruptive behavior. Their parents often hear from teachers who counsel evaluation for hyperactivity disorders. Adults accused of disruptive behavior can be cited for disturbing the peace.

Now, entrepreneurs who disrupt healthcare are praised. Sought after. Causing turmoil, upending patient-clinician relationships and disregarding the basics of good care are rewarded. Policymakers are apt to say, “Need more accelerators to fund the disruptors and get a value-add on our deliverables.”

Suggested Replacement: Change

DRIVE: Driving is the act of operating a vehicle and navigating from one place to another. Physical forces drive objects the way steam powers old locomotives or wind spins pinwheels. Cowboys drive livestock from the range to the corral.

People are herded like cattle, too. The medical-industrial complex talks about driving all sorts of things; behavior, cost cutting, alignment, disruption and wellness. People aren’t as docile as cows—usually. They’d refuse to be driven if not for rewards and punishments. In business slang: carrots and sticks.

Suggested Replacement: Influence

LEVERAGE Before MBAs evolved as a life form, leverage meant the use of levers—shovels, spades, crowbars—-to help move heavy objects. In physics, levers multiply force.

In healthcare leverage is coercion. Leverage manipulates behavior of patients and clinicians. Patients are leveraged with, yup, carrots and sticks. Doctors need more robust persuasion. Threats to income, their practices or their hospital privileges are necessary. As in: “Gotta leverage market position. Get docs to align with the cost synergies. Can drive ‘em with privileging denials.”

Suggested Replacement: Use

MODEL: Models might conjure different images for men and women. Men remember building models of race cars or jets when they were boys (or sniffing the glue anyway). Women think of skinny, glamorous people strutting in front of impassive fashion editors. All wearing absurd clothes with astounding prices.

Computers spit out data to build health care models. Model can be used as a noun or verb in corporate-speak. Models are now theories and fairy tales dreamt by policymakers and analysts. Models control vast oceans of medical spending. No matter they often have no tether to reality. Policymakers might say, “Let’s get the 30,000-foot view and model how we align ER physician behavior to drive high value admits.”

Suggested Replacements: Think (v.) or Thought (n.)

ROADMAP(PING): Roadmaps are relics of another age. Maps, printed on large sheets of paper, were folded to fit car glove compartments. Roadmaps have about 2,000 possible refold combinations, frustrating small children and adults alike. Google Maps don’t need refolding. Paper roadmaps don’t need internet connections. That’s useful here in the American Outback (Intermountain West) where I live.

Business roadmaps, noun or verb, are virtual paths leading to some goal. Or roadmaps can be instructions. Or some program or strategy. Roadmaps are prized across healthcare: “Let’s roadmap our methodology, align it with Finance’s, then cascade the model.”

Suggested Replacement: Plan

SILO(ED): Silos are round towers used to store grain or compressed green crops used for animal feed in winter. Like sentinels, silos often stand close to barns. White silos next to red barns are quite picturesque.

Now virtual silos store data. Imaginary hoards of information, jealously guarded from invasions by competing factions in organizations. There is mystical belief that if data are freed from silos, health care’s problems will vanish. As in, “Need to align forces and create a roadmap to crosswalk data from the clinical silo to the admin silo to model synergies.”

Suggested Replacement: Files or Department

WELLNESS: Wellness is a state of good health. Thriving and flourishing. A benign word that once brought to mind playing children, healthy food, peaceful walks.

No more.

Corporate wellness programs have given the word an ironic edge.

Wellness programs have become coercive. Employees who value privacy can pay thousands of dollars more for health insurance by refusing to join the company wellness effort. Wellness programs cause stress and resentment, hardly conducive to a sense of well-being.

Suggested Replacement: Health (though calling the schemes health programs won’t fix the underlying problems).

Rewrite! Rewrite!

Back in Hollywood’s glamour days, if a film script wasn’t working, the director shouted for a rewrite. Well, healthcare’s new script isn’t working. We don’t need a rewrite—we need the old script:

–       Do we agree the best way to change patient behavior is compassionately?

–       Let’s use the trust people have in nurses to influence their health choices.

–       Clinicians meet often to think and plan. Then find the best ways to give care by linking skills.

Healthcare has been reformed. Not for the better. No surprise, we’re speaking different languages. It’s time to say what we mean, mean what we say. In plain English.

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More people than ever are reading Hormones Matter, a testament to the need for independent voices in health and medicine. We are not funded and accept limited advertising. Unlike many health sites, we don’t force you to purchase a subscription. We believe health information should be open to all. If you read Hormones Matter, like it, please help support it. Contribute now.

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This article was published originally on September 29, 2015.

The Echo Chamber of Corporate Science: Controlling the Narrative Ad Nauseam

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If you read my work with any regularity you’ll know that I like to ponder the nature of language, specifically, how the rules of discourse affect what can be known and who is permitted to have this knowledge. Inasmuch as language and discourse are culturally determined so too are the bounds of knowledge. How we describe our reality determines in large part the parameters of that reality or of what can be known. Just as important, is the act of delineating what types of discourse are meaningful versus which types are not worthy of our attention. In recent years, it has become increasingly difficult to delineate the rules of discourse. I have argued previously that we have dissembled much of what holds discourse together and replaced it with a squirrelly notion of narrative control; one where all that matters is how a ‘product’ is perceived, whatever that product may be. In December, two seemingly separate touchstone events illustrate just how far the rules of discourse, particularly scientific discourse, have been severed from the pursuit of knowledge.

Controlling the Narrative

There is a saying in public relations, “he who controls the narrative, controls everything.” There are various iterations of this sentiment, but the gist is that if you control the language, if you control what can be said, and who can say it, you can pretty much guide any story to a desired end. It is brand management 101. Read any marketing or PR guide and there are often long discussions on how to control the narrative. It’s a well-honed practice for anyone in business or politics, and really, in life in general. We all massage language in order to achieve a desired end, to some degree or another. Whether speaking to friends, family, or professionally, there is a tacit understanding of what that person or audience needs to hear in order to make a favorable decision. In many ways, gauging speech to the audience is just part of human communication.

As one might expect, corporations and politicians spend great sums on money on creating and then controlling the narratives of their brands. Whether the brand is a medication, an automobile, or a person, is unimportant. The methods are the same: control the language, control what can be said and who can say it. We begin to have problems when brand management becomes the only arbiter of truth or reality, or more specifically, when simply believing something means it must be true or real. No need to align the belief with reality, to test it against fact or truth. Simply control the narrative and persuade enough people to buy it, and whatever reality one is selling, becomes THE REALITY.

We see this in politics all the time. A political campaign will identify a problem with a particular segment of their voting block and rather than question why that segment of voters did not vote for their candidate, the marketing geniuses conclude that it was the branding at fault, and maybe it was. More likely, however, there were flaws in the candidate; flaws that, if addressed, might yield more votes, but because only the branding is ever considered, because all that matters are how the candidate is perceived and not how he or she actually is, there is no impetus to address these problems. We only have to repackage and re-brand, and somehow, more effectively control the narrative. As infuriating as this type of behavior is, it is so deeply entrenched in our political and economic environments that few bat an eye, unless, of course, we are slapped in the face with the folly of these predilections. Late last year, we were slapped in the face, sucker punched really.

Indeed, I think the entire last year was an exercise in face-slapping, but I digress.

Money, Science and Language

Mid December the press was a flurry with news of banned words emerging from the Centers for Disease Control (CDC). Initially, it was reported that the ban was top down from Trump administration with admonitions of Orwellian thought control. Claims of anti-science abounded. Given the politically contentious nature of the words and this administration’s view on such topics, it was a reasonable assumption. The reports proved to be false, however, and it was later revealed that the CDC bureaucrats themselves were massaging the lexicon in order to protect their budgets from a conservative Congress. The CDC was re-branding their message and we were aghast in self-righteous indignation.

While everyone else was up in arms about the CDC news, I chuckled, not because this news wasn’t troubling, it was, but because this has been a longstanding practice in the CDC, as it is in any agency or organization whose existence depends upon the whims and political aspirations of others; prostrating at the feet of funders is a well-honed skill, one that takes no accord of ethics, science, and in some cases, reality itself. Only now, it was being laid bare. Under other administrations, different words or concepts, though probably not banned, were definitely eschewed. It is simple marketing 101, brand management, controlling the narrative for express purpose of reaching a desired end. It’s ugly. It’s cynical and not something we like to think about, particularly where science and health are concerned, but it happens.

We believe, perhaps naively, that organizations tasked with public health and medical science are not swayed by political or economic biases. As we saw so plainly with the latest CDC shenanigans, this just isn’t true. He who controls the purse strings controls the narrative, and more importantly, controls the actual work. For the CDC, both congress and pharma control the purse strings. Arguably, as one of the largest spenders on congressional lobbying, pharmaceutical industry influence supersedes even congressional whims. So how does an agency tasked with public health justify the flexibility of language? They don’t and therein lies the problem. Perhaps even more troubling though, neither do we. Rarely, is any consideration given to what effect altering the language so indiscriminately to mollify, or in many cases, promote the goals of one’s funders, has on the actual ‘truth’ and on the science itself. Indeed, had these words not been so politically charged and had this event not taken place during the current administration, one where admittedly there have been many direct assaults on language and meaning, few would have considered these actions newsworthy, much less problematic. We would have continued on in happy ignorance of the larger play at hand.

Beyond Just the Narrative: Controlling How to Think

About the same time as the CDC shenanigans broke, an academic report bemoaning the weaknesses of certain glyphosate research appeared in my feed. The report: Facts and Fallacies in the Debate on Glyphosate Toxicity argues against the use of deductive reasoning in scientific research. To say that I was flabbergasted, would be an understatement. This was a true WTF moment, if there ever was one, and there have been many in recent years. Who, in their right mind, would argue against the use of deductive reasoning in science? Well, the same folks that have something to protect by massaging the language in order to protect their livelihoods. Not literally, of course, but the motivations remain the same, e.g. money and influence.

The purveyors of glyphosate, like those in the pharmaceutical and other big chemical industries, have a longstanding history of controlling the narrative  and employing all sorts of nefarious techniques to do so. Industry entrenchment into all areas of academic research, publishing, and mainstream media combined with their deep financial tentacles strangling every branch of every government globally, not only determine the types of research that can be conducted and published but ensures a perfectly controlled narrative, one that exudes safety and ignores risks. This is not news. Indeed, the playbook for such tactics were written long ago by the tobacco industry and have been perfected over recent decades. What is new is the direct assault on reason as a foundation for hypothesis driven research. In the past, such product defense operations were content with the standard forms of disinformation: employ a cadre of

industry-friendly scientists and writers who had the habit of pooh-poohing the potential dangers of products, dismissing studies finding possible harm…” and who promote “falsehoods and misdirection to protect companies from bad media and regulatory scrutiny.”

Arguing against the use of reason in scientific endeavors is an altogether different level of narrative control, one that, if it takes hold, will damage the very pursuit of science itself. For what is science, if not a reasoned approach to understanding?

The Argument Against Reason

The authors of the glyphosate paper argue that deductive reasoning. Specifically, they contend that the use of particular type of reasoning called a syllogism is not a valid method to derive a conclusion. In a syllogism, the conclusion is derived from two assumptions that serve to determine the outcome. Throughout the paper, they provide several instances where deductive reasoning should not be employed to derive hypotheses about the ill-effects of glyphosate on human health. In each case, their arguments rest on the lack of research regarding a particular aspect of glyphosate toxicity, with the underlying assumption that an absence of evidence means evidence of absence. Here is one example.

We know that glyphosate chelates minerals. It was initially patented as an industrial descaling agent after all. We also know that mineral homeostasis is an important part of human health. Too little or too much of any one mineral can and does have deleterious effects on health. If we know that glyphosate chelates minerals and that people consume glyphosate in concentrations capable of chelating those critical minerals, can we then say that glyphosate plays a role in diseases processes that involve reduced or dysregulated minerals? According to the authors of the aforementioned paper, we cannot; not because the chemistry is wrong and not because the reasoning is flawed, but because there have been no studies conducted to date to investigate this possibility. They argue that we can only make assertions based upon the results of studies that have already been conducted. We cannot deduce a hypothesis from what data are available if any one piece of the puzzle is missing. To bolster the legitimacy of their contention, this quote is used throughout the article.

It doesn’t matter how beautiful your theory is, it doesn’t matter how smart you are. If it doesn’t agree with experiment, it’s wrong. Richard P. Feynman (Nobel Laureate, Physics, 1965)

A legitimate assertion. If theory contradicts data, then it is possible that the theory is wrong. And if a Nobel Laureate makes this claim, well then, there is no need to go any further.

Oooh, but there is.

If the data do not match the theory, it could mean that the experiment is flawed. Human research is messy. Disease processes, particularly those that involve changes in metabolism, are complicated and our ability to detect these changes with current lab testing methods is incomplete at best. Under these circumstances, a mismatch between theory and experiment is no more likely to suggest an error in the theory than an error in experimental design or methods. The authors, however, do not want us to think about potential flaws in experimental design. They want us to think that there is this magic box, called an ‘experiment’ into which ideas go and are tested for validity. If only it were that easy.

More troubling, however, and this is the sleight of hand these authors hope to carry out, it is not that the experimental data do not match the theory, it is quite simply that there are no experimental data. Since industry itself controls the funding for the science, controls what gets published, and how what gets published is narrated, these types of studies have never been conducted and likely never will. In fact, why on earth would the purveyors of industrial demineralizing agent now ubiquitous on all agricultural products and consumed in vast quantities by actual living organisms want to know if their product did to humans what it does to metal pipes? Why would they want to confirm that their product chelates essential minerals? They wouldn’t. And if the authors of this piece have their way, they won’t have to.  That is a dangerous pass these authors have given to chemical manufacturers: no need to test anything that hasn’t already been tested. Not only have they perfected tobacco industry tactics for product defense, in one fell swoop, they demolished what constitutes scientific reasoning.  To them, we can only ever say what has already been said.

From Banned Words to Banned Reason: Scary Times

While banning or limiting the use of certain words is a troubling, banning the use of reason to arrive at hypotheses seems altogether more sinister. With the CDC shenanigans, we have an open display of the malleability of language to political and economic whims; one that fully exculpates the need to connect scientific endeavors to any sort of reality beyond that which is politically expedient. Anyone with any experience with the CDC, knows this has long since been the case, but perhaps not on display as openly. With the research article, we have a codification of what has long been an undercurrent in corporate medicine/agriculture and the like, that absence of evidence does, indeed, mean evidence of absence. It means that the simple act of choosing not to investigate a particular side effect serves to prove that it does not exist, and now, can never exist. If we cannot reason our way to a hypothesis, but instead, can ever only rely on what has already been concluded, there is no need for science, none. This kills it and in its stead, places an echo chamber of self-serving marketing. 

We Need Your Help

More people than ever are reading Hormones Matter, a testament to the need for independent voices in health and medicine. We are not funded and accept limited advertising. Unlike many health sites, we don’t force you to purchase a subscription. We believe health information should be open to all. If you read Hormones Matter, like it, please help support it. Contribute now.

Yes, I would like to support Hormones Matter. 

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Fetal Rights Versus Maternal Rights: The Slippery Slope of Personhood

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Perhaps you’ve seen the case of Erick and Marlise Munoz, who reside in Tarrant County, Texas. Marlise is comatose due to a pulmonary embolism and is on life support because she is pregnant. In previous conversations, Marlise had expressed to her husband that she wouldn’t want to be on life support should she become comatose. These wishes, and the wishes of her husband, are being disregarded by the hospital. Current laws in Texas protect fetal rights over the rights of the mother; this means that Marlise will be kept alive until her child can be delivered safely, even though neither she nor her husband desired this outcome. This baby may face many developmental challenges because Marlise has been deprived of oxygen, so Erick will be facing another hurdle.

I had thought that the missing safeguard for the Munoz couple was a living will, which many younger people assume is for senior citizens; that if Marlise had a living will expressing her wish to be removed from life support, she wouldn’t be kept alive. Wrong. Texas law has the authority to void a living will in the interests of keeping a fetus alive. However, this point differs from state to state.

This case accentuates the importance of having a living will at any stage in life, senior or not, as well as discussing your wishes about being kept on life support with your family or partner. However, even a living will may not protect your wishes if you happen to become pregnant; this depends upon which state you reside in.

When did the rights of an unborn child become more important than the rights of the mother, and what is the desired outcome of the fetal rights movement? The term “fetal rights” applies the same legal protection to fetuses as children, meaning that mothers can be imprisoned and sentenced for decisions they made while pregnant that may have endangered the life of the fetus. And, as Vince Beiser of Mother Jones writes, “such tactics may be paving the way for abortion – the ultimate violation of “fetal rights” – to legally be declared murder.”

Take, for instance, the case of Sally DeJesus, a woman residing in North Carolina, profiled in the Mother Jones article “Fetal Abuse”, who briefly relapsed into drug addiction while pregnant, but still sought treatment and delivered a healthy baby. Because she admitted her mistake of using drugs while pregnant to healthcare workers out of the desire to keep her baby healthy, she’s now facing up to three years in prison.

Women’s rights advocates are concerned because this could mean that people struggling with addiction while pregnant won’t seek help because of these legal penalties, and will further endanger their own health and the health of their unborn children. Furthermore, this law penalizes women who use illegal drugs and ignores women who may be endangering their fetuses with legal substances, such as cigarettes or alcohol. If the goal is to protect unborn children from irresponsible or uninformed mothers, it is a sloppy one. It also appears to lead more women into the prison system rather than a system of supportive rehabilitation. If the state cares about the lives of the unborn children it claims to protect, it won’t lead them to have mothers in prison with untreated addiction problems.

What we’re left with is a mass of sticky questions. If the state has the right to keep someone alive against their will and the wishes of their family, who has to foot the hospital bills? Since the Munoz family would not have chosen to deliver the child now being kept alive by the hospital, who will pay for the care of the child that will likely face developmental challenges due to oxygen deprivation? Who is responsible for the child when the state decides life or death?

The fact that the state of Texas can overlook a living will to preserve the life of a fetus also raises the question of how far that can go. What’s the point of making a living will if the state can override it? If the state’s interest is in preserving life at all costs, why honor the “do not resuscitate” clauses at all? Presumably this won’t happen, because the lives of unborn children seem to be more important than the adults responsible for them.

In states where fetal rights advocates have passed legislation, people, especially women who are or may become pregnant, find they don’t get to choose how they live or die. If they’re struggling with addiction, they may further endanger their own lives to stay out of prison for endangering the fetus, rather than seek medical help. Furthermore, certain cases in Alabama and Mississippi are toeing the line for prosecuting women who’ve miscarried due to illegal drug use. Clearly these laws are being put in place to establish personhood for fetuses so that abortion laws can be challenged. That leaves pregnant women in certain states faced with the possibility of jail time for miscarrying, depending on certain factors. Abortion may be legal, but endangering the life of an unborn child, sometimes unintentionally, may become illegal. It’s a frightening state of affairs when the life of a fetus becomes the keystone of determining what happens to the life of a woman. Think of Ireland’s draconian anti-abortion laws and how they led to the 2012 death of Sita Halappanavar, who died while under hospital care because she was refused a badly needed abortion during a life-endangering miscarriage. Sita’s life ended because it was deemed that her fetus, which had already died, was more important than Sita’s own life.

 

Subtle but fundamental changes in discourse: is anyone listening?

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Discourse Matters

What happens when we change the definition of a person to include everything from a corporation to a barely fertilized female egg? What happens when the corporate person and a collection of cells have more tacit and actual rights afforded than actual sentient beings? Though the loud and often offensive debates over a woman’s manifest right to make decisions about her health have led many to declare a ‘war on women,’ these same trends will serve to erode human rights in general- even for male humans.

Perhaps more of a philosophical question at this point, but when the definitions of words within a language dissociate so radically- person no longer means a human- it is difficult not to wonder what ramifications are before us; the law of unintended consequences will most certainly be at play here.

The Subject in Discourse

Language, and by association conversation or discourse, follow some very specific rules. At the most basic level, a sentence contains a subject, verb and object and, for the most part, words describe something about reality. (We’ve long since dissembled language and reality with mega marketing, political expediency and spin- but that is another topic altogether).

Subjects are usually, he, she, it, they etc., a person or thing.  Although the definition of person has evolved over the course of history, it is generally allied with some underlying concept of sentience or thinking. Even though animals can think, we have never defined animals as persons (try as many dog lovers might) and there has always been a clear demarcation between human and everything else. Over the course of two years, however, cultural forces have rendered that definition virtually obsolete. And we have yet to settle on a new definition.

Corporate Privileges in Discourse

By law, corporations are now afforded some of the same (often more) rights than human persons. A corporation is comprised of human persons, but is essentially a contrived legal entity that allows business to transact. What does it mean when a legal contrivance becomes a person? Because corporate persons often have more power and money, there is the very real risk that their market goals will supersede basic human rights. (As a countervailing force, however, the millions of people within corporations connected socially online may overturn this overstep- see my last post).

The Risks of Anti-Abortion Discourse

Similarly, local anti-abortion supporters aligned with local government entities have pushed legislation across multiple regions of the US that grant a fertilized egg, person status; often affording the cell person more rights than the human person. Along with these trends, legislation that either forces women to undergo unneeded medical procedures and/or prevent physicians from providing medical information to women supersede the rights of the human-sentient person in favor of cells. No matter what you believe about abortion, this is a fundamental shift in discourse with significant policy ramifications.

Aside from the potentially life-threatening position a woman can now be placed in legally, aside from ethical quandaries these laws place a physician in and the very real medical malpractice suits that these laws open the physician up to, this shift in language, motivated by narrow political goals, removes the notion of human rights, human persons, from policy discussions. And although, these policies currently target women specifically, they will ultimately erode rights for all humans. Who is to say other cells or other legal or object entities don’t indeed deserve to be protected over the rights of humans.

Sperm cells for example, are core constituents of human life and until we master asexual reproduction, why shouldn’t all sperm cells be considered sacred and merit the same protective caveats as the female egg?  Or to its absurdity, the male penis, testicles and the like, containers of this life-giving force, why shouldn’t they be enshrined and protected until the moment of copulation- a chastity belt perhaps?

Laugh as we might, redefining personhood to include everything from non-human, legal entities to a collection of cells that may or may not evolve into a human being, dismisses the role and rights of actual humans. This change in discourse is a dangerous slope.