Human Dignity and Bioethics

188 | Nick Bostrom
mating, rest, or even food and drink—until it either collapses from
fatigue or dies, is not exactly one that commands a “reverential mode
of response” or an “upward-looking type of the pro attitude.” If we
picture a human being in place of the rat, we would have to say that
it is one Un-Dignified human, or at any rate a human engaged in a
very Un-Dignified activity.*
Would life in such an Un-Dignified state (assuming for the sake
of argument that the pleasure was indefinitely sustainable and ignoring
any wider effects on society) be preferable to life as we know it?
Clearly, that depends on the quality of the life that we know. Given
a sufficiently bleak alternative, intracranial electrical stimulation
certainly seems much preferable; for example, for patients who are
slowly dying in unbearable cancer pain and for whom other methods
of palliation are ineffective. † It is even possible that for such patients,
wire-heading and similar interventions increase their Dignity as a
Quality (not to mention other components of their well-being). 17
Some estimable English doctors were once in the habit of administering
to cancer patients in their last throes an elixir known as the
Brompton cocktail, a mixture of cocaine, heroin and alcohol:
Drawing life to a close with a transcendentally orgasmic bang,
and not a pathetic and god-forsaken whimper, can turn dying
into the culmination of one’s existence rather than its present
messy and protracted anti-climax…. One is conceived in
pleasure. One may reasonably hope to die in it. 18
Bowing out in such a manner would not only be a lot more fun, it
seems, but also more dignified than the alternative.
But suppose the comparison case is not unbearable agony but a
typical situation from an average person’s life. Then becoming like
* The Stoics generalized this point, maintaining that “sensual pleasure is quite unworthy
of the dignity of man and that we ought to despise it and cast it from us.”
See Cicero, De officiis, trans. Walter Miller (Cambridge, Massachusetts: Harvard
University Press, 1913), book 1, chapter 30. The virtue and dignity of asceticism
and the converse sinfulness and debasement of flesh-pleasing have also been recurring
themes in some religious traditions.
† Intracranial stimulation is used for this purpose in humans; Krishna Kumar,
Cory Toth, et al., “Deep Brain Stimulation for Intractable Pain: A 15-Year Experience,”
Neurosurgery 40 (1997): 736-746.