The ideas and innovators shaping health care
Dec 20, 2024 View in browser
 
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By Carmen Paun and Daniel Payne

DANGER ZONE

The Stentrode™ Endovascular Electrode Array (Photo: Synchron)

Brain-computer interface technology translates brain activity into commands that can control devices such as computers or robotic prosthetic limbs. Synchron | Business Wire

A United Nations panel is warning that a technology Elon Musk champions could lead to human rights abuses.

Brain-computer interfaces, which translate brain activity into commands that can control devices such as computers or robotic prosthetic limbs, promise to help people who are paralyzed move a cursor or a keyboard with their thoughts. Musk, a technology billionaire whom President-elect Donald Trump has tasked with co-leading a "Department of Government Efficiency," is the founder of Neuralink, a brain-computer interface company.

If a brain-computer interface is used inappropriately by the military, it could lead to human rights abuses, according to a report by an advisory committee to the United Nations Human Rights Council.

How so? The technology “could effectively provide cognitive enhancement for military personnel, effectively merging human and machine intelligence,” the report says. The report, prepared for a meeting of the UN committee in Geneva earlier this week, examines the human rights implications of new and emerging technologies in the military.

Brain-computer interfaces could be helpful on the battlefield. But the report also highlights concerns about privacy, free and informed consent and long-term violations of combatants’ physical and mental health. Coercive use, which could “severely undermine the dignity and autonomy of soldiers,” should be limited, it says.

What BCI companies are saying: Brain-computer interface benefits far outweigh the risk of using it in war, Andreas Forsland, CEO of the California-based Cognixion Corporation, told Carmen.

More than 50 million Americans with mental health conditions could benefit from the technology, as could the more than 2 million actively enrolled U.S. military members who have a higher risk for spinal cord injuries and paralysis than the general population, among others, he said.

“The ability to remotely monitor warfighter health and cognitive decision-making to reduce errors and casualties is an important consideration,” Forsland said.

Tom Oxley, the CEO and founder of Synchron, said his company has no intention or interest in pursuing military applications of brain-computer interfaces.

“Our focus is developing a medical device for individuals with severe paralysis by enabling them to reconnect with their world through digital communication,” he told Carmen.

What else? The report warns that AI tools to design living organisms could be used maliciously to create the blueprints of deadly or treatment-resistant pathogens.

“It is paradoxical that while greater access to biotechnology on a population level has many advantages, it may also increase the likelihood and frequency of biosecurity threats due to either accidental or malicious use,” the report says.

What's next: Using AI during warfare poses significant risks, the report concludes, and calls on governments to mitigate those risks by regulating the technology.

The report doesn’t say whether nations use or plan to use brain-computer interfaces in the military. If they do, the report says, each nation should ensure that the use doesn’t violate human rights.

Neuralink didn’t respond to a request for comment.

WELCOME TO FUTURE PULSE

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FORWARD THINKING

People shop at a grocery store enforcing the wearing of masks in Los Angeles on July 23, 2021. - With the Delta variant pushing US Covid cases back up, fully vaccinated people are wondering whether they need to start masking indoors again. Covid vaccines remain extremely effective against the worst outcomes of the disease -- hospitalization and death -- and breakthrough infections remain uncommon. (Photo by Chris Delmas / AFP)
 (Photo by CHRIS DELMAS/AFP via Getty Images)

Many researchers are focused on finding biological mechanisms of long Covid to develop treatments that could root out the source of the condition. Chris Delmas | AFP via Getty Images

Outpatient cognitive and behavioral treatments could improve the symptoms of long Covid patients, according to a small study in JAMA Network Open.

Norwegian researchers found that among 314 patients, outpatient treatment improved patients’ self-reported physical functioning compared to peers who didn’t undergo the treatment.

How so? The cognitive- and behavior-focused approach steers patients to consider that physical and mental activity might be required for recovery. Therapists encourage patients to try new activities between therapy sessions.

Even so: Many researchers are focused on finding biological mechanisms of long Covid to develop treatments they think could root out the source of the condition.

Why it matters: Governments worldwide are investing in better understanding and treating long Covid, and new approaches could offer hope to the millions of people estimated to have the condition.

 

POLITICO Pro's unique analysis combines exclusive transition intelligence and data visualization to help you understand not just what's changing, but why it matters for your organization. Explore how POLITICO Pro will make a difference for you.

 
 
WORLD VIEW

Philip Nitschke enters a 'suicide pod' known as 'The Sarco' in Rotterdam, The Netherlands, July 8, 2024. (AP Photo/Ahmad Seir)

In the Netherlands, which legalized euthanasia in 2002, more than 9,000 people used assisted dying last year. Ahmad Seir | AP

The number of people turning to assisted dying to end their lives is rising in countries where it's legal, worrying health ethics experts, POLITICO EU’s Claudia Chiappa and Lucia Mackenzie report.

Various forms of assisted dying, such as euthanasia and assisted suicide, are legal in Austria, Belgium, Luxembourg, the Netherlands, Spain and Switzerland.

In the Netherlands, which legalized euthanasia in 2002, more than 9,000 people used assisted dying last year, which represents about 5 percent of the total deaths in the country in 2023. The number is a 4 percent increase from the year prior and a whopping 87 percent rise when compared with 2013.

“What I saw was not only the increase in the numbers — which for me was a sign that it was no longer the last exception, the last resort — but it became more and more a default way to die,” said Theo Boer, professor of health care ethics at the Protestant Theological University in the Dutch town of Groningen.

Similarly, in Belgium, which also legalized assisted dying in 2002, there were more than 3,400 causes of euthanasia in 2023, up 15 percent compared with the previous year.

To qualify for assisted dying in both countries, patients must be experiencing constant and unbearable physical or psychological suffering with no prospect of cure or improvement.

In other countries, criteria are stricter, Chiappa and Mackenzie report.

Why it matters: The increases come as other countries are considering passing similar laws.

In the United Kingdom, members of Parliament voted last month to legalize assisted dying in England and Wales for the first time. The bill still faces further parliamentary scrutiny.

A euthanasia bill is pending publication in Portugal’s official journal, which would put the legislation into effect, after its Parliament defeated several vetoes by conservative President Marcelo Rebelo de Sousa.

Iceland and Ireland have also debated assisted dying but government changes in both countries stalled plans for legal changes.

Boer initially supported the Dutch euthanasia law but he has now become an outspoken critic of it, warning governments debating similar bills of possible side effects.

 

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