{"id":2405,"date":"2023-10-02T15:04:13","date_gmt":"2023-10-02T15:04:13","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmjsrh\/?p=2405"},"modified":"2023-10-03T09:17:53","modified_gmt":"2023-10-03T09:17:53","slug":"mens-duty-to-get-a-vasectomy","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmjsrh\/2023\/10\/02\/mens-duty-to-get-a-vasectomy\/","title":{"rendered":"On Men\u2019s Duty to get a Vasectomy under the Patriarchy"},"content":{"rendered":"

By Ezio Di Nucci<\/em><\/p>\n

 <\/p>\n

Last night I was running with my public health colleagues (the token philosopher ended up being faster than our Head of Department from Biostat, by the way \u2013 which sure must have a symbolic meaning in the modern academy). <\/span>\u00a0<\/span><\/p>\n

After the race, conversation turned to my forthcoming vasectomy (anecdotally, this might well be because I am told that after a vasectomy you are not allowed to run for a week or so, the patriarchy\u2019s bag of tricks being sure deep).<\/span>\u00a0<\/span><\/p>\n

Then a surprising thing happened: my colleagues \u2013 all women \u2013 started trying to talk me out of getting a vasectomy \u2013 mentioning, for example, evidence pointing to the fact that <\/span>vasectomies increase prostate cancer risk by 15%<\/span><\/a> (parochialism disclaimer: the study comes from the very same country where the conversation was taking place, Denmark).<\/span>\u00a0<\/span><\/p>\n

It might be worth reflecting on the difference between my female colleagues\u2019 arguments and the reaction I have had from male friends and colleagues, which tended to be different versions of the following two considerations:<\/span>\u00a0<\/span><\/p>\n

    \n
  1. What if you meet someone else and want to have kids with this new partner?<\/span>\u00a0<\/span><\/li>\n
  2. What if one of your kids dies, you might then want another one.<\/span><\/li>\n<\/ol>\n

    Neither of these two considerations made much sense to me, but as they are existential more than philosophical in nature, in what follows I will focus on the argument used by my female colleagues after the race, which throws up a fascinating question at the intersection of reproductive health, feminist bioethics and the philosophy of medicine:\u00a0<\/span>\u00a0<\/span><\/p>\n

    given patriarchal structures of oppression, how should we evaluate a 15% increase in the risk of prostate cancer?\u00a0<\/span><\/i>\u00a0<\/span><\/p>\n

    For the sake of this argument, we will assume the validity of the study (<\/span>because otherwise there would also be a lot to say about overmedicalization and prostate cancer screenings in particular<\/span><\/a>).<\/span>\u00a0<\/span><\/p>\n

    The rest of this short comment will try to answer the above question: the basic argument will be that the patriarchy <\/span>silences<\/span><\/i> a 15% increase in the risk of prostate cancer (and probably more\u2026 what about 50%, for example?), because the relevant medical considerations here are trumped by feminist ones. And that therefore such data ought to be irrelevant, morally and politically speaking, to my decision-making about getting a vasectomy.<\/span>\u00a0<\/span><\/p>\n

    What is philosophically interesting, here, is the commensurability of, on the one hand, a medical data point \u2013 increase in cancer risk \u2013 and, on the other hand, the ethical and political issue of how the \u201cburdens\u201d of prevention should be distributed within a society still soaked in <\/span>patriarchal prejudices<\/span><\/a>, which has recently gone back <\/span>even on abortion<\/span><\/a>. But before dealing with the complex issue of whether medical considerations are commensurable with feminist ones (social, political, ethical), we mustn\u2019t forget that <\/span>contraceptives for women carry their own risks<\/span><\/a>. <\/span>\u00a0<\/span><\/p>\n

    The first dilemma, then, is whether or not those medical and ethical\/political issues are commensurable; but that\u2019s an easy dilemma to solve. Given scarcity of resources, we are always weighing medical considerations against non-medical considerations within the healthcare system and society at large (<\/span>just think of COVID-19<\/span><\/a>), so nothing new here.<\/span>\u00a0<\/span><\/p>\n

    The more challenging question is according to what principles should we weigh medical and non-medical (ethical and political) considerations against each other, once we have accepted that those are \u2013 must be \u2013 commensurable.\u00a0<\/span>\u00a0<\/span><\/p>\n

    And here a 15% increase \u2013 especially in the risk of a kind of cancer that many consider paradigmatic of overdiagnosis anyway – seems like a small price to pay; and maybe even a price that men <\/span>ought to<\/span><\/i> pay. As in, a duty to get a vasectomy in the face of patriarchal structures of oppression. Is that going too far? This might indeed depend on other features of one\u2019s life situation, both locally and globally: already having three kids, for example, can hardly be expected to be irrelevant to such an assessment. As is climate change.\u00a0<\/span>\u00a0<\/span><\/p>\n

    A full defence of a duty to get a vasectomy \u2013 under a clearly defined set of circumstances likely to involve both one\u2019s family situation and climate considerations \u2013 is beyond the scope of this short commentary; it is rather a methodological move meant at raising <\/span>the larger issue of whether liberal principles of opportunity and availability are enough to challenge powerful oppressive structures, be that the patriarchy or climate change<\/span><\/a>. In a slogan: <\/span>is democracy enough?<\/span><\/i> But this BIG question is clearly beyond the scope of this short comment. <\/span>\u00a0<\/span><\/p>\n

    And this problem \u2013 can I even say it? – is particularly worrying if it happens to be women themselves who, in \u201ccaring\u201d for their partners or colleagues, appeal to \u201cobjective\u201d medical considerations in preventing change. Men might have a duty to get cut, but women certainly don\u2019t have a duty to save them.\u00a0<\/span>\u00a0<\/span><\/p>\n

    \u00a0<\/span><\/p>\n

    About the Author<\/em><\/p>\n

    Ezio Di Nucci<\/span> is a philosophy professor at the University of Copenhagen, with special responsibilities in bioethics. <\/span><\/p>\n

    Competing interests: None declared<\/span>\u00a0<\/span><\/p>\n

    \u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

    By Ezio Di Nucci   Last night I was running with my public health colleagues (the token philosopher ended up being faster than our Head of Department from Biostat, by the way \u2013 which sure must have a symbolic meaning in the modern academy). \u00a0 After the race, conversation turned to my forthcoming vasectomy (anecdotally, […]<\/p>\n

    Read More…<\/a><\/p>\n","protected":false},"author":472,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[599],"tags":[],"class_list":["post-2405","post","type-post","status-publish","format-standard","hentry","category-screening"],"yoast_head":"\nOn Men\u2019s Duty to get a Vasectomy under the Patriarchy - BMJ Sexual & Reproductive Health blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmjsrh\/2023\/10\/02\/mens-duty-to-get-a-vasectomy\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"On Men\u2019s Duty to get a Vasectomy under the Patriarchy - BMJ Sexual & Reproductive Health blog\" \/>\n<meta property=\"og:description\" content=\"By Ezio Di Nucci   Last night I was running with my public health colleagues (the token philosopher ended up being faster than our Head of Department from Biostat, by the way \u2013 which sure must have a symbolic meaning in the modern academy). \u00a0 After the race, conversation turned to my forthcoming vasectomy (anecdotally, [...]Read More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/bmjsrh\/2023\/10\/02\/mens-duty-to-get-a-vasectomy\/\" \/>\n<meta property=\"og:site_name\" content=\"BMJ Sexual & Reproductive Health blog\" \/>\n<meta property=\"article:published_time\" content=\"2023-10-02T15:04:13+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-10-03T09:17:53+00:00\" \/>\n<meta name=\"author\" content=\"Anna Harvey Bluemel\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@cashitey\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Anna Harvey Bluemel\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmjsrh\\\/2023\\\/10\\\/02\\\/mens-duty-to-get-a-vasectomy\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmjsrh\\\/2023\\\/10\\\/02\\\/mens-duty-to-get-a-vasectomy\\\/\"},\"author\":{\"name\":\"Anna Harvey Bluemel\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmjsrh\\\/#\\\/schema\\\/person\\\/2a25320ca5702c26ac023af36feac11d\"},\"headline\":\"On Men\u2019s Duty to get a Vasectomy under the Patriarchy\",\"datePublished\":\"2023-10-02T15:04:13+00:00\",\"dateModified\":\"2023-10-03T09:17:53+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmjsrh\\\/2023\\\/10\\\/02\\\/mens-duty-to-get-a-vasectomy\\\/\"},\"wordCount\":818,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmjsrh\\\/#organization\"},\"articleSection\":[\"screening\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmjsrh\\\/2023\\\/10\\\/02\\\/mens-duty-to-get-a-vasectomy\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmjsrh\\\/2023\\\/10\\\/02\\\/mens-duty-to-get-a-vasectomy\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmjsrh\\\/2023\\\/10\\\/02\\\/mens-duty-to-get-a-vasectomy\\\/\",\"name\":\"On Men\u2019s Duty to get a Vasectomy under the Patriarchy - 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