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May 20, 2005

Performance Enhancers--A Rejoinder

In a recent ITA entry, Eric Seymour stated his belief that performance-enhancing drugs, and specifically substances like Adderall that improve one's ability to perform certain tasks (in Adderall's case, concentration). Seymour's post comes after this post some months ago on my personal site, this post on ITA, and this post by Jason Kuznicki on Positive Liberty.

Eric's basic arguments are designed around his contention that "the idea of mental performance-enhancing drugs makes me uncomfortable." In support of this, he argues that these drugs may put their users at risk, allowing them "to gain a short-term advantage at the expense of long-term health"; that those who choose not to use the drugs will forfeit their competitiveness; and that the drugs will give an unfair advantage to the rich. I seek to establish that none of these are a basis upon which to ban performance-enhancing drugs.

Assuming that there may be risks to these drugs, we have to remember that if these risks are too great, they will simply not be available on the marketplace for OTC use (and, possibly, for prescription use). Therefore, our discussion can remain focused on drugs that have only a mild risk or no risk at all. And this is a far more fruitful ground for ethical inquiry, anyway, because the former case allows individuals to determine how much they value extra productivity and the latter allows us to consider only the ethics of performance enhancing substances.

In the former case, people can easily choose whether they want to assume a mild risk--say an expected outcome of shaving off a year or two of their life (which could mean a low probability of losing decades of life or a high probability of losing a few years)--in exchange for gaining the ability to concentrate better, think smarter and work harder. The "competitiveness" argument does not apply here, as I argue below. Some will exercise this choice, as a great many people choose to improve their present utility by consuming Big Macs. Whether society will be better off depends on how the drug affects productivity and life expectancy--we could become a society that trades off a brief "adult" career ended by death with smashing successes instead of drudging through decades of labor and watching the sunset of an uneventful life. However, on what basis could we condemn even this choice?1 It is, after all, one's own body and one's own life, and there would be no basis for banning this activity on societal grounds unless all substances trading present utility for future life expectancy (red meat, alcohol, driving above 30 mph) were also banned.

If the drugs have no risk at all, however, then society will unambiguously benefit in the aggregate. It is interesting that Seymour's concerns are primarily distributional: It is not that the rich will choose an early death and a productive life that concerns him, but the possibility that the poor will be unable to afford the same choice. But this is no different from a great many other choices the rich have and the poor don't. When I was in high school, many teachers forbade us to use computers to type reports (they didn't know about the Internet yet) because it favored the middle-class students over our working-class peers. I doubt such a policy would be practicable today.

However, the advantages to being born into a rich family (to take an arbitrary distribution of social resources) extend far beyond being able to turn in neatly-formatted reports. There is the security of knowing that one's family has sufficient resources to feed, house and clothe its members; the advantage of growing up in a family that is likely to be more educated than the average (wealth and education are modestly correlated, at least); and the ability to partake in activities (travel, tutoring, extracurricular events) that enrich the mind. Seen in this context, indeed, a concentration pill (or a clear-thinking pill, or whatever) would be a boon for the poor, just as the availability of cheaply-printed books made knowledge more readily accessible.

What, then, is left of Seymour's points (which are some of the stronger points that critics of performance-enhancers can offer)? Nothing, except a vague feeling that the whole idea is somehow wrong. Reason's Ronald Bailey describes "A Day at the Brain Spa", in which depression, jetlag, language-acquisition weakness and nervousness are all treated with pills that are pretty much available today. I think it is safe to say that many people will be uncomfortable with the scenario outlined in the article. But that is because it is an outline and not a lived experience. Were I to describe the mechanics of a typical month to my ancestors, they would probably wonder how I could stand to spend hours in flight, working on a portable computer, and communicating across continents via telephones. More to the point, they probably wouldn't understand why I would choose to live that way--certainly the stress and the expense would do me in.

In other words, the feeling of discomfort comes less from the artificiality of the intervention and more from its novelty. Once the pills begin to make their way to market, we'll all adjust to them. And if we have problems adjusting, our doctors can prescribe something for that.

1But see Posner in Aging and Old Age for a compelling argument that one's youthful self is a poor trustee for the interests of the same body's older self.

Posted by Paul Musgrave at May 20, 2005 04:25 AM

Comments

When one ignores distributional concerns (which are, the only reason individuals participate in any society in the first place) it's easy to accept any and all developments that make anyone better off. Of course, that's sort of like evaluating a famly car based on how comfortable and safe the driver's seat is (Paul, you'll be a great father, I'm not insinuating otherwise) but hey, it makes things easier.

If you stop worrying about solving the problems that caused societies to form in the first place (distributional concerns), a society is always perfect; it's a very Zen solution to the whole thing. Very useful for those for whom society actually works, because it allows them to forget about the fact that society doesn't work for everyone.

Posted by: Phil at May 20, 2005 10:55 AM | permalink

The emphasis on pointing out the distributional concerns of Seymour's piece was to distinguish what he had written from what Jason and I had anticipated to be the main thrust of anti-pill activists--that there was something sinful in the taking of them. I should hope it's clear, though, that I do take the time to address these concerns, and that I at least demonstrate that any distributional concerns over these pills should really be considered in terms of the pre-existing distribution of wealth (in other words, that it's not Adderall's fault).

Posted by: Paul at May 20, 2005 11:05 AM | permalink

A couple points...

1) Paul and Jason have used analogies to labor-saving devices (and other time-saving choices like driving faster) in arguing in favor of "smart drugs." Those devices, however, don't increase a person's skill or talent. Ernest Hemingway with a paper and pencil (or, heck, cuneiform tablets) would still produce much more successful books than I could on a PC, even if it would take them longer.

2) I don't think the distributional concerns can be written off so easily. Raw talent, I believe, is fairly randomly distributed among socioeconomic classes and is the basis for most of the social mobility in capitalistic societies. A drug that effectivly increases skill or talent would almost certainly be available only to the well-off at first, and even once it had gone generic its cost would make it less unavailable to the lowest income individuals and families. Therefore, raw talent--the great equalizer--becomes more concentrated in the upper eschelons of society.

3) Philosophizing about a drug with "no risk at all" is a lot like discussing a war where no civilians are killed. It is a thing the world has never seen...and likely will never see.

Posted by: Eric Seymour at May 20, 2005 12:32 PM | permalink

To your points:

1) This may be true, in the most limited sense, but this isn't what we're talking about. Instead of putting up a "tortured artist," consider instead the productivity of most modern "creative" activities, from managing a quality-improvement team on a shopfloor in a Toyota factory to designing a CGI creature for a Pixar film. Neither of these jobs could exist without the techne of the contemporary world. Similarly, the Internet allows for radically different rearrangements in the organization, production and dissemination of knowledge (as bloggers, better than any of the literati, should well know!).

2) To stamp out what appears to be a misreading of my post: Clearly I do talk about distributional effects. However, the potential effects of these drugs is likelier to be democratizing than to exacerbate the social divisions we already see; and even if not (as, say, the mass production of distilled spirits was not in eighteenth-century London), then it will not be the fault of the drugs but of the preexisting disparities in society.

As for the "raw talent" argument: This postulates that there is a sort of "talent" just floating out there somewhere waiting to be discovered. It is, let us say, genetic. But genes only work through the environment, and so the environment of childhood, adolescence and early adulthood will likely find much different expressions because of the preexisting social infrastructure. A child with entrepreneurial tendencies growing up in the upper-middle-class might become Bill Gates; a child with the same tendencies growing up disadvantaged might become Al Capone. As the first social scientist said: men make their own history, but they do not make it just as they please.

3) Yes, of course it's unlikely, but please note the scheme of my argument: That such a wonder pill allows us to isolate the concerns that pertain especially to the performance-enhancing aspect of such a compound. I do, in fact, deal with the more likely risky versions of the drug in the piece.

Posted by: Paul at May 20, 2005 02:15 PM | permalink

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