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Alcor: FAQ – Basic – Cryonics: Alcor Life Extension Foundation

Posted: July 8, 2016 at 7:15 am

Index – 1.General – 2.Technical – 3.Ethical – 4.Spiritual 5.Financial – 6.Membership – 7.Misinformed See also Scientists’ Cryonics FAQ

Q: What is cryonics?

A: Cryonics (from Greek kryos meaning icy cold) is the low-temperature preservation of humans who can no longer be sustained by contemporary medicine, in the expectation they can be healed and resuscitated in the future using more advanced medical technologies. Cryopreservation of people is not reversible with current technology, and is today only practiced following legal death. The rationale for cryonics is that current medical and legal definitions of death are inaccurate and that cryopreserved patients who do not meet the more stringent information-theoretic definition of death retain sufficient biological/neurological structure to be restored to full physical and mental health using advanced future technologies. See About Cryonics.

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Q: Has anyone ever been revived?

A: No adult human has ever been revived from temperatures far below freezing. Cryonics patients are cared for in the expectation that future technology, especially molecular nanotechnology, will be available to reverse damage associated with the cryonics process.


Q: Arent cryonics patients dead?

A: A person who can be resuscitated is not dead. Therefore if cryonics patients are preserved well enough that they might someday be resuscitated, then they arent dead: they are cryopreserved.

Before cryonics procedures can begin under present law, a patient must be legally dead. Legal death means that a qualified authority has determined that further care or resuscitation is not appropriate, usually after determining that heartbeat and breathing (or in some cases, brain activity during life support) have ceased. Legal death is a legal fiction, not to be confused with reality. A legally dead sailor who was lost at sea, yet finally returns home, is not actually dead. Given the gulf between todays medical technology and the expected capabilities of future medical technology, the gap between law and reality is likely to persist (The future of death. J Crit Care. 2014;29(6):1111-3). Under ideal conditions, cryonics procedures can begin moments after the heart stops beating. Blood circulation and breathing can be artificially restored, keeping cells of the brain and body alive and functioning during the early stages of cryopreservation. Cryonics may also be performed after longer periods of legal death while retaining the possibility of future repair and resuscitation as discussed below.


Q: How soon after the heart stops must cryonics begin?

A: Cryonics procedures should ideally begin within the first one or two minutes after the heart stops, and preferably within 15 minutes. Longer delays place a greater burden on future technology to reverse injury and restore the brain to a healthy state, and make it less likely that the correct original state can be determined. Exactly when such restoration is no longer feasible is a matter of some debate and could be many hours. The greatest impact of delay is that it prevents treatment by chemicals that reduce freezing injury. For further information, see the FAQ question Doesn’t the brain die after 4 to 6 minutes without oxygen?, the article Cardiopulmonary Support in Cryonics, and the Cases without Cardiopulmonary Support section of Alcor Procedures.

The most effective way of reducing delays and getting the highest quality cryopreservation is to relocate to cooperative hospice care near Alcor (see the FAQ question What can I do to optimize my chances of being cryopreserved under good conditions?).


Q: Isn’t the preservation process fatal?

A: Cold preservation (cryopreservation) is not yet reversible with present technology, but this says nothing about the abilities of future technology. What is “fatal” varies from place to place and time to time depending on available medical technology. Future medical capabilities should be able to heal and cure in cases that today would be considered hopeless, just as today’s medicine would be viewed as miraculous in past centuries.


Q: When will patients be revived?

A: That depends on when they are cryopreserved, the specific details of how well they are cryopreserved, and how rapidly future medical technologies, particularly molecular nanotechnology, are developed. Cryonics technology is always improving; it is better now than it was in 2000, which was better than it was in 1990, which in turn was much better than the crude methods used on the first cryonics patients in the late 1960s. Eventually a time will come when human suspended animation will be perfected. In other words, it will be possible to routinely turn people “off” and “on” for medical time travel, space travel and other purposes. As progress continues, it will then become possible to recover people preserved at earlier times, with less perfect methods and greater degrees of injury.

Some think it will take centuries before patients can be revived, while others think the accelerating pace of technological change might so rapidly transform our world that decades would suffice. Alcor is planning for however long it might take.


Q: Who will revive the patients?

A: The short answer is “Alcor will revive them.”

The third item in Alcor’s mission statement is: “Eventually restore to health and reintegrate into society all patients in Alcor’s care.”

Reviving the patients is also required by Alcor’s contracts with members: “When, in Alcor’s best good faith judgement, it is determined that attempting revival is in the best interests of the Member in cryopreservation, Alcor shall attempt to revive and rehabilitate the Member.”

Reviving the patients is also a duty of the Alcor Patient Care Trust: “At such time as Alcor deems that repair and revival of the Patients is feasible, the Trust shall expend whatever amounts of money are necessary to revive the Patients and reintroduce them to society, as long as on-going care of the Patients remaining in biostasis is not endangered. It is the intent of the Trust that such repair and revival proceed in such manner that ongoing Trust earnings reasonably can be predicted to provide for the eventual repair and revival of all Patients.”

Financially, the Patient Care Trust should grow in real value over time compound interest should eventually produce sufficient assets to cover the costs of revival. At the same time, as technology progresses the cost of reviving patients should decrease over time. Eventually, the increasing funds available in the PCT should be sufficient to pay the costs of reviving and reintegrating patients into society.

Socially, Alcor is a community. Some members of this community are alive and healthy, while others have been cryopreserved. This community forms an interconnected network of friendships and close ties. At any point in time the healthy members of this network have friends, relatives and loved ones in cryopreservation and will seek to revive them. Once revived, those members will in turn have other friends in cryopreservation, and they will in turn seek to revive them.

The plan is not for “them” to revive us. The plan is that we, the Alcor community, will revive ourselves.


Q: What about aging and disease?

A: There is no point in prolonging life if the result will be illness and debilitation. People are now living longer, healthier lives than their grandparents, and their children will live longer still. Eventually, aging itself will be a treatable, reversible condition as medicine attains full control of the human body at the molecular level. By the time it becomes possible to revive cryonics patients, especially today’s cryonics patients, biological aging as we know it today will not exist. In the 19th century, 30% of people living in Paris died of “consumption.” Today almost no one in the industrialized world even knows what “consumption” is.


Q: If cryonics works for me, won’t all my friends and relatives be dead?

A: This depends on many factors, including when you are cryopreserved, how long you spend in cryopreservation, how long it takes to develop life-extending technologies, and whether your friends or family are themselves interested in being cryopreserved. It cannot be reliably predicted how many decades (or generations) it might take to develop the technologies needed to substantially lengthen lifespans or to revive patients from cryopreservation. You can increase your chances of seeing your current friends and family in the future by interesting them in cryonics or by making friends within the cryonics community. At any rate, if cryonics works it will give you the greatest opportunity of all the ability to make new friends (including, perhaps, with your own descendants).


Q: What is the evidence?

A: The practice of cryonics is justified by three facts:

That is the argument for why cryonics should work, even though it is not reversible today.

It should also be realized based on point 3 that people in the early stages of what is considered death today will merely be in cardiac arrest to future physicians, and will be “coded” for resuscitation. Today’s limit of 4 to 6 minutes for resuscitation without brain injury will likely expand to an hour or more in the future. That is why people are cryopreserved even if prompt cardiopulmonary support is not possible.


Q: Does cryonics have a reasonable chance of working?

A: Yes. When carried out under favorable conditions, both current evidence and current theory support the conclusion that cryonics has a reasonable chance of working. That said, not all cryopreservations are carried out under favorable conditions. The degree to which cryonics is successful for a particular patient will depend on how much of the patient’s original memory and personality survives the cryopreservation and restoration process.

Assuming future medical capabilities are as effective as we expect, complete molecular repair and tissue regeneration should permit recovery of perfect health after any injury other than complete physical destruction. Unlike medicine today, which can leave a patient alive but suffering from chronic and incurable physical or neurological deficits, mature medical capabilities based on molecular repair should be able to cure almost all medical conditions with the notable exception of permanent memory loss. Even here, it is important to distinguish between (1) loss of memory caused by failure of the retrieval mechanisms (which could eventually be cured), and (2) loss of memory caused by obliteration of the memory trace itself (which even future medical technology would not be able to repair).

Survival of your memories and personality depend on the extent of survival of brain structures that store your memories and other identity-critical information. While cryonics under apparently ideal conditions results in good preservation of brain structure and information, cryonics under non-ideal conditions happens all too frequently and is more problematic. A major complication is the fact that today’s legal and medical systems, along with the general public, do not regard cryonics patients as people worthy of protection. This could change in the future (particularly if we are successful in explaining the value and scientific merit of cryonics), but the quality of today’s cryopreservations are adversely impacted more by social and legal factors than by technical ones.

It cannot be reliably known with present scientific knowledge how a given degree of preservation would translate to a given degree of memory retention after extensive repair, but sophisticated future recovery techniques using advanced technology might allow for memory recovery even after damage that today might make many think there was little room for hope [see Cryonics, Cryptography and Maximum Likelihood Estimation]. Our ability to judge when information is truly destroyed has been proven incorrect on more than one occasion: for example, the information loss apparently caused by paper shredders can and has been reversed, to the surprise and great dismay of those who did the shredding. Recovered information about memories could help guide the nanomedical repairs of the neuronal structures in the brain that encode those memories. Cryonics takes the most conservative approach by seeking to cryopreserve patients even when conditions are less than ideal and the risk of amnesia might be increased by some unknown extent.

For futher discussion of the problem of identity recovery after major brain repair, see the articles Cryonics, Cryptography, and Maximum Likelihood Estimation, Molecular Repair of the Brain, Neural Archaeology, and Prospects of a Cure for “Death”.

To be successful, Alcor will have to keep you cryopreserved for as long as might be needed [see How will Alcor sustain itself for the duration of my cryopreservation?]. Some long-term risks are subject to mitigation strategies, such as earthquake risk (one of the reasons Alcor moved out of California). Other long-term risks, such as socio-economic disruption, are difficult to quantify.

Finally, when the time comes, Alcor will have to revive you. As explained elsewhere, this is a task to which the Alcor community is committed [see Who will revive the patients?].


Q: What do experts say?

A: The few technical articles in the scientific literature that directly address the question all conclude that cryonics, when carried out using today’s methods under favorable conditions, should work.

This observation was first made by Merkle (Molecular Repair of the Brain, footnote 24), who said “A literature search on cryonics along with personal inquiries has not produced a single technical paper on the subject that claims that cryonics is infeasible or even unlikely. On the other hand, technical papers and analyses of cryonics that speak favorably of its eventual success have been published. It is unreasonable, given the extant literature, to conclude that cryonics is unlikely to work. Such unsupported negative claims require further analysis and careful critical evaluation before they can be taken seriously.”

More recently, Crowley (An open letter to scientific critics of cryonics) said “Though many experts in cryogenics and other relevant fields are quoted in the media as condemning cryonics practice, none have written at greater length to explain their reasons. The closest thing to such a reason I can find is Michael Shermer’s article ‘Nano Nonsense and Cryonics,’ but the reason he gave was one that he knew at the time of writing was contrary to scientific reality, and in response to my email asking where I could learn more he recommended three authors all of whom consider cryonics technically plausible.” Shermer’s editorial has been refuted by Merkle (Cryonics and Scientific American).

Cryobiologists are scientists who specialize in cold tolerance in nature and demonstrably reversible cold preservation of cells and tissues. Cryobiologists correctly point out that cryopreservation of whole humans is not demonstrably reversible. Some cryobiologists incorrectly claim that this means that cryonics is not founded on science. This claim is incorrect because cryonics does not assume that cryopreservation can be reversed using today’s technology. The claim made by cryonics is that it is possible to preserve sufficient biological information today to permit reversal in the future with foreseeable technology. Evaluation of this proposition requires knowledge of cryopreservation methods used in cryonics, knowledge of neuroscience, and knowledge of future technologies proposed to reverse the process. Very few scientists have knowledge in all these areas. Cryobiologists, as a group, lack expertise in the future technologies that have been proposed to revive cryopreserved patients. Some individual cryobiologists have significant knowledge of these technologies. Notably, these individuals have much more favorable views of cryonics.


Q: How much does cryonics cost?

A: Most people pay for cryonics with life insurance, and since the actual cost of that depends on your age and health, to find out your specific cost you would need to shop for life insurance. Alcor offers two options: for whole body preservation you would need a minimum policy of $200,000, and for neuropreservation you would need a minimum policy of $80,000. (Neuropreservation is explained in the Technical Questions section.) Other funding options are available besides life insurance, including trusts, annuities, and prepaid cash or equivalent (for details see Funding Methods). Alcor members also pay annual dues, as explained in the Membership Questions section.


Q: How many people are cryopreserved at Alcor?

A: For the latest statistics on this, see our membership statistics page.


Q: How many members are currently signed up with Alcor?

A: For the latest statistics on this, see our membership statistics page.


Q: Why haven’t more people signed up for cryonics?

A: People don’t sign up for cryonics because it’s not traditional, they’re skeptical of anything they haven’t seen work, it costs money, they’re afraid of what their friends might think, they live in denial of their own death, they don’t want to think about the subject, they procrastinate, they don’t like life well enough to want more of it, or they are afraid of a future in which they may be alienated from friends and family and a familiar social environment.

Typical Alcor members (if any Alcor member could be called “typical”) tend to be highly educated independent minded people who enjoy life and think cryonics has a reasonable chance of working. They pay for it with life insurance and think the future is likely to work out pretty well. They often have friends or relatives who are Alcor members. They expect Alcor to revive them using nanomedicine and expect to continue their lives with as much passion and joy as today only with much more amazing technology.


Q: Under what laws does Alcor operate?

A: Alcor is a 501(c)(3) non-profit organization authorized to accept anatomical donations under the provisions of the Uniform Anatomical Gift Act (UAGA) and Arizona Anatomical Gift Act (AAGA) for research purposes. These are the same state laws that govern medical schools, neurological research banks, and other scientific uses of donated tissue. Several courts have also ruled that decedents or their relatives have the right to choose cryonics based on laws that empower people to choose the disposition of their remains. For further information, read The Legal Status of Cryonics Patients.


Q: Can I be cryopreserved before I legally die?

A: No. Current law does not allow freedom of choice in this matter. Under current law cryopreserved humans are legally dead. Actively making a person legally dead is a crime regardless of what that person’s wishes may be. Alcor must wait for an independent authority to declare that illness or injury has caused the heart to stop, that further medical care is not appropriate, and that therefore legal death has occurred. Only after that determination is made can the cryopreservation procedures legally begin.


Q: Why does Alcor sometimes get involved in litigation?

A: Misunderstandings about cryonics can sometimes lead to disputes. Todays medical and legal practice usually pronounces a human dead when their heart stops beating. Alcor views its members as dead only after they meet the information-theoretic criterion of death, that is, only after their brain has been obliterated to the point where it is clear that inference of their memory and personality is in principle no longer possible, even by the most advanced medical technology that might be developed in future centuries. Alcor believes that cryopreservation can prevent this form of death. The purpose of cryonics is therefore to prevent dying people from dying, which is not how most people presently think about cryonics.

While Alcor members wish todays legal, social and medical organizations would accept cryonics as a legitimate medical treatment that any terminally ill patient could choose, this is not the case. The accommodation we have reached is that Alcor members have the legal right to be cryopreserved after they are declared legally dead, but not before. In practice this means we can be cryopreserved after our heart has stopped beating. While far from ideal, cessation of heartbeat usually occurs at a point in time well before information-theoretic death has occurred, meaning that cryopreservation after legal death, but before information-theoretic death, can be a way of saving our lives.

Unfortunately, sometimes traditional practices and perceptions of death can lead to interference with a patients right to be cryopreserved. Hospitals will sometimes refuse to cooperate with Alcor. Grieving sons, daughters, brothers and sisters who are already feeling great stress might not understand the decision to be cryopreserved made by parents or siblings. They might not even have heard about the decision until confronted with it by Alcor staff, which can add to the shock and stress. Relatives might fight among themselves about how to respond to the cryonics arrangements, and sometimes stand to inherit significant assets if they can successfully block cryopreservation.

When anyone for any reason tries to block the timely cryopreservation of an Alcor member, Alcor has only a few options. Obviously, the best option is to try to talk them down. This often works, and weve gotten pretty good at it. When it doesnt, we have to turn to lawyers and courts. Again, we try to negotiate a settlement, as this minimizes everyones risk and everyones costs. Weve gotten pretty good at this, too, and are often able to avoid court cases and their costs. But when these dont work, we have to pursue litigation. Sadly, weve gotten pretty good at this, as well. We must do so to fulfill our mission, to fulfill our contractual obligation to our members, and most importantly to save our members life. The member being cryopreserved is often a longtime friend, or an acquaintance, or friend of a friend. And every time, each one of us is thinking in the back of our minds: What will happen when its my turn? What will Alcor do if someone tries to block my cryopreservation?

Here is the original post:
Alcor: FAQ – Basic – Cryonics: Alcor Life Extension Foundation

Recommendation and review posted by Guinevere Smith