Health and Medicine

Cranky Ethics Encounters In A Rotten Week

/ Jack Marshall / 5 Comments

The unexpected death of my mom on Saturday tends to make everything else in my life the past week fade to insignificance, but the last seven days featured more than my usual quota of confrontations when thrust in the path of conduct that seemed just wrong to me:

  • Staying at a Fairfield Inn and Suites, a Marriott chain, in Greensboro, North Carolina, I found myself running behind schedule for a morning presentation. Rushing to take my shower, I was stopped cold by the shower controls, which made no sense at all. The long handle didn’t seem to do anything, and the round knob inside it had no effect either. Since I have the mechanical skills of a rodent, and am constantly embarrassed by my ineptitude, I fiddled with the knobs longer than I should have before giving up in a panic and calling the front desk.

“I can’t get the shower controls to work, and I’m late!” I blurted out to the woman manning the desk. “Send someone up right away!” Continue reading →

Ethics Quote of the Week: Blogger Jeff Jarvis

/ Jack Marshall / 18 Comments

"If Charlie's unavailable, get this guy. He's hilarious!"

“One way or another, by one definition and diagnosis or another, Charlie Sheen is a sick man. He doesn’t need airtime. He needs couchtime. News people are ill-serving him and the issue of mental illness in this country by putting him on the air as if he were just another source, another celebrity. They are not informing the public. They are exploiting Charlie.”

—Blogger Jeff Jarvis on his site, BuzzMachine, on the media’s disgraceful rush to get celebrity meltdown Charlie Sheen to do as many wacky, self-destructive, “did he really say that?” interviews as possible before he falls completely to pieces as addicts in full denial inevitably do.

Jarvis is right. There is no more news to be milked from the sad Sheen story, other than “Charley continues to say things that are destroying his career, making him dislikable and unemployable, and that prove that he is sick, getting sicker by the day.” This is no less despicable than exhibiting freaks, the brain injured and schizophrenics for the amusement of the crowd. “They want him to act nutty,” says Jarvis. “Ratings, man, ratings.” Continue reading →

Ethics Hero: Kirk Douglas

/ Jack Marshall / 12 Comments

Kirk Douglas: Hero

Amazingly, some bloggers and critics actually called Kirk Douglas’s appearance as an Oscar presenter last night (it was he who announced Melissa Leo’s win, which she instantly turned into an Oscar low-light) hard to watch and even “creepy.” Sometimes you just have to shake your head and wonder how people’s perception gets so warped.

The 96-year-old stroke victim strode to the stage without vanity, fear or hesitation. He flirted, he joked, he took full advantage of his richly-earned status as a Hollywood legend, the last of the great movie men’s men, and indomitable survivor. And he dared to play with the faux suspense of the event, demonstrating with a wink and grand humor that he, better than most, knows how little awards mean compared to the guts of life. Continue reading →

Home-Grown Mengeles, And What We Must Learn From Them

/ Jack Marshall / 4 Comments

Josef Mengele: researcher, utilitarian, monster

We knew, or should have known, that this extremely ugly shoe was bound to drop eventually.

Last autumn, when the U.S. apologized for federal doctors infecting prisoners and mental patients in Guatemala with syphilis 65 years ago, it put us on notice that a vile and unethical cultural standard had taken hold of the American medical and scientific communities in the 20th century, one that held  it was “right” for the weakest, most powerless and most disposable of human beings to be tricked, coerced or bribed into serving as subjects for experiments that could lead to miraculous cures and treatments for the rest of the population. This–depriving human beings of their rights and lives in the interest of science—is “the ends justify the means” at its worst. But the Guatemala experiments proved that this was once flourishing and respectable in the U.S. scientific and medical research communities, so it would have been surprising if there weren’t more stories of home-grown Mengeles, and sure enough, there were. The U.S. acknowledged as much when it apologized for the Guatemalan tests. Now we have details. Continue reading →

The Ethics Final: Ending My Mother’s Life Today

/ Jack Marshall / 25 Comments

Some of our most important ethical decisions are made with the least analysis. At least that was the way it was for me this morning at 10:34, when my sister and I directed that my 89-year-old mom, Eleanor Coulouris Marshall, be taken off of life support. Continue reading →

Oprah’s Dangerous Breach of Diligence and Responsibility

/ Jack Marshall / 9 Comments

Dr. Mel Levine was found dead at his  home last week, a suicide. His once successful and nationally prominent career as a pediatrician was derailed when he was sued by a succession of former patients who alleged that he sexually molested them. He had surrendered his medical license and teaching position at the University of North Carolina, and hardly any of the obituaries mentioned that he was once one of Oprah Winfrey’s health experts.

But writer Tracie Egan Morrissey remembered, and detected a pattern that is disturbing and real. There have been other experts and authorities that Oprah introduced to her trusting and huge audience of admirers that should have been rejected after competent vetting. Continue reading →

Hypocrisy Follies: The Ribbing of the First Lady

/ Jack Marshall / 16 Comments

What's wrong with this picture?

Americans are becoming almost as confused about hypocrisy as they are about satire.

Michelle Obama’s Vail, Colorado vacation included taking her daughters out to eat ribs at Vail, and conservative radio critics immediately resorted the “H” word, led by Rush Limbaugh, who reported that the First Lady, fully-involved in an anti-obesity campaign, joined her own children in “feasting on ribs — ribs that were 1,575 calories per serving with 141 grams of fat, per serving.” Continue reading →

A Strong Consequentialist Argument for Steve Jobs’ Liver…But Is It Right?

/ Jack Marshall / 2 Comments

Steve Jobs and friend

Back in June of 2009, when “Ethics Alarms” was but a twinkle in my eye, there was a momentary controversy when ailing Apple CEO Steve Jobs was able to use his enormous wealth to land on multiple regional organ transplant lists, thus vastly improving his chances of getting a precious liver transplant in time to save his life. The California native ultimately got a Tennessee liver, but critics cried ethics foul. The organ transplant distribution system is not supposed to be based on wealth: otherwise, why not just auction off livers to the highest bidders? Because most insurance companies won’t cover multiple listings, only the richest patients can afford to employ this strategy, meaning that a system that is supposed to be means-neutral favors the wealthy after all. Continue reading →

Good-bye and Good Riddance to Bush’s Unethical “Conscience Clause”

/ Jack Marshall / 1 Comment

The Obama Administration has deep-sixed a controversial Bush Administration rule that permitted a wide variety of health care workers to  refuse to administer treatments they found morally repugnant, what the Bush administration termed workers’ “right of conscience.”

Hospitals and clinics faced a loss of federal funds if they failed to uphold the rule, which itself was ethically repugnant. Kudos, thanks and hosannas to President Obama for getting rid of the Federal variety; some states, regrettably, still have them.

The American Medical Association’s position on the matter, embodied in a resolution passed by its membership, is clear and well-reasoned. Its reasoning applies to health care workers though the specific subject of the resolution was pharmacist conscience clauses.

The AMA’s resolution, “Preserving Patients’ Ability To Have Legally Valid Prescriptions Filled,” states: Continue reading →

Ethics Perils of an Over-eager Bieber Prompted By An Unethical Interviewer

/ Jack Marshall / 15 Comments

In the current Rolling Stone magazine, teen singing sensation Justin Bieber opines on the morality of the U.S. health care system (Bieber is Canadian) and abortion, saying, among other things…

On abortion: “I really don’t believe in abortion. It’s like killing a baby?”

Abortion in cases of rape: “Well, I think that’s really sad, but everything happens for a reason. I guess I haven’t been in that position, so I wouldn’t be able to judge that.”

On the U.S. and its current health care system: “You guys are evil. [Rolling Stone notes that he  says this “with a laugh.”] Canada’s the best country in the world. We go to the doctor and we don’t need to worry about paying him, but here, your whole life, you’re broke because of medical bills. My bodyguard’s baby was premature, and now he has to pay for it. In Canada, if your baby’s premature, he stays in the hospital as long as he needs to, and then you go home.”

So to sum up: in the course of one interview, Rolling Stone managed to prompt a 16-year-old to… Continue reading →