Health and Medicine

Unethical Quote of the Week AND Unethical Apology of the Month: Rep. Steve Cohen

/ Jack Marshall / 2 Comments

First, the quote:

“I said Goebbels lied about the Jews, and that led to the Holocaust. Not in any way whatsoever was I comparing Republicans to Nazis. I was saying lies are wrong…I don’t know who got everybody’s panties in a wad over this statement.”

—–Rep. Steve Cohen (D-Tenn.), in his initial dismissal of criticism over his rant on the House floor regarding Republican characterizations of the health care bill.

This quote is really remarkable, for it is hard to pack so many kinds of dishonesty into so few words.It’s hard to know where to begin. Continue reading →

Ethics Dunce: Cancer Researcher Sook Shin

/ Jack Marshall / 3 Comments

Sook Shin and her husband are respected cancer researchers at an Oklahoma University research lab, committing their lives to finding a cure for prostate cancer. The couple recently stopped at a Panera Bread restaurant for a quick meal, and returned to their car to find a window broken, and their Apple computer, carrying years of data—the product of thousands of hours and research dollars—including, they say, a possible cancer cure, gone. Tragically, they had not backed up the data. Continue reading →

Unavoidable Ethics: Giffords Needs To Resign

/ Jack Marshall / 24 Comments

Rep. Giffords doesn’t have to face this inevitable decision now or tomorrow or in the next few weeks. She will have to face it, however, and as soon as she is well enough to evaluate her situation realistically, she owes it to her district and the country to step down, and let someone take her place as Representative of the 8th District of Arizona. Continue reading →

Speaker Boehner’s Sensitive/Cowardly Removal of Harmless/Violent Wording in Response to a Trumped-up/Genuine Problem

/ Jack Marshall / 5 Comments

One of the characteristics of a true Ethics Train Wreck (or ETW for short) is that it eventually reaches the point where unethical and ethical responses to it are indistinguishable. The Tucson shooting ETW officially reached that point today, when Speaker of the House John Boehner apparently yielded to the complaint that referring to the health care reform law as “job killing” was inappropriate in light of Jared Loughner’s near-murder of Rep. Giffords along with killing or wounding 19 other victims.

In a post on his official blog, Boehner referred to the law as “job destroying” and “job crushing,” an apparent concession to critics like Democratic Rep. Chellie Pingree, who argued that the House bill called the “Repeal the Job Killing Health Care Law Act” should be renamed something without “killing” in it, “for Gabby’s sake.” By doing so, the Speaker of the House gave credibility to an argument that… Continue reading →

Tucson Aftermath: Don’t Let The Barn Door Close On Freedom, Please

/ Jack Marshall / 4 Comments

In the wake of Jared Loughner’s attack, the “barn door fllacy” is in full operation as intensely, and foolishly as I’ve ever seen it. Everyone from social reformers to yellow-bellied Congress members are proposing changes and suggesting “dialogues” aimed at stopping Jared Loughner’s completely unpredictable conduct, which, they seem to forget, has already occurred. Almost always, when everyone rushes to lock the metaphorical barn door after the horse is gone, they make the barn and everything around it uglier, less useful, more expensive, and less respectful of basic human dignity and freedom: witness the TSA’s outrageous new pat-down procedures, designed to stop 2009’s exploding underpants terrorist, who was unsuccessful. Continue reading →

Now THIS, On The Other Hand, Promotes Political Violence:

/ Jack Marshall / 8 Comments

The good news, I suppose, is that the Palmetto State Armory decided to take down its webpage advertising the “You lie!” etched rifle component, in belated recognition of the fact that promoting such a product after the Tucson shootings would be irresponsible and in terrible taste. Continue reading →

Health Care Reform: Capitol Hill Illusions, Delusions and Lies

/ Jack Marshall / 2 Comments

The biggest political lie of 2010 is off to a flying start in 2011. As the new Republican House majority sets out to “repeal” the new health care law, Democrats are waving a report from the Congressional Budget Office that the media describes as stating that such an act would actually add to the deficit, because the CBO has calculated that the law, as it stands, will reduce the federal deficit by about 270 million dollars.

But wait a minute! What CBO is really saying is that if the assumptions and projections incorporated into the law are accurate, then the law will cut the deficit. The Congressional Budget Office is not allowed to challenge the assumptions written into a law, only to calculate what a law will cost according to those assumptions. This also means that the CBO will not assume that the costs of implementing the many administrative measures in the law will rise—as the costs of all major federal programs inevitably do. Speaker John Boehner has stated that he doesn’t believe that anyone in Washington, including the Democrats, really believes that the new law will reduce the deficit. Ezra Klein, the Washington Post’s mouthpiece of the Left, claims that the Republicans actually know the law will lower the deficit. Who’s lying? Or perhaps a better question is, what constitutes a lie in such a convoluted context? Continue reading →

Gov. Haley Barbour Shows How To Make Mercy Unethical

/ Jack Marshall / 9 Comments

Mississippi Governor Haley Barbour has managed to make a reasonable commutation decision look thoroughly corrupt….which it very well might be. Continue reading →

Ethics Hero: President Obama

/ Jack Marshall / 1 Comment

According to a tweet today from Press Secretary Robert Gibbs, President Obama has quit smoking,

A president’s habits, be it “the vigorous life” of Teddy Roosevelt, not wearing a hat, like Jack Kennedy, or regarding fellatio from interns as “not sex,” as Bill Clinton did, have the power to change public attitudes and conduct for better or worse. This must have been an especially difficult time for Barack Obama to quit his long-time smoking habit, which typically is a response to stress. Despite perhaps the most stressful period in his life, the President did the right thing, and as good leaders must, to set an example.

We will never know for sure how much or how many, but his responsible conduct will undoubtedly change some behavior, and save some lives.

Ethics and Altzheimer’s Testing: An Easy Call

/ Jack Marshall / 6 Comments

Sometimes I think bioethicists spend too much of their time looking for new ethical dilemmas rather than giving thoughtful guidance on the dilemmas we already have. A recent example: the New York Times wrote about a supposed ethical dilemma appearing in the wake of new tests that reveal the likelihood of whether an individual will get Alzheimer’s at some point in the future. As the article put it:

“Since there is no treatment for Alzheimer’s, is it a good thing to tell people, years earlier, that they have this progressive degenerative brain disease or have a good chance of getting it?…It is a quandary that is emblematic of major changes in the practice of medicine, affecting not just Alzheimer’s patients. Modern medicine has produced new diagnostic tools, from scanners to genetic tests, that can find diseases or predict disease risk decades before people would notice any symptoms. At the same time, many of those diseases have no effective treatments. Does it help to know you are likely to get a disease if there is nothing you can do?”

My question is: “What’s the dilemma?” Continue reading →