Health and Medicine

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 →

Lindsay Lohan Has Privacy Rights Too

/ Jack Marshall / 3 Comments

Lindsay Lohan brings enough problems on herself. She doesn’t need unethical professionals to make her life even more chaotic by violating her privacy rights. Continue reading →

Lying to Mom

/ Jack Marshall / 10 Comments

The call was from my mother’s case worker at the hospital.

The night before, my mother, 89, had fallen in her apartment, the seventh fall in ten days and, like the others, a direct result of her stubborn refusal to use a cane or a walker despite her unsteadiness. This time she had not been able to dissuade me from taking her to the emergency room, where we both lingered until nearly 6 AM as she was X-rayed, CAT-scanned, and given a battery of tests. The staff felt she needed to be checked-in to stay for a couple of days, especially since she was hallucinating. I agreed, over Mom’s protests; it would also provide me some more time to figure out how to prepare my home for her to move in, at least temporarily. There is no way I am going to let her fall again.

Now the case worker was calling to tell me that my mother was resisting treatment. She wanted to go home, she said, and was physically resisting efforts to give her an M.R.I. Would I please come over and persuade her?

The hospital was only fifteen minutes away, and as I drove there, I pondered various strategies. With my mother, you get one shot. If your first argument doesn’t persuade her, nothing will. I could explain why the M.R.I. would help the doctors clear her for release, but that one could backfire if the test revealed something that in fact led to a longer stay. One ploy kept pushing itself to the front of the line: Continue reading →

“Lie of the Year”? Hardly.

/ Jack Marshall / 2 Comments

PolitiFact, the political fact-checking website, has once again announced its “Lie of the Year”:

“PolitiFact editors and reporters have chosen “government takeover of health care” as the 2010 Lie of the Year. Uttered by dozens of politicians and pundits, it played an important role in shaping public opinion about the health care plan and was a significant factor in the Democrats’ shellacking in the November elections. Readers of PolitiFact, the St. Petersburg Times’ independent fact-checking website, also chose it as the year’s most significant falsehood by an overwhelming margin. (Their second-place choice was Rep. Michele Bachmann’s claim that Obama was going to spend $200 million a day on a trip to India, a falsity that still sprouts.)”

This tells us a lot about PolitiFact. Continue reading →

Anatomy of an Unethical Class Action Lawsuit, Badly Reported, Exposed by a Blogger

/ Jack Marshall / 6 Comments

Here is how the Washington Post begins its story about the most recent assault on McDonald’s by the people who want to control your eating and parenting habits:

“The D.C.-based nutrition watchdog group Center for Science in the Public Interest has helped a California mother file a class-action suit against McDonald’s, demanding that the burger chain stop marketing toys to children. The woman, Monet Parham of Sacramento, claims that the marketing of Happy Meal toys has interfered with her ability as a parent to provide her two children with a healthful diet. Here’s a quote:

“I am concerned about the health of my children and feel that McDonald’s should be a very limited part of their diet and their childhood experience,” Parham said. “But as other busy, working moms and dads know, we have to say ‘no’ to our young children so many times, and McDonald’s makes it that so much harder to do. I object to the fact that McDonald’s is getting into my kids’ heads without my permission and actually changing what my kids want to eat.”

This is fairly typical of the hundreds of news stories on the web about the lawsuit. Over at Popehat, Patrick, the wittiest of the site’s witty staff, performs a crushing dissection of the lawsuit, the story, and the media’s incompetent reporting of it. You see, he writes..

“…Monet Parham is really Monet Parham-Lee.  Monet Parham-Lee is the name that Monet Parham uses professionally.  Monet Parham-Lee is represented in the suit by attorneys affiliated with the Center for Science in the Public Interest.  Meaning Ralph Nader.  Monet Parham-Lee is an employee of the California Department of Public Health. Monet Parham-Lee works in the “Cancer Prevention and Nutrition Section” of the California Department of Public Health. Meaning that Monet Parham-Lee is tasked, professionally, by the State of California with ensuring that Californians eat their vegetables.  The power that the State of California grants Monet Parham-Lee evidently is not enough.  Monet Parham-Lee is taking the law into her own hands, to ensure that not only her own children eat their vegetables, but that everyone else is forced to make their children eat vegetables.” Continue reading →

Ethics Observation of the Week: the Wall Street Journal’s James Taranto

/ Jack Marshall / 1 Comment

Dissecting a Washington Post op-ed in which Attorney General Eric Holder and HHS Secretary Kathleen Sibelius argued for the constitutionality of Obamacare,  Wall Street Journal wit and political commentator  James Taranto argued that the two Obama officials…

“…can’t even muster a coherent argument in favor of ObamaCare as a matter of policy. The op-ed opens with what is meant to be a heartstring-tugging anecdote: Continue reading →

Rush, E-Cigarettes and the Niggardly Principle

/ Jack Marshall / 8 Comments

Rush Limbaugh was enjoying himself hugely yesterday, as he usually does, relating one more way that he has devised to tweak America’s Enemies of Freedom.

The radio talk show king’s topic was electronic cigarettes, those increasingly popular devices that deliver a nicotine jolt while emitting faux “smoke” (it’s only odorless water vapor), all while looking like a real cigarette—the tip even glows red when you puff it. Rush keeps the things handy, he explains, to provide a balm to his nicotine cravings when he is in public places, but even more so, it seems, to annoy anti-smoking zealots. Rush gets a rush when he pulls out the plastic devices and observes reflexive coughs and frowns from those in his vicinity who regard cigarettes as the equivalent of rotting cats. Continue reading →