Oprah’s Dangerous Breach of Diligence and Responsibility

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

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?

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”

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

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 →

Ugly Consequentialism: The Daily Beast Backs Perez Hilton

I am developing a real dislike for the Daily Beast. Tina Brown’s slick news aggregating website has gone out of its way to slander innocent dog breeds, features self-promoting hypocrites like John Avlon, and generally displays the ethical instincts of Piers Morgan, which is to say, none. Today it gave us an update on Serene Branson, who was mocked by blogger Perez Hilton and others for having an obvious, and frightening, on-air neurological event that caused her to be unable to speak coherently. Entitled “Line-Flubbing Grammys Reporter Fine”—trivializing as “line-flubbing” what was clearly nothing of the sort; people don’t get checked out by physicians for flubbing lines—the Daily Beast’s commentary noted that paramedic could find nothing wrong, so “Laugh away.”

This is the ugly face of consequentialism, judging the ethical nature of conduct based on what happens afterwards. Perez Hilton’s cruel amusement at a reporter finding that she cannot form intelligible speech is now retroactively fine and dandy, because Branson hasn’t—so far—keeled over or gone blind. So laugh, jerks, laugh…until she does keel over, tomorrow, or next week, or next month, in which case the ridicule becomes unacceptible to The Daily Beast.

Another human being who is panic-stricken as her body turns on her is not funny, and it is a sign of callousness and a deficit of compassion to laugh at the sight of it, whether or not the apparent catastrophe turns out to be minor after all. But the Daily Beast is proving that it is a playpen, occupied by reporters, columnists and editors with the ethical sophistication of gradeschoolers.

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UPDATE 2/15/11 (From AOL News):

“Despite Branson’s insistence that she’s fine, doctors who have examined the now heavily circulated footage of the incident continue to express concerns.

“This is what we call a class neurological event,” Dr. Keith Black, director of the Neurosurgical Institute at Cedars-Sinai Medical Center, told NBC’s ‘Today’ show. “She was obviously aware that she was having difficulty.”

According to Black, Branson’s episode was likely the result of a transient ischemic attack, essentially a “blockage in blood flow going to the brain,” or a “mini-seizure located in the language area.”

The New York Post also spoke to doctors who viewed the tape, and they said that Branson’s garbled speech could have resulted from “aphasia, which affects the ability to articulate, and that it could have been brought on by a mini-stroke, a tumor or a circulatory issue.”

Ethics Dunce: Blogger Perez Hilton

There is snarky, and there is vicious and cruel. Perez Hilton, the over-the-top celebrity blogger who always amasses enough points to be in the running for Media Creep of the Year, hit rock bottom over the weekend, showing a level of humanity, empathy and caring we identify with the people who ridicule  ALS sufferers and terminal cancer patients, and who find watching heart attacks and strokes amusing.

“MUST WATCH!!!” “Grammy Reporter Fail!” wrote Hilton, about a frightening video showing CBS reporter Serene Branson suddenly finding herself unable to speak coherently on the air as she reported on the Grammys, and obviously experiencing some kind of neurological episode that was a lot more serious than being “tongue-tied.”

“Someone call an exorcist!” joked the blogger, who called Branson’s cisis “HIGHlarious.”

[This post originally included the video footage, but CBS has pulled it.] Branson gets a few words out, then you can see the fear and panic that starts to come into the young woman’s expression as she realizes that her thoughts are no longer being formed into words. She utters a stream of jibberish  very reminiscent of the sounds made by the swimmer at the beginning of “Jaws” who is being attacked by a Great White shark, and then the station cuts her off. If watching another human being in peril and terror is “HIGHlarious” to you, “Ethics Dunce” is an understatement.

Hilton quickly pulled his first post on the incident when it began drawing fire, and so far, doctors haven’t been able to determine what caused the incident…so Hilton obviously thinks he’s in the clear.

He’s not. Even if we never know what happened to Branson, she was frightened and something bad was obviously happening to her. I’m sure she’s still terrified, and should be: my law school room mate, last year, had a mysterious episode that seemed like a stroke, but the doctors found nothing, and sent him home. Two days later, he dropped dead.

Yuk it up, Perez.

Jerk.

The Dilemma of the Legless High School Pitcher

Seemingly an inspirational movie in the making, Anthony Burruto is a student at Dr. Phillips High School in Orlando, Florida. He has been playing baseball since he was 8 years old, despite the inconvenience of having both of his legs amputated when he was an infant. He plays the game on prosthetic legs that are all he has ever known, and does it well as a pitcher who can throw a mean curve and a fastball that has been clocked at 80 mph. This is Anthony’s sophomore year, and his goal was to play on Dr. Phillips High varsity baseball team this spring.

After two days of try-outs, Coach Mike Bradley cut him. Anthony’s metal legs, adept as he was at using them, made him too slow off the pitching mound when he had to field a bunt, said the coach, and teams would take advantage of his inability to jump off the mound quickly.

Sorry, kid.  Continue reading →

Ethics Hero:Wake Forest Baseball Coach Tom Walter

Kevin Jordan and his kidney donor

Athletic team coaches habitually refer to their teams as “families”, but in the inspiring case of Wake Forest baseball coach Tom Walter, he meant it. When he found out that one of his players, freshman Kevin Jordan, was in serious peril because of failing kidneys, and that the student’s family couldn’t supply a safe match for a life-saving transplant, Morgan gave the young man one of his own.

You can read about Walter’s gift at Baseball America here and on Ethics Bob here.

Alcoholics Anonymous and Ethics

With all the alcoholics in my life, and there are and have been many (some of whom I undoubtedly never knew qualified), today was the first time I ever actually attended a meeting of Alcoholics Anonymous. Indeed, before yesterday I didn’t know I could attend. Many groups have periodic “open” meetings, however, to which friends and family members of alcoholics as well as “anyone interested in learning about alcoholism” are invited. I know a lot about alcoholism, learned the hard way. Now I know more. More important than that, I realize that Alcoholics Anonymous has a great deal to teach everyone…not just about alcoholism, but about ethics. Continue reading →