Health and Medicine

The Most Unethical Businesses and Viatical Settlements

/ Jack Marshall / 13 Comments

A British website has posted its list of the “10 Most Unethical Ways to Make Money.” Like all such lists, there are some eyebrow-raising choices, both in what is included and what is not, usually attributable to the political and ideological biases of the list-makers. For example, until we have figured out a way to run civilization without oil, it is more than a bit unreasonable to declare the entire oil industry unethical, climate change or no climate change. Oil is on the list, though, while child porn, drug dealing and gambling are not. The list could be the result of a collaboration among Greenpeace and Ron Paul.

Still, most of the inclusions on the list, like blood diamonds, ivory, and sweat shops are neither surprising nor controversial. Placing one of the businesses on the list, however, qualifies as a public service. Most people have no idea what the industry is, or what is unethical about it.

That business is the viatical settlement industry, which preys on human impulsiveness and irresponsibility to make large profits. Unfortunately, the list’s brief explanation of the industry misses its most unquestionable and sinister incarnation: buying structured settlements. Continue reading →

Summer Rerun: “Ending the Bi-Partisan Effort to Destroy Trust in America”

/ Jack Marshall / 2 Comments

[TV is full of reruns these days, and sometimes I am grateful for them, for it gives me a chance to see episodes of favorite shows I had missed for some reason or another. Back in early March, I posted the following essay about the origins of America’s current crisis of trust in our government, and how it might be cured by our elected leaders. Since then, the crisis has deepened, and as I was doing some routine site maintenance, I reread the post. It is still very timely (unfortunately), and since far fewer people were visiting Ethics Alarms in March, I decided to re-post it today, with just a few minor edits. I promise not to make this a habit. Still, trust is the reason why ethics is so important in America: if there is a single post of the more than 700 I have written here since October 2009  that I would like people to read, this is it.] Continue reading →

Ethics Verdict on O’Reilly vs. Aniston: O’Reilly’s No Dan Quayle

/ Jack Marshall / 14 Comments

Jennifer Aniston is promoting her upcoming comedy “The Switch,” about a single woman who becomes a mother through artificial insemination. In one interview. Aniston commented that “Women are realizing more and more that you don’t have to settle, they don’t have to fiddle with a man to have that child.” This rankled Fox News’ star blowhard Bill O’Reilly, who regarded Aniston’s remark as an endorsement of unwed and under-age motherhood, and told his  cable audience that Aniston was “throwing a message out to 12-year-olds and 13-year-olds that, ‘Hey! You don’t need a guy, you don’t need a dad!” His verdict: “That’s destructive to our society!…Aniston can hire a battery of people to help her, but she cannot hire a dad, okay?” Continue reading →

Ethics, Ethics, Everywhere…

/ Jack Marshall / Leave a comment

Stories with ethical implications are popping up everywhere, in many fields. I’m running hard to keep up; if you want to join the race, here are some recent developments and notes:

  • A prominent Harvard professor and respected researcher just retracted a major paper and has been put on leave, as an investigation showed irregularities in his methods and results. “This retraction creates a quandary for those of us in the field about whether other results are to be trusted as well, especially since there are other papers currently being reconsidered by other journals as well,’’ wrote one scientist. “If scientists can’t trust published papers, the whole process breaks down.’’
  • A Wisconsin lawyer bought a farm from his own client in a bankruptcy matter, a classic conflict of interest. The lawyer’s defense was amusing: since his license had been suspended, he no longer had a fiduciary duty to his now former client. The court canceled the sale. The story is on the Legal Profession Blog.

Unethical or Dumb? Three Scenarios From The News

/ Jack Marshall / 5 Comments

Many actions that appear to be unethical at first glance are really just thoughtless, careless decisions by people who should know better. It is only when knowing better is an obligation of their jobs or positions that a foolish mistake becomes unethical, or when it involves willful disregard for basic ethical principles.

Here are three scenarios from the news. Your choices: Dumb, Unethical, or Dumb and Unethical. Continue reading →

Andy’s Unethical Health Care Propaganda

/ Jack Marshall / 6 Comments

I understand the government’s problem when it passes legislation in a fog of lies, misinformation, spin and deceit so think on both sides that nobody even pretends to know what the consequences will be. And it certainly is embarrassing when claim after claim about the legislation made by the House Speaker and President himself is shown to be untrue or mistaken after the fact: “Oops! The law won’t really be budget-neutral!” “Sorry! Many of you won’t be able to keep your health care plans after all!” “Darn! There really isn’t anything in here that will keep costs from rising!”

Gee, maybe they should have read the thing before voting for it.

Be that as it may, it does not justify the Obama Administration paying $700,000 in taxpayer funds to run TV ads showing avuncular old Andy Griffith, of Mayberry fame (Pssst! Andy used to specialize in playing con-men and scam artists before he and Don Knotts teamed up), telling seniors how peachy the new system will be. Continue reading →

Gallup Poll: Trust in Freefall

/ Jack Marshall / 3 Comments

The Gallup poll has released its survey of the public’s trust in various institutions, and also shows whether the public’s trust has increased and decreased over the past year. No surprises: virtually every institution has lost public trust, with only the medical system and big business (which hit a historic low in 2009) improving more than a percentage point.

The bottom of the barrel? Why Congress, naturally. You had to ask?

And the biggest drop in trust since last year, by far, goes to the institution of the Presidency, down 15%. No other institution declined half as much.

For a system of government uniquely dependent on mutual trust, this poll is more than bad news. It is a warning. Continue reading →

Ethics and the Killer’s Liver

/ Jack Marshall / 6 Comments

Johnny Concepcion, a 42-year-old man accused of stabbing his wife to death,  received a liver transplant at New York-Presbyterian/Columbia University Medical Center in New York, raising the natural question, “WHAT?!!”

Or to be more precise: Wouldn’t it be more ethical to withhold a life-saving liver transplant from such a man, and give the liver instead to someone who isn’t a blight on society and likely to spend the rest of his life in prison?

No.

Continue reading →

Doctors and the Deadly Anti-Snitch Reflex

/ Jack Marshall / 4 Comments

Everybody, or almost everybody, hates to report friends and colleagues for misconduct. This is the anti-snitch reflex, a strongly programmed response from childhood. Telling authorities about the misconduct of others sets off internal alarms that have been installed by parents and peer groups, ensuring that we feel terrible if we “tattletale.” This is betrayal, a violation of loyalty, and most of all, a breach of the Golden Rule: we’d never want anyone to snitch on us.

For professionals, however, this reflex is false, mistaken and even deadly. The duty to report dishonest public employees, crooked cops, unethical lawyers, conflicted accountants, self-dealing business executives, fraudulent researchers and others in the workplace—even if they are colleagues and friends—trumps childhood codes, personal loyalty and general discomfort. There is nothing noble or admirable about allowing innocent people to entrust their life and livelihood with untrustworthy professionals. Nevertheless, a disturbing large proportion of all professionals can’t bring themselves to do the right thing when it comes to the core ethical duty of stopping workplace dishonesty, incompetence or corruption when it involves a colleague.

A recent survey of doctors is not comforting, but it confirms the problem. Continue reading →