Health and Medicine

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 →

Obama’s Unethical Gift to the Trial Lawyers

/ Jack Marshall / 10 Comments

After January 1, 2011, when you begin to process all the new taxes coming your way and all the deductions you can no longer take, think about this:

The nation’s largest trial lawyer trade group, the American Association for Justice, has announced it was informed by Obama Administration officials that the U.S. Department of Treasury will give its members (and all tort lawyers) a tax break on contingency fee lawsuits. The new provision is expected to mirror proposed legislation by Sen. Arlen Specter, himself a lawyer, that was previously rejected by Congress last year. That bill would have allowed attorneys to deduct up-front costs in contingency fee lawsuits. Continue reading →

The Center for Science in the Public Interest=Self-Righteous Bullies of the Month

/ Jack Marshall / 3 Comments

We will begin with a proposition: “Toys do not make children fat.”  Certainly eating too much makes children fat.  Eating exclusively high-caloric foods makes children fat. Failing to exercise and sitting around playing video games all day can make children fat. Over-indulgent or unassertive parents, who allow their children to develop and continue bad eating and exercise habits, can help children get fat. But toys will not make children fat. Even if the kids eat the toys, they won’t get fat.

Nonetheless, the Center for Science in the Public Interest is threatening to sue MacDonald’s if it doesn’t stop putting little toys in its “Happy Meals.” The “You’re Going To Eat Tofu and Like It!” consumer group has sent a letter to the fast-food company, long a convenient villain for those who want to control our basic right to eat what we want to, giving them due notice that either they take those “Shrek” promotional toys out of the “Happy Meals,” or  it’s “see you in court.” Continue reading →

Nursing Strike Ethics and the Coolidge Principle

/ Jack Marshall / 5 Comments

“There is no right to strike against the public safety by anybody, anywhere, any time.”

Long before he was famous for his abrupt and verbally stingy one-liners, Calvin Coolidge’s best known quote was this one, and we forget it at our peril. The line probably made him President: its context was the Boston police force strike of 1919. Coolidge, then Governor of Massachusetts, sided against the strikers, who despite legitimate demands for better pay and working conditions, lost their jobs. The next generation of Boston police officers, mostly hired from the ranks of veterans of World War I, got the benefits the strikers sought.

Coolidge’s sentiment is still valid, though unpopular, as ever, with organized labor and public servant unions. It was the philosophical and historical basis for President Ronald Reagan’s firing of the striking air traffic controllers during his first term, despite stong public sympathy for their stand. Like the Boston Police in 1919, they also lost their jobs for ever.

12,000 nurses in Minnesota Nurses Association are eligible to vote today on a potential indefinite strike. Continue reading →

Credential Deceit From Rand Paul

/ Jack Marshall / 3 Comments

Rand Paul’s resume dishonesty is not in the same league with Richard Blumenthal claiming Vietnam service that wasn’t. It is closer in unethical heft to Illinois Republican Senate candidate Mark Kirk’s representation of a group military award as in individual one on his resume. Still, if candidates for national office show a penchant for dishonesty and deceit before they are elected, what can we expect later, when they have the keys to the candy store and genuine power? Continue reading →

Armstrong, Bonds, Steroids, and Bias

/ Jack Marshall / 7 Comments

Barry Bonds was forcibly retired from baseball despite general agreement that he could still hit a ball better than most active players. No team would hire him, because he had become the symbol of baseball’s steroid and performance-enhancing drugs scandal that casts a permanent shadow over the game’s image, statistics, integrity, and current stars. Bonds never has admitted to using P.E.D.’s, but the evidence that his remarkable late-career success was illicitly aided by banned substances is overwhelming, and indeed was overwhelming while he was playing. [I have written about the fairness of judging Bonds a cheater and the tortured rationalizations employed by his defenders here, here, and here.] At the same time, another individual who dominates his sport, cyclist Lance Armstrong, has managed to convince most of the media and his adoring public that accusations that he used steroids are false, even though the circumstantial evidence against him rivals what has condemned Bonds. This has always had the stench of a double standard; now, in the wake of new allegations by a former team mate, the only excuses for not giving Armstrong the Bonds treatment are unethical ones. Continue reading →