Ethics Filips, 4/30/21: Incompetence Amuck [Expanded]

1. CVS, our oasis of responsible health care...This really happened to me. At my local CVS this morning, waiting in line for the pharmacy, everything broke down when the trainee clerk couldn’t locate the prescription of the woman in front of me, who said she had received a call telling her to pick it up. The clerk and the supervisor insisted that they had no such prescription, and the supervisor even printed out a sheet showing her last five pick-ups. “Uh, that one on the top—the one with a red circle around it? That’s what I’m here to pick up,” she said, with less venom than I would have used. This completely confused the staffers, who caucused, and asked her to verify various dates. “Why don’t just look in the bin labeled “O” (her surname initial) and see if it’s there?” the woman suggested. They did, and sure enough, there were her pills. I started giggling, and she looked at me and said, soto voce, “Isn’t this scary?”

Then it was my turn. While waiting out this drama, I had noticed three printed signs reading that “The Coronavirus Vaccine is not currently available at any CVS locations. Check cvs.com for updates.” I asked to speak to the pharmacist, and told her that the signs were wrong: my sister and other people I know had been vaccinated at CVSs, and months ago. “Yes, but this CVS doesn’t have the vaccines,” she said. “But that’s not what the signs on your area say,” I pointed out. “They say that NO CVS locations have the vaccine. That is demonstrably untrue, and I would expect CVS staff to know that.”

“Oh,” she shrugged. “Well, it’s easy to change the signs…”

2. Yesterday I saw…

  • An 8 year-old boy, running in a field, completely alone, wearing a mask.
  • A man leaving his home maskless, then putting a mask on as he got into his car.
  • A teacher (we live next to an elementary school) outside with her class. She wore a mask, and so did half of the children.
  • A woman walking her dog on a windy day in Virginia. She had a mask. (The dog did not. Dogs are smart…)

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Ethics Quiz: Race-Based Vaccines

It’s hard to believe that officials in Hamilton, Ontario, one of Canada largest cities, didn’t hear the faint clanging of ethics alarms when they came up with this policy.

The CBC reported that public health officials pressured the agency to “prioritize racialized, disabled and low-income residents.” I think “racialized” is a cool euphemism, don’t you? How does one get “racialized”?

75% of Hamilton’s population is white, but non-white communities have accounted for nearly half of all pandemic cases in the city.

Your Ethics Alarms Ethics Quiz of the Day:

Is Hamilton’s policy ethical?

I’m amazed no city has tried this in the U.S.

Sunday Morning Ethics Warm-Up, 4/25/21: “Genocide,” Crisis” And “Honeymoon”

John-Tenniel-Humpty-Dumpty

The good news is that I’m back at the keyboard, though at a ridiculous hour. The bad news is that I’m here because I’m out of pain-killers, and my mouth is killing me. [UPDATE: I started this post at 3 am, couldn’t continue, and now it’s after noon. I’m clearly a weenie. I’m pretty sure my father endured worse pain than I am dealing with all through his life and repeatedly after his foot got blown up in the war, and he never complained once…]

Yesterday marks a great moment in ethics, and my plan was to mention it on time. On that date, April 24 in 1863, Francis Lieber, a Prussian immigrant whose three sons served in the Civil War, created what became General Orders No. 100. Reflecting his many writings on the topic, it was a code of conduct for Federal soldiers and officers when dealing with Confederate prisoners and civilians. The code was subsequently borrowed or adapted by many European nations, including influencing the Geneva Convention. Unique when it was written, Lieber’s code was the product of a committee of four generals and Lieber, who were tasked by Union General Halleck to draft rules of ethical combat. The the 157 articles established regulations and standards for the treatment of prisoners, exchanges, flags of truce, and much more. The document was written almost entirely by Lieber, and there was nothing like it.

1. President Biden does the ethical thing that President after President didn’t have the guts to do…He finally authorized referring to the Ottoman Empire’s Armenian genocide as “genocide.”

Good. Any President since 1916 (that’s Woodrow Wilson through Trump) could have made official the historical reality, but keeping our Turkish allies happy by enabling their long denial was deemed more pragmatic. Of course what the Ottoman Empire did to its Armenians was genocide. An estimated 800,000 to 1.2 million Armenian men, women, children, elderly and ill Armenians were marched to the Syrian desert in 1915 and 1916, with many thousands killed on the way. There they were placed in concentration camps. After another wave of massacres in 1916, only 200,000 of those deported survived. Many of these were forcibly converted to Islam and integrated into Muslim households. Still more massacres and ethnic cleansings of Armenian survivors were carried out by the Turkish nationalist movement after World War I. Naturally, the Armenians’ property was confiscated in the process. The genocide reduced the Armenian population of the Ottoman Empire by an estimated 90%

2. And yet, ironically, the same administration refuses to use the word “crisis” to describe the current illegal immigration mess at the Mexican border, a crisis entirely created by Biden’s implicit invitation to aliens to break our laws and eventually benefit from doing so. Thus Politico, part of the Left’s propaganda and disinformation apparatus, sent out a memo to staff telling them not to use the term “crisis,” and to “avoid referring to the present situation as a crisis, although we may quote others using that language while providing context. While the sharp increase in the arrival of unaccompanied minors is a problem for border officials, a political challenge for the Biden administration and a dire situation for many migrants who make the journey, it does not fit the dictionary definition of a crisis. If using the word ‘crisis,’ we need to ask of what and to whom.”

The situation indeed fits the dictionary definition of “crisis.” Politico also doesn’t seem to be troubled at all that it and every other news source referred to a similar but far less massive wave of children showing up at the border when Trump was President as a “crisis.”

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Ethics Dunce: Tucker Carlson

Fox News host Tucker Carlson reacted to the week’s news about the pause on the Johnson & Johnson Wuhan virus vaccine to suggest to his viewers that the  government may know that they don’t work but are purposely “not telling you that.” During a general rant about vaccines, Fauci and related matters, Carlson concluded,

“Experts say it is not entirely clear when it will be considered okay for people who are fully vaccinated to stop wearing masks.At some point, no one is asking this but everyone should be, what is this about? If vaccines work, why are vaccinated people still banned from living normal lives? Honestly, what’s the answer to that, it doesn’t make any sense at all! If the vaccine is effective, there’s no reason for people who’ve received a vaccine to wear masks or avoid physical contact. So maybe it doesn’t work and they’re simply not telling you that. Well, you’d hate to think that especially if you’ve gotten two shots but what’s the other potential explanation? We can’t think of one.”

Tucker’s not thinking very hard. 1) The vaccines are not 100% effective. 2) New strains may not be prevented by the current vaccines. 3) If doctors could have their way, everyone would wear masks all the time anyway, because doctors don’t care about smiles, faces, and social health. The masks have essentially prevented the seasonal flu this year, so doctors think they are wonderful. “What’s the downside?,” they think. Doctors don’t think masks making life suck is a downside, you see. This is why the government should never put public policy in the hands of doctors.

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The New Fascists Among Us, Part II: The American Medical Association

The tweet above is the smoking gun that proves the attitude toward freedom of thought, opinion and expression in the American Medical Association, a group that most Americans believe is dedicated to the area of expertise of its members: health and medicine. The tell-tale words of the fascist are right there: “harmful podcast and tweet,” because words that challenge the required orthodoxy must not be allowed, and “We are taking steps to ensure this doesn’t happen again,” meaning intimidation, punishment, indoctrination, and censorship. These are the tools of those who fear free speech, and who demand compliance with mandated beliefs.

Once the damning tweet was exposed by, among others, Campus Reform, the American Medical Association took it down. There is no reason to do this unless the group realizes that it reveals too much. This tweet, however remains:

That tweet exposes the AMA for what it is: a political ally of an ambitious rights-repressive regime, and an organization that is abusing its perceived authority and the public trust. As with a similar recent proclamation by the CDC, firearms and the Second Amendment are not the proper concern of the AMA. Using the power of a collective professional organization to lobby publicly or privately for restrictions on American rights unrelated to medicine is an abuse of power and a misrepresentation. (The American Bar Association, and many, many others, engage in the same insidious mission creep. It is why I refuse to belong to the ABA.)

In past posts on this topic, I have noted that if my doctor started questioning me about whether there is a firearm in my home (there is), I would a) end the discussion, b) leave the office and c) find a new doctor, just as I would if he quizzed me about how fast I drove or what kind of dog I owned. Physicians are authoritarian by nature, and I suppose it is to be expected that they would gravitate toward totalitarian government and its methods. Expected, I say, but not tolerated or excused, at least by me.

Nobody else should tolerate or excuse it either.

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Sunday Ethics Peeps, 3/28/21: “Hey, Everybody! Free Gym Memberships!”

Peeps

1. Speaking of useless awards shows: Here are the winners of the NAACP Image Awards, presented by Black Entertainment Television, which raises questions all by itself. Now someone explain to me how such awards are helpful, productive, and justified in the United States of America in 2021. As hard as I try, I cannot think of any words but hypocrisy, apartheid, and double standards.

I’d really appreciate an argument from an African-American reader.

2. An ethical firing at USA Today. After Ahmad Al Aliwi Alissa shot up a supermarket in Boulder, Hemal Jehaveri, who held the Orwellian post of “Race and Inclusion Editor,” proved her qualifications by tweeting “It’s always an angry white man, always.” This did not go over well, for several reasons.

Race tweet

First, “it” isn’t “always” a white man. Second, this particular shooting appears to be based on religious and ethnic hate, not race. Third, for a “race and inclusion” editor to announce racial bias of her own on social media would seem to be immediately disqualifying. Fourth, as a journalist, she needs to be trusted, and not tweet out false information on a whim.

Fifth, she’s a biased idiot.

She was fired. Good. Now she’s claiming that her firing was race-based:

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Morning Ethics Warm-Up I Expected Not To Get Posted In The Morning, 3/26/2021: “Ouch!” Edition

Dentist

Therein lies a tale

I arrived at the appointed time for my triple tooth extraction to be told that I would be required to pay the entire cost of my surgery on the spot, and the amount was a cool $4000. This, despite the fact that I had been told (by the doctor) that I could wait before deciding on the various treatment options, and having not received clear (to me, at least) information that the office took no general medical coverage at all, just dental insurance, and my dental insurance was not among the blessed. (Raising the related issue of why my dentist would refer me to an oral surgeon who did not accept the insurance that the dentist did, without alerting me in advance. “We tried to call you,” the snotty desk staff said. Really? I had no messages on my home or office lines. “We only call our patients on their cell phones,” I was told. Then why do you ask for the other numbers? If you have essential information to convey, and you can’t reach a patient by cell, why wouldn’t you try the other contact options? Where on the form does it say that the only number you will use is the cell phone? I only included the cell number because it was asked for: I use cell phones when traveling, period, and during the lockdown it is usually uncharged. If I am going to be expected to hand over 4 grand on the spot, I need to be told, and the information I provided gave an easy means to tell me. What I suspect is that the 20-somethings behind the desk, living on their smart phones themselves, would never dream that anyone wouldn’t do the same. It wasn’t a policy, it was an unwarranted and incompetent assumption.

I informed the staff that its conduct was unethical and unprofessional, and that its attitude was arrogant and obnoxious. Then I walked out. I don’t care if the next oral surgeon costs as much or more: I don’t trust people who treat me like this. Screw ’em.

1. It’s a banner day in the history of “the ends justifies the means” medical ethics! On this date in 1953, American medical researcher Dr. Jonas Salk announced on national radio that he had successfully tested a vaccine against poliomyelitis, the virus that causes polio. Salk had conducted the first human trials of his vaccine on former polio patients, on himself, and his family. The general consensus among ethicists is that self-experimentation is ethical: as one scholarly paper put it, “Organizational uncertainty over the ethical and regulatory status of self-experimentation, and resulting fear of consequences is unjustified and may be blocking a route to human experiments that practicing scientists widely consider appropriate, and which historical precedent has shown is valuable.” But using one’s family as guinea pigs? Unethical, absolutely. The researcher, in this case Salk, has undue influence over such subjects, and consent cannot be said to be voluntary.

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Ethics Dunce: Plastic Surgeon Dr. Costanza, I Mean Scott Green

Dr. Scott Green, a plastic surgeon, tried to appear before a judge during a remote video-conferenced traffic trial last week from his operating room, while he was working on a patient. This was not a reality show stunt: Green really attempted to do this. Saved time, you know. Busy, busy, busy. Sacramento Superior Court Commissioner Gary Link, presiding over a virtual courtroom at the Carol Miller Justice Center, couldn’t believe what he was seeing: a defendant in surgical scrubs, with his patient just out of view.

“Hello, Mr. Green? Are you available for trial?” asked a courtroom clerk. “It kind of looks like you’re in an operating room right now?” “I am, sir,” Green replied. “Yes, I’m in an operating room right now. I’m available for trial. Go right ahead.” The doctor had his head down, talking as he replaced a nose, pumped up some breasts, or something. Link was dumbstruck.

“So unless I’m mistaken, I’m seeing a defendant that’s in the middle of an operating room appearing to be actively engaged in providing services to a patient. Is that correct, Mr. Green? Or should I say Dr. Green?” Link asked. The video is on YouTube, and one can hear the sounds of medical devices at work, pumping and beeping.

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Ethics Quiz: Positive Devlopment Or Slippery Slope?

This ad will run on the NBC Golden Globes Award broadcast:

A similar commercial had previously been rejected by ABC.

Cowabunga! Your Ethics Alarms Ethics Quiz of the Day:.

Is presenting this commercial on a prime time broadcast network a positive development for society?

Or, in the alternative, is it feminist grandstanding by NBC? Will it inevitably lead to graphic male enhancement ads?  If women can be topless in this commercial, on what basis will anyone be able to argue that breast-bearing shouldn’t be routine in entertainment programming?

Midnight Ethics Terrors, 2/17/21: Trump Attacks! Fake Law! Fake News! Fake Science!

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Okay, I started this at midnight, then got the night terrors, and waited until (almost) daylight to finish…

1. Who didn’t see this coming? Yesterday, Donald Trump unloaded with both metaphorical barrels on Mich McConnell as no President, former or otherwise, has ever attacked his party’s Senate leader before. McConnell asked for it, got it, and deserved it. His post impeachment trial acquittal was a foolish attempt to turn the President’s vindication into a defeat, and a pretty transparent example of the “now that the guy who was never one of us is out of power, we can strike at him with impunity” syndrome. Is McConnell really that deluded and incompetent? He must be. He apparently doesn’t understand the cognitive dissonance scale. Amazing. See, Mitch, nobody really likes you. You have the charisma of a scrub brush. As controversial as Trump is, he’s so much higher than you on the scale…

Cognitive Dissonance

… that attacking him just drags you lower still. Don’t you get that? Now Trump has double the effect. Some prime excerpts:

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