Health and Medicine

Oh, This Will Be Fun! How Ignorant And Misleading Was David Frum’s Vicious Attack On President Trump’s Physical Condition? [PART I]

/ Jack Marshall / 12 Comments

Answer: Spectacularly ignorant and misleading.

As you know, I love fake history about the Presidents, a specialty on CNN. Add to this the feature that Atlantic contributor and former Bush speechwriter David Frum–he’s also a prominent NeverTrumper, as are virtually all former members of the Bush camp—had his gratuitous ad hominem attack outburst on CNN’s “Reliable Sources,” fake media ethicist Brain Stelter’s reliably unreliable bias-fest, and debunking Frum’s blather is  like Christmas morning for me.

Let’s get to it, shall we?

Here’s what Frum said:

“One of the ideas that Donald Trump tried to spread in 2016 is that Hillary Clinton was somehow physically incapable of managing the presidency. It’s audacious, Donald Trump was the oldest presidents ever, one of the fattest presidents ever, the least physically capable president since Franklin Delano Roosevelt was in a wheelchair…He can’t pick up a ball, never mind throw it. But he was able to put in the minds of tens of millions of people the idea that Hillary Clinton, who is a very vigorous woman in good health, was somehow too sick to be president.”

First up, Frum’s mischaracterization of Hillary’s health issues. She had episodes of uncontrolled coughing fits throughout the 2016 campaign, and actually collapsed during a 9/11 event in New York while suffering a bout of pneumonia. Then she lied about it, until video made it necessary to admit she was ill. When a candidate tries to cover up the truth about her health, her health becomes a legitimate issue. This would be true no matter who the candidate was.

Another easy one is Frum’s absurd remarks about how Trump can’t pick up or throw a ball, wherever that came from. This is the kind of statement that would be defamatory if it wasn’t about the President—I’m up on my defamation law after having to defend myself against a defamation suit for the past two years. That’s the kind of inherently slanderous  allegation that suggests unrevealed sources or evidence that the listener has no access to, when in fact such evidence doesn’t exist, because the claim is malicious and false. The President is constantly criticized for playing golf—and he cheats at it, according to Mike Bloomberg’s billboards—but he can’t pick up a ball? What proof does Frum have that Trump, who played baseball as a young man, can’t throw a ball now? Frum made all that up.

Now comes my favorite part, Frum’s claims about where Trump fits in the spectrum of Presidential health. As a starting point, all that matters is that a President is healthy enough and able enough to do his job, and by the evidence of the results so far, that’s not a problem. The health of other Presidents have been a problem for them in discharging their duties, as we shall see.

The oft-stated point that Trump was the oldest President at the time of his election is true, but misleading. He was 70 when he was elected, but the significance of age is relative, as well as what constitutes “old” in our society. The average life expectancy of a white male in the US today (and in 2016) is just under 80; if you make it to 70, your life expectancy jumps into the mid-80s. Many Presidents before Trump were well over the nation’s life expectancy for their demographic group when they were elected, including all of the 19th century Presidents, who were relatively “older” than Trump.

In fact, it wasn’t until 1920, when Warren G. Harding was elected, that a President wasn’t over the average mortality age, and Harding was right at it: 54. He also died in office, three years later. Herbert Hoover became the first US President to be elected at a younger age than the average age of death for white males,  in 1928. After that, no American President has been elected after he reached the average morality age.

Is Trump one of the fattest Presidents? No doubt about it, but he’s also in a group of hefty Presidents who were all about the  same degree of obese. Here is a chart of the fattest Presidents as measured by their body mass index, which admittedly is a blunt instrument, not distinguishing between muscle mass and fat:

So it is fair to say that Trump is in the top 25% of overweight Presidents, and who cares? Of the porky POTUSes on the list, only Zachary Taylor wasn’t able to complete his term, and there is no evidence that his weight had anything to do with his demise.  Among the Presidents ahead of Trump on the fat list is Theodore Roosevelt, who nobody ever dared call “fat” when he was running amuck across the political landscape, not while he was climbing mountains and seemingly in perpetual motion.  In short, that part of Frum’s rant is pure cheap shot.

I’ll debunk the best part of Frum’s garbage in Part 2.

Who Killed “Judith’s” Baby?

/ Jack Marshall / 30 Comments

This is a terrible and tragic story, but I don’t want to focus on that. I want to focus on accountability.

NBC tells the true story (I assume it is true, exactly why, I don’t know, since this is NBC. It’s not related to politics, I guess.) of “Judith” who  worked at a flower shop. On her long daily drive to work and back, she listened to podcasts, and when she got pregnant, she listened  to “The Birth Hour” and “Indie Birth,” podcasts about childbirth stories, which ranged from hospital to home births.The “Free Birth Podcast” excited her particularly.

The podcaster is Emilee Saldaya,  a Los Angeles freebirth advocate and founder of the Free Birth Society that has 46,000 followers on Instagram. The podcast promotes the experiences of women who give birh without assistance, in  bathtubs, fields, or in their own beds, surrounded by their partners loved ones. Doctors were not welcome.

Judith listened to around 70 episodes, some multiple times. A particular favorite was an interview with a woman who had given birth by candlelight in a yurt in the California mountains with only her husband and her dog she called her a “midwolf.”

I’m having a flashback to 1967.

The podcasts began with advertisements for the Free Birth Society’s online courses and private consultations; this is often the tell-tale sign of a cult.  Judith dutifully paid $299 for the group’s 10-module video guide on how to freebirth babies at home. None of the “experts” and “consultants” the group sponsored have medical credentials or experience; that’s the point. Judith didn’t like doctors, so she was a vulnerable target for the group’s message, which emphasized that hospitals were scary places, and hospital births were full of trauma for mother and child.

NBC reports that distrust of the medical profession regarding childbirth is on the rise. A  survey conducted by the National Partnership for Women & Families claims that while in 2002, 45 percent of mothers surveyed agreed that “giving birth is a natural process that should not be interfered with unless absolutely medically necessary, the number had increased to 74% by 2018.

Could this possibly be accurate? When did giving birth by squatting and biting on a stick  become cool again?

When she got past to her due date and Judith’s pregnancy approached its tenth month, she relied on the Free Birth Society course’s episode on “long pregnancies” for guidance. That podcast  warned against inducing a pregnancy, a process it referred to as “eviction from the womb.” It insisted that the idea that “babies must be born before 42 weeks is nonsense.”

Judith had her amniotic fluid checked at a local hospital, and though there were no causes for alarm, a doctor thee urged her to schedule an induction. She made the appointment,  but canceled it the next day. She sought, NBC says, a second opinion on Facebook.  “43+1 today, politely declining hospital induction. They think I’m crazy,” Judith posted on Ten Month Mamas in January 2019. “I really feel like this baby wants a home birth too but we are definitely being tested. What would you mamas do?” Hundreds of comments supported her desire for a home-based freebirth.

No one told her she should do what the doctor had advised, and there was a reason for that. Several of the groups had rules forbidding members from suggesting that another member resort to a doctor or a midwife.  “Unassisted Pregnancy & Childbirth,” for example, instructed its  4,600 members,

“This means we don’t want to hear about the tests your midwife wants you to take, or how your OB thinks baby is breech or ‘too big’ or whatever other shit they say. Just don’t. This is not the place. No induction discussion. We do not advocate for induction of any kind, as no induction is natural.” 

Egged on by Facebook extremists, Judith told NBC that she became determined resolved to freebirth alone, “no matter what.”

When the day she had decided to freebirth arrived, Judith “walked and danced for hours through contractions and floated in a pool that her husband filled with water.” She listened to music as a friend massaged her back. She took short naps between contractions…everything she had learned from  the podcasts.  But the pain increased and the breaks between contractions shortened. After 10 hours of labor, Judith started vomiting.  The contractions were coming too fast and violently for her  to monitor the baby’s heart rate with the fetal stethoscope she had bought. Her water broke, and there was dark brown in it, fecal matter that would kill the baby if it was inhaled.  Her husband drove her to the hospital, doubled up in pain. Once there,  Judith got the medical assistance she had vowed  to avoid, but too late. Her baby was dead.

Stipulated: This should not have  happened.

Who’s primarily responsible? For this poll, I’m going to allow multiple voting, because I don’t think there is a single answer.

 

Dead Wrong: The Withdrawn Bequest Share

/ Jack Marshall / 5 Comments

That is, the advice columnist’s answer to an easy ethics question last week was dead wrong.  Once again, the advice-giver in question is Philip Galanes, the Times proprietor of Social Q’s, essentially that paper’s version of “Miss Manners.” Galanes, I now see upon googling him, is a novelist and a lawyer. That explains, perhaps, his unfamiliarity with some of the more nuanced aspects of ethics. Here’s the question he received in its entirety:

My brother died last year and bequeathed his entire (small) estate to me. He had one child, a daughter, to whom he left nothing. Feeling sorry for her, I told my niece I would give her half of the estate. (None of this becomes official until April.) But my circumstances have changed dramatically. My husband was recently diagnosed with pancreatic cancer. He is undergoing treatment, but we face a very uncertain financial future. I would now like to keep the entire estate. My niece is doing well financially, with many earning years ahead of her, unlike me. Is there a way to tell her I’ve changed my mind so she won’t hate me forever?

The Social Q’s verdict: “…Say, ‘I’m sorry if your father’s will hurt you. I promised you half of my inheritance out of love for you and hoping to heal any pain the will caused. But my husband is seriously ill, and I can’t afford to give you the money now. If I can make it up to you later, or in my estate, I will do it.’….For readers worrying about a verbal contract here, let’s assume B’s promise falls into one of several exceptions that requires agreements to be in writing….”

Yeccchh.

Here’s the ethical answer: Continue reading →

Ethics Alarms To “The Ethicist”: It’s Called “The Golden Rule”—Why Is That So Hard?

/ Jack Marshall / 21 Comments

I hadn’t checked in for a while on Kwame Anthony Appiah, the N.Y.U philosophy teacher and author who finally brought ethical consistency to the New York Times magazine’s advice column, “The Ethicist.” I was surprised to find him struggling to answer two family related queries that I would have assumed he could and should have answered  easily with three words: “The Golden Rule.”

The first inquirer asked in part,

Recently a mutual acquaintance who knows my friend’s husband well told me that he has been cheating on my friend on and off for years with someone who once worked with him.I know that if I reveal this information, my friend will take their child and leave her husband. Do I sit on this information and pretend the affair isn’t happening, or do I tell her?

Isn’t that an easy call? Of course she should tell her friend. The Golden Rule applies: would she want to be told if the positions were reversed? Sure she would; anyone would. Not telling her would be a betrayal of the worst kind.

Yet Appiah uses 608 words to reach that conclusion. 608! This makes a slam dunk of an ethics decision appear to be a difficult one. Oh, it’s difficult in the sense that the inquirer has to take sides in a crisis affecting a couple she and her husband are close to, and thus the repercussions as well as the process will be unpleasant, but that’s life. One of the Ethics Alarms rules is that if you can fix a problem, fix it. The Ethicist’s rabbinical musings about the decision just supplies a dangerous volume of rationalizations to temp the questioner into keeping the husband’s secret, and abetting the harm. Continue reading →

Sunday Ethics Warm-Up, 2/2/2020: The “Let’s Not Watch The CTE Bowl And Think About Ethics Instead” Edition

/ Jack Marshall / 20 Comments

Good Afternoon!

I almost managed to ignore football completely this season, and I’m proud of it.  There were few rogue kneelers in the NFL this year, and the New England Patriots, my hometown role models for the Houston Astros, finally bit the dust. Meanwhile, there was little new on the CTE front, not any more is needed to prove that cheering young men in the process of destroying their brains for a handful of well-compensated seasons as football heroes is immoral and unethical.  I did recently watch the Netflix documentary, “The Killer Inside,” about Aaron Hernandez, the Patriots star who murdered a friend and perhaps two others. I didn’t know that after his suicide in prison, it was found that Hernandez suffered from CTE, and that  his brain was one of the most damaged scientists have ever seen.  The documentary also says that the New England Patriots coaching staff saw signs that he was deteriorating and becoming unstable, as well as using drugs, and they made no effort to intervene. After all, he was playing well, and the team was winning.

That’s pro football. To hell with it.

1. “The Chop.” I have written about this perpetually silly issue a lot, and recently, but the New York Times, being the Official Paper of the Woke, has felt it necessary to publish three pieces this week on the the so called “Kansas City Chop,” the tomahawk motion used by Kansas City Chiefs fans (The Chiefs are in the Super Bowl, you know) when cheering on their team. The chop is most identified with the Atlanta Braves (How satisfying it was to watch Jane Fonda dutifully chopping along with then husband Ted Turner when the  Braves finally made the world Series in 1991!), but Chiefs fans started copying Braves fans. It is, of course, intended to rally the team, has nothing whatsoever to do with any kind of commentary on Native Americans, those who pretend to be seriously unsettled by what fans of an NFL team do to show their affection for their team are either faking or need psychiatric care. But here’s CNN:
 Continue reading →

Morning Ethics Warm-Up, 1/28/2020: Transcripts! Audacious Defense Lawyers! Canadian Defamation! “Bombshells”! [UPDATED]

/ Jack Marshall / 56 Comments

Good morning…

1. Here’s a typical unbiased New York Times front page headline regarding the impeachment trial (from last week):

“One One Side, Piles of Evidence, On the Other, Heaps of Scorn”

Here’s some more scorn: there is no evidence at all of impeachable offenses on  that pile, and scorn for the President is being treated as evidence.

2. This is astounding. (From johnburger, and thanks) Check out this.

Continue reading →

Comment Of The Day: “Open Forum,” Reality Show Thread

/ Jack Marshall / 9 Comments

When I read  A.M. Golden’s Comment of the Day in yesterday’s Open Forum, I realized how long it has been since I wrote anything about TV reality shows, truly a center of popular culture ethics rot for decades now.  I have been remiss indeed. I had written about many of these monsters in the past, from “Survivor” and “The Apprentice,” to “The Bachelor” and the fat-to-fit shows, and the even more horrible “let’s watch these miserable D-list celebrities debase themselves on camera so we can feel superior” shows starring attention addicts like Anna Nicole Smith, Scott Baio, the Kardashians and Danny Bonaduce. 

I used to write a lot about “American Idol” when Simon Cowell was humiliating deluded contestants who shouldn’t have been allowed to sing in the shower, much less on national television. Criticizing these shows was almost too easy, like shooting celebrity fish in a barrel. I got sick of it, frankly.

A.M. did me a favor by flagging the return of two such shows. As he points out, they really are cruel and exploitative. Reality shows have coarsened our tastes and dulled our ethics alarms. Send them to Hell.

Here is A.M. Golden’s Comment of the Day on two re-booting reality shows. At the end, he asks, “Agree? Disagree?”

I could not agree more.

Two reality shows from the past are re-emerging far too soon with reboots.

The first is “The Biggest Loser”, a weight-loss game show that pushed overweight contestants to the limit with ridiculous and humiliating challenges, caused physical injuries that persist years later and pushed healthy eating on the air while pressuring the players to reduce their intake to unhealthy levels in order to show dramatic weight loss that was presented as being the result of one week’s work when it was often longer.

The reboot promises a more healthy environment. I’m not betting on it. Realistic weight loss is not exciting and boring does not bring in advertising dollars.

Because in any television show, it’s always about the dollars. Continue reading →

Now Don’t Sue Me, SmileDirectClub, Because This Only This Ethicist’s Opinion, But…

/ Jack Marshall / 8 Comments

“Hey! That’s a GREAT Idea! I LOVE it! Sure I’ll accept a refund in exchange for never telling anyone how lousy your product is!”

…no one should trust or do business with a company that engages in this unethical practice. Just an opinion, now.

What SmileDirectClub does, as documented in a New York Times Business Section story, is force customers to sign a non-disclosure (or confidentiality) agreement before they can receive refunds for unsatisfactory products. That way, other customer can’t find out about what the SmileDirectClub  can turn out to be, and in ignorance are more unwitting customers.

Here’s an excerpt from the Times piece: Continue reading →

‘Wait…Pulling A Patient’s Tooth While Hoverboarding? Was That Wrong?’

/ Jack Marshall / 12 Comments

For some reasons, all of the dentist ethics stories I come across are really weird. So is this one.

In Anchorage, Alaska, dentist Seth Lookhart extracted a sedated Veronica Wilhelm’s tooth in July 2016 ….while riding a hoverboard. This was prosecuted as an “unlawful dental act” that “does not conform to minimum professional standards of dentistry.”

Yes, that sounds fair.

I would have said “allegedly,” except that Dr. Lookhart filmed himself while he performed this stunt (which his unconscious patient had not consented to) and texted the video to at least eight people. In the text messages, Lookhart referred to his actions as a “new standard of care.”

Yes, he’s a fun dentist.

He’s also a crooked dentist when he isn’t on his hoverboard. Lockhart was  charged with theft and engaging in a “scheme to defraud” Medicaid,  fraudulently billing at least $1.8 million to Medicaid and stealing over $250,000 from business partners.

Last week he was convicted of all charges. Veronica Wilhelm testified against Lookhart in December, saying, “What you did was outrageous, narcissistic and crazy.” Paul Stockler, the dentist’s attorney, said in court, “I want you to know that as his lawyer, I apologize for what he did on that hoverboard.”

See what I mean? Weird. What a strange ethics alarm to be missing:  “things it’s unethical to do on a hoverboard.”

Oh—-The Alaska Dental Board has suspended Lookhart’s dental license. It would have been weird if it didn’t.

_________________________________

Sources: NBC 1, 2.

Observations (And A Poll!) On The Lizzo-Jillian Michaels Bodyshaming Controversy

/ Jack Marshall / 17 Comments

“The Biggest Loser” trainer Jillian Michaels was being interviewed on the Buzzfeed series “AM to DM” when she opined, “We should always be inclusive, but, you cannot glorify obesity. It’s dangerous. It kills people.”

Well, of course she believes that. She’s a trainer. Her business is fitness, so it would be hypocritical if she said that it didn’t matter if people aren’t fit.

Interviewer Alex Berg , however, cited the  example of African American singer Lizzo, who is unquestionably obese and who flaunts her fat.  Michaels was unimpressed, saying,

“Why are we celebrating her body? Why does it matter? Why aren’t we celebrating her music? ‘Cause it isn’t going to be awesome if she gets diabetes,” Michaels said. “I’m just being honest. I love her music, like my kid loves her music, but there’s never a moment when I’m like, ‘I’m so glad she’s overweight.’ Why do I even care? Why is it my job to care about her weight?”

Berg later tweeted,

What I was going to say here is that Lizzo has been incredibly important in giving so many of us a possibility model for accepting our bodies as we are and celebrating bodies that are normally ridiculed. Had to restrain myself from defending Lizzo’s honor!

Now Michaels is being flamed on social media as a fat-shaming bigot. Oh–and a racist of course, because she is white and Lizzo is black. I’m not even going to address that, as there is no question in my mind that if Berg had mentioned an overweight white singer like Wynonna Judd or Adele, Michaels would have said the same thing.

I will observe, however… Continue reading →