Health and Medicine

Suicide And Ethics

/ Jack Marshall / 56 Comments

Just as we learned about the suicides of two niche celebrities, Celebrity chef Anthony Bourdain and designer Kate Spade, the news media is reporting a massive increase is self-homicide since 1999, over 25%. “Social isolation, lack of mental health treatment, drug and alcohol abuse and gun ownership are among the factors that contribute to suicide,” says the Times. All of that hasn’t increased 25% in less than two decades, however. What has changed?

This:

1. The decline of religion. In Christianity, for example, suicide is a sin, and if you believe in an after-life, a terribly short term solution. People don’t believe in eternal punishment for suicide any more.

2. The end of shame. Suicide was once considered shameful in this culture. For decades, however, suicide advocates have been promoting it not only as a right, but a reasonable option under certain circumstances. Never mind sin: the culture currently teaches that suicide isn’t even wrong.

3. Reinforced narcissism, selfishness, and cowardice. Suicide is a terrible act of aggression against loved ones and associates.  As a member of a family that has suffered through three suicides, I have seen this up close. Suicides leave horrible emotional carnage in their wake. The essence of ethics, which is thinking about the impact of one’s conduct on others, has been gradually eroded in the culture through the dominance and influence of ethics corrupters.

4. Confused and contradictory cultural signals regarding death. Beginning with abortion, through assisted suicide laws in Oregon, our culture is sending strong messages that some people are better off dead. For the unsophisticated, the young and the gullible especially, this new cultural eddy makes suicide far more attractive than it used to be.

5. Celebrity suicides. In a culture that uses performing celebrities as role models, suicide becomes model conduct. Politicians rarely kill themselves, much as we might wish they would.

I don’t see any mystery at all. Suicide rates are increasing because our culture no longer sends the message that suicide is wrong.

“From The Ethics Alarms “Nah, There’s No Mainstream Media Bias!” Files: The Unethical Headline Of The Month

/ Jack Marshall / 7 Comments

Here is the headline in the print version of this New York Times story (which the Times headlines appropriately on-line):

Justice Department Acts Against Protections For People With Pre-existing Conditions

This is as pure an example of journalism deceit and a pernicious variety of fake news as I have encountered. An equivalent headline would be to describe  the ACLU petitioning to overturn a federal ban on “hate speech”  as “ACLU Acts Against Protections for Blacks, Gays and Muslims.”

The individual mandate was always unconstitutional as a penalty, and the Supreme Court was poised to overturn the Affordable Care Act on that basis, until Justice Roberts hit on the brilliant but perverse argument that even though the Obama administration and Democrats had insisted that the device wasn’t a tax in order to get the thing passed, it really was, so it was legal after all. Congress, however, repealed the “tax,” so now that pretense no longer works. The mandate is unconstitutional…again.

I know the Democratic approach to legislation and public policy is increasingly “the ends justify the means” and “the Constitution is just an archaic piece of paper,” but the fact is and has always been that the document is our nation’s (increasingly vulnerable) bulwark against tyranny, and it is the duty of the Justice Department and the courts to oppose unconstitutional, as in “illegal,” measures, even those that appear to solve difficult problems.

If a provision is unconstitutional, it doesn’t matter what benefits it may have. We cannot have a precedent that holds that the Constitution can be ignored for “good reasons.” No reason is good enough. That kind of thinking is how Japanese-Americans ended up in concentration camps under an iconic Democratic President, approved by a liberal Supreme Court.

The individual mandate, without the cover story that it is a tax, violates the Constitution. That’s all we need to know. The ability of insurance companies to cover pre-existing conditions under the ACA becomes impossible without it? Well, we’re just going to have to come up with a solution that isn’t unconstitutional, won’t we?

Deceiving the public into believing that upholding core constitutional principles is excessive and sinister when it blocks otherwise desirable policy initiatives is playing with fire. It makes the public civically ignorant. It places false emphasis on results rather than the rule of law.

It paves the road to totalitarianism.

Saturday Morning Ethics Warm-Up, 6/2/2018: Goodby, Shut Up, My Condolences, WHAT??, And Don’t Say I Didn’t Warn You!

/ Jack Marshall / 10 Comments

Feelin’ groovy!

1.  The Republicans keep robocalling, and the Democrats...keep emailing. I have protested both. However, right now I am really ticked at the Democrats, whose endless lists I have dutifully asked to be deleted from, then been told that my cyber-door would not be darkened by them again, only to have Tom Perez, Nancy Pelosi and Keith Ellison, plus  show up in by in-box the next day. Do they think this direct violation of my privacy along with their own assurances doesn’t reflect on their fitness to govern? If so, they are wrong.

2. Great news! Now you can identify as British for no good reason whatsoever. I love this story: Thomas J Mace-Archer-Mills Esq. and his insight into the British monarchy a regular feature TV  during that royal wedding I missed because of a sock drawer crisis. His website lists  many media appearances, and one article described him as “the most interviewed man” on the subject of the Wonderful Nuptials.

It has now been revealed that Thomas J Mace-Archer-Mills Esq. is really  Tommy Muscatello, a 38-year-old Italian-American who grew up in upstate New York. But he says he  identifies more as  British than American, so there is that.

Now imagine how well anonymous sources are vetted by crack journalists. [Pointer: Curmy)

3. About that “fever”…An esteemed commenter here proclaimed his exit because of Ethics Alarms’ characterization of the so-called (actually “cleverly-called” is appropriate) “Spygate” scandal (here and here), saying that he would be gone until “the fever” had passed as if questioning the integrity of the Justice Department’s Trump investigation/ “resistance” assistance is obviously a partisan delusion. I almost made that post a Comment of the Day, except that I concluded that denial shouldn’t be mocked. It is, after all, the first of the seven stages of grief, and apparently one which Democrats and progressives are stuck in, while others have progressed at least as far as anger (Stage #3), culminating in episodes like a female comic calling the President’s daughter a “cunt” on television to reactions like this.

Anger, however, only makes one seem overcome with emotion. Denial makes us look blind and gullible. I do not understand the Left suddenly trusting the FBI (Hoover? Felt?) and the Justice Department as if they have always been paragons of virtue. This is pure denial, or, if you prefer, ignorance. If anything, there should be a presumption of politicization in the Justice Department, particularly the Obama version and particularly in light of the post-election conduct of its holdovers like McCabe, Comey and Yates. The FBI, meanwhile, is permanently scarred by Comey’s self-celebration tour, his book, his botching of the Clinton investigation, his dubious testimony before Congress, and his probably illegal leaks of classified information specifically to cause problems for President Trump.

A beloved relative, also in denial, actually tried to tell me last week that the astoundingly suspiciously-timed tarmac meeting between Loretta Lynch and Bill Clinton shouldn’t have raised any alarms. She’s a lawyer. She’s brilliant. She’s sincere. She’s also in denial, Stage 5. That was such a perfect example of the appearance of impropriety that a photo of it should be on Wikipedia under “appearance of impropriety.”) When the leaders of the FBI do things like that in the middle of a Presidential campaign, how can someone of good faith and full cranium argue that it’s irrational to question the act of the same people placing a mole in the Republican candidate’s campaign?   This is the pot calling the Corningware black.

Those in denial have their perceptions warped by their own fever, one that causes them to assume, absent any evidence whatsoever, that President Trump must have been working to steal the election. (They also assume he is guilty of other impeachable crimes, they just don’t know which ones.) Hillary lost, you see, and the polls said it was impossible, so he must have cheated. It can’t be that Trump won because he was running against an epically terrible candidate smugly presenting herself as the “third term” of a spectacularly inept and divisive President. It just can’t. Continue reading →

Ethics Observations On The Roseanne Tweet Fiasco

/ Jack Marshall / 33 Comments

1.  It is possible, after all, to revile Roseanne Barr’s gratuitously vicious “joke” about Valerie Jarrett, and to question the extended reaction to it. I feel especially emboldened, perhaps because you couldn’t have forced me to watch that show or anything associated with Barr had you been credibly threatening to blow up Fenway Park unless I tuned in. One of the ways the enemies of free discourse and thought further their agenda is by setting up these dilemmas, where to even suggest that a genuine miscreant’s punishment has exceeded reasonable bounds is to risk shunning and other serious cultural consequences—it’s the Cognitive Dissonance Scale again. “See, then we make them defend someone who would tweet something like that, and we’ve got em! Then they look like racists too! Bwahahahahaha!”

2. No, I don’t think ABC and Disney were looking for an excuse to cancel “Roseanne” 2 because it was perceived as pro-Trump. The show was making money, and corporations place money above politics. However, there is no doubt that a conservative show has less margin for error in today’s biased media environment. It was up to Roseanne to understand that and moderate her conduct accordingly. This recent post is relevant.

3. I was not aware, until ethics alarms reader  Sue Denim pointed it out here, that Barr may have physiological reasons for her lifetime addiction to ugly humor: Continue reading →

From The Ethics Alarms “I Don’t Understand This Story At ALL” Files, Georgia’s Dancing Doctor Fick

/ Jack Marshall / 19 Comments

YouTube is stuffed with videos like the one above, posted by Dr. Fick, aka Dr. Windell Boutte, a Georgia dermatologist who poses as a plastic surgeon and who has rafts of malpractice suits pending against her. Though she claims otherwise on her website, she is a board-certified dermatologist, but not certified as a plastic surgeon or general surgeon.

However, in the Peach Tree State, every licensed physician is allowed  to perform operations, even if they are not a board-certified. They are not supposed to be dancing while they do, however. Well, this is implicit. Apparently it isn’t made clear enough, at least for this doctor. Boutte posts videos of herself dancing during surgery, like the one above. There are many more.

Thus she is a fick, the first medical variety I have encountered. A fick is someone who is openly, shamelessly, even gleefully unethical. The fact that this hyper-narcissist films herself doing choreography and mugging for the camera while the only thing on her mind should be her patient’s care demonstrates that she is wildly unethical, reckless, irresponsible and unprofessional, and this would be the case if her record for safety was squeaky clean. It isn’t. At least seven malpractice lawsuits against Boutte include claims that she used unqualified staff during procedures that left former patients disfigured. Two additional lawsuit settlements are listed on the state licensing website. And then there is the dancing around unconscious, exposed, patients while performing renditions of popular songs, such as “Bad and Boujee,” “Building up Fat in the Booty” and “Gut Don’t Live Here Anymore, while her staff act like the back-up singers.

(I can’t believe I’m writing this.) Continue reading →

Saturday Morning Ethics Warm-Up, 5/19/2018: Thinking About Things That Matter While Ignoring The Royal Wedding Hype Edition

/ Jack Marshall / 18 Comments

I can’t say it’s a good morning..

…since it’s been raining for three days already, with no end in sight..

1. I wonder how long before he’s fired? Instead of renewing his earlier call to repeal the Second Amendment, resurgent lone conservative New York Times op-ed columnist Bret Stephens spoke truth to abused power by condemning the news media in today’s column. He writes in part,

When Donald Trump takes his swipes at the “disgusting and corrupt media” and tens of millions of Americans agree, it’s not as if they don’t have examples in mind. Consider this week’s implication by major news organizations that the president described all illegal immigrants as “animals” during a White House roundtable with California officials. That would indeed be a wretched thing for him to say — had he said it. He did not. The Associated Press admitted as much when it deleted a tweet about the remark, noting “it wasn’t made clear that he was speaking after a comment about gang members.” Specifically, he was speaking after a comment about members of the Salvadoran MS-13 gang, infamous for its ultraviolent methods and quasi-satanic rituals. To call MS-13 “animals” is wrong only because it is unfair to animals….We have a president adept at goading his opponents into unwittingly doing his bidding. They did so again this week. Those who despise him for his deceits should endeavor to give no impression of being deceitful in turn.

Bingo.

2. Briefly noted…Today’s Times editorial is a graphic about how “Congress has dithered as the innocent get shot,” despite the fact that no “sensible gun control measures” would have prevented yesterday’s shooting in Texas…just gun confiscation, if that were possible, which it isn’t. Two letters in the letters section make the same contradictory, yet probably sincere, point. “Another day with the reality that sane gun control is a national emergency.” Continue reading →

Blue Monday Ethics Warm-Up, 5/7/2018: Fake Brain Death, Horrible History, Bad Bills And Worse Journalism

/ Jack Marshall / 25 Comments

It’s Monday!

1  In thousands of little ways...Insidious, biased, deceitful, distorted and unfair information is fed to the public by the news media, unflagged or corrected by editors, presented as legitimate punditry and journalism either intentionally to warp public opinion for leftward political gain, or out of pure incompetence, depending on how much one accepts Hanlon’s Razor. The little ones, like the tiny repetitive concussions that over time give NFL players brain disease, may be more insidious than the whoppers.

Here is a typical example. Progressive op-ed writer David Leonhardt concludes his column about how Amazon is a dastardly monopoly endangering his beloved book stores by writing,

“Once the country emerges from the Trump presidency, I hope we will have a government that takes monopolies seriously.”

It takes magnificent gall to lay the power of Amazon at Trump’s doorstep. The internet giant built its virtual monopoly to its current power on Obama’s watch, with a Justice Department that looked the other way. Why? I wonder if it had anything to do with the massive co0ntributions Amazon magnate Jeff Bezos sent the Democrats’ way, or the fact that his newspaper, The Washington Post, was a reliable cheer-leader for Obama through is entire administration. Never mind: Leonhardt’s editors allow him to mislead readers into believing that Amazon is being allowed to do its worst because of Donald Trump.

Oh…did you notice the conflict of interest disclaimer pointing out the Post-Bezos-Amazon connection for those readers who might want to know that the Times’ rival for national newspaper primacy is owned by Amazon’s CEO? Neither did I. Maybe when the Times emerges from its fake news and blatant partisanship stage, it will start taking ethics seriously.

2.  Today’s Fox News incompetence note. I literally stopped on Fox News for 45 seconds this morning, and heard a lovely, buxom, Fox blonde clone report this story by saying, “the boy was brain dead for two months, then woke up.” [The original typo had “bot” instead of boy. A good time was had by all]

No, you idiot. He was not brain dead at all, because when you are brain dead, you’re dead, and you don’t wake up.  Doctors may have thought he was brain dead. He may have seemed to be brain dead. But he wasn’t brain dead.

Fake news, and stupid news.

Fox News.

3. The logic of Hollywood anti-gun zealots in a horror movie. A decent horror move could be made about the San Jose Mystery House, where Winchester rifle heir Sarah Winchester built a maze of rooms and stairways to keep her personal demons at bay. “Winchester” isn’t it, because its mission was to bludgeon audiences for two hours with perhaps the silliest anti-gun message ever devised. You see,  rumors persisted while Sarah was alive that she was building rooms for all the ghosts of victims of her father-in-law Oliver Winchester’s repeating rifle to reside. Thus workmen claimed the site was haunted. “Inspired by real events,” as the film says (the “real events” being the sensational tabloid tales), “Winchester” posits that the ghost of a Confederate soldier whose two brothers were killed in the Civil War has returned to get revenge. Sarah is racked with guilt, because, she says, the Rebel muskets were no match for the North’s repeating rifles, and “they never gave them a chance.”

Yup, those are the rules in war, all right: always give the soldiers trying to kill you a chance. Later, all the angry victims of the evil Winchester come out to glare: Native American, children, suicides, slaves. Continue reading →

Morning Ethics Warm-Up, 5/4/2018: White Artists, Black Artists, Brain Damage And The Mad Midnight Pooper

/ Jack Marshall / 41 Comments

Good Morning!

(On the way to lovely Annapolis, MD to present my Clarence Darrow legal ethics program, along with D.C. actor Paul Morella, the real star of the day and the best Clarence Darrow portrayer alive. Paul starred in my 2000 original one-man show about the iconic lawyer-rogue, and has been performing it for lawyer groups and bar associations ever since.)

1  Déjà vu!  I would write a full post about this, but you can essentially go to all the football head trauma essays, search and replace NFL with NHL, and you’ll pretty much have it. The New York Times reports on a 53 year old ex-pro hockey player whose brain yielded evidence of CTE, and evidence is mounting the the violent sport is doing damage to players similar to what the NFL denied for so long. Right now, the National Hockey League is denying it too:

To the N.H.L. and its commissioner, Gary Bettman, the diagnosis is likely to be the latest piece of evidence to dismiss or combat. Even as links build a chain bridging the sport to C.T.E., the degenerative brain disease associated with repetitive head trauma, and some of the game’s most revered names push the league to take a more open-minded approach, the N.H.L. has denied any connection between long-term brain damage and hits to the head.

The N.F.L. did the same, for many years, until the evidence became too overwhelming, the numbers too much to counter with plausible deniability. Facing a huge class-action lawsuit, the N.F.L. eventually admitted to the connection and agreed to a roughly $1 billion settlement with former players. (That has not kept the sides from continuing to fight over the payouts, amid accusations of fraud and intimidation.) The N.H.L., following the N.F.L.’s strategy of about a decade ago, still contests any role in the burgeoning science of C.T.E., in the courts of law and of public opinion.

What’s going on here? Violent pro sports are popular and profitable, so they will continue maiming players and devastating their families until the public finally refuses to have blood on its hands. It will take a while, and many lives will be destroyed, but in the end, football and hockey are going to have to be responsible, and also held responsible for the carnage their greed has caused.

2. Yeah, I’m being unfair and partisan when I accuse progressives of being hostile to free speech and diversity of views… A hip-hop and R&B radio station in Detroit has announced that it won’t play Kanye West’s music. The alleged justification was the rapper’s dumb remarks about slavery. On “TMZ Live,” West said,

“When you hear about slavery for 400 years. For 400 years? That sounds like a choice. Like, you were there for 400 years and it’s all of you all? You know, it’s like we’re mentally in prison. I like the word prison ’cause slavery goes too — too direct to the idea of blacks.”

That’s pretty stupid for sure, but hardly any more stupid than the kinds of things West has been saying his whole career as his fans cheered him on. He’s welcome to hijack a telethons to say, for example, that President Bush intentionally let blacks die after Katrina, but this goes too far. (Someone please explain to me exactly what he thought he was saying, if you have time.) Continue reading →

Morning Ethics Warm-Up, 5/2/18: Dictators, Wizards, Liars and Abusers [Updated]

/ Jack Marshall / 44 Comments

Good morning!

1 Housekeeping matters. For some reason, I know not what, there was an outbreak of contentious discussion regarding Ethics Alarms administration in a couple of threads yesterday. I think everything covered or complained about is covered in the Comment Policies above, but just for the record:

  • I handle the moderation here. Only me.
  • Though it might appear otherwise to some, I do not spend my day glued to Ethics Alarms. Thus on days like yesterday, when I had an early morning CLE session to teach in D.C., followed by one  law firm client emergency after another, I did not see any comments at all from 1am to 6 pm. Thus the hysterical and indignant “Why did you delete my comment?” outbursts and the “How dare you allow that rude comment to stay on the site?” and the ultimata springing therefrom were especially silly, unfair, and ill-informed.
  • I am not your Moderation Monkey. Don’t command me on how to police my own site. Thank you.
  • As I have written many times, occasionally a comment from an approved participant gets spammed for no good reason. Sometimes WordPress, for no apparent provocation, starts spamming the comments of visitors here who have been commenting for years. Sometimes such commenters have had to change their screen names as a result. None of this has anything to do with me: I can’t control it, or predict it. The calm, reasonable commenters faced with this crisis generally e-mail me, then I search the spam archives, find the lost post, send it to moderation, and approve it.
  • I do not delete posts from approved commenters. The exception is when I ban a commenter permanently, or give one a time out, which is a temporary ban or suspension, in which case the commenter is always warned in advance.
  • I expect discourse here to be civil, but will excuse momentary and periodic lapses and outbursts from veteran commenters (and me, of course), in direct proportion to their time here, level of participation and constructive value to the mission. Individual quirks will also be taken into consideration.

2. Remembering the David Manning Liar of the Month: A commenter who hails from the old Ethics Scoreboard days recently referenced the feature there called the David Manning Liar of the Month. A David Manning-style lie is a statement that the speaker or writer can’t possibly expect anyone to  believe, thus raising the question of whether it is a lie at all. (Sony spawned the award by excusing its use of a fake film reviewer it named David Manning to rave about terrible movies in ads,  claiming that nobody believed such excerpts anyway.) If Ethics Alarms had the same feature, President Trump would obviously dominate it, as I was reminded this morning. The President’s ex-physician, Dr. Harold Bornstein. bitter over his ejection from the Trump Court, revealed that Trump himself had dictated the absurd letter in which the doctor attested, Continue reading →

The Paid Expert Witness Problem [UPDATED And CORRECTED]

/ Jack Marshall / 22 Comments

“Check enclosed…”

When a lawyer’s expert witness testifies in a trial, the opposing counsel will always ask, “You’re being paid for your appearance today, isn’t the true?” The one time I was asked that question, I answered, “I’m being paid for my time, not my opinion.” Of course, many experts—yes, even ethics experts—are accepting payment for their opinion. The case of a Houston lawyer’s recent conduct, however, is the worst example of this reality crossing the ethics lines, hard.

Lawyer Mark Lanier had presented father-and-son orthopedic surgeons to the court and the jury as unpaid experts, emphasizing that they were testifying pro bono while the defendants’ experts had been bought. Naturally, this made them seem more credible to the jury. After the trial, however, and after the jury had awarded Lanier’s client  a handsome verdict and damages of $151 million, it was discovered that Lanier made a $10,000 charitable donation to the father’s favorite charity before trial, and sent “thank-you” checks totaling $65,000 to the surgeons after the trial, accompanied by notes of gratitude.

But they weren’t being paid for their testimony—at least, not when they were asked about it. Continue reading →