Health and Medicine

Fake History On Stage, Or “Why I Detest Sondheim’s ‘Assassins'”

/ Jack Marshall / 30 Comments

Here are some of the things audience members unfamiliar with American history and its dark corner containing Presidential assassins will learn as they watch the much-acclaimed Stephen Sondheim/John Weidman musical “Assassins,” a very fine production of which I saw over the weekend:

…Nobody knows why actor John Wilkes Booth shot Lincoln. It may have been “bad reviews.”

...Lee Harvey Oswald worked in the Dallas book depository, and and was originally going to shoot himself, not President Kennedy.

…Giuseppe Zangara was attempting to assassinate President Franklin Delano Roosevelt when he killed the Mayor of Chicago and wounded five bystanders in 1933, but didn’t really care which, because both of them “controlled the money.”

…Sarah Jane Moore was a quirky, whacky, Lucy Riccardo-like  housewife who just wanted to kill President Ford for no particular reason.

…Moore and Lynnette “Squeaky’ Fromme knew each other and jointly attacked Ford.

…President Garfield “succeeded Grant.”

…Presidential assassins are all cut from the same psychological cloth, desperate Americans living on the margins of a cold-hearted nation that ignores them, who decide to become important by killing a President of the United States.

None of the above is true, and that just scratches the surface of the elaborate, anti-America conceit that is “Assassins.”  It is conceived as a cynical carnival game underlying a time-warping portrait of some of the men and women, far from all, who have tried, successfully or not, to murder a President of the United States.

I have seen the show multiple times, and it has always been (mostly) well-produced, directed, and acted, although if you set out to drive someone like me crazy, having Booth shoot at Lincoln with a revolver and having Oswald fire just one shot at Kennedy are good ways to do it. The show is also infuriating in its deliberate defiance of history to execute what a couple of artists think is a cool concept and a strong political statement that amounts to an evening’s worth of disinformation. The idea about assassins being a callous society’s losers and outcasts just doesn’t work, and should have signaled that it doesn’t work from the start: Booth, the leader of the time-traveling murderers—they all show up in the book depository to persuade Oswald to kill JFK—disproves the thesis in the first 10 minutes. Booth was no outcast or loser. He was a celebrity. He was successful, famous, and relatively wealthy. He was healthy, relatively sane, and in good shape. Booth was a Confederate fanatic, and determined to do what he could to pull victory out of defeat for the South by killing Lincoln, but he was hardly in the same class as, for example, Charles Guiteau, a certifiable loon, or John Hinckley.  Leon Czolgosz , who shot McKinley, was no crazier than Booth. He was a political radical as well, an anarchist like Sacco and Vanzetti, and was convinced that the government had to be brought down in the interests of justice.

Oh, whatever. Details, details. Continue reading →

Comment Of The Day: “Proposition: An Illegal Immigrant Is Entitled To Receive A Life-Saving Organ Transplant That Otherwise Would Go To A U.S. Citizen In Similar Need”

/ Jack Marshall / 5 Comments

“Hello, is this the Oregon hospital? Yes, I live in Mexico, and I need a liver right away. When can I schedule a time to come to the US and get a transplant? That sounds perfect! See you soon!”

The post about an Oregon hospital being publicly shamed into accepting an illegal immigrant for a potential liver transplant attracted the varies and thoughtful response here I hoped for. I have an unusual gut reaction to it, for me at least: I am sure that my position that the hospital is wrong (and that the ACLU is very wrong to bully the hospital into changing its policy) is ethically correct, but I feel badly about it anyway.

Here is what I told myself to make me feel better: Would anyone argue that the same woman would have any right or claim to an organ transplant from an Oregon clinic if she lived in Mexico?  Would the ACLU dare argue that she had a right to be placed on a waiting list? Would even an Oregon hospital think twice before rejecting such a request? Would the ACLU be able to create a public outcry against her rejection? Let’s see: No, no, no, and “you’ve got to be kidding.”

Yet logically and ethically, I see that alternate universe version of Silvia Lesama-Santos being more deserving of a transplant, and receiving a lifesaving organ that a citizen in similar need would receive otherwise, than the actual Silvia. The actual Silvia, unlike my theoretical one, broke our laws. The actual Silvia has already benefited unjustly from doing so. My compassion for the theoretical Silvia is not reduced by my objection to her conduct and disrespect for our immigration laws; given the choice between whether to give a liver to her or the real Silvia, I would choose her, and it wouldn’t be a hard choice. She is more deserving than the real Silvia, unless one reasons that breaking out laws and continuing to avoid accountability for doing so over 30 years is a positive accomplishment. And yet the alternate Silvia has no right to a liver at all.

There. I feel better now.

Here is JutGory’s Comment of the Day on the post,,Proposition: An Illegal Immigrant Is Entitled To Receive A Life-Saving Organ Transplant That Otherwise Would Go To A U.S. Citizen In Similar Need: Continue reading →

Proposition: An Illegal Immigrant Is Entitled To Receive A Life-Saving Organ Transplant That Otherwise Would Go To A U.S. Citizen In Similar Need

/ Jack Marshall / 42 Comments

There must be something wrong with me, for I don’t think this proposition is ethically obvious at all. In fact, I think it’s probably dead wrong.

Here is the story:

Silvia Lesama-Santos, 46, is a mother of four who has lived illegally here for at least 30 years. The transplant program at the Oregon Health and Science University denied her request to receive a new liver, telling her that she did  “not have documentation of lawful presence or immigration documentation,” which was required for her to be eligible for a transplant.

The ACLU of Oregon took on Lesama-Santos as a cause, and publicized her plight. The Oregon ACLU’s  head, Mat dos Santos, called the hospital’s policy “cruel and inhumane.”

The bad publicity, in turn, quickly forced the hospital to change its policy. “It was brought to our attention this evening that an archaic transplant policy was preventing an undocumented individual from being evaluated at OHSU,” the school said in a statement this week. “Upon learning of the policy, OHSU leaders acted immediately and terminated the policy. We deeply regret the pain this has caused the family. OHSU is committed to serving our entire community — all are welcome at OHSU, and this policy does not reflect our values.”

Flushed with success, the ACLU is planning  “to ask other hospitals to change similar policies,” ask, in this case, meaning “coerce.” Continue reading →

Morning Ethics Warm-Up, 2/7/2018: Something In This Post Is Guaranteed To Send You Screaming Into The Streets

/ Jack Marshall / 43 Comments

Good Morning!

1 Oh no! Not my permanent record! My wife gave a small contribution to Mitt  Romney’s campaign, and has been hounded by RNC robocalls and mailings ever since. GOP fundraising started getting really slimy under the indefensible Michael Steele’s leadership, and continued to use unethical methods after Steele went on to job at a bait shop or something. Last week my wife got an envelope in the mail with a block red DELINQUENCY NOTICE! printed on it. A lie, straight up: there was no delinquency, just a my wife’s decision that she would rather burn a C-note than give it to the fools and knaves running the Republican Party. She registered an official complaint with the RNC, and received this response from Dana Klein, NRCC Deputy Finance Director:

“My job as the Deputy Finance Director is to communicate with supporters to let them know the status of their NRCC Sustaining Membership. Unfortunately, I have bad news for you. As of right now, you have a delinquency mark on your record for your failure to renew your membership. But, I have some good news. You can remove this delinquency mark if you renew by the FEC deadline on Wednesday.”

Both my wife and I were professional fundraisers for many years. This is deceptive and coercive fundraising, and anyone who voluntarily supports an organization that uses such tactics is a victim or an idiot.

Or, I suppose, a Republican.

2. Another one…This is another one of the statements that I am pledged to expose every time I read or hear it: a Maryland legislator, enthusing over the likelihood that a ballot initiative will result in legalizing pot in the state, ran off the usual invalid, disingenuous and foolish rationalizations for supporting measure. (Don’t worry, pot-lovers: I’m resigned to this happening, not just in Maryland, but nation wide. As with the state lotteries, our elected officials will trade the public health and welfare for easy revenue every time. Minorities and the poor will be the most hurt, and the brie and pot set couldn’t care less.) Only one of his familiar bad arguments triggered my mandatory response pledge: ” to legalize a drug that is less harmful than alcohol.”

This is the bottom of the rationalization barrel, “it’s not the worst thing.” Alcohol is a scourge of society, killing thousands upon thousands every year, ruining families and lives, wrecking businesses, costing the economy millions of dollars. Just yesterday there was a report that fetal alcohol syndrome was far more common that previously believed. There is no question, none, that U.S. society would be healthier and safer without this poison accepted in the culture: unfortunately, it was too deeply embedded before serious efforts were made to remove it. Now pot advocates want to inflict another damaging recreational drug on society, using the argument that it’s not as terrible as the ones we’re already stuck with. Stipulated: it’s not as harmful as alcohol. It’s not as harmful as Russian Roulette or eating Tidepods either. I have a bias against taking seriously advocates who use arguments like this; it means they re either liars, and know their logic is absurd, or idiots, and don’t.

3. Riddle me this: What do you get when you cross casting ethics, weak and lazy school administrators, political-correctness bullies-in-training with “The Hunchback of Notre Dame”?

Answer: a cancelled high school musical, and per se racism supported by the school.

New York’s Ithaca High School was beginning production of the Disney film-based musical “The Hunchback of Notre Dame” but made the unforgivable error, in the eyes of student activists,  of casting of a white student as a Romani heroine Esmeralda, played in the classic film by that gypsy wench, Maureen O’Hara, and in the Disney version by a Toon.  Several students quit the show in protest,  and formed an activist group to reverse the decision. It sent a letter calling the casting “cultural appropriation” and “whitewashing,” calling the student the “epitome of whiteness.” The letter admitted that she was also “a stellar actor, singer and dancer” that any stage would be “lucky to have,” but what is the talent, skill and competence required for a role compared to what really matters, her skin color? The students demanded that the school either choose a different show or recast Esmeralda a black and brown actress. Continue reading →

Comment Of The Day: “Ethics Quiz, Super Bowl Edition: Justin Timberlake’s Integrity”

/ Jack Marshall / 14 Comments

John Billingsley elaborates on the import and implications of the troubling research results regarding the brain disease CTE and participants in contact sports, especially football.

Here is his Comment of the Day on the post, Ethics Quiz, Super Bowl Edition: Justin Timberlake’s Integrity:

I agree that with 99% of NFL players and 91% of college players showing CTE on autopsy there is no ethical justification for American football and we don’t need it. Do we actually need any contact sports? CTE has been demonstrated in participants in multiple other contact sports including basketball, boxing, ice hockey, rugby, soccer, wrestling, and baseball. Unfortunately, there is not as much information available about the rates of CTE in those sports. There was an autopsy study demonstrating CTE in the brains of 21 of 66 individuals who participated in different contact sports at various levels, but no CTE in the brains of 198 controls who had no history of participating in contact sports. A study looking at high school athletes who participated in various contact sports from 2005 to 2014 found that there were about 300,000 concussions annually. That study found that the sport with the highest rate of concussions adjusted for the rate of participation was girl’s soccer. A concussion does not mean CTE will develop but repeated head injury is the etiology of CTE. Continue reading →

Ethics Quiz, Super Bowl Edition: Justin Timberlake’s Integrity [UPDATED]

/ Jack Marshall / 31 Comments

Justin Timberlake, who will headline the Super Bowl LII halftime show while I’m not watching, was asked at a news conference this week whether he would support his son Silas if he wanted to play in the NFL. said Thursday that he will not allow his 2-year-old son play football. Timberlake responded : “Uh, he will never play football. No, no.”

Let us assume, for the sake of the quiz, that the reason Timberlake will veto football for his son is that he does not want his offspring ending up with the IQ of his fellow Mickey Mouse Club cast member and one-time girlfriend, Britney Spears. So why, if the singer does not approve of what playing NFL football does to brains, is he participating in the biggest showcase of the most dangerous major professional sport?

Your Ethics Alarms Super Bowl Ethics Quiz is…

Is Timberlake a hypocrite to accept payment to promote the Super Bowl and participate in pro football’s biggest event, while stating that he would not permit his son to play football?

My answer: sure he is. This isn’t like the cases we have discussed in past posts where American performers have accepted huge amounts of cash to perform for dictators abroad. Those have been private events, and a performer does not endorse his audience. Timberlake, however, is actively participating in the promotion of football and the NFL, to to the nation, and particularly to children. The Super Bowl has always been equal measures of sport and hype, and the half-time shows are hype. If he believes football is dangerous, which it is, he should not accept a fee to make the sport attractive to kids, or help the NFL attract impressionable young viewers.

[Update and Correction: readers Arthur in Maine alerted Ethics Alarms that star performers in the Super Bowl halftime show are typically not paid, but do the show for publicity. This doesn’t change my answer at all.]

Your Ethics Alarms Super Bowl Guilt Trip

/ Jack Marshall / 22 Comments

You know that by watching the Super Bowl, you’re helping to kill and cripple young men, right?

Sure you do.

You and people like you watch the Super Bowl, maybe hold parties around it, allowing the NFL to make millions of dollars selling ads and merchandise off of the most watched sporting event of the year. And, of course, the popularity of the Super Bowl makes it the year’s #1 promotion for the billion dollar mega-industry that is the National Football League, and down the line, for billion dollar corrupt big time college football, and in places like Texas and other regions warped by the “Friday Night Lights” mentality, high school football, and further down the line, youth football, where kids a young as 8 begin getting the blows to the head that will help make them confused and dysfunctional in their fifties or earlier if they play long enough…and maybe even if the don’t.

Hey, these are great nachos! Is this a microbrew? Look at that funny ad!

The film above, “Concussion Protocol,” was released this month, and shows a compilation of every reported concussion this season. Directed by Josh Begley and produced by Laura Poitras,  it is believed to be a nearly complete compilation of the NFL’s reported 281 concussions this season, the most since 2012. The NFL, which is affirmatively evil, is spinning this as a good thing, pointing out that it means that players are self-reporting their head injuries more often.

Sure. That must be it. Bravo! Problem solved. DE-Fence!
Continue reading →

Morning Ethics Warm-Up, 2/2/18: Of Tyros, Typos, Grandstanders And Rotting Fish Heads

/ Jack Marshall / 28 Comments

Good Morning!

1 Don’t try that here! Several commenters on the Ethics Hero post yesterday , about a British minister resigning in self-declared disgrace after he was late for a session in Parliament, argued that his wasn’t a true resignation because he had to know it wouldn’t be accepted. I had written a comment to that theory, but I decided to post it on the Warm-up instead.

Fake resignations are unethical. Ethical people don’t attempt such a stunt, which is designed to make everyone beg them to return and create a sense of power and importance. I learned long ago in my parallel theater and management careers not to trust or tolerate subordinates who threatened to quit, telling one cast member of this ilk, in what he thought was  too-vital a lead role to be relaced last in rehearsals and who made the threat in a full cast rehearsal, “You have ten seconds to either quit, be fired, or retract that threat. I’ll play your part myself if I have to, and I’ll be a lot better at it. 10-9-8…” He retracted the threat. When I took over a struggling, spectacularly badly managed health promotion organization in Maryland and announced major policy changes, two legacy managers of the non-profit handed in their resignations in protest.  Then they came to work the next day. My predecessor, it seemed, routinely tolerated such games. They were shocked, indignant and angry when I told them, “You don’t work here any more, remember? You quit. Good luck in your future endeavors. Now get out.”

Ethics Alarms, as veterans here know, has the same policy regarding commenters who self-exile, usually with a “Good day, sir! I am done here!” flourish. When they try to weigh in days, weeks, or months later, they find that their self-banning is permanent. This is now explicit in the Comments Policies. As at least six regulars here know from their own experiences, I reserve the right to try persuade a valued commenter to reconsider his or her exit, and I have done that as a manager with subordinates too. But anyone who counts on a resignation being rejected is a fool.

I have to believe that Lord Bates’s resignation was principled, not grandstanding.

2. Fox owes me a keyboard!  Yesterday afternoon,  I spit out a mouthful of coffee when Fox News flashed this news item under a feature while I was surfing the news channels to see what was happening to the “secret memo”: “Poll Says Majority of Americans Support Border Ball.”

This came up multiple times. I think spending billions of dollars for any ball is unethical, whether it is the party or the toy, or even if “Border ball” is a new professional sport that doesn’t give its players CTE.

And speaking of typos, yes, I would fire for cause everyone in the chain who let this happen…

If you don’t have enough respect for the government, its institutions and the nation to take more pride in your work than that, you shouldn’t be working for the government.

3. A show of hands: Who has heard about this depressing story? Anyone? Funny that the mainstream news media doesn’t think it’s newsworthy… The Atlanta Journal-Constitution reported that many of the nation’s “historically black colleges and universities” have ridiculously low graduation rates.  The newspaper found that the six-year graduation rates at twenty schools were 20% t or lower in 2015, and some schools in the category had graduation rates as low as 5%.  Here was the explanation offered by Marybeth Gasman, an education professor at the University of Pennsylvania who directs the Penn Center for Minority Serving Institutions: Continue reading →

The Emotional Support Peacock And The Tragedy Of The Commons

/ Jack Marshall / 30 Comments

The Tragedy of the Commons is a term originating in ancient economic theory describing a situation in which a shared-benefit system is destroyed by individual users who selfishly behave contrary to the common good by depleting or spoiling the resource involved. Ignorance or denial of this principle, which is based on centuries of observing the human race, is core to progressive and liberal ideology, unfortunately. Another way of expressing the tendency is the old adage, “Give them an inch, and they’ll take a mile.”

Federal regulations over the last decade–I’m assuming under Democratic auspices, but I don’t care to check,  it doesn’t matter to the post—have required airlines to accommodate passengers with not just seeing eye dogs but “therapy animals” and “emotional support animals” that supply the passengers who own them with relief from anxiety. These creatures must fly at no cost and uncaged, and so far, no discrimination regarding species have been set.  It’s a nice regulation, don’t you think?  I think its nice.

However, if there ever was a policy that guaranteed the Tragedy of the Commons, this was it. Many passengers exploit the rules by calling their pets “therapy animals”—and really, aren’t they all?—to save money and hassle. The number of animals flying in the cabin with passengers doubled, and doubled again.  Some passengers were bitten by dogs. Some animals defecated in the aisles. Some of the passengers  flew or attempted to accompanied by  comfort turkeys, goats, gliding possums known as sugar gliders, snakes, reptiles, spiders, and even more exotic companions. Continue reading →

Kangaroo-People Abortion Ethics

/ Jack Marshall / 63 Comments

Yes, it’s true: in the alternate universe, that little thing on the left grew up to be vocal feminist, writer and abortion advocate, Kangaroo-Person Lena Dunham!

I have been reading about marsupials and kangaroos. Don’t ask why. But it got me thinking…

Imagine, if you will, a parallel universe where the human race evolved, due to the vicissitudes of chaos, from marsupials rather than primates. In every respect, the  Kangaroo-People have developed as we have. Same nations, same traditions, same institutions, same ethical standards, life expectancy, gender distinctions, laws, culture and politics. The only difference is that in this universe, the Kangaroo-People give birth like kangaroos, as females have the same reproductive equipment as their kangaroos ancestors  To look at them, you’d never know. Kangaroo Person Kate Upton looks exactly like ours;  Kangaroo Person Hillary Clinton could walk up to our Bill and he’d never know the difference. (She does have a safe place to keep her Blackberries, though.)

After a few weeks of gestation, baby Kangaroo-People are born at about the size and shape of a jellybean, with about as much personality. The Kangaroo-People mother guides her offspring by licking a path from her cloaca ( which leads into three vaginas, just like regular kangaroos in this universe) to her pouch. The baby is essentially still a fetus at this point, with incompletely developed  eyes, ears, organs and central nervous system. It does have claws, so it can crawl,  and an olfactory bulb, the section of its brain devoted to the sense of smell. This allows the baby to follow the scent of mom’s saliva into the pouch. There it latches on to a teat, and holds on as involuntary contractions of muscles in the mother’s  stomach wall force milk out of her mammary glands to the growing fetus/baby. 235 days or more later, the baby, now fully developed, emerges from the pouch. Before that, the baby Kangaroo-Person gets strong enough to periodically let go of the teat, and crawl around the pouch.

Kangaroo People celebrate their birthdays based on when they were born, of course. They also are named by Mom and Dad, and have their birth certificates filed. Continue reading →