Health and Medicine

Baseball Hall Of Fame Ethics Bulletin

/ Jack Marshall / 15 Comments

The results of the voting for the Major league Baseball Hall Of Fame in Cooperstown are in. The Baseball Writers Association of America elected Braves third-base great  Chipper Jones, slugger Jim Thome , relief pitcher Trevor Hoffman and Montreal Expo legend Vladimir Guerrero, excellent ad deserving choices all.

Joe Morgan is happy tonight. The writers did not elect Barry Bonds, Roger Clemens, Manny Ramirez, Sammy Sosa or Gary Sheffield, steroid cheats all. Nor did any of them come particularly close to the 75% of ballots cast (a voter can select up to ten) necessary for enshrinement.

Good.

Morning Ethics Warm-Up, 1/22/2018: The Returns Of A Terrible Idea, A Times Mania, And Lord Acton’s Observation

/ Jack Marshall / 68 Comments

Morning!

1. Bad Ideas Never Die Dept. The Obama Administration  killed an unethical Bush Administration rule that permitted a wide variety of health care workers to refuse to administer treatments and procedures they found morally repugnant, what the Bush administration termed workers’ “right of conscience.” It was, and is, a terrible idea; The American Medical Association  explained why, in the context of opposing conscience outs for pharmacists, when it declared..

“RESOLVED, That our American Medical Association reaffirm our policies supporting responsibility to the patient as paramount in all situations and the principle of access to medical care for all people (Reaffirm HOD Policy)…

Now that bad idea and the same ethically warped principles are embodied in a new Trump administration policy that provides “religious freedom protections” for doctors, nurses and other health care workers who object to performing procedures like abortions and gender reassignment surgery. This is a sop to the Republican evangelical base. As I wrote here (actually partially quoting myself from an earlier article),

“Conscience clauses” came into being in the wake of the Supreme Court’s Roe v. Wade opinion legalizing abortion. Obviously that right to privacy ruling put Catholic hospitals in a difficult position, so the U.S. Congress passed the Church amendment (named after Sen. Frank Church of Idaho) in 1973. This provision allowed individual health care providers and institutions such as hospitals to refuse to provide abortion and sterilization services, based on moral or religious convictions. Most states adopted their own “conscience clause” laws by 1978. Conscience clauses are a terrible idea that encourage arbitrary professional misconduct. It is an example of how morally-based action can lead to unethical conduct….People who voluntarily undertake the duties of a job should either be prepared to fulfill those duties, take the consequences of not doing so, or not take the job in the first place.That is the ethical duty that one accepts when one agrees to do a job. “

President Trump doesn’t do ethics, and not being a deep thinker,  inconsistencies of principle don’t resister on him. The reason for requiring health care workers to perform their jobs regardless of whether some portion of it clashes with their religious beliefs, moral conviction, political passions or gag reflex is the same whether a doctor objects to abortions, a baker doesn’t approve of gay marriage , a restaurant owner doesn’t want to serve blacks, Hispanics, or Republicans, or an NFL football player is offended by the National Anthem. Society doesn’t work any other way. The religious freedom dodge easily turns into a cover for bigotry, harassment and oppression.

Nothing in the Constitution says that citizens have the right to hurt people when they practice their religion, or defy our laws, or refuse to perform the duties of their professions or employment while still getting paid because they cite religious conscience.

2. I Told You Not To Look Under That Rock! Dept. For some reason, I broke my own rule and skimmed a Paul Krugman column. What was I thinking? What is so digsuting about Krugman is his intellectual dishonesty, as he writes down to his readers using rhetorical tricks, rationalizations and lazy arguments that are 90% political bias and 10% substance at best. Here was the sentence that exploded my head,  stopped me from reading, as Krugman twisted reality to hold Republicans responsible for the government shutdown that was 100% caused by Senate Democrats blocking the continuing resolution to keep the government open:

“Protecting the Dreamers is, by the way, enormously popular, even among Republicans, who oppose deporting them by a huge margin. So it’s not as if the G.O.P. would be giving up a lot.”

So, as long as a provision is popular with its base, a party isn’t “giving up a lot” by supporting it—regardless of whether it is responsible, fair, smart, principled, or in the best interest of the country. Got it, Paul. This is the lowest common denominator theory of democracy being peddled to New York Times reader by its Nobel Prize-winning columnist: legislation by poll. Continue reading →

Unethical TV Ad Of The Month: Kellogg’s Rice Krispies Treats

/ Jack Marshall / 13 Comments

I would call this ad “brain dead,” but that would, perhaps, be in bad taste.  Still, the wilful disregard by the NFL and its sponsors—and the public, of course—of the increasingly undeniable evidence that football kills brains is an ethics black hole.

Did Kellogg’s not read this (and similar reports)…?

From the New York Times:

Athletes who began playing tackle football before the age of 12 had more behavioral and cognitive problems later in life than those who started playing after they turned 12, a new study released on Tuesday showed. The findings, from a long-term study conducted by researchers at Boston University, are likely to add to the debate over when, or even if, children should be allowed to begin playing tackle football.

The results of the study by researchers at Boston University, published in the journal Nature’s Translational Psychiatry, was based on a sample of 214 former players, with an average age of 51. Of those, 43 played through high school, 103 played through college and the remaining 68 played in the N.F.L.

In phone interviews and online surveys, the researchers found that players in all three groups who participated in youth football before the age of 12 had a twofold “risk of problems with behavioral regulation, apathy and executive function” and a threefold risk of “clinically elevated depression scores.”

Oh, never mind, spoilsports!  This NFL play-off time! De-FENCE! De-FENCE! Let’s give support to those irresponsible parents who send their kids out to scramble their gray matter and get that CTE started! Let’s encourage those potential NFL dementia victims with a heart warming vignette about a Dad urging his young son to “Give it your best!’ prompting the lad to run roaring into combat, perhaps even to cripple someone else.

Is this Kellogg’s reasoning? Apparently so.

Brain dead. Also dead ethics alarms.

Ethics Quote Of The Day: Clinical Psychologist Dr. Jordan B. Peterson [UPDATED]

/ Jack Marshall / 67 Comments

“Because in order to be able to think, you have to risk being offensive. I mean, look at the conversation we’re having right now. You’re certainly willing to risk offending me in the pursuit of truth. Why should you have the right to do that? It’s been rather uncomfortable. […] You’re doing what you should do, which is digging a bit to see what the hell is going on. And that is what you should do. But you’re exercising your freedom of speech to certainly risk offending me, and that’s fine. More power to you, as far as I’m concerned.”

—–University of Toronto Clinical Psychologist Dr. Jordan B. Peterson responding to a British Journalist who asked him in an interview, “Why should your right to freedom of speech trump a trans person’s right not to be offended?

When the interviewer, Cathy Newman, was unable to muster a response, Peterson said,  “Ha! Gotcha.” To her credit, Newman replied,

“You have got me. You have got me. I’m trying to work that through my head. It took awhile. It took awhile. It took awhile.”

I’ll give her credit for having sufficient integrity to admit that she hadn’t thought the issue through, but that’s all I’ll give her credit for. What Peterson said should be obvious to any half-conscious and minimally educated individual. The episode is less about great truths dawning as the result of a sage’s perceptive words than it is about the relentless shallowness of journalists, making their presumptuous efforts to mold the thought and opinions of anyone else not just ridiculous, but infuriating.

Can you sense that I’m losing patience with journalists today? Perhaps it was hearing this, from non-doctor, non-smart person, fake-news purveyor for anti-Trump shill CNN Alisyn Camerota yesterday:

“So in 2009 the president’s calcium score, before he was president, was 34. In 2013, before he was president, it was 98. Today it’s 133. And as you see from the little cheat sheet, fine print below, a score of over 100 means a high risk of heart attack or heart disease within three to five years.”

…leading to this graphic…

But the President’s physician. asked directly by Dr. Sanjay Gupta, CNN’s medical authority, said he did not:

Never mind. A CNN doctor who has never examined the President feels empowered to contradict the doctor who has, and who is responsible for his health. With any normal patient, Gupta’s conduct would be a breach of medical ethics, interfering with the doctor patient relationship. In this case, since the news media can get away with anything, it’s just one more example of arrogant, unethical journalism, manufacturing fake news.

Or perhaps of wishful thinking.

 

UPDATE: Moments after I posted this, CNN sent me this graphic with Dr. Gupta’s smiling face:

Yeah, I’d like to cut right to the facts, but on CNN, the snark, bias, stupidity and opinion make the facts all but impossible to detect. Talk about irony! What are ‘”facts” to you, Doctor? Indeed, what are “facts” to your whole network?

 

Unethical Quote Of The Month: A Reporter At The Press Conference By Dr. Ronny Jackson,The President’s Personal Physician.

/ Jack Marshall / 56 Comments

“Did you tell the current president about his predecessors’ exercise routine and does this president ask you about how he could follow his predecessors’ example to be as fit as Barack Obama was?”

—Unidentified reporter at today’s press conference by Dr. Ronny Jackson regarding President Trump’s physical.

It doesn’t matter who this particular biased, incompetent, unethical journalist was. It is impossible for an objective individual—that is, one who is not totally  unhinged by the Trump Presidency like the “resistance” fanatic who told Nancy Pelosi  at her Q and A session over the weekend,

“The idea that we are going to put all our eggs in the basket of the 2018 midterm election is seriously delusional…[he is] “threatening the whole world with nuclear weapons, right, plundering our precious ecosystems, now opening up our coastline right now, accepting the fact that we are going to have a white supremacist in power for four years and Nancy Pelosi has said impeachment is off the table.”

—to have retained any respect for or trust the rotting profession that has so obviously abandoned all shreds of its traditional ethics. If the idiot who asked that question of Dr. Jackson was an outlier, or an imposter, or a performance artist, one could ignore it. But the assembled journalists didn’t laugh, or jeer. They probably all thought it was a fair question. It wasn’t. It showed that the news media’s absurd and crippling infatuation with Obama is still choking its collective brain by the stem.

Obama is a decade and a half younger than the President, so one possible answer to the query would be,  “I told him to find Doc Brown’s DeLorean.” There is also scant evidence that Obama was especially fit. Unlike Trump, the President was (and perhaps is still) a smoker. He used recreational drugs, and he uses alcohol, none of which are activities that Trump ever engaged in. Unlike Obama’s predecessor, President Bush, he was not a conspicuous exerciser. He was younger and thinner than Trump, that’s all, and his medical condition was as vaguely described to the public as Trump’s was. Based on family history, Trump is a good bet to live longer than Obama. “It’s called genetics,” Jackson said.  “Some people have great genes. I told the President if he had a healthier diet over the next 20 years, he might live to be 200 years old.”

The translation of the foolish question that I highlight today is, essentially, “We all like Obama much better than Trump. Why can’t be more like our idol?” That’s all. The news media should be embarrassed, but they are not.  In 2013, Barbara Walters told an interviewer regarding Obama, Continue reading →

Morning Ethics Warm-Up, 1/15/18: Icons, Shitholes And Chianti

/ Jack Marshall / 144 Comments

Good Morning, and Happy Martin Luther King Day.

1 Priorities, priorities…Rep. John Lewis (D-Ga) has made his career out of the fact that he was an associate of Dr. King during the civil rights movement.  On Sunday’s”This Week” on ABC’, Lewis said on he would not vote for legislation that prevents a government shutdown if it did not first resolve the Deferred Action for Childhood Arrivals program. “I, for one, will not vote on government funding until we get a deal for DACA,” the alleged icon said.

That’s right: Lewis, and presumably many of his colleagues, would waste millions of dollars and interfere with life and daily needs of American citizens to obtain a path to citizenship for 800,000 currently illegal residents, and create a permanent incentive for foreign citizens to break our laws so they can get their kids an entitlement.  It’s more important to give illegal residents what they have no right to have, then to ensure legal citizens what their taxes pay for. This is the unethical result when ideology takes precedence over common sense.

2. Fake news also takes precedence, apparently. “Trump’s Words Eclipsing Deal For Dreamers” reads the above-the-fold headline on today’s New York Times. There are many other similar headlines on display. If, in fact, it is true that the President’s (alleged, disputed, reported initially via hearsay, denied by the speaker, and intentionally misrepresented by critics even if the alleged version is accepted) words have a decisive impact on a DACA deal, then the DACA adherents were posturing all along. What difference does it make to DACA what the President says off-the cuff in a private meeting? Apparently it is more important to Democrats and the “resistance” to denigrate the President than to accomplish substantive policy goals. Good to know.

UPDATE: I just read the opinion of conservative blogger Liz Shield after I wrote this. She said,

My position on sh!ithole-gate is this: It’s not appropriate for the President of the United States use this kind of language. Now, this was a private meeting and perhaps Trump did not think the Democrats would sabotage the DACA negotiations and, in this regard, Trump is terribly naive. There will be no good faith discussions on any policy because the policy of the Democrats is that Trump must FAIL, even at the expense of the Democrat constituencies they claim to be fighting so hard for. That is their position and I hope the president gets hip to this soon. Instead, the conversation we are having is not about policy but rather that Trump is a RACIST. Which is, coincidentally, the sole platform held by his political enemies.

Pretty much. The last sentence is unfair, though: their platform is that the President is a racist, senile, crazy, stupid, a Nazi, a traitor, a liar, a sexual predator and not really President. Continue reading →

Comment Of The Day: “Lies, Dunces, Fools, Villains, Hypocrites And Big Liars In The Resistance’s Plan E, “The President Is Disabled!” [Part 3]”

/ Jack Marshall / 19 Comments

Here’s another one.

Regular readers here know I’m a sucker for Presidential history, even when I’m not the one expounding on it. I’m also a sucker for posts that I would otherwise have to write myself., and I was outlining a very similar post to this when Steve-O-in-NJ kindly produced this Comment of the Day. For of there is one thing my life-time love affair with the Presidency and the men who have had the audacity to try, always with mixed success, to fulfill its crushing challenges, has taught me, it is that these were all weird men, each in their own unique ways. You have to be weird to seek this job, or survive it.  The argument that Donald Trump’s undeniable weirdness is somehow deserving of less tolerance than any of the other Presidents is  bigotry mixed with ignorance. Leadership is itself abnormal, and has infinite guises.

Welcome to Steve-O-in-NJ’s Comment of the Day on the post, Lies, Dunces, Fools, Villains, Hypocrites And Big Liars In The Resistance’s Plan E, “The President Is Disabled!” [Part 3]

Washington was an inch away from leading an army personally to put down the Whiskey Rebellion. Andrew Jackson had a notorious temper (all his life), fought duels (though not while in office), and said he was going to hang the first South Carolinian who defied Federal law to the first tree he could find if bloodshed resulted from that defiance. LBJ gave interviews while on the toilet, more than once. Jimmy Carter talked about having consulted with his young daughter regarding policy matters and claimed to have seen a UFO. Calvin Coolidge brushed off a reporter who had made a bet that she could get more than two words out o him by saying “you lose.” Grover Cleveland had half his jaw cut out due to cancer and told the press he had two bad teeth extracted. He also married a woman who was young enough to be his daughter. Lincoln of course battled what we’d probably now recognize as clinical depression.

The two biggest offenders for presidential disability were Woodrow Wilson, who was actually completely disabled by a stroke and hid it, in effect making the nation an oligarchy ruled by his wife and closest advisors, and JFK, who hid the fact that he had Addison’s disease (why that didn’t keep him out of the Navy I don’t know), probably PTSD, and crippling back pain that sometimes left him unable to stand without drugs. I also wonder if it would be out of line to diagnose Clinton with satyriasis, given his behavior.

My main point is that some of the arguably best presidents like Washington and Jackson, others who were at least popular like Cleveland and Clinton, and some that official history is reluctant to examine too closely like JFK (although that is starting to change) all had issues of risky or extreme actions, bizarre behavior, or concealing disability from the public, and no one now calls any of them unfit for office, nor was that charge ever leveled to my knowledge at any of them with any level of seriousness. As far as I know no Republican leader has ever leveled the charge of mental or other unfitness at any Democratic president with any seriousness, although Clinton’s sexcapades, Carter’s incompetence and errors, LBJ’s open crudeness and weirdness, and JFK’s litany of problems presented the opportunity several times. Continue reading →

Comment Of The Day: “Morning Ethics Warm-Up, 1/7/2018: Lies, Dunces, Fools, Villains, Hypocrites And Big Liars In The Resistance’s Plan E, “The President Is Disabled!” [Part I]”

/ Jack Marshall / 5 Comments

I am drowning, once again, in deserving Comments of the Day. This is a good thing in many respects, including the special circumstances that I am sick and have the energy of a spent battery. It is perplexing because it threatens to transform EA into an ethics version of Medium and put me out of a job.

One benefit of having such a diverse and erudite crowd here is that people who actually know what they are talking about have a tendency to interject when the discussion gets sloppy. John Billingsley just did this on the topic of dementia, which was much on everyone’s mind as a result of the embarrassing outbreak of  the anti-Trump coup plot known here as Plan E in the news media and among “the resistance.” (Here’s an especially revolting effort from yesterday by old Cross-Fire from the Left veteran Bill Press. When a opinion piece begins by calling a professor of psychiatry who has been rebuked by her own association “a leading psychiatrist” and asserts convincing authority in her announcing that the President’s mental health is “unraveling” based on a substantially debunked book, objective people can tell what’s going on, and it isn’t fair, dispassionate analysis.)

This is John’s Comment of the Day on the post, Morning Ethics Warm-Up, 1/7/2018: Lies, Dunces, Fools, Villains, Hypocrites And Big Liars In The Resistance’s Plan E, “The President Is Disabled!” [Part I]:

The word “dementia” is being tossed about here with little regard to what it actually means. It is a word that has a specific technical meaning and is not something that can be diagnosed by simply watching someone on TV or reading their tweets. There is no specific, single identifying symptom of dementia. Statements someone doesn’t like, decisions someone thinks are bad, slips of the tongue, lapses of memory, spelling or grammatical errors, calling another national leader “Rocket Man” and comparing your button to his, cutting off aid to Pakistan, enforcing the law as written, not believing in global warming, referring to yourself as a stable genius, acting like an idiot at times, doing inexplicable things, being unethical, etc. are not specific symptoms of dementia. Taken all together they do not make the diagnosis of dementia. To make a diagnosis in this manner is no more valid than diagnosing Hillary as having seizures based on a few movements seen on video.

Dementia is a syndrome, a group of symptoms that occur together, not a specific disease. There are many diseases that may result in dementia such as Alzheimer’s disease, Lewy body disease, and vascular disease to name only a few. The DSM V actually eliminated the term “dementia” and replaced it with the term “major neurocognitive disorder” but the diagnostic criteria are essentially unchanged and they are (taken from the DSM V):

Evidence of significant cognitive decline from a previous level of performance in one or more cognitive domains (complex attention, executive function, learning and memory, language, perceptual-motor, or social cognition) based on:

Concern of the individual, a knowledgeable informant, or the clinician that there has been a significant decline in cognitive function; and

A substantial impairment in cognitive performance, preferably documented by standardized neuropsychological testing or, in its absence, another quantified clinical assessment.

The cognitive deficits interfere with independence in everyday activities (i.e., at a minimum, requiring assistance with complex instrumental activities of daily living such as paying bills or managing medications).

There are a couple of other technical requirements that are not pertinent to this discussion.

As you can see the first criteria requires a “significant cognitive decline” in one or more areas of functioning. I don’t believe anyone can give specific examples from available sources to conclusively show there has been a significant decline. I don’t think there is any available evidence that even strongly suggests there has been a significant decline.

Has Trump himself, a knowledgeable informant (not an anonymous source), or a clinician who has actually examined him expressed concern that he has experienced a significant cognitive decline? Both Theresa May and Mike Pompeo, though not clinicians, have at least interacted with him in circumstances that would be likely to reveal significant cognitive impairment, and they say no. Has there been standardized testing or other quantified clinical assessment? If there is, it certainly isn’t public knowledge. Does he require assistance with taking his medications and paying his bills? I don’t know but I rather doubt it.

For anyone other than a qualified professional who has actually examined him to diagnose that he is demented is simply name calling and should be given the weight it deserves. Absolutely none. Now if you want to call him demented, a moron, an idiot, or anything else in the slang rather than technical sense of those terms, have at it, but don’t then try to pretend that you made a real diagnosis carrying any weight or satisfying the requirements of the 25th Amendment.

Public Confidence And Trust (2): Observations On Gallup’s Confidence In Institutions Poll

/ Jack Marshall / 48 Comments

In Part 1, we looked at the implications of Gallup’s 2017 polling on Americans’ beliefs in the trustworthiness and honesty of various occupations.  This post looks at institutions, and what Gallup’s research shows us when those polled answer the question, “Now I am going to read you a list of institutions in American society. Please tell me how much confidence you, yourself, have in each one — a great deal, quite a lot, some or very little?”

As with the occupations poll results, what is most interesting—or depressing— is how the public’s attitude has changed over time. Gallup has been taking this poll at the end of every year since 1993, and in some years, for some institutions, before that.

The most important finding is that Americans have less trust and confidence in our institutions than ever before, and have been in this state for three straight years. (See chart above.) The 32% average confidence level in all institutions measured was one point above 2016, which came in at a record low 31%, but that difference is not statistically significant. This is the third straight year that the number has been under 33%. That has never happened before.

I have written about this issue in the past (and discussed it with professional groups, like newly elected state legislators, in ethics seminars), with the same alarm. For a democracy to lack confidence and trust in its institutions portends disaster, and the danger cannot be understated. Of all forms of government, it is democracy that is most built on a foundation of public trust. This erosion in public trust—the average level of trust has fallen about 26% in just ten years—is collectively frightening. Look at the first line and the last in many of these charts: Continue reading →

Lies, Dunces, Fools, Villains, Hypocrites And Big Liars In The Resistance’s Plan E, “The President Is Disabled!” [Part 2]

/ Jack Marshall / 11 Comments

As their purely, non-partisan, unbiased,professional opinion. of course–just like Prof. Lee today.

[Part I was the Morning Warm-up for 1/7/18, which can be found here.]

4. The Big Lie’s smoking gun. CNN, Politico, MSNBC, Newsweek, The Hill, and many other news sources had headlines this week that were some variation of this one, from CNN:

“Lawmakers consulted psychiatrist about Trump”

The obvious message being conveyed: lawmakers—not just Democrats, but Republicans too!—are worried enough about the President’s mental health that they called in an expert to “brief” them. (“Lawmakers briefed by Yale psychiatrist on Trump’s mental health: report”—The Hill.) This is misleading, dishonest, and factually false—truly fake news. The Weekly Standard, hardly a reflex pro-Trump publication, revealed how false it all was. The story began…

On Wednesday night, before Washington was completely consumed by Michael Wolff’s West Wing tell-all, Politico published a piece feeding into a different frenzy: the notion that Congress was concerned President Trump might be mentally unfit for office. The article, titled “Washington’s growing obsession: The 25th amendment,” claims that more than a dozen lawmakers—all Democrats, with the exception of one nameless Republican senator—attended private briefings in early December with a Yale psychiatry professor to discuss Trump’s mental health. The most interesting detail of the story, of course, was that one rebellious Republican senator had met with Dr. Bandy Lee to discuss her belief that Trump is unfit to serve as commander-in-chief. Politico reported that Lee refused to name the GOP lawmaker she claimed to have had a meeting with.

The reporter, Haley Bird, investigated and…

  • …”was unable to confirm that any Republican Senator actually met with the Yale professor.”
  •  “In an on-the-record phone call with TWS Saturday afternoon, Lee admitted her “meeting” with a Republican senator was not actually scheduled and that it was, in her own words, “accidental.” “The meeting happened—it wasn’t arranged in advance,” she said. “It was accidental. It was incidental, I will say. It was incidental.”

That means that she was not summoned  to “brief” worried Republican lawmakers. It was not a “meeting” is the way the word is routinely used by the news media in political matters. The word is not generally construed to mean “the bumped into each other and had a chat.” Nor is “consulted”  used to describe spontaneous questions in a chance encounter.

The media reporting here was pure hype, blowing an informal. chance meeting—in the hall?–with the unethical psychiatrist who has been unethically diagnosing Trump from afar all year long–into news. That’s propaganda in service of the Big Lie. This was not a bipartisan inquiry into a matter of state. Lee was invited to a partisan meeting of Democrats to determine if she could assist with Plan E, removing the President because of an inability to perform his duties.

5. Let’s meet the primary Ethics Dunce in the Big Lie plot,Yale psychiatry professor Bandy Lee.  She has been claiming for over a year  that Trump is mentally impaired and unfit to serve. Her primary evidence are his tweets. This is because she has never examined him, met him, or had first hand knowledge about any aspect of his conduct or behavior. Because so many Democratic and progressive professionals were moved to violate their ethics codes out of animus to Trump and fealty to the Democratic Party, the head of the American Psychiatric Association handed down this edict in August of 2016:

“Since 1973, the American Psychiatric Association and its members have abided by a principle commonly known as “the Goldwater Rule,” which prohibits psychiatrists from offering opinions on someone they have not personally evaluated. The rule is so named because of its association with an incident that took place during the 1964 presidential election. During that election, Fact magazine published a survey in which they queried some 12,356 psychiatrists on whether candidate Sen. Barry Goldwater, the GOP nominee, was psychologically fit to be president. A total of 2,417 of those queried responded, with 1,189 saying that Goldwater was unfit to assume the presidency.

While there was no formal policy in place at the time that survey was published, the ethical implications of the Goldwater survey, in which some responding doctors even issued specific diagnoses without ever having examined him personally, became immediately clear. This large, very public ethical misstep by a significant number of psychiatrists violated the spirit of the ethical code that we live by as physicians, and could very well have eroded public confidence in psychiatry… I can understand the desire to get inside the mind of a Presidential candidate. I can also understand how a patient might feel if they saw their doctor offering an uninformed medical opinion on someone they have never examined. A patient who sees that might lose confidence in their doctor, and would likely feel stigmatized by language painting a candidate with a mental disorder (real or perceived) as “unfit” or “unworthy” to assume the Presidency.

Simply put, breaking the Goldwater Rule is irresponsible, potentially stigmatizing, and definitely unethical.”

Got that? Lee just defied her profession’s standards. During the campaign, she continued to diagnose Trump without his consent or an in-person examination. She justified doing so on the grounds that she is “obligated to break them in times of emergency.” Do I really have to recite all of the rationalizations this transparently disingenuous  excuse employs? Oh, all right…

8A. The Dead Horse-Beater’s Dodge, or “This can’t make things any worse”
13. The Saint’s Excuse: “It’s for a good cause”
24. Juror 3’s Stand (“It’s My Right!”)
25. The Coercion Myth: “I have no choice!”
28. The Revolutionary’s Excuse: “These are not ordinary times.”
30. The Prospective Repeal: “It’s a bad law/stupid rule”
31. The Troublesome Luxury: “Ethics is a luxury we can’t afford right now”
40. The Desperation Dodge or “I’ll do anything!”
45. The Abuser’s License: “It’s Complicated”
58. The Golden Rule Mutation, or “I’m all right with it!”
59. The Ironic Rationalization, or “It’s The Right Thing To Do”

She continued to breach professional ethics standards after the election,  earning a book deal that spawned  “The Dangerous Case of Donald Trump: 27 Psychiatrists and Mental Health Experts Assess a President.” So much for objective, unconflicted, professional analysis. She saw a niche and an audience, and grabbed it.

Lee herself said in an interview that she was a “pariah” at her department  Lee’s book, which came out October 3, expanded on her rationalizations by arguing that psychiatrists have a “duty to warn” the country about President Trump. In response to the book, the APA issued another statement reaffirming the importance of the Goldwater Rule standard “not to provide professional opinions in the media about the mental health of someone they have not personally examined and without patient consent or other legal authority.” It also debunked Lee’s “duty to warn” argument, saying,

 “The APA would also like to dispel a common misconception about the so-called ‘Duty to Warn.’ The duty to warn is a legal concept which varies from state to state, but which generally requires psychiatrists to breach the confidentiality of the therapeutic session when a risk of danger to others becomes known during treatment of the patient. It does not apply if there is no physician-patient relationship.”

She is an unethical professional by her own profession’s standards.

6. The Ethics Dunce’s Unethical Quotes Of The Month. In a jaw-dropping interview with Vox that is  signature significance for Anti-Trump Derangement, Lee says, among other things:

“It would be hard to find a single psychiatrist, no matter of what political affiliation, who could confidently say Trump is not dangerous.”

Yes, and that would be because they couldn’t confidently or ethically make any assertions without actually examining him. Moreover, “dangerous” is not a term of art, and in a political context, which is how Lee is speaking, it is subjective and ambiguous. The Left thinks Trump is dangerous because he chooses to be tough with North Korea.

“On the other hand, in the book we have as authors Phil Zimbardo, Judith Herman, and Robert Jay Lifton, who are notable not only for their contributions to mental health but for their amazing ethical record. These are living legends who have also stood on the right side of history, even when it was difficult, and they stand as beacons for me. No one matches their moral and professional authority, in my mind.”

She defends her unethical conduct because others have breached the same standards. (#1 Everybody Does it, #32. The Unethical Role Model)!

I’m a fan of Philip Zimbardo’s writings, but to say that the man who engineered the infamous Stanford Prison Experiment has an “amazing ethical record” shows selective attention. Zimbardo himself declared that his experiment was unethical! Then, as a blatant tell,  Lee uses “the right side of history,”  Rationalization 1B:

1B. The Psychic Historian, or “I’m On The Right Side Of History”

This especially arrogant and annoying rationalization is essentially “Everybody’s going to do it.”  It is an intellectually dishonest argument, indeed no argument at all. Every movement, every dictator, Nazis, Communists, ISIS, the Klan, activists for every conceivable policy across the ideological spectrum, think their position will be vindicated eventually. In truth, they have no idea whether it will or not, or if it is, for how long. If history teaches anything, it is that we have no idea what will happen and what ideas and movements will prevail. “I’m on the right side of history is nothing but the secular version of “God is on our side,” and exactly as unprovable.

We have heard this rationalization a lot during the escalating culture wars. It is a device to sanctify one’s own beliefs while mocking opposing views, evoking an imaginary future that can neither be proven or relied upon. Nor is there any support for the assertion that where history goes is intrinsically and unequivocally good or desirable. Are millions of aborted babies a year “right”? Is the constantly increasing percentage of children born to unmarried couples “right”?

Those who resort to “I’m on the right side of history” (or “You’re on the wrong side”) are telling us that they have run out of honest arguments.

With this she he also proves that hers is a political position, not an honest, objective professional one.

Those who most require an evaluation are the least likely to submit to one. That is the reason why in all 50 states we have not only the legal authority, but often the legal obligation, to contain someone even against their will when it’s an emergency. So in an emergency, neither consent nor confidentiality requirements hold. Safety comes first. What we do in the case of danger is we contain the person, we remove them from access to weapons, and we do an urgent evaluation. This is what we have been calling for with the president based on basic medical standards of care.

Surprisingly, many lawyer groups have actually volunteered, on their own, to file for a court paper to ensure that the security staff will cooperate with us. But we have declined, since this will really look like a coup, and while we are trying to prevent violence, we don’t wish to incite it through, say, an insurrection.

Gee, you certainly wouldn’t want it to LOOK like a coup….

KABOOM!

That this astoundingly unethical and unprofessional, hyper-partisan academic radical can be the cornerstone of an effort by Democrats and the news media to overthrow a President just exploded my head, and my office looks like an abattoir. I have to take a break. Look for Part 3.

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Sources: Daily Caller, Vox