Health and Medicine

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 →

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 →