“Code Black” Glosses Over A Medical Ethics Imperative

Code Black

In TV’s medical drama “Code Black‘s” episode “Diagnosis of Exclusion,” we were plunged, as is too often the case in such shows, into a freak situation that might not occur in any U.S. hospital for a century, but that somehow happens on TV routinely.

A lunatic stalker named Gordon (Jesse Bradford) tried to rape doctor Malaya Pineda (Melanie Chandra) in the hospital garage, after stabbing a hospital administrator, perhaps fatally. Dr. Pineda fought back, the stalker stabbed her in the stomach, and then mild-mannered Dr. Angus Leighton (Harry Ford) arrived in time to pull the stalker off of his wounded friend and save her life. In the struggle that ensued, crazy Gordon was stabbed in the neck with his own knife.

This was presented in flashback, in the form of an official inquiry where Dr. Leighton explained that he told the stalker not to pull out his knife, but he did anyway, causing uncontrollable bleeding. “Maybe I could have done more but, I was out of my mind,” Angus explains. Leighton says he tried to stop the bleeding as he screamed for help. By the time the paramedics got the murderous patient into the ER, he was beyond saving.

Ahhh, but that’s not exactly what happened, we learn! First we saw Angus’s older brother, also a doctor, tell him that he did the right thing, that Gordon tried to kill two women that day and would have gone on to kill more if Angus hadn’t acted as he did.

Wait, what? Continue reading

From A Proud Abortion Defender, An Inconvenient Truth….

Snake eating its tail

A New York lawyer named Janice Mac Avoy gifted the Washington Post with an op-ed that was supposed to be a powerful brief for abortion. Viewing it as someone who is deeply conflicted about the ethics of abortion, which is to say, someone who is objective and who didn’t make up his mind first and then look for rationalizations to support that position, I recognized it as a perfect example of why abortion advocates still haven’t made a strong enough case for me, and perhaps why they can’t.

I am still surprised, somehow, when lawyers, like Mac Avoy, display poor reasoning skills. I shouldn’t be, I know: I’ve known plenty of dumb lawyers, even rich and successful dumb lawyers. I suppose I am hostage to the mythology of law school, that professors take students whose “minds are much,’ to quote Professor Kingsfield, and transform those minds into whirring computers of emotion- and bias- free rationality. Unfortunately, mush in, mush out tends to be reality.

Mac Avoy places her own mind in the mush column immediately, with her title “I’m a successful lawyer and mother, because I had an abortion.” This shows her adoption of the classic logical fallacy Post hoc ergo propter hoc, or “After this, thus because of this.” The statement is factually nonsense, and her column takes off from there.

Some highlights:

1. She writes…

“In spring 1981, I knew I wanted to be a lawyer. I was about to become the first person in my family to graduate from high school. I had a scholarship to college, and I planned to go on to law school. I was determined to break a cycle of poverty and teenage pregnancy that had shaped the lives of the previous three generations of women in my family — all mothers by age 18. Then, just before graduation, I learned I was pregnant. Knowing that I wasn’t ready to be a mother, I had a friend drive me to a Planned Parenthood clinic, where I had an abortion.”

Pop quiz: What crucial piece of information is glossed over, indeed strangely omitted, from that account? Mac Avoy “was determined to break a cycle of poverty and teenage pregnancy” —so determined and laser focused on the life goal that she suddenly woke up pregnant! How did that happen? Apparently, despite her representation to the contrary, she was not sufficiently determined that she was willing to refuse  to engage in the exact and only conduct that could foil her intent, and that she knew could foil her intent.

I’m not arguing that a teenage mistake of judgment should derail a life, but I am pointing out that to ignore that personal conduct, as Mac Avoy does, and pretend that pregnancy in every case is some unavoidable random tragedy like a rape or incest, is self-serving and intellectually dishonest, and like most pro-abortion rhetoric, avoids the key issues that make abortion a difficult ethical problem.

2. She writes… Continue reading

Just in Time For The NFL Championship Games, Football Fans…

NFL brains

In his interview with the Pittsburgh Post-Gazette, former NFL star wide receiver Antwaan Randle El revealed that at the age of  36, he can barely walk down stairs, and his mind is failing:

“I ask my wife things over and over again, and she’s like, ‘I just told you that. I’ll ask her three times the night before and get up in the morning and forget. Stuff like that. I try to chalk it up as I’m busy, I’m doing a lot, but I have to be on my knees praying about it, asking God to allow me to not have these issues and live a long life. I want to see my kids raised up. I want to see my grandkids.”

The odds are against him. Resaerchers believe that a majority of NFL players suffer from chronic traumatic encephalopathy (CTE), a form of brain damage caused by repeated head trauma.  CTE was at the center of the film “Concussion,” as well as the documentary that inspired it, “League of Denial,} about the NFL’s efforts to deny and obscure that fact it was slowly killing its players….for entertainment. And money.

Randle El says of the game he now wishes he had never played:

“There’s no correcting it. There’s no helmet that’s going to correct it. There’s no teaching that’s going to correct it. It just comes down to it’s a physically violent game. Football players are in a car wreck every week.”

Immediately after this story aired on CNN this morning, the network cut to an upbeat, exited preview of this weekend’s AFC NFL  championship. It was chilling.

Has there ever been a greater irrational, irresponsible, ethics disconnect in our society?

Enjoy the games…

Comment Of The Day (2): “The Strange Case Of The Unwanted Triplet”

infant

Beth’s  thoughtful Comment of the Day is only tangentially a comment on the Ethics Alarms post about the surrogate mother who balked at aborting one third of the triplets she was carrying. It was really a comment on a comment made to the author of the previous Comment of the Day on the same post, as J. Jonah Jameson described his own experience as a father who employed a surrogate. JJJ was asked why he chose the expensive and risky surrogate route rather than adoption. That question inspired Beth’s Comment of the Day.

Here it is; I’ll be back at the end.

“Why didn’t you adopt a child that needed a family?”

As a woman who battled infertility in the past, and have many friends who did the same, along with others who intentionally became single parents, used surrogates, or have or are trying to adopt a baby, let me say that this is the absolute worst question you can ever ask somebody going through this process. As you pointed out, you are not trying to be judgmental, but you should never ask this.

Continue reading

Comment of the Day (1), on Surrogate Ethics: “The Strange Case Of The Unwanted Triplet”

surrogate-motherIt’s very thoughtful of Ethics Alarms readers to provide such high level content so I have a chance of completing the 2015 Ethics Alarms Awards before March. I am awash in potential Comments of the Day all of a sudden, and this is the first of nesting COTDs, both inspired by the recent post on the surrogate with gestating triplets who is blocking the attempt of the biological father to abort Eenie, Meenie, or Miney, he doesn’t care which.

New commenter J. Jonah Jameson—presumably not really Peter Parker’s employer—submitted a helpful personal story that puts much of that drama in perspective. Here is his Comment of the Day on the post, The Strange Case Of The Unwanted Triplet:

I am the biological father of a child born of a surrogate mother. I’m sure ResurrectedToday is correct that the father fully knew that there was a chance of triplets. But the surrogate knew the same thing, and I’m almost 100% certain that she agreed in advance that she would have an abortion if the father requested it. (If not, then there are a lot of lawyers, doctors and other professionals who did not do their job.) Either she changed her mind, or she never really intended to abide by that agreement.

I can say a few things about my own experience:

1. There were a lot of people involved in the process: me, the surrogate, the donor, the three lawyers representing us, the doctors, and the psychologists and social workers at the lawyers’ and doctors’ offices. In almost every conversation that I had with any of these people, the subject of multiple births was discussed. Everybody involved understood clearly that there was a very high possibility of twins, triplets or even more.

Continue reading

Epilogue: The Boo-Boo Hoax, Blues Blindness, and Trust

The comments on the boo-boo hoax post have me so upset that I can't see this...

The comments on the boo-boo hoax post have me so upset that I can’t see this…

Every now and then, and it is never on a post that I am especially keen on or that I expect to catch fire, a link to an Ethics Alarms essay is suddenly being clicked on by a lot of people who have no interest in ethics, but a particular interest in a topic I happened to stumble into, as I am wont to do. Usually these waves of traffic contribute nothing of substance to our ethics colloquy, produce no new regular readers, and  they depress me, as did the so-called “Instalanche” of a few years back when Glenn Reynolds deigned to link to a post.  A bigger group of nasty right wing jerks I have never encountered before or since: I lost a bit of respect for Professor Reynolds that day (His avid followers maintained it was ethical to spread a web rumor that Harry Reid was a pederast in retribution for Reid’s “Romney hasn’t paid taxes” lie. It’s not.)

The current ‘-lanche’ has arrived courtesy of my post of a couple days back about an unlabeled hoax study published by The Journal of Evaluation in Clinical Practice, a (formerly) respectable scientific journal. Of the few new readers who have commented, most have distinguished themselves by making the typical threadbare rationalization used for all web hoaxes, to wit:  “Anyone who didn’t figure out it was a gag isn’t as smart as I am.” If these people typify the ethical acumen of scholarly journal readers, we have trouble my friends, right here in River City.

See, Brilliant Advanced Degree-holders, the problem with respectable journals (if there are such things) publishing inside jokes without proper labeling is that the false studies are read and believed by journalists, who spread the misinformation like an oil slick over the culture and public consciousness. It doesn’t matter if you got a chuckle out of it; what matters is that a lot of people were made to believe false information, and it is the purveyors of that false information, not the oh so gullible and ignorant victims of it, who are at fault. Continue reading

The Strange Case Of The Unwanted Triplet

I want to hear the ethical analysis of this messy situation from abortion advocates/apologists/activists/feminists. In fact, I can hardly wait.

Melissa Cook is a surrogate mother whom a man paid $33,000 to have  his child by in vitro fertilization, using his sperm and the eggs of a 20-year-old donor. The 47-year-old California woman was implanted with three embryos, a not infrequent approach, but when all three developed normally and apparently healthily,  the birth father began to freak out. He didn’t want three kids, only two at most, and directed Cook to have one aborted. When she refused, he began threatening her  with threats of financial penalties if she did not comply with his demands that she undergo a one-third abortion. Continue reading

The Seventh Annual Ethics Alarms Awards: The Best of Ethics 2015, Part I

Sweet Briar montage

Welcome to the Seventh Annual Ethics Alarms Awards, our blog’s retrospective of the best and worst in ethics over the past year, 2015.

It was a rotten year in ethics again, it’s fair to say, and Ethics Alarms, which by its nature and mission must concentrate on episodes that have lessons to convey and cautionary tales to consider probably made it seem even more rotten that it was. Even with that admission, I didn’t come close to covering the field. My scouts, who I will honor anon, sent me many more wonderfully disturbing news stories than I could post on, and there were many more beyond them. I did not write about the drug company CEO, for example, who suddenly raised the price of an anti-AIDS drug to obscene levels, in part, it seems, to keep an investment fraud scheme afloat. (He’ll get his prize anyway.)

What was really best about 2o15 on Ethics Alarms was the commentary. I always envisioned the site as a cyber-symposium where interested, articulate and analytical readers could discuss current events and issues in an ethics context. Every year since the blog was launched has brought us closer to that goal. Commenters come and go, unfortunately (I take it personally when they go, which is silly), but the quality of commentary continues to be outstanding. It is also gratifying to check posts from 2010 and see such stalwarts who check in still, like Tim Levier, Neil Dorr, Julian Hung, Michael R, and King Kool.  There are a few blogs that have as consistently substantive, passionate and informative commenters as Ethics Alarms, but not many. Very frequently the comments materially enhance and expand on the original post. That was my hope and objective. Thank you.

The Best of Ethics 2015 is going to be a bit more self-congratulatory this year, beginning with the very first category. Among other virtues, this approach has the advantage of closing the gap in volume between the Best and the Worst, which last year was depressing. I’m also going to post the awards in more installments, to help me get them out faster. With that said….

Here are the 2015 Ethics Alarms Awards

For the Best in Ethics:

Most Encouraging Sign That Enough People Pay Attention For Ethics Alarms To Occasionally Have Some Impact…

The Sweet Briar College Rescue. In March, I read the shocking story of how Sweet Briar College, a remarkable and storied all-women’s college in Virginia, had been closed by a craven and duplicitous board that never informed alums or students that such action was imminent. I responded with a tough post titled “The Sweet Briar Betrayal,” and some passionate alumnae determined to fight for the school’s survival used it to inform others about the issues involved and to build support. Through the ensuing months before the school’s ultimate reversal of the closing and the triumph of its supporters, I was honored to exchange many e-mails with Sweet Briar grads, and gratified by their insistence that Ethics Alarms played a significant role in turning the tide. You can follow the saga in my posts, here.

Ethics Heroes Of The Year

Dog Train

Eugene and Corky Bostick, Dog Train Proprietors. OK, maybe this is just my favorite Ethics Hero story of the year, about two retired seniors who decided to adopt old  dogs abandoned on their property to die, and came up with the wacky idea of giving them regular rides on a ‘dog train” of their own design.

Ethical Mayor Of The Year

Thomas F. Williams. When the Ferguson-driven attacks on police as racist killers was at its peak (though it’s not far from that peak now) the mayor of Norwood, Ohio, Thomas F. Williams, did exactly the opposite of New York Mayor Bill de Blasio in response to activist attacks on the integrity of his police department. He released a letter supporting his police department without qualification. At the time, I criticized him for his simultaneously attacking activists as “race-baiters.” In the perspective of the year past, I hereby withdraw that criticism.

Most Ethical Celebrity

Actor Tom Selleck. In a terrible year for this category, Selleck wins for bravely pushing his TV show “Blue Bloods” into politically incorrect territory, examining issues like racial profiling and police shootings with surprising even-handedness. The show also has maintained its openly Catholic, pro-religion perspective. Yes, this is a redundant award, as “Blue Bloods” is also a winner, but the alternative in this horrific year when an unethical celebrity is threatening to be a major party’s nominee for the presidency is not to give the award at all.

Most Ethical Talk Show Host

Stephen Colbert, who, while maintaining most of his progressive bias from his previous Comedy Central show as the successor to David Letterman, set a high standard of fairness and civility, notably when he admonished his knee-jerk liberal audience for booing  Senator Ted Cruz

Sportsman of the Year

CC Sabathia

New York Yankee pitcher C.C. Sabathia, who courageously checked himself into rehab for alcohol abuse just as baseball’s play-offs were beginning, saying in part,

“Being an adult means being accountable. Being a baseball player means that others look up to you. I want my kids — and others who may have become fans of mine over the years — to know that I am not too big of a man to ask for help. I want to hold my head up high, have a full heart and be the type of person again that I can be proud of. And that’s exactly what I am going to do.”

Runner-up: MLB Commissioner Rob Manfred, who dismissed the ethically-addled arguments of Pete Rose fans to reject his appeal to be have his lifetime ban for gambling lifted.  For those who wonder why football never seems to figure in this category: You’ve got to be kidding.

Ethics Movie of the Year

SpotlightTIFF2015

“Spotlight”

Runner-up: “Concussion”

Most Ethical Corporation

Tesla Motors, the anti-GM, which recalled all of its models with a particular seatbelt because one belt had failed and they couldn’t determine why. Continue reading

From The Pot Obsession Files, Or “If The Only Tool You Have Is A Hammer, Every Problem Looks Like A Nail, You Morons”

stoned-santaI hardly know how to begin describing how–what? Sad? Dumb? Irresponsible? Satisfying because all my predictions about how legalizing marijuana will screw up society in all sorts of ways is coming true?–this story is.

Denver nonprofit Cannabis Can gave away a thousand free, pre-rolled marijuana joints to the homeless and anyone else who wanted one on Christmas Eve. This was all for a “good cause,” of course —raising awareness about homelessness and getting people to donate  money to buy several RV’s and provide restrooms and showers for destitute. And getting the homeless high, because making everyone in the U.S. high or wanting to get high  is the most important thing in the world to the marijuana obsessed.

“‘Cannabis can make a difference,’ is kind of what we’re standing for,” said Nick Dicenzo, proud founder of Cannibis Can, nicely illustrating the verbal dexterity one is capable of once you’ve had a couple of joints before breakfast for a decade or so. “A lot of the people we spoke with really were just like, ‘if I had regular access to a shower, and a haircut my life would be so much better – I’d have so much more opportunity’,” Dicenzo continued.. I wonder how many of those homeless were on the streets in the aftermath of drug abuse and addiction. I wonder how many would have enough money to buy a suit, or rent a room, if they hadn’t blown so much money on drugs, or gotten themselves fired for showing up stoned for work. Continue reading

Fetuses In Landfills: “Ick” or Unethical?

"Rest in Peace, my potential son"

“Rest in Peace, my potential son”

From the a press release from Ohio’s Attorney General, Mike DeWine:

(COLUMBUS, Ohio)—Ohio Attorney General Mike DeWine today announced that his office has concluded its investigation into the alleged sale of fetal tissue by Planned Parenthood affiliates. While the investigation did not find any indication that fetal tissue was sold by Planned Parenthood affiliates in Ohio, the investigation did reveal that that aborted fetuses from Planned Parenthood facilities are ultimately disposed of in landfill sites.

…Mike DeWine directed his Charitable Law Section to investigate whether Planned Parenthood affiliates … were violating Ohio law by selling fetal tissue…in violation of Ohio Revised Code 2919.14….The investigation showed that the disposal methods documented by the Planned Parenthood affiliates violate Ohio Administrative Code 3701-47-05, adopted in 1975, which requires that a “fetus shall be disposed of in a humane manner.” Specifically:

  • All three Ohio Planned Parenthood affiliates have sent fetal remains to companies which disposed of the fetuses in landfills.
  • Additionally, the Planned Parenthood facility in Bedford Heights stated it uses only one company for disposal. However, that company stated to investigators it does not accept fetal remains for disposal as a corporate policy.

Interesting! Continue reading