Health and Medicine

Comment of the Day: “Ethics Dunces: Ten Prominent Doctors, Surgeons and Med School Professors Who Want Columbia To Kick Dr. Oz Off Its Faculty”

/ Jack Marshall / 9 Comments
The late Prof. George Wald, the best teacher I ever had. In biology, not political science. George did not acknowledge the distinction.

The late Prof. George Wald, the best teacher I ever had. In biology, not political science. George did not acknowledge the distinction.

Commenter Alexander Cheezem, who has quite a bit of expertise (also passion) on such matters, weighed in on the current controversy over the “quackery” of daytime TV star “Dr. Oz.” This time I’ll hold my comments until the end; here is Alex’s excellent Comment of the Day on the post, Ethics Dunces: Ten Prominent Doctors, Surgeons and Med School Professors Who Want Columbia To Kick “Dr. Oz” Off Its Faculty:

I’m going to have to both agree and disagree with you here. First off, I applaud Columbia University’s response and agree that the principle of academic freedom is applicable here… to a point.

Secondly, however, I’m going to have to disagree with you regarding the parallels. Linus Pauling was an embarrassment to medicine, not chemistry. Wald was overly passionate about politics, not biology. Nagel’s views on biology are an embarrassment, not his views on what he’s supposed to be actually teaching. Chomsky’s forays into political science may be an embarrassment (personally, I regard them as something of a mixed bag), but that’s not what he was the professor of, is it?

Kass, McKinnon, Harper, and Singer are closer parallels, of course, but there’s still one rather huge difference: Dr. Oz is a doctor… and runs his show as one. It is, as the comedian John Oliver put it, the Dr. Oz Show, not “Check This Shit Out With Some Guy Named Mehmet”. This is quite relevant for a number of reasons, not the least of which is that offering medical advice is within the scope of what doctors do. Offering that advice while invoking his medical license as a relevant qualification, simply put, can be considered part of the actual practice of medicine. Continue reading →

Fugitive for 39 Years Turns Himself In For Free Health Care…Wait, WHAT??

/ Jack Marshall / 31 Comments
"Oh, Mr. Moore? We have that bed you made 39 years ago. Now lie on it."

“Oh, Mr. Moore? We have that bed you made 39 years ago. Now lie on it.”

From NBC:

“…Clarence David Moore, 66, called the Franklin County (Kentucky)Sheriff’s Office on Monday and said he wanted to turn himself in, the sheriff’s office said. When deputies arrived, they found Moore — who’d been living in Frankfort since 2009 and had ID’d himself as Ronnie Dickinson — partially paralyzed and unable to walk because of a recent stroke. He was arrested and taken by ambulance to a hospital for examination before he was taken to the Franklin County Regional Jail.

“Sheriff Pat Melton told NBC station WLEX of Lexington on Tuesday that Moore said he’d escaped from the Henderson County, North Carolina, Prison Unit in the mid-1970s and has been on the lam for almost four decades. But as he got sicker, he couldn’t get medical coverage to pay for the complications of his stroke and other health problems, because he doesn’t have a valid Social Security number under his alias…Moore was arraigned Tuesday morning and waived extradition to North Carolina on a charge of being a fugitive from another state. He was being held without bond pending his being returned sometime this week….”

I hate to appear uncharitable, but I don’t understand this at all.

Moore chose to defy the justice system for 39 years, and now wants to get the benefit of it on his terms, when it’s useful and convenient to him?

He chose to avoid paying his debt to society. Society certainly has no debt to him. The ethical course is for the North Carolina’s governor to pardon Moore, and allow him to fend for himself, stroke or not. For taxpayers to have to foot the bill for a felon’s health care when he has shown nothing but utter contempt for the justice system is a travesty of justice, logic and ethics. If it’s compassion at issue, take the money that would have to be spent on Moore and use it to help an elderly law-abiding citizen who can’t pay his medical bills.

Or burn it.

Does the State have some subtle ethical obligation to the fugitive that I’m missing?

Ethics Dunce: Alexandra Robbins, The Mocking Nurse

/ Jack Marshall / 12 Comments

Mockery

If you set out to defend ethically indefensible conduct in print, you better be able to do a better a job of it than this.

Alexandra Robbins, in an op-ed causing quite a bit of controversy in the Washington, D.C. area, attempted to not only justify the despicable conduct of medical professionals deriding and ridiculing their unconscious patients, but to sanctify it, arguing, lamely, that doctors and nurses are mocking the unwitting and vulnerable human beings who have placed their lives in their hands in order to “rejuvenate [the medical personnel] and bond them to their teams, while helping to produce high-quality work. In other words, the benefits to the staff — and to the patients they heal — outweigh occasional wounded feelings.”

Right.

Robbins’ protests of virtue amount to a desperate raid on the Ethics Alarms Rationalization List, which, as always, operates as virtual Rotting Ethics Detector, or RED. If you find yourself thinking these corrupting self-delusions, you’re on the verge of unethical conduct; if you find yourself saying them, you’ve applied for membership in the Dark Side, and if you are so rationalization-polluted that you proclaim them in print, like Robbins, you shouldn’t be trusted to mail the water bill, much less to cavort in the operating room.

Rationalizations aren’t the only ethical problem with her loathsome essay. The entire thing is a Jumbo, denying the blatantly undeniable. “Oh, no!” readers are told. “We aren’t being disrespectful to patients when we mock their weight, sex organs, or the maladies that placed them in pain, peril and in our care!” Robbins expects us to believe that insults constitute “non-destructive coping measures” that help nurses and doctors “provide the best possible care, even if those methods might seem unprofessional outside of the health-care setting.”

They seem unprofessional because they are unprofessional. Continue reading →

Ethics Dunces: Ten Prominent Doctors, Surgeons and Med School Professors Who Want Columbia To Kick “Dr. Oz” Off Its Faculty

/ Jack Marshall / 9 Comments

Dr Oz

Perhaps they tried this because Columbia has been having a bad ethics year so far… that could be it, I guess.

For the record, here are are the ten prominent individuals in the field of medicine who called on Columbia University to kick Dr. Mehmet Oz, better known to Oprah fans and junk TV addicts as “Dr.Oz,” off its medical school’s faculty:

Henry I. Miller, M.D.
Robert Wesson Fellow in Scientific Philosophy
& Public Policy
Hoover Institution
Stanford University
Stanford, CA

Scott W. Atlas, M.D.
David and Joan Traitel Senior Fellow
Hoover Institution
Stanford University
Stanford, CA

Jack Fisher, M.D.
Professor of Surgery (emeritus)
University of California, San Diego
La Jolla, CA

Shelley Fleet, M.D.
Anesthesiologist
Longwood, FL

Gordon N. Gill, M.D.
Dean (emeritus) of Translational Medicine
University of California, San Diego
La Jolla, CA

Michael H. Mellon, M.D.
Pediatric Allergist
San Diego, CA

Gilbert Ross, M.D.
President (Acting) and Executive Director
American Council on Science and Health
New York, NY

Samuel Schneider, M.D.
Psychiatrist
Princeton, NJ

Glenn Swogger Jr. M.D.
Director of the Will Menninger Center for Applied Behavioral Sciences (retired)The Menninger Foundation
Topeka, KS

Joel E. Tepper, M.D.
Hector MacLean Distinguished Professor of Cancer Research
Dept of Radiation Oncology
University of North Carolina School of Medicine
Chapel Hill, NC

And here is their letter. They are troubled because “Dr. Oz” has embraced dubious products and health promotion techniques on his TV show. Indeed he has. On TV, Dr. Oz is a quack. He uses his medical credentials to, as the letter says, show “disdain for science and for evidence-based medicine” and to display  “baseless and relentless opposition to the genetic engineering of food crops.”  And no one can deny that  “he has manifested an egregious lack of integrity by promoting quack treatments and cures in the interest of personal financial gain.”

None of which is justification for taking him off the faculty, where his teaching duties are unrelated to his lucrative TV persona, and are the direct result of his recognized expertise in cardiothoracic surgery.

Could it be that all of these doctors—including Professors Tepper and Fisher, and Dean Gill— have never encountered the sacred educational principle of  academic freedom? Continue reading →

Comment of the Day: “Ethics Whistle On The Post’s Dana Milbank…So Blood Won’t Shoot Out My Nose”

/ Jack Marshall / 33 Comments

neurons

On a Saturday morning when my mind is foggy and my reflexes are slow after a harrowing  ordeal of prepping for and MC-ing a legal ethics game show for the D.C. bar the day before, the sighting on a worthy Comment of the Day is a cause for relief and joy. Rich (in CT) offers yet another superb post, illuminating the complex issues behind a statement in my essay about the estate tax. Rich has an impressive record for COTDs in his relatively short time commenting on Ethics Alarms, but none of his masterpieces were more welcome than this, which allows me to go back to bed. You would not believe how long it took me to type this brief paragraph. (Thanks, Rich!)

Here is his Comment of the Day on the post, Ethics Whistle On The Post’s Dana Milbank…So Blood Won’t Shoot Out My Nose.

Continue reading →

Ethical Quote Of The Month: Sgt. Shane Ortega

/ Jack Marshall / 84 Comments

Trans Military Service Member

“You have to exercise patience with people, but people are not going to understand the subject overnight.”

—-Sgt. Shane Ortega, helicopter crew chief in the Army’s 25th Infantry Division, speaking to the Washington Post about his legal battle with the U.S. military, which continues to classify him as a woman despite his transition to a man.

The reason we say that “hard cases make bad law” is that the toughest cases fall between the cracks in rules and regulations, and they all have cracks. The law seeks consistent precedents, so anomalous fact patterns threaten the integrity and efficiency of otherwise effective laws and rules that work well in the vast majority of situations. Yet those hard cases usually indicate flaws in policies, rules and laws, and sometimes point to the need for change.

Often, an organization, especially a bureaucratic one like the military, will deal with such disruptive cases by simply looking past the actual facts, and treating them “by the book.” Ortega represents a particularly glaring instance of this phenomenon, which in his case not only harms his career, but also makes the military appear rigid to the point of absurdity.

Yet, as his Ethical Quote of the Month indicates, he understands. Change is painful, and it takes time. Continue reading →

Rationalization #30 (“It’s a bad law/stupid rule”) Chronicles: Vijay Chokalingam’s Affirmative Action Fraud

/ Jack Marshall / 14 Comments

Affirmative Action

Actress Mindy Kaling, whom you might know from the sitcom she created and now stars in called “The Mindy Project,” has a brother who has exploited both his relationship to his famous sister and an ethically indefensible fraud to gain some momentary fame and perhaps a book deal. Vijay Chokalingam has revealed that 17 years ago he gained acceptance to St. Louis University’s School of Medicine by falsely representing himself as an African-American.

On his new website, Almost Black, Chokalingam explains,

In my junior year of college, I realized that I didn’t have the grades or test scores to get into medical school, at least not as an Indian-American. Still, I was determined to become a doctor and I knew that admission standards for certain minorities under affirmative action were, let’s say… less stringent? So, I shaved my head, trimmed my long Indian eyelashes, and applied to medical school as a black man. My change in appearance was so startling that my own fraternity brothers didn’t recognize me at first. I even joined the Organization of Black Students and started using my embarrassing middle name that I had hidden from all of my friends since I was a 9 years old.

Vijay the Indian-American frat boy become Jojo the African American Affirmative Action applicant to medical school….I became a serious contender at some of the greatest medical schools in America, including Harvard, Wash U, UPenn, Case Western, and Columbia. In all, I interviewed at eleven prestigious medical schools in 9 major cities across America, while posing a black man.

Continue reading →

Once Again, President Obama Displays His Aversion To Accountability

/ Jack Marshall / 11 Comments
It's far from the only missing piece in the Obama leadership puzzle, but it's a big one...

It’s far from the only missing piece in the Obama leadership puzzle, but it’s a big one…

The so-called liberal news media (also called “the news media”) has largely ignored the implication of the President’s recent comments on the link between child health and climate change, but not every source. In a couple of recent interviews, Obama has attributed his determination to control global warming to a personal interest in childhood asthma.

A White House “fact sheet” on climate change notes that the percentage of Americans with asthma has “more than doubled’ in the last three decades [ I haven’t checked these statistics; as you know, the President fudges numbers frequently], and says that “climate change is putting these individuals and many other vulnerable populations at greater risk of landing in the hospital,” with those at greatest peril including children, the elderly, the poor, those who are ill and minority communities. “Rising temperatures can lead to more smog, longer allergy seasons, and an increased incidence of extreme-weather-related injuries,” the document informs us.

Speaking on ABC with chief health correspondent Dr. Richard Besser, the President connected climate change to a frightening Obama family episode. “Well you know, Malia had asthma when she was four, and because we had good health insurance, we were able to knock it out early,” the President said. The children of less successful parents, however, won’t be as lucky, Obama said. “It will be an all-around benefit to society if asthma can be curtailed.”

This is standard issue climate change fear-mongering, along with the convenient and cynical use of children to drive emotional responses from the public rather than allow them to rationally weigh facts, options, and the balancing of costs with benefits and risks. The entire climate change debate has been waged in this unethical manner, on both sides of the issue, and thus has been incompetent, irresponsible, and untrustworthy.

There is something else here, however.

USA Today makes a strong case that there was another more likely cause of Malia’s breathing problems: her father. Continue reading →

Religion + The Right Of A Woman To Control Her Own Body=Murder

/ Jack Marshall / 31 Comments

[I am tired, having engaged in a knockdown, drag-out session on legal ethics with a lively group of Federal bar practitioners. This was not the issue I wanted to come home to for the last post of the day. In fact, I gave up and am posting it this morning. Funny, the issue isn’t any easier now than it was yesterday.]

Charles Taze Russell, founder of Jehovah's Witnesses, and still getting kids killed since 1879.

Charles Taze Russell, founder of Jehovah’s Witnesses, and still getting kids killed since 1879.

A pregnant woman who was a Jehovah’s Witness checked into a Sydney, Australia hospital suffering from leukemia. She directed the staff that her treatment could not include blood transfusions, as her religious beliefs forbade them. She suffered from acute promyelocytic leukemia (APL), which is treatable, and often successfully. According to The American Cancer Society, “more than 90% of patients with APL go into remission with standard induction treatment.” Pregnant women with the cancer have an 83 percent remission rate, and their babies have a high rate of survival when their mothers are diagnosed in their second or third trimesters.

In the end, the fetus and the mother died for want of proper treatment.  “Staff were distressed, grappling with what was perceived as two ‘avoidable’ deaths,” doctors at the Prince of Wales Hospital in Australia wrote in a letter published this month in the Internal Medicine Journal.

Well, they should be distressed: they aided and abetted negligent homicide.  Continue reading →

Ethics Dunce: Fox News Anchor Chris Wallace

/ Jack Marshall / 4 Comments

You won’t read this on The Daily Caller!

Even the pizza deserves an apology...

Even the pizza deserves an apology…

In a radio interview with conservative talk show host Mike Gallagher, Fox News anchor Chris Wallace was riffing on Little Caesars’ bacon-wrapped crust pizza when Gallagher brought up “fat shaming,” which slid into the issue of the current celebrity fat-shaming victim, following in the footsteps of past targets of weight-related ridicule like Kirstie Alley, Roseanne, Adele, Rosie O’Donnell and Lisa Welchel, pop singer Kelly Clarkson.  “Holy cow, did she blow up!” Gallagher said. “She could stay off the deep dish pizza for a little while,” replied Wallace. Ethics Foul , and a vile one. Rude, mean, and completely gratuitous, Chris Wallace has no reason to comment on Kelly Clarkson’s appearance. She’s not a supermodel; she’s a singer, and a really good one who has just has a baby. Her weight is none of his business, and for him to pile on what is already an ugly social media and internet gossip game of mocking Kelly’s dress size is using his prominence to endorse the ugly societal obsession with women’s weight that, as he should know, kills people.

He doesn’t just owe Clarkson an apology.

He owes everyone an apology.

________________

Pointer and source: Mediaite