The Presidents really get interesting now, as a political leadership culture in the U.S. matures, the stakes of failure become greater, and technology, labor upheaval, expanding big business and greater influence on world affairs transforms the Presidency into truly the toughest job on earth.

Grover Cleveland

Another one of my favorites, Cleveland was known for telling the truth ( he as called “Grover the Good”), but he participated in one of the most elaborate deceptions in Presidential history.

As explained in historian Matthew Algeo’s 2011 book, “The President Is a Sick Man,”  President Cleveland noticed an odd bump on the roof of his mouth in the summer of 1893, shortly after he took office for the second time. (Cleveland is the only President with split terms, the hapless Republican Benjamin Harrison winning an electoral college victory that gave him four years as the bland filling in a Cleveland sandwich.) The bump was diagnosed as a life-threatening malignant tumor, and the remedy was removal. Cleveland believed that news of his diagnosis would send Wall Street and the country  into a panic at a time when the economy was sliding into a depression anyway, and agreed to an ambitious and dangerous plan to have the surgery done in secret. The plan was for the President to announce he was taking a friend’s yacht on a four-day fishing trip from New York to his summer home in Cape Cod. Unknown to the press and the public was that the yacht had been transformed into a floating operating room, and a team of six surgeons were assembled and waiting.

The 90 minute procedure employed ether as the anesthesia, and the doctors removed the tumor, five teeth and a large part of the President’s upper left jawbone, all at sea. They also managed to extract the tumor through the President’s mouth while leaving no visible scar and without altering Cleveland’s walrus mustache. Talking on NPR in 2011, historian said,

“I talked to a couple of oral surgeons researching the book, and they still marvel at this operation: that they were able to do this on a moving boat; that they did it very quickly. A similar operation today would take several hours; they did it in 90 minutes.”

But the operation was a success. An artificial partial upper jaw made of rubber was installed to replace the missing bone, and Cleveland, who had the constitution of a moose, reappeared after four days looking hardy and most incredible of all, able to speak as clearly as ever. How did he heal so fast? Why wasn’t his speech effected? He endures doctors cutting out a large chuck of his mouth using 19th century surgical techniques and is back on the job in less than a week? No wonder nobody suspected the truth.

Then, two months later, Philadelphia Press reporter E.J. Edwards published a story about the surgery, thanks to one of the doctors anonymously breaching doctor-patient confidentiality. Cleveland, who in his first campaign for the White House had dealt with Republican accusations that he had fathered an illegitimate child by publicly admitting it, flatly denied Edwards’ story, and his aides  launched a campaign to discredit the reporter. Grover the Good never lies, thought the public, so Edwards ended up where Brian Williams is now. His career and credibility were ruined.

Nobody outside of the participants knew about the operation and the President’s fake jaw until twenty-four years later, after all the other principals were dead except three witnesses.  One of the surgeons decided to  publish an article to prove that E.J. Edwards had been telling the truth after all.

This is a great ethics problem. Was it ethical for Cleveland to keep his health issues from the public? In this case, yes, I’d say so. Was it unethical for the doctor to break his ethical duty? Of course. Was Edwards ethical to report the story? Sure.

The tough question is: Was Cleveland ethical to deny the story and undermine the reporter’s credibility? I think it was a valid utilitarian move, and barely ethical: it was better for the nation to distrust one reporter than the President, especially when his secret was one he responsibly withheld, and his doctor unethically revealed. Continue reading →