U.S. Society

Medical Ethics: The Insideousness of Bias

/ Jack Marshall / 3 Comments

Obesity biasThe New York Times had an enlightening article about bias in its Science section this week. Apparently a study of the interactions between patients and their primary care physicians suggests that doctors are more pleasant, encouraging, empathetic, kinder—just nicer, in short—to their normal weight patients than they are to those who are obese.

From the article:

‘“It’s not like the physicians were being overtly negative or harsh,” said the lead author, Dr. Kimberly A. Gudzune, an assistant professor of general internal medicine at the Johns Hopkins School of Medicine. “They were just not engaging patients in that rapport-building or making that emotional connection with the patient.” …While such expressions of concern and empathy are not remarkable on their own, what was surprising was how absent they were in conversations with overweight and obese patients. And statements like these are no small thing. Studies show that patients are far more likely to follow a doctor’s advice and to have a better health outcome when they believe their doctor empathizes with their plight.

‘“When there is increased empathy by the doctor, patients are more likely to report they are satisfied with their care, and they are more likely to adhere to recommendations of physicians,” Dr. Gudzune said. “There is evidence to show that after visits with more empathy, patients have improved clinical outcomes, so patients with diabetes have better blood sugar control or cholesterol is better controlled.”’

Continue reading →

Musings On The Jason Collins Announcement

/ Jack Marshall / 30 Comments

Jason-Collins

Jason Collins, a reserve NBA center, became a huge news story as well as symbol of increasing gay acceptance in America when he announced his sexual orientation in a Sports Illustrated cover story this week. This made him,technically at least, the first active athlete in one of the U.S’s major professional sports to “come out.” Since his team is not in the NBA play-offs, and since Collins is a free agent going into 2014, the NBA has yet to see its first openly gay player take the floor in a game, and Collins may not be the one who does it.

What does it all mean?

  • Collins is courageous.
  • I hate the fact that the state of celebrity economics, fame and popular culture makes me think like this, but it does: How can we know that Collins, a borderline and largely obscure NBA player nearing the end of his career, didn’t see a chance at the kind of fame, stardom and popularity, not to mention guest appearances, sponsorships and endorsements that have eluded him in his playing career, and grabbed it? We don’t. This was the kind of act that has nothing but good results whatever the motives of the actor, and so it is an ethical act by definition. Was it a truly selfless act, as it is being portrayed? I think Collins deserves the benefit of the doubt, but I sure have some. Continue reading →

If We Could Trust The Government To Take Care Of Us, There Wouldn’t Be Idiotic Laws Like This One

/ Jack Marshall / 14 Comments
"You have to take it this time, honey, because the law says you're a nuisance if you call the cops again..."

“You have to take it this time, honey, because the law says you’re a nuisance if you call the cops again…”

Did you know that many cities and towns across the country have what are called “nuisance ordinances,” “crime-free ordinances,” or “disorderly behavior ordinances,” that subject landlords and tenants to fines when the police respond to a proscribed number of “disorderly behavior” complaints within a designated period of time?  Such ordinances specifically include “domestic disturbances” as among the forms of disorderly conduct that be punished under the law.

What are the predictable consequences of such laws? Landlords evict tenants who cause them to be fined…including women who call the police because they are being beaten by their husbands or boyfriends. The laws, therefore, penalize the victims of domestic abuse, and create a powerful disincentive for them to report it, since they must, in effect, choose between a beating and homelessness. They also tend to affect single mothers and those who live in poor neighborhoods.

Wait…what? What idiots would pass such a cruel and stupid law? The answer, unfortunately, is lots of idiots, because elected officials, as a general rule, are wretched at ethics chess, among other skills. They don’t think about the unfair and irresponsible results of their well-meaning, bone-headed, poorly drafted and ill-conceived laws by considering their likely consequences two, three and four moves ahead, which is what ethics chess requires. A law can have unethical and unintended outcomes that render it far worse than whatever it is the measure was intended to address, but determining what those outcomes are takes more care, diligence, intelligence and patience than most of our elected officials can muster. Continue reading →

Incompetent Elected Officials Of The Month: The U.S. Congress

/ Jack Marshall / 6 Comments
"Oh, THAT..."

“Oh, THAT…”

We know that our elected officials don’t think it is important for them to read the bills they vote for (or against.) That’s irresponsible, but this is illegal: as pointed out by Thomas Beck in the Wall Street Journal, both Houses of Congress, but especially the Senate, defy the most basic Parliamentary rule of all, one that is mandated in the Constitution. The requirement: having  more than 50% of members present, a quorum, in order to do business.

Beck:

“Congress has ignored the quorum requirement for decades, yet neither the president nor the courts has questioned the practice. The one time the Supreme Court was called upon to apply the quorum requirement was in the 1892 case of United States v. Ballin. A statute was challenged on the basis that, while a majority was present in the House when the act was passed, a majority didn’t cast votes on it. A unanimous Supreme Court explained that what matters is whether a majority is present: ‘All that the Constitution requires is the presence of a majority, and when that majority are present the power of the House arises.’ Continue reading →

Audrie Pott, Web-Shaming And Moral Luck

/ Jack Marshall / 78 Comments
Audrie Potts, in a photo she didn't mind others seeing, in a way she wouldn't mind being seen

The late Audrie Pott, in a photo she didn’t mind others seeing, in a way she wouldn’t mind being seen

Before we consider the tragic story of Audie Pott, let’s return to an earlier, certainly less tragic tale, that of the annoyed Applebee’s waitress who posted on Reddit an ungenerous female pastor’s obnoxious scrawl on her meal receipt, apparently refusing to tip the pastor’s server. Imagine that instead of demanding that the waitress be fired, the publicly humiliated pastor slit her own throat in despair and shame, but not before pinning a sad note to clerical robe reading, “I am so, so sorry! I didn’t mean to hurt anyone. I am disgraced forever before my Church and my God, and my life is worthless.”

Presumably this result would have splashed a little cold water on the enthusiastic supporters of the vigilante web-shaming waitress, but it should not have. Either taking someone’s conduct, words or appearance that was not intended for public consumption and publishing it to the world, knowing they will be embarrassed, is ethical, or it is not. The fact that the victim of this treatment takes it unexpectedly hard, even irrationally hard, is irrelevant to judging its ethical nature. If you really think that the pastor deserved to have her stupid and mean note, intended,for only the eyes  one or two individuals, used to make her a nationwide pariah, then the fact that she killed herself over it shouldn’t change your view at all. “Too bad, but she had it coming,” should be your response.

Now let’s consider Audrie Pott, the victim in an ugly variation on the Steubenville rape. She was a 15-year-old Northern California girl who killed herself a week after three teenage boys allegedly assaulted her at a party while she was passed out, drunk. They violated her (though there may have been no actual rape), wrote crude things on her naked body and breasts, and took photographs. After the party, when Pott realized that the photographs, text-messages and e-mails describing her assault were circulating among her friends and others, she took to her Facebook page to write, “worst day ever….The whole school knows…My life is like ruined now.” A week later, she committed suicide. Three 16-year-olds have now been arrested on suspicion of sexual battery against Audrie, and the fact that their callous treatment of her culminated in her death has greatly intensified the public outcry against what they did. But it should not, in fairness and logic. If Audrie had been a hardier young woman, vowed the see the boys punished and resolved to learn from the incident and go on to a happy and productive life…indeed, even if her criminal mistreatment at the hands of these heartless young men proved to be a catalyst that propelled her to such a life, it wouldn’t make what they did any less miserable and heinous. Continue reading →

Fire Brandi Hucko

/ Jack Marshall / 22 Comments
The Horror.

The Horror.

Let’s stop being mild and measured, shall we? Heads need to role, messages need to be sent, and a culture needs to be saved.

Fire Brandi Hutto.

If she can’t be fired because a union insists that fools and hysterics be allowed to abuse our children and warp our culture, then parents have to boycott the school, while flooding local papers with letters and petitions protesting the lunatic who is running the Garden Gate Elementary School in Cuperino, California. That is, unless this silly, incompetent, stupid, stupid woman gets down on her knees and begs forgiveness from young Braden Bandermann and his family, while also apologizing to his class and the schools itself for making the child feel like a criminal and trying to turn all the other children into trembling, terrified, weenies.

Fire Brandi Hutto. Continue reading →

Bullying To Discourage Bullying : Our Incredibly Incompetent, Unethical Schools

/ Jack Marshall / 19 Comments
If public schools keep making my head explode, I'm not going to be able to criticize them much longer. Soon, it will be all up to you...

If public school idiocy keeps making my head explode, I’m not going to be able to criticize them much longer. Soon, it will be all up to you…

In Red Hook, New York, a recent anti-bullying workshop at Linden Avenue Middle School for 13 and 14-year-old girls focused on homosexuality and gender identity. Parents learned from their daughters that the girls had been ordered to stand before the group and ask one another for a kiss. Some students were told to stand in front of the class and pretend they were lesbians on a date.

Bullying, as they are supposed to teach you in school, is when someone uses their superior power to subordinate and humiliate someone weaker than themselves. This is wrong, and it is always wrong. It is just as wrong when the bully believes that his or her power is being exercised to make a weaker individual do something that is “good” for them, as in, “Go ahead, jump off that rock, or I’ll beat the snot out of you!” This pathetic, miserably unprofessional, cruel and arrogant political correctness-infected school actually used its authority over these children to force them to do something, in public, that they almost certainly felt was embarrassing and unnatural. This is bullying: the only other equally apt word for it is stupidity. The school’s method of showing students how bullying is wrong is to bully them. In addition, the school neither informed the students’ parents nor received their permission.

Why are we continuing to put up with this? Continue reading →

The Stigmatized Science Fair Project: School Indoctrination, Power Abuse and Passive Parents

/ Jack Marshall / 18 Comments

indoctrinationFrom Lenore Skanzy’s useful and fascinating blog Free Range Kids comes a report from a mother whose Middle Schooler’s science fair project was summarily disqualified after he devoted months of work on it because it involved Airsoft guns, the realistic-looking gun replicas that shoot plastic pellets—toys, though expensive ones, much favored by pre-teen and teen-aged boys. The Airsoft was not physically featured in the project display; apparently the boy was punished for having the bad taste to use anything that looked and behaved like a gun in any activity related to school. According to the mother, his experiment, involving the spin on propelled objects, received a high enough score to send him and his experiment to the regionals, had he not been slapped down for daring to use a toy gun at his own home.

What is going on here? What is going on is a concerted, widespread nation-wide, ideologically-motivated and unethical effort by teachers, administrators and school districts to create a pervasive anti-gun, anti-gun ownership, anti-Second Amendment and pro-gun confiscation culture in the schools, ensuring, through cultural reinforcement, that future generations emerge from public education thoroughly phobic about guns no matter what their purpose. This abuse of power, a particularly stupid, sinister and ignorant abuse of power, is being encouraged by elected officials and the news media, and it is the tip of a very ugly iceberg.

This isn’t about guns, though they are the target this time. It is about school personnel and schools using their influence to implant ideology and political policy views in children, which is neither their job nor the appropriate role of public education. Continue reading →

Incompetent Elected Official Of The Month: New York State Senator Greg Ball (R)

/ Jack Marshall / 19 Comments
Trust me, guys, you really don't want to vote for Greg Ball again...he's embarrassing your district.

Trust me, guys, you really don’t want to vote for Greg Ball again…he’s embarrassing your district.

Every now and then, a public official says something so brain-meltingly ridiculous that I wish I had a traditional blog and could write, “What an idiot!” and leave it at that.  This is one of those times.

Republican New York State Senator Greg Ball must represent the troglodyte section of New York—you know, that famous district heavily populated with prehistoric cave-dwellers who were discovered frozen in 1989, thawed out alive, and became politically active?—based on his unapologetic,nail-spitting, un-American tweet regarding the younger, surviving terrorist brother who engineered the Boston Marathon bombing:

Ball

What an idiot.

No, no, I can’t say that.

This is an unethical tweet. It’s an irresponsible tweet. Supporting torture “to save more lives” explicitly rejects the principles of the Declaration of Independence as well as the Constitutional requirements of Due Process and the Bill of Rights prohibition against cruel and unusual punishment and compelled testimony against self-interest. The “anything to save more lives” illogic, though recently adopted, to his shame and disgrace, by the presumably less idiotic President Obama in his quest for more gun regulations, is, of course, the open door to martial law and the permanent trade of liberty for security. I wrote about this at some length in the wake of the Abu Ghraib fiasco; reading “The Ethics of American Torture” again now, I would hold the same today, as would, I hope, most of you. (Don’t bother to read this, Senator Ball; it’s more than 140 characters, and you wouldn’t understand it anyway.) I wrote in part, Continue reading →

Ethics Quiz: The Hypocrite and the Hecklers

/ Jack Marshall / 29 Comments
GLAAD precedent: Emperor Hirohito reads the announcement of his Nobel Peace Prize for agreeing to end World War II...

GLAAD’s  precedent: Emperor Hirohito reads the announcement of his Nobel Peace Prize for agreeing to end World War II…

Former President Bill Clinton received the first Advocate for Change award at the GLAAD Awards in Los Angeles over the weekend. Clinton, who uniquely appears to be immune from ever being held accountable for his mistakes and misconduct, was honored by the LBGT advocacy organization for opposing a ban on same sex marriage in North Carolina, and supporting efforts to legalize same sex marriage in New York. In his remarks, Clinton attacked the Defense of Marriage Act (DOMA), which prohibits legally married same sex couples from receiving federal benefits and protections, saying,

“I want to keep working on this until not only DOMA is no longer the law of the land, but until all people, no matter where they live, can marry the people they love. I believe you will win the DOMA fight, and I think you will win the Constitutional right to marry. If not tomorrow, then the next day or the next day.”

What Clinton did not say is that he is 100% responsible for the fact that DOMA is the law of the land, as he is the one who signed it into law in 1996. Nobody held a gun to his head: it was a popular bill in its day, and Clinton—surprise!—was following the polls. He also said at the time that he believed that the law was just.

This inconsistency—GLAAD honoring Clinton with an award for opposing a law he is responsible for inflicting on the gay and lesbian community, and his having the brass to accept it, are the stuff of Onion stories—prompted some at the event to heckle Clinton, shouting, “You signed it!”  I am tempted to cheer this development, but must pause—I object to heckling on civility and fairness grounds. One can rebut speech, but one shouldn’t seek to obstruct it. Yet there are exceptions to every rule, even in ethics. Thus your Ethics Alarms Ethics Quiz for today is this query:

Is it ethical to heckle Bill Clinton under these circumstances? Continue reading →