Jahi’s Plight: Why Death Panels Are Inevitable And Necessary If We Are Going To Pay For Each Other’s Health Care

death panels

Even while the Affordable Care Act debacle is mired in other problems, the “death panel” controversy lingers on, as conservatives exploit the public’s visceral reaction against an inevitable result of modern health care cost-sharing, and progressives dishonestly deny and ridicule the reality of that result, because it makes health care reform less attractive.

The case of Jahi McMath is instructive, if anyone bothers to consider its practical and ethical implications. Jahi, 13, underwent a tonsillectomy Dec. 9, and emerged from her post-op recovery legally dead, due to massive swelling in her brain. She was placed on a ventilator, and according to its policy, Children’s Hospital Oakland was preparing to take her off life support when the family strenuously objected. It petitioned a court to keep her technically alive so she could spend Christmas with them. An Alameda County judge Monday ordered hospital officials to keep Jahi on a ventilator until Dec. 30 while an independent neurologist reviews her case. Meanwhile, her mother told CNN and other local media that although she appreciates  the second opinion and court order, she will fight to keep her daughter on life-support as long as possible, saying,

“I’m her mother. I’m going to support her. It’s my job to do it. Any mother would do it. I just want her to have more time. There are so many stories of people waking up in her situation.” Continue reading

Comment of the Day: “The Death of Raymond Zack”

Raymond Zack

Buck Best, a Northern Virginia firefighter and supervisor, weighs in with his expert perspective and nuanced insight regarding my post on the Alameda, Cal. incident involving a suicide by drowning. His wife Lianne had another Comment of the Day earlier this week; if this keeps up, I will have to call the feature “Best Comment of the Day.”

“As an 18 year veteran of the Fire Dept. and the last ten years as the Officer of a Technical Rescue team that would be responsible for just such a rescue, let me offer another perspective to this ethical question. The Fire service much like many other organizations in recent history are governed by politics and litigation. The management of the organizations are always looking to the risk analysis of any potential situation based of the money that is available. The risk analysis is not based as much on the physical risk as it is on the financial or political risk. Continue reading

Flashback: “What Hugo Alfredo Tale-Yax Can Teach America”

The Late Hugo Alfredo Tale-Yax

[Not many people were checking in on Ethics Alarms when I wrote this post in response to yet another example of bystanders choosing to do nothing when a human being was in peril. Some of the comments to the Alameda post, those making excuses for the 75 faint-hearted or apathetic citizens in that city who would rather gawk at a tragedy than try to stop it,  caused me to recall the essay, which explores related issues.  I wrote it, but I had nearly forgotten about the story; when I re-read it today, I got upset all over again.Here, for the second time, is “What Hugo Alfredo Tale-Yax Can Teach America.”]

The one with the premium-grade ethics alarms bled to death on the sidewalk. The people who never had theirs installed at all took pictures. Is this the way it’s going to be? Continue reading

The Death of Raymond Zack: No Heroes, Only Bystanders

50-year-old Raymond Zack waded into the surf on an Alameda, California beach and stood calmly in the 54-degree water, apparently waiting to die. His suicide took nearly an hour, but eventually he drowned, with no rescue attempts from any of the 75 San Franciscans who gathered on the shore to watch the entire tragedy.

Why didn’t anyone try to rescue the man?

Apparently it was because nobody was paid to do it. You see, stopping Zack from killing himself wasn’t anyone’s job.

The media’s focus in reporting yet another disturbing incident with echoes of the murder of Kitty Genovese has been exclusively on the inert Alameda police and firemen who witnessed Zack’s suicide. “Fire crews and police could only watch,” wrote the Associate Press.

What does the AP mean, “they could only watch”?  Were they shackled? Held at gunpoint? Were all of them unable to swim? They didn’t have to watch and do nothing, they chose to watch and do nothing, just like every one of the bystanders who weren’t police or firemen chose to be passive and apathetic when saving a life required action and risk. Continue reading