confidentiality

Undermining Addiction Treatment For A Petty News Story: The Ethics Bankruptcy Of CBS and Dean Kendrick

/ Jack Marshall / 14 Comments
"Here you go, Dean. Now: what did Robin Williams share at your AA meeting?"

“Here you go, Dean. Now: what did Robin Williams share at your AA meeting?”

 Alcoholism is a national scourge that destroys lives, families and businesses, and  often kills both sufferers and those they interact with. It it is incurable. One of the few effective methods of keeping alcoholism under control is the Twelve Step program developed by Bill Wilson in the 1930s, and taught by the organization he founded, Alcoholics Anonymous. Millions of Americans attend AA meetings every day, including many who are very close to me.

Dean Kendrick works for CBS affiliate KPIX-5 in San Francisco, and he’s apparently an Alcoholic Anonymous member. This means that 1) we shouldn’t know he’s a member, and 2) especially that he shouldn’t be revealing, especially on television, that anybody else is a member, and 3) he absolutely should not be revealing what someone said or how they acted at a meeting he attended, and 4) this even applies to Robin Williams, dead celebrity that he is. Continue reading →

A Too Common Media Practice That Is Per Se Unethical: The Purchased “Opinion”

/ Jack Marshall / 1 Comment
"But remember---we tell you what opinion to express. Deal?"

“But remember—we tell you what opinion to express. Deal?”

Lanny Davis, the attorney and Washington D.C. political consultant who became a tiresome, repetitive and shameless presence on national television during the Monica crisis, has just authored a review of sorts of Hillary Clinton’s book, “Hard Choices.” On “The Hill,” he pronounces it a genuine portrait of its author, and as accurate as it is complimentary. “No, Hillary Clinton hasn’t changed through all the years: the importance of family and friends, the “service gene” as active today as I witnessed some 45 years ago,” David writes, ” motivating her to “never quit — never stop working to make the world a better place.”

Maybe the book is wonderful, and maybe it isn’t; about that, I do not care. Davis begins with a lie: he says that the book’s sales “are strong,” when the buzz on the web, and not just among those rooting for Clinton to fall on her face, is how disappointing sales are. But Davis is paid by his clients to shade the truth; I’m not going to quibble about the deceit inherent in “strong.”

This, however, matters, and it is a long-held pet peeve of mine: Lanny Davis works for the Clintons. He has for years. If he is not currently on Hillary’s payroll, he will be, or is angling to be: pick a, b, or c. The conclusion is the same no matter which it is: he is biased; he will personally benefit from endorsing Hillary and her book, and thus his article, which purports to be an honest, objective, reliable assessment, is almost certainly nothing of the kind. Continue reading →

Ethics Hero: Dick Masten—When Ethics Trumps Law

/ Jack Marshall / 6 Comments
A heroic and ethical snack...

A heroic and ethical snack…

One way I can always start an argument on Ethics Alarms is to state my position that willfully breaking the law is per se unethical as a breach of citizenship. Like all rules, however, this one has exceptions. Dick Masten, the Director of Miami-Dade Crime Stoppers, recently demonstrated one of them.

The former police chief was ordered by Judge Victoria Brennan to reveal the name of a tipster in a cocaine possession case, State vs. Lissette Alvarez. Alvarez was arrested in 2013 and charged with cocaine possession. Brennan called for Masten to come into court and confer with her in chambers regarding the case. Miami-Dade Crime Stoppers sparked the eventual arrest after getting information from a tipster who was assured anonymity. Alvarez’s attorney insists that the tipster’s information is part of the evidence against his client, saying, “Ms. Alvarez, in this case, has every right to confront her accusers. But more particularly in this case, it’s not the accuser, but the evidence that the State will use against her.”

Ordered by the judge to reveal the name of the tipster, Masten, insisted that he couldn’t divulge information to be reviewed in closed court that might be discoverable as evidence. “There is a possibility that looking at certain documents, a defendant could work that case backwards and put the tipster at peril, and I’m not gonna let that happen,” he said. In a dramatic touch, Masten swallowed  a slip of paper that held the tipster’s name. “What is personal to me, is the promise,” Masten said before his ethical snack. “Some of these tipsters could end up dead. Not on my watch.” Continue reading →

My JFK Ethics Tale

/ Jack Marshall / 23 Comments

 Shredded Files

As regular readers here  know, I am not an admirer of the character of John Fitzgerald Kennedy, though he had some notable leadership skills that I respect. His reputation as a great man and President is vastly inflated and, in a strange way, I may share some of the responsibility for that.

Several years ago, I had just completed an ethics seminar for the DC Bar. One of the issues I discussed was the lawyer’s ethical duty to protect  attorney-client confidences in perpetuity, even after the death of the client. An elderly gentleman approached me, and said he had an important question to ask. He was retired, he said, and teased that I would want to hear his story. I don’t generally give out ethics advice on the fly like this, but I was intrigued.

“My late law partner, long before he began working with me, was Joseph P. Kennedy’s “‘fixer,'” he began, hooking me immediately. “Whenever Jack, Bobby or Teddy got in trouble, legal or otherwise, Joe would pay my partner to ‘take care of it,’ whatever that might entail. Well, my partner died last week, and when I saw him for the last time, he gave me the number of a storage facility, the contract, and the combination to the lock. He said that I should take possession of what was in there, and that I would know what to do. Continue reading →

Ethics Quiz: Reddit Ethics And The Non-Privileged Confession

/ Jack Marshall / 37 Comments

confessions

Reddit’s OffMyChest forum is promoted as a safe social media site to post confessions and to seek support or advice for very difficult, personal, potentially embarrassing problems. Of course, there is no such thing on the web, and such posts are only as confidential as the forum’s participants are trustworthy.

An 18-year-old poster calling himself Pilot94 unburdened himself about a statutory rape (or two) that he escaped punishment for thanks to some good luck. But the episode obviously still troubled him. He began…

“I’ve never been good at this sort of thing. Never in my life have I fully told the truth to anyone, except my best friend…But there are things I need to say that I’ve never been able to say before. I am purposefully not using a throw away account, I highly doubt anyone I know will find this but if they do, I’m glad you now know… “

He went on to describe his life to date, and how it had begun to spin out of control:

“I basically turned into a drug dealer with my best friend. He took the pills and I sold them. We started to get into trouble with the police. Patrick and I vandalized numerous parks and places around our town. We got caught for that had probation and fines, etc. That didn’t stop the Dynamic Dumbasses though. We picked up charges for shoplifting, under age consumption, speeding, drunk driving, etc. But nobody knew. We were such good liars that we were able to keep it all to ourselves. …We ran from cops all the time and partied, got drunk, got high, and raised hell. I kept dealing drugs and we kept taking them. Somehow we avoided getting charged for that, though we were close multiple times.”

Then came the incident that prompted the post:

“I knew some girls from school (I thought they were 15-16, they ended being 13-14) that I met at a party. One night they called us up and said they were drunk and wanted to have fun. We couldn’t say no. We drove out and picked all 3 of them up. We parked by the neighborhood pool, got in the back of the truck, and started going at it. Everyone had their clothes off, the girls were making out with each other and having sex…After about an hour, we headed back to their house. We were out front when a cop pulled up. Then shit hit the fan. The girls accused us of raping them, getting them drunk and supplying drugs. They revealed their true age to the police…One of the girls was so drunk she had to have her stomach pumped and spend the night in the hospital. [My friend} and I went home with our parents as the police impounded my truck and started a full criminal investigation into what had happened. Apparently all 3 were virgins prior to the night, and only did this because they were drunk. The one with alcohol poisoning also had vaginal tearing, and they performed a rape kit on her. The evidence against us was incredible. I don’t know why we weren’t arrested on the spot…But for some reason, both the lead detective on the case and the chief of police were fired shortly after. We were told we would hear from the new officer in charge of our case, but we never did. I don’t know how or why, but it just disappeared.”

The near disaster prompted a life turnaround, he wrote, that at least so far was a success:

“Needless to say this scared us beyond straight. Going from expecting 10+ years in prison to miraculously being free was incredible. Somehow I straightened my life up and actually graduated with honors from a Top 500 school….I received a full ride Army ROTC scholarship to a prestigious military school to study Russian and International Affairs and eventually receive a commission as an officer. [My friend and I]  both have no idea how or why we were given another chance, but we definitely aren’t going to fuck it up. I know there are stories on here about suicide and other heavy subjects, but this is the most honest I’ve ever been in my life, and it feels amazing. Sorry for making it so long!”

So trusting was the author that he later posted a photo of a scholarship he received from Army Reserve Officer Training Corps to Reddit’s military forum. It included his name, and some Reddit users connected the scholarship, the school, the name and the earlier confession.

And alerted the school.

Now he may be kicked out, and perhaps prosecuted. When he asked on the forum why anyone would do this to him, one Reddit member, perhaps the same one who revealed his secret, wrote…

“You ruined a couple of girls’ childhoods. You make it sound like your a good person now and that you have turned over a new leaf but you never once indicated that you felt any remorse for these people you destroyed. I think you far exaggerate to us and yourself how good of a person you are, and how deserving you are of forgiveness.”

Another wrote:

“He considers drugging and raping 3 14 year olds in the back of his pick up “minor”, he has no remorse for the lives he’s hurt, only that he was caught. He is deserving of no forgiveness until he can show that he actually feels remorse.”

Your Ethics Alarms Ethics Quiz Question is this...

Was reporting him to his school based on his post ethical, or unethical? Continue reading →

Comment of the Day: “‘The Ethicist’ and the Doctor”

/ Jack Marshall / 9 Comments
"Your secret is safe with me, but I have to ask...what that stolen Renoir doing up there?"

“Your secret is safe with me, but I have to ask…what that stolen Renoir doing up there?”

Jeff Long scores his first Comment of the Day with a welcome excursion into the thickets of medical confidentiality. As I expected, many readers were troubled by my support of strict patient-doctor confidentiality as dictates by AMA medical standards. Jeff does an excellent job elaborating on why I (and the professions like law, medicine and the clergy) take the position they do. In professional relationships, trust is essential, and you can trust professions that approve of breaching confidentiality when a damaging secret is involved.

Here is Jeff’s comment, on the post “The Ethicist and the Doctor.”

“First, with regard to Matthew’s example of the cheating spouse who contracts an STD, I think it would probably be difficult to come up with a better example of “the system working as intended.” In the world where doctors respect confidentiality, at least one person gets treated. In the world where the doctor blabs to the world (or at least, to the spouse), there’s a good chance that nobody does. In fact, if the cheater forgoes treatment out of fear of exposure, s/he is putting the spouse at even GREATER risk than in the former scenario, since the STD goes untreated and has a larger window in which to infect the spouse. Certainly, the ideal world is the one where the cheater gets treated AND confesses to the spouse, but the onus for that lies with the cheater. It’s not the doctor’s place. Continue reading →

“The Ethicist” and the Doctor

/ Jack Marshall / 17 Comments
It's all Greek to "The Ethicist"!

It’s all Greek to “The Ethicist”!

The third New York Times writer to take over the mantle of “The Ethicist” column, Chuck Klosterman, may be the most reliable yet, but he ended up wandering into the ethical weeds in his recent advice to an ethically-perplexed doctor, and engaging in advice column malpractice.

A physician asked him what was his ethical course when a patient divulged to him that his persistent headaches may have arisen from the stress of keeping a secret: he was responsible for a crime that had been pinned on an innocent man. Before the consultation, the doctor had promised his patient that “whatever he told me would not leave the room.”  Now the physician was having second doubts, and wondered if he was right to keep the confidence to his patient at the expense of an innocent man’s freedom and reputation.

Klosterman’s answer:

“I would advise the following: Call the patient back into your office. Urge him to confess what happened to the authorities and tell him you will assist him in any way possible (helping him find a lawyer before going to the police, etc.). If he balks, you will have to go a step further; you will have to tell him that you were wrong to promise him confidentiality and that your desire for social justice is greater than your personal integrity as a professional confidant.”

First of all, I don’t understand why a doctor is asking this question to a newspaper ethicist unless he doesn’t like what professional and medical ethicists are telling him. Klosterman, in reaching his reasonable-sounding but flat-out wrong reply, simply discards the concept of professionalism, beginning with the Hippocratic Oath…. Continue reading →

Just What Every President Doesn’t Need…A Traitor

/ Jack Marshall / 4 Comments
"My observations while serving in the President's trust are held in strictest confidence, and...HOW much? Sure, I'll write a book!"

“My observations while serving in the President’s trust are held in strictest confidence, and…HOW much? Damn! Sure, I’ll write a book!”

President Obama is hardly the first President to be blind-sided by a “tell-all” exposé authored by someone who had an obligation to keep his mouth shut and his keyboard quiet. The unethical practice of a President’s former advisors, cabinet members, secret security agents, servants and others who held his trust cashing in and publishing often bitter, agenda-driven books detailing juicy and uncomplimentary details of what went on behind closed doors began gaining steam during the Reagan years (something else to detest David Stockman for) and has accelerated in every administration since.

The latest sniper shot from a grassy knoll is the work of Vali Nasr, a professor and former senior State Department adviser who worked with Richard Holbrooke, previously Obama’s special envoy to Afghanistan and Pakistan. In his new book, which, of course, had to be published while Obama was still in office to have a chance of making the former advisor the money he craves, Nasr relates details of what he regards as the incompetent White House foreign policy decision-making apparatus, in which vital calls that should have been left to experts were run through Obama’s political team, whose judgment was based on polls and narrow, short-term political considerations. Continue reading →

Unethical Trio: An Ambush, An Incompetent Diagnosis, and Partisan Journalist Hackery

/ Jack Marshall / 27 Comments

Doctors and Kurtz

There were three notable unethical performances last week from professionals who should know better:

I. Dr. Benjamin Carson, neurosurgeon. Carson was invited to give the keynote speech at the National Prayer Breakfast (don’t get me started about why there even is a National Prayer Breakfast, and why the President should feel obligated to attend it) last week and turned what is traditionally understood to be a non-partisan, non-political speech into a direct attack, without explicitly designating it as such, on President Obama’s policies. Yes, it was a well-written, well-reasoned and well-delivered speech, but it was an ambush. Many conservatives were pleased to have President Obama  subjected to an articulate complaint that “spoke truth to power,” yet the objectives and specific content of the speech doesn’t matter: that wasn’t what Carson was invited to do, and it wasn’t what he should have done. Dr. Carson has subsequently justified his actions in self-congratulatory terms as an act of courage, but in reality it was an instance of a citizen seizing an opportunity to grab national attention and a prominent soapbox that weren’t his to grab. His actions made the President of the United States a captive audience to his amateur analysis of national affairs. It was disrespectful, and because it was given under false pretenses, dishonest. Continue reading →

Ethics Quote of the Day: Rear Admiral Sean Pybus

/ Jack Marshall / 51 Comments

“We do NOT advertise the nature of our work, NOR do we seek recognition for our actions. Today, we find former SEALs headlining positions in a Presidential campaign; hawking details about a mission against Enemy Number 1; and generally selling other aspects of NSW training and operations.  For an Elite Force that should be humble and disciplined for life, we are certainly not appearing to be so.”

—-Rear Admiral Sean Pybus, Commander of Naval Special Warfare Command, in a letter sent to all members of the Special Operations community telling  them to stop revealing information about their secret operations. The letter was sent out as “No Easy Day,” a Navy Seal’s unauthorized account of the raid that killed Osama bin Laden, hit the book stores.

The letter is said to be the beginning of a concerted effort by the military to discourage an accelerating trend among Navy SEALs of cashing in on their notoriety and exploits.

Good luck. When a culture based on professionalism, sacrifice, discretion and honor meets a larger culture that values none of those things as much as celebrity, publicity, personal aggrandizement and financial rewards, the results are pre-ordained, and the key word is corruption. The SEALs won’t be able to fix themselves unless they can figure out how to fix America, and compared to that, finding bin Laden was a walk in the park.

______________________________

Facts: NBC

Graphic: By Hero