doctors

Ethics Quiz: The Dying Patient’s Denial

/ Jack Marshall / 34 Comments

Let’s start off today’s ethics adventures with a quiz…

The New York Times this morning has an odd choice for its placeholder in the spot typically reserved for editorials: an essay by Dr. Daniela J. Lamas, a pulmonary and critical-care physician at Brigham and Women’s Hospital in Boston. The piece endorses lying to patients “for their own good.” The op-ed—that’s not what the times calls such essays any more, but that’s what it is and they are—is fine, raising a legitimate ethics issue for readers to ponder, hence the use of it here as an ethics quiz. The placement and timing is suspicious, however.

This could be called a “conspiracy theory,” I suppose, but such theories are germinated by a genuine and deserved development of distrust. Since I do not the trust the Times to report the news objectively and ethically, but believe with good reason that it manipulates its reporting and choice of opinion pieces to advance a progressive and usually partisan agenda, I suspect that this op-ed was given such prominent placement to plant the idea that doctors—like You Know Who—and health care “experts” are justified in using incomplete facts, false certainty and disinformation when communicating to the public regarding the pandemic, vaccines, masks and the rest for “the Greater Good.”

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Now Featured In The Left’s Attack On Freedom Of Speech: Doctors Censoring Doctors

/ Jack Marshall / 19 Comments

Gee, why would officious authoritarian egomaniacs who think they are God try to do something like that?

The New York Times reports that medical groups are agitating for state boards to discipline physicians spreading “misinformation.” The Federation of State Medical Boards, which represents the groups that license and discipline doctors, recommended last month that states consider suspending or revoking medical licenses of doctors who share false medical claims.

The American Medical Association says spreading misinformation violates the code of ethics that licensed doctors agree to follow. “”Misinformation” is defined by Ethics Alarms as opinions that do not comport with the majority opinion in the profession, with the added qualification that such non-conforming opinions are considered especially worthy of censorship if they offend the political Left, which is where the AMA hangs its metaphorical hat.

The medical association, like its allies, are increasingly unashamed aspiring totalitarians. In this post from April, I wrote about how the AMA issued a statement that it was “deeply disturbed” and “angered” by a recent Journal of the American Medical Association podcast that “questioned the existence of structural racism.” Though JAMA supposedly has editorial independence from the AMA, the association forced JAMA Editor-in-Chief Howard Bauchner to ask for the resignation of podcast host and deputy editor Dr. Edward Livingston because his statements and tweets were “inconsistent with the policies and views of AMA” and “structural racism in health care and our society exists and it is incumbent on all of us to fix it.”

“Structural racism in health care and our society exists and it is incumbent on all of us to fix it” is what the medical profession now calls a “fact.” What the medical profession’s censors are really after is lockstep ideological conformity, using the power to take away the means of contrarians to earn a living as a bludgeon. The Times article would be amusing it it wasn’t so ominous. How can a doctor or a journalist call anything said about the Wuhan virus and its friends “mis-” or “dis-” information, when so many “facts” have been promoted to the public by health experts and then been retracted, reversed, qualified or otherwise contradicted? Dr. Fauci admitted that he deliberately lied to the public about whether masks protected the public from infection. Do you think any state broad will try to take his license away? No, because he’s one of the good doctors, and his misinformation is a means to a just end.

I am pretty certain that any effort to silence medical professionals who espouse controversial opinions will be struck down even by liberal judges, and that the medical groups advocating censorship know it. What they are really trying to accomplish is prior restraint, intimidating non-conforming doctors into keeping quiet by raising the specter of discipline. It’s the ethical equivalent of extortion.

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Sunday Morning Ethics Warm-Up, 4/25/21: “Genocide,” Crisis” And “Honeymoon”

/ Jack Marshall / 15 Comments

John-Tenniel-Humpty-Dumpty

The good news is that I’m back at the keyboard, though at a ridiculous hour. The bad news is that I’m here because I’m out of pain-killers, and my mouth is killing me. [UPDATE: I started this post at 3 am, couldn’t continue, and now it’s after noon. I’m clearly a weenie. I’m pretty sure my father endured worse pain than I am dealing with all through his life and repeatedly after his foot got blown up in the war, and he never complained once…]

Yesterday marks a great moment in ethics, and my plan was to mention it on time. On that date, April 24 in 1863, Francis Lieber, a Prussian immigrant whose three sons served in the Civil War, created what became General Orders No. 100. Reflecting his many writings on the topic, it was a code of conduct for Federal soldiers and officers when dealing with Confederate prisoners and civilians. The code was subsequently borrowed or adapted by many European nations, including influencing the Geneva Convention. Unique when it was written, Lieber’s code was the product of a committee of four generals and Lieber, who were tasked by Union General Halleck to draft rules of ethical combat. The the 157 articles established regulations and standards for the treatment of prisoners, exchanges, flags of truce, and much more. The document was written almost entirely by Lieber, and there was nothing like it.

1. President Biden does the ethical thing that President after President didn’t have the guts to do…He finally authorized referring to the Ottoman Empire’s Armenian genocide as “genocide.”

Good. Any President since 1916 (that’s Woodrow Wilson through Trump) could have made official the historical reality, but keeping our Turkish allies happy by enabling their long denial was deemed more pragmatic. Of course what the Ottoman Empire did to its Armenians was genocide. An estimated 800,000 to 1.2 million Armenian men, women, children, elderly and ill Armenians were marched to the Syrian desert in 1915 and 1916, with many thousands killed on the way. There they were placed in concentration camps. After another wave of massacres in 1916, only 200,000 of those deported survived. Many of these were forcibly converted to Islam and integrated into Muslim households. Still more massacres and ethnic cleansings of Armenian survivors were carried out by the Turkish nationalist movement after World War I. Naturally, the Armenians’ property was confiscated in the process. The genocide reduced the Armenian population of the Ottoman Empire by an estimated 90%

2. And yet, ironically, the same administration refuses to use the word “crisis” to describe the current illegal immigration mess at the Mexican border, a crisis entirely created by Biden’s implicit invitation to aliens to break our laws and eventually benefit from doing so. Thus Politico, part of the Left’s propaganda and disinformation apparatus, sent out a memo to staff telling them not to use the term “crisis,” and to “avoid referring to the present situation as a crisis, although we may quote others using that language while providing context. While the sharp increase in the arrival of unaccompanied minors is a problem for border officials, a political challenge for the Biden administration and a dire situation for many migrants who make the journey, it does not fit the dictionary definition of a crisis. If using the word ‘crisis,’ we need to ask of what and to whom.”

The situation indeed fits the dictionary definition of “crisis.” Politico also doesn’t seem to be troubled at all that it and every other news source referred to a similar but far less massive wave of children showing up at the border when Trump was President as a “crisis.”

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Ethics Dunce: Plastic Surgeon Dr. Costanza, I Mean Scott Green

/ Jack Marshall / 13 Comments

Dr. Scott Green, a plastic surgeon, tried to appear before a judge during a remote video-conferenced traffic trial last week from his operating room, while he was working on a patient. This was not a reality show stunt: Green really attempted to do this. Saved time, you know. Busy, busy, busy. Sacramento Superior Court Commissioner Gary Link, presiding over a virtual courtroom at the Carol Miller Justice Center, couldn’t believe what he was seeing: a defendant in surgical scrubs, with his patient just out of view.

“Hello, Mr. Green? Are you available for trial?” asked a courtroom clerk. “It kind of looks like you’re in an operating room right now?” “I am, sir,” Green replied. “Yes, I’m in an operating room right now. I’m available for trial. Go right ahead.” The doctor had his head down, talking as he replaced a nose, pumped up some breasts, or something. Link was dumbstruck.

“So unless I’m mistaken, I’m seeing a defendant that’s in the middle of an operating room appearing to be actively engaged in providing services to a patient. Is that correct, Mr. Green? Or should I say Dr. Green?” Link asked. The video is on YouTube, and one can hear the sounds of medical devices at work, pumping and beeping.

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Comment Of The Day: Comment Of The Day: “Afternoon Ethics Warm-Up, 3/23/2020: Examining The—OH NO! I TOUCHED MY FACE!!”

/ Jack Marshall / 10 Comments

I may start calling these awkward “Comments of the Day on Comments of the Day” tag-team Comments of the Day. coming up is the tag section of Steve-O’s epic, a follow-up by Glenn Logan.

Here is his Comment of the Day on the post, “Comment Of The Day: “Afternoon Ethics Warm-Up, 3/23/2020: Examining The—OH NO! I TOUCHED MY FACE!!”…

Everyone these days is so … tribal. We fostered this thinking and romanticized it in fiction and documentary, the whole “brothers in arms” thing. This person is asking for America to abdicate to communism so they can be safer, and using the occasion to slander genuine camaraderie with his/her anti-capitalist grievances.

They don’t see the sacrifice of every day people who are out of work, out of money, and out of prospects for the immediate future of regaining the means to pay their mortgage or car payment or insurance or children’s clothing, needs and food. The government will step up and help, but to many that means a tiny portion of their salary or income, and not enough to keep all their needs funded.

Nobody is asking health workers to work for free. They get paid very well for what they do, and nobody can make them work if they don’t want to. So if you are afraid of catching the disease, then quit your job and join one of my bests friend in the unemployment line. That, at least, shows you are willing to sacrifice your livelihood for your safety — certainly understandable in some cases. In many other cases, it is simple cowardice, but I won’t even judge. Just stop demanding others sacrifice more on your behalf than you are willing to sacrifice yourself. Continue reading →

The Ethics Incompleteness Theory, The Bigot Doctor,”The Hader Gotcha,” And The Apology Scale

/ Jack Marshall / 25 Comments

Yes, she actually has both arms. She’s also photogenic: the Democrats should nominate her for Congress.

I christened the Hader Gotcha last year after several athletes were forced to apologize for youthful social media comments that suggested a bigoted or insensitive state of mind. The ethics Alarms position on people looking through old social media posts to embarrass public figures and force them to grovel apologies to which ever group their comments offended was summarized in this post in the moderate, calm manner for which I am justly praised:

As I have written here before, searching for lingering social media idiocy that an athlete authored before he could drink or vote is despicable conduct, as is anyone making an issue of  what the deep Twitter dives expose. First, what a baseball player said or thought—they are often not the same thing—in the past has nothing to do with his job, which is playing baseball and not making social policy, and second, nothing anybody says or even does before their brain has matured should be held against them in adulthood, unless it is criminal, and even then the law urges us to be forgiving. I know that a lot of social justice warriors think that any racist, sexist or homophobic comments made post birth should be treated a crimes, but they are anti-democratic nuts, and hostile to free thought and speech, so to hell with them.

That post was largely ignored, because too many readers here still fail to grasp that ethics issues arising in baseball often, indeed usually, have broader wisdom to convey. Since I wrote it, the employment of the Hader Gotcha has been expanded outside the realm of sports, most notably the recent example of Kevin Hart, the popular comic who was attacked the very day he was designated as the host of the upcoming Oscars. Hart was forced to withdraw because a Hader Gotcah exposed old anti-gay tweets. This time, however, I agreed that the tweets mandated his withdrawal, writing, Continue reading →

Sunday Morning Ethics Warm-Up, 10/14/18…Stretching the Truth: Fake Accusations, Fake Supreme Court News, Fake Fake Doctors

/ Jack Marshall / 29 Comments

Good Morning!

1.Who Could Have Predicted That Black Men Would Identify With Brett Kavanaugh?,cont. From the New York Times yesterday:

A white woman who called police after claiming that a young black boy touched her behind in a Brooklyn deli drew a storm of ridicule and criticism on social media, and late Friday she made a public apology to the child.

Critics characterized the incident as the latest example of a hypersensitive white person calling the police to report black people for dubious reasons. Many detractors imputed racist motives to the woman, Teresa Klein.

She was quickly labeled “Cornerstore Caroline” by Jason Littlejohn, 37, a lifelong Flatbush resident who recorded the commotion Wednesday outside the Sahara Deli Market on Albemarle Road. Littlejohn’s Facebook recording of the incident had been viewed 4 million times by Friday evening.

“I was just sexually assaulted by a child,” Klein is heard saying on the video as she was on the phone with the police. The boy, who is about 9, and another child burst into tears outside the store as bystanders confronted Klein about the incident. “The son grabbed my ass and she decided to yell at me,” Klein continued in the video, referring to his mother. The video was first reported by The New York Post.

I just don’t think the Left thought through this “believe all women who claim to be victims” bit. And I’m still confused about the rules. You have to believe a white woman who accuses a white high school kid of sexual assault if she remembers it 30 years later, but you don’t have to believe a white woman who accuses an even younger kid immediately, if he’s black? Does it matter if she’s black? If the accused was a white high school kid, then would everyone have to believe her?

2. Newton’s Third Law! From the Huffington Post: 

Minutes after an event at a Manhattan Republican club meant to celebrate violence against leftists, attendees belonging to a proto-fascist, pro-Trump street gang reportedly pummeled three people on the sidewalk in Manhattan’s Upper East Side while shouting homophobic slurs.

Footage posted online by video journalist Sandi Bachom shows a group of men who appear to be Proud Boys — a misogynistic and anti-Muslim fraternity known for committing acts of political violence across the country — kicking and punching three apparent anti-fascist protesters as they lay prone on the sidewalk.

“Do you feel brave now, faggot?” one of the attackers yelled, according to Bachom and another journalist, photographer Shay Horse. Another video shows multiple attackers yelling “faggot.”

HuffPo, being smear-meisters, calls the group “Pro-Trump” in its headline. I don’t recall any news source calling the antifa a “pro-Obama group” when it was running amuck punching people on Inauguration Day. Speaking of the antifa,  here’s a tweet from a Portland journalist from October 8: Continue reading →

Weekend Ethics Warm-Up, 6/9/18: PART II, The Bee-Free Zone…Facebook Friends Behaving Badly, Stupid Pardon Tricks, More On The Dancing Doctor, And Another “Good Illegal Immigrant”

/ Jack Marshall / 19 Comments

Now that we have the unpleasantness of Samantha Bee out of the way, your gorge is safe. Well, sort of…

2. Short version: “Grow up!” If the long-time theater friend who just defriended me on Facebook is reading (yes, I know who you are), this is a message for all the people who can’t tolerate, or remain friends with, anyone who challenges their anti-Trump fanaticism by pointing out–nicely!– that they sound like lunatics. I know you assume that you are in the warm, comforting womb of a left-wing echo-chamber, but friends don’t let friends write stupid, or shouldn’t. You, let me remind you, stated in black and white that Al Franken was the best hope to defeat Trump in 2020 (See how nice I was? I didn’t even challenge that nonsense!) until Republicans secretly engineered his destruction. I wrote in response that this was tin foil hat stuff, which it is; that implicitly accusing Kristen Gillibrand of being in cahoots with the GOP  was bonkers, which is accurate, and that you should get help, which you should.

Your response was defriend me. Nice.

This has happened with about five theater friends, and in all cases over hysterical assertions that would be only acceptable from a 12-year-old. They, like you, are used to making ridiculous, hyper-partisan statements without being challenged, and regard a dissenting argument as a personal affront as well as the mark of Satan. You should not want to remain deluded, you should want to be called out when you write something idiotic, and you should not react with hostility to a friend who does so in good faith.

What I have learned about the resistance is that their logic, facts and debate skills are fatally flawed or absent. Their only defense against rebuttal is to censor it.

You really should not want to hang out with this crowd, my friend. Get well soon. I mean it.

And shame on you. I don’t deserve that.

3. Google is your friend, Mr. President. Yesterday, President Trump floated the idea of pardoning the late Muhammad Ali, who was famously convicted of draft-dodging during the Vietnam war. Ali, however, needs a pardon as much as I do. (Less, really, since he’s dead.) His conviction was overturned by the Supreme Court as unconstitutional. There is nothing to pardon him for.

This kind of thing is an unforced error that justifiably undermines trust in the President. It’s just inexcusably sloppy—typical, I concede, but sloppy. I don’t blame Trump for not knowing that Ali’s conviction had been reversed: I had forgotten that myself. Making impulsive statements based on flawed information and snap decisions, however, suggests that the President might take impulsive actions based on misunderstandings as well.

Well, he does that, too.

More on pardons: I have seen several news sources, including the New York Times, contrast President Trump’s political “celebrity” pardons with President Obama’s pardons of less high profile Americans. Fake news. At this point in his administration, how many pardons do you think Obama had issued?

None. Zero. Zilch. Continue reading →

From The Ethics Alarms “I Don’t Understand This Story At ALL” Files, Georgia’s Dancing Doctor Fick

/ Jack Marshall / 19 Comments

YouTube is stuffed with videos like the one above, posted by Dr. Fick, aka Dr. Windell Boutte, a Georgia dermatologist who poses as a plastic surgeon and who has rafts of malpractice suits pending against her. Though she claims otherwise on her website, she is a board-certified dermatologist, but not certified as a plastic surgeon or general surgeon.

However, in the Peach Tree State, every licensed physician is allowed  to perform operations, even if they are not a board-certified. They are not supposed to be dancing while they do, however. Well, this is implicit. Apparently it isn’t made clear enough, at least for this doctor. Boutte posts videos of herself dancing during surgery, like the one above. There are many more.

Thus she is a fick, the first medical variety I have encountered. A fick is someone who is openly, shamelessly, even gleefully unethical. The fact that this hyper-narcissist films herself doing choreography and mugging for the camera while the only thing on her mind should be her patient’s care demonstrates that she is wildly unethical, reckless, irresponsible and unprofessional, and this would be the case if her record for safety was squeaky clean. It isn’t. At least seven malpractice lawsuits against Boutte include claims that she used unqualified staff during procedures that left former patients disfigured. Two additional lawsuit settlements are listed on the state licensing website. And then there is the dancing around unconscious, exposed, patients while performing renditions of popular songs, such as “Bad and Boujee,” “Building up Fat in the Booty” and “Gut Don’t Live Here Anymore, while her staff act like the back-up singers.

(I can’t believe I’m writing this.) Continue reading →

Morning Ethics Warm-Up, 5/2/18: Dictators, Wizards, Liars and Abusers [Updated]

/ Jack Marshall / 44 Comments

Good morning!

1 Housekeeping matters. For some reason, I know not what, there was an outbreak of contentious discussion regarding Ethics Alarms administration in a couple of threads yesterday. I think everything covered or complained about is covered in the Comment Policies above, but just for the record:

  • I handle the moderation here. Only me.
  • Though it might appear otherwise to some, I do not spend my day glued to Ethics Alarms. Thus on days like yesterday, when I had an early morning CLE session to teach in D.C., followed by one  law firm client emergency after another, I did not see any comments at all from 1am to 6 pm. Thus the hysterical and indignant “Why did you delete my comment?” outbursts and the “How dare you allow that rude comment to stay on the site?” and the ultimata springing therefrom were especially silly, unfair, and ill-informed.
  • I am not your Moderation Monkey. Don’t command me on how to police my own site. Thank you.
  • As I have written many times, occasionally a comment from an approved participant gets spammed for no good reason. Sometimes WordPress, for no apparent provocation, starts spamming the comments of visitors here who have been commenting for years. Sometimes such commenters have had to change their screen names as a result. None of this has anything to do with me: I can’t control it, or predict it. The calm, reasonable commenters faced with this crisis generally e-mail me, then I search the spam archives, find the lost post, send it to moderation, and approve it.
  • I do not delete posts from approved commenters. The exception is when I ban a commenter permanently, or give one a time out, which is a temporary ban or suspension, in which case the commenter is always warned in advance.
  • I expect discourse here to be civil, but will excuse momentary and periodic lapses and outbursts from veteran commenters (and me, of course), in direct proportion to their time here, level of participation and constructive value to the mission. Individual quirks will also be taken into consideration.

2. Remembering the David Manning Liar of the Month: A commenter who hails from the old Ethics Scoreboard days recently referenced the feature there called the David Manning Liar of the Month. A David Manning-style lie is a statement that the speaker or writer can’t possibly expect anyone to  believe, thus raising the question of whether it is a lie at all. (Sony spawned the award by excusing its use of a fake film reviewer it named David Manning to rave about terrible movies in ads,  claiming that nobody believed such excerpts anyway.) If Ethics Alarms had the same feature, President Trump would obviously dominate it, as I was reminded this morning. The President’s ex-physician, Dr. Harold Bornstein. bitter over his ejection from the Trump Court, revealed that Trump himself had dictated the absurd letter in which the doctor attested, Continue reading →