“first do no harm”

“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 →

Sheyla Hershey’s Mega-Breasts and the Ethics of Assisted Self-Destruction

/ Jack Marshall / 4 Comments

The current bicycle ordeal commenced by the Vogel family was sold to the family’s twin boys as a chance to get into the Guinness Book of Records. That publications has been used to justify more self-destructive conduct than the complete works of Ernest Hemingway, and here’s another example: Sheyla Hershey, owner of the world’s largest breast implants (size M, supposedly) according to Guinness, just had to have them removed because of serious infections. They were also “uncomfortable,” she has told reporters.

Gee, who could have seen that coming? Continue reading →

The Slippery Slopes of Religious Freedom and Female Genital Mutilation

/ Jack Marshall / 2 Comments

The American Academy of Pediatrics slipped on the slipperiest of ethical slopes when earlier this year it attempted to balance multi-culturalism with pragmatism and traditional medical ethics. The topic was the genital mutilation of young girls in a form of (so-called) “female circumcision” practiced by some Muslims, in which the clitoris is cut and mutilated in order to make future sexual activity less enjoyable, thus ensuring a female’s “virtue.” The AAP argued that its members could ethically agree to inflict a lesser “nick”—a ritual drawing of blood— to fulfill a patient’s parents’ request for the ritual cutting, because to do otherwise might lead to greater harm to a girl’s genitalia if the parents sought a full-fledged mutilation abroad or elsewhere.

This policy effectively repealed the ancient ethical standard of “First, do no harm” by employing the versatile rationalization, “If I don’t do it, someone else will.” Predictably, women’s rights advocates were horrified. Equality Now proclaimed in May… Continue reading →

Ethics Dunce: School Principal Evelyn Matroianni

/ Jack Marshall / 1 Comment

Reading news stories about cruel, power-abusing, or judgement-deficient teachers and school administrators is like eating potato chips, I’ve discovered. Once you start, it’s hard to stop. Luckily for my waistline and cholesterol levels, eventually potato chip bags become empty. Unfortunately, the supply of terrible tales of student abuse appears to be bottomless.

In Staten Island,  9-year-old Patrick Timoney, a fourth-grader at PS 52, South Beach, was observed by his school principal playing with LEGOs during his lunch period.  One of the LEGO action figures was carrying what appeared to be a toy automatic weapon. The principal,  Evelyn Matroianni took Patrick, crying and frightened, into her office, and called the boy’s mother. She told her that she considered the toy a violation of the no-tolerance rule prohibiting guns and gun replicas, and that she was going to confirm this with a security administrator from the city Department of Education. Continue reading →