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

"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 Trustbusters Circle The Wagons: Why?

Why do they always do this?

"Thank you, Sen. Reed, for your comments. You can stop spinning now."

“Thank you, Sen. Reed, for your comments. You can stop spinning now.”

Republicans, Democrats—why? Why do they think, when they are caught in an obvious example of misconduct, it is smarter and more useful—it certainly isn’t honest, courageous or ethical—not to simply confess and apologize, even if it’s with hardly an ennobling statement no better than, “You got us. Yeah, we were lying. That was wrong. Sorry,'” rather than continue to lie? The now ridiculous contortions of Democrats (and their knee-jerk supporters in the public and the media, but forget about them, for they are merely pathetic) are doing independent harm, because they destroy trust in government generally, and that, for a democratic republic, is potentially fatal.

Way back in September, when U.N. Ambassador Susan Rice disgraced herself by going on five Sunday talk-shows and stating with deceitful certitude ( “our current best assessment”…”we believe”)  that the deadly attack on the U.S. outpost in Libya was solely the result of spontaneous outrage on the part of extremists over a video, and not an organized terrorist attack, critics said that the Administration was covering up what really happened, and lying about what they knew. The accusation was shouted down and indeed ridiculed by Administration officials, Democrats in Congress, and the Obama-promoting media (it was in the middle of an election campaign) as a partisan smear, but in fact the critics, partisan though they were, were right. Rice was disseminating disinformation. The Administration and its State Department were intentionally blaming a video when they knew better. Why is another story: conservative pundits believe it was to avoid having to admit, mid-campaign, that the signature accomplishment of the President’s term, killing Osama bin Laden and supposedly crushing al Qaida, was not quite the complete victory the Democrats were claiming. If that was the reason, it was a stupid reason, but that doesn’t mean it didn’t happen that way. Hiding inconvenient facts before an election is despicable, but lying to the public and the world is serious enough, whatever its motive.

When she was questioned in Congress about the misleading descriptions, Secretary of State Hillary Clinton signaled that the Administration was in cover-up mode, both by lying outright (“I did not say … that it was about the video for Libya.”) and making her infamous and ethically indefensible statement”With all due respect, the fact is we had four dead Americans. Was it because of a protest or was it because of guys out for a walk one night who decided to kill some Americans? What difference at this point does it make?” Now, thanks to multiple revelations, the testimony of whistle-blowers, and newly released e-mails, there is no question that Clinton’s State Department took the lead in scrubbing the CIA talking points that immediately attributed the attack in Benghazi to identifiable terrorist elements connected to al Qaida, and not a spontaneous demonstration against the video. Not only are the Administration’s defenders refusing to admit that what happened happened, they are recycling old tactics from other scandals to do it, which if nothing else is lazy and boring:

  • “This is old news.” Or, as (Liberal! Obama-loving!) NY Times columnist Maureen Dowd termed it, “It’s not true, it’s not true, it’s not true, it’s old news.” Dowd also correctly identified this as a classic from the Bill Clinton playbook, used for too many bona fide scandals to list. Continue reading

Jay Carney Must Resign

Ron Ziegler would understand, Jay.

Ron Ziegler would understand, Jay.

I know it hasn’t been reflected in the essays here, but I have great sympathy for Jay Carney and all of his predecessors. He has a terrible job. Sometimes it’s an inherently unethical job, as when the White House spokesperson, aka “press secretary,” is sent out to spin, tap-dance, and otherwise obfuscate for his boss, the President, presumably but not always for the good of the nation.

Nonetheless, when someone in Jay Carney’s position loses all credibility and can no longer be trusted to deliver information that can be called truthful by any stretch of the imagination, that individual has to go. The official spokesman of the White House cannot be seen as someone who intentionally lies to the press and the public, and this is the status Carney has now. He has an obligation to resign, even if his boss isn’t astute enough to tell him to, and history indicates that he is not. Continue reading

“The Ethicist” and the Doctor

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

The CBS-White House Fraternal Connection: THAT’S An Apearance of Impropriety…So Now what?

OK, so they're brothers. What makes you think they're in cahoots?

OK, so they’re brothers. What makes you think they’re in cahoots?

What are we to make of these facts?

  • The Benghazi talking points prepared by the CIA went through 12 revisions before they were revealed to the press and the public. The White House was  involved in that process, and the original references to a terror attack were removed. President Obama’s deputy national security advisor, Ben Rhodes, was instrumental in this.
  • CBS News executives are reportedly upset with award-winning CBS reporter, Sharyl Attkisson, who has, almost alone in the mainstream media, continued to investigate and report on the Obama administration’s controversial handling of the Benghazi terrorist attack in Libya, including the apparent obfuscations regarding its cause. Attkinson is having trouble getting her reporting aired, and her position may be in peril.

Read It And Weep: The Reader’s Digest 100 Most Trusted Americans

Here are the results of a Reader’s Digest poll of “over a thousand” citizens to determine who Americans trust, ranked #1 through #100.

A few observations: Continue reading

No Gun Control, But Our Leaders Have Succeeded In Making Schools Crazy

"Kidding, kids! Just a drill!"

“Kidding, kids! Just a drill!”

You see, there really are consequences to our political leaders’ irresponsible fear-mongering. People still tend to believe and trust our leaders, the fools, and when prominent ones like President Obama and Diane Feinstein, aided and abetted by hysterical media voices like Piers Morgan and blathering celebrities like Jim Carrey, exploit the deaths of small children in a tragic school shooting to use fear rather than reason to pass additional gun regulations, it isn’t surprising that members of the public get frightened. This is supposed to cause them to push their representatives for gun measures that, in truth, have little to do with preventing school shootings, but it also causes them to act irrationally. Reckless conduct and cynical legislative strategies have consequences.

At Pine Eagle Charter School in tiny (population 288) Halfway, Oregon, administrators thought the risk of another Adam Lanza shooting up their small school was so serious that it justified staging an unannounced massacre drill. Two masked men wearing hoodies and wielding handguns burst into a meeting room full of teachers and opened fire, with blanks. Not that the terrified teachers knew that, until it was clear to them that they had been shot and weren’t dead. Continue reading

Let Me Explain It To You, Ruth: It Is All About Trust

zombies-anti-gun-560x335

Washington Post editorial writer Ruth Marcus gave us a jaw-droppingly arrogant and willfully obtuse lament yesterday. She is in despair. Why would such a sensible, unthreatening gun control measure as the Manchin-Toomey background check amendment fail to pass the Senate? Poor Ruth just can’t understand it. The Senators voting against the bill were so “impervious to logic.” It just didn’t make sense!

What is ruefully amusing and telling about Marcus’s “how dare anyone disagree with us?” rant is that her essay answers its own question.  It is stuffed full of the elements that completely justify Senators or anyone who respects gun-ownership, the Second Amendment and guns opposing any proposals at all that come out of the post-Sandy Hook exploitation campaign by Marcus and her political compadres. It all comes down to trust, Ruth, and you are one of those who is untrustworthy on the topic of guns. Your column proves it, just as President Obama’s petulant outburst of contempt against gun rights absolutists proves his untrustworthiness. Continue reading

The Internal Revenue Service’s Unethical Compassion

News Item (ABA Journal):

Too bad---if only your family tragedy had gotten more publicity, the IRS might have given a damn.

Too bad—if only your family tragedy had gotten more publicity, the IRS might have given a damn.

“After Monday’s fatal bombing near the finish line of the Boston Marathon, the Internal Revenue Service has announce that the April 15 income tax filing deadline will be extended by three months for those affected by the crime…”

Oh! Does this mean that the Internal Revenue Service has a new policy that grants penalty-free extensions to taxpayers who experienced a personal tragedy on or about April 15? Well, no, it doesn’t. Does it mean that all the other victims of crimes and tragedies across the nation will get similar compassionate treatment? No, it doesn’t mean this either. What it means is that someone—I wonder who?—is using a Federal Agency to make political hay and get positive publicity from journalists who are incapable of thought.

This is an ethics foul, a significant one, and I would think an obvious one as well. The government’s tax-collecting agency must display absolute integrity and consistency at all times, and must not be influenced or driven by politics or public relations. There are citizens across our land who had family members raped on April 15, or who were raped themselves; who had children or parents die, who were in horrible accidents, whose home or business burned down, who lost their jobs, or who were diagnosed with dread diseases that will change their lives forever. Why are the Boston victims receiving compassionate treatment,while  these citizens are not? You know why: because this was a high-profile tragedy, to which I say, so what? What is the ethical principle being articulated here that is worth sacrificing the IRS’s integrity? That high-profile victims deserve more compassion than other victims? No, the principle is that a government gets better PR brownie points by making beneficent gestures to well-publicized victims who are on TV than it does, say, to a tax-paying father whose kid was gunned down in a drive-by on tax day.

Well, it’s a cynical, sloppy, incoherent, irresponsible ad hoc principle that operates on a double standard, and is inherently unfair and unjust. It also necessarily raises the questions, how else does the IRS play favorites? What other political activities does the IRS perform for its masters?

That’s how trust in the government erodes, and the IRS is asking for it.

_______________________________

Pointer and Facts: ABA Journal

 

Ethics Hero: Marc Lamont Hill

Marc Lamont Hill---biased journalist, honest man.

Marc Lamont Hill—biased journalist, honest man.

While much of the mainstream news media has been floating rationalizations and excuses for its failure to cover the Gosnell trial, a cynical process nicely dissected by James Taranto here, at least one liberal commentator has the integrity to admit the obvious. He is the Huffington Post’s Marc Lamont Hill, and on a live webcast, he said this:

“For what it’s worth, I do think that those of us on the left have made a decision not to cover this trial because we worry that it’ll compromise abortion rights. Whether you agree with abortion or not, I do think there’s a direct connection between the media’s failure to cover this and our own political commitments on the left. I think it’s a bad idea, I think it’s dangerous, but I think that’s the way it is.” Continue reading