Welcome to the Nexus of Ethics, Psychology, Morality, Philosophy and Health Care

Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy

Saturday, October 5, 2013

Opting to Blow the Whistle or Choosing to Walk Away

By ALINA TUGEND
The New York Times
Published: September 20, 2013

WHISTLE-BLOWERS have been big news lately — from Chelsea Manning, formerly known as Pfc. Bradley Manning, to Edward J. Snowden. Yet, for most people, the question of whether to expose unethical or illegal activities at work doesn’t make headlines or involve state secrets.

But that doesn’t make the problem less of a quandary. The question of when to remain quiet and when to speak out — and how to do it — can be extraordinarily difficult no matter what the situation.

And while many think of ethics violations as confined to obviously illegal acts, like financial fraud or safety violations, the line often can be much blurrier and, therefore, more difficult to navigate.

The entire story is here.

Friday, October 4, 2013

Judging Moral Issues in a Multicultural Society: Moral Reasoning and Social Dominance Orientation

By Stefano Passini & Paola Villano
Swiss Journal of Psychology

Abstract

People’s reactions to crimes sometimes change depending on whether the perpetrators are members of their own ingroup or an outgroup. This observation results in questions concerning how moral reasoning works in intergroup situations. In this research, we analyzed the combined effect of the nationality of the protagonist in a moral dilemma and the participant’s social dominance orientation (SDO) attitudes on the participant’s level of moral reasoning. A total of 230 Italian participants responded to two moral dilemmas taken from the Defining Issues Test, which had been modified so that one was about an Italian and the other about a Romanian. The results showed a significant interaction between the dilemma, the protagonist’s nationality, and the participant’s SDO: The P scores (postconventional reasoning) of low-SDO participants were on the same level when they were judging people of either nationality, while high-SDO participants tended to have a higher P score when judging Italians as opposed to Romanians.

Introduction

Although multiculturalism is on the rise in public opinion and politics, people sometimes judge criminal and deviant actions differently depending on the group membership of the person involved. For instance, the Italian media regularly report people being run over and even killed by drunk drivers. People's reactions to such events, however, differ depending on whether the perpetrators are members of their own ingroup or members of an outgroup. Moreover, when the aggressors are immigrants, the media do not consider these events to be related to the problems of road safety and alcohol alone. They often also relate these events to issues of immigration and national security, and they tend to judge the event more harshly than when the aggressors are ingroup members (see van Dijk, 2000). This shift of attention from the event itself to the person involved - in terms of his/her nationality - poses new questions concerning how moral reasoning works in intergroup situations.

The entire article can be found here, hiding behind a paywall.


Once Suicidal and Shipped Off, Now Battling Nevada Over Care

By RICK LYMAN
The New York Times
Published: September 21, 2013

Here is an excerpt:

But that is just a small sampling, Mr. Herrera says, of the estimated 1,500 people who were bused all over the country in recent years from the state-operated Rawson-Neal Psychiatric Center in Las Vegas and other Nevada institutions, 500 of them to California.

“It’s horrifying,” Mr. Herrera said. “I think we can all agree that our most vulnerable and at-risk people don’t deserve this sort of treatment: no meds, no medical care, a destination where they have no contacts and know no one.”

But what makes it “even more tragic,” Mr. Herrera said, “is that on top of the inhumane treatment, the State of Nevada was trying to have another jurisdiction shoulder the financial responsibility for caring for these people.”

The entire story is here.

Here is a prior story describing this practice.

Thursday, October 3, 2013

People With Mental Illness ‘More Likely To Have Violence Done To Them Than To Inflict Harm On Others’

By Candice Leigh Helfand
CBS News - DC Office
September 18, 2013

Here are some excerpts:

In light of the news, the call for mental health care reform – especially in regards to better funding and availability of mental health programs – could be heard from individuals and organizations alike throughout the U.S. following the elementary school attack. The call for more stringent gun control was even louder, given Lanza’s easy access to a high-powered assault rifle – a Bushmaster XM15-E2S.

Ultimately, the administration of President Barack Obama set forth legislation that, in essence, married the two issues. The gun control proposal he announced in early January included a number of potential restrictions on guns and assault weapons as well as requests for funding that would go specifically toward expanding mental health treatment programs.

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“I think the challenge is this: if you look across all mental health disorders throughout the United States … nearly half of all adult Americans had a mental health disorder at some point,” Sherry A. Glied, the newly-appointed dean of New York University’s Robert F. Wagner Graduate School of Public Service, said to CBSDC. “The vast majority of those people have never engaged in anything violent.”

As well as all of those who have, at one point or another, grappled with mental illness, mental health problems presently plague over a fourth of the entire population of the U.S. According to the National Institute on Mental Health, approximately 26.2 percent of American adults ages 18 and older suffer from some form of mental illness.

Experts worry that stigma “might actually lead to people being reluctant to seek help,” as Dr. John Duby, the chair of the Mental Health Leadership Workgroup at the American Academy of Pediatrics, noted.

The entire story is here.

Whistle-Blower’s Letter Led to Charity’s Firing of Chief Executive

By RUSS BUETTNER and WILLIAM K. RASHBAUM
The New York Times
Published: September 15, 2013

Here is an excerpt:

The charity’s chief executive, William E. Rapfogel, had been conspiring with someone at the insurance brokerage, Century Coverage Corporation, to pad the charity’s insurance payments by several hundred thousand dollars a year, according to a person briefed on the investigation.

Mr. Rapfogel, whose annual compensation package exceeded $400,000, pocketed some of the money and was involved in getting the rest to politicians who supply the government grants to the nonprofit organization, the person said.

The charity, widely known as Met Council, informed state authorities of its findings, and more formal inquiries began.

The entire story is here.

Wednesday, October 2, 2013

Suicide prevention efforts grow in statehouses

By Maggie Clark
USA Today
Originally published September 13, 2013

Here are some excerpts:

Every day, more than 100 people commit suicide in the U.S. Suicide is the second-leading cause of death for people between the ages of 25 and 34, and the third-leading cause of death among those between 15 and 24. Between 2008 and 2010, there were twice as many suicides as homicides, according to the Suicide Prevention Resource Center. Still, in many areas of the country, suicide-prevention efforts are virtually nonexistent.

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Restricting access to guns for suicidal people may well help to reduce suicides, said Dr. Richard McKeon, chief of the suicide prevention branch of the U.S. Substance Abuse and Mental Health Services Administration, but it's not the only thing that can work.

"What's needed is a comprehensive approach to suicide prevention using multiple interventions, not just one," McKeon said. That could include restricting weapons access, training or building general awareness, he said.

New bill breaks down telehealth barriers

By Eric Wicklund
Healthcare IT News
Originally published September 13, 2013

A bill introduced in Congress this week would enable healthcare providers to treat Medicare patients in other states via telemedicine without needing different licenses for each state.

The "TELEmedicine for MEDicare Act", or HR 3077, was introduced Sept. 10 in the House by Reps. Devin Nunes, R-Calif., and Frank Pallone, D-N.J. Nicknamed the TELE-MED Act, it seeks to update current licensure laws "to account for rapid technological advances in medicine," according to its sponsors.

“By reducing bureaucratic and legal barriers between Medicare patients and their doctors, it expands medical access and choice for America’s seniors and the disabled,” Nunes said in a statement.

The entire story is here.

Tuesday, October 1, 2013

"Fairer Sex" or Purity Myth? Corruption, Gender, and Institutional Context

By Justin Esarey and Gina Chirillo

Abstract

Cross-national studies have found evidence that women are individually more disapproving of corruption than men, and that female participation in government is negatively associated with perceived corruption at the country level. In this paper, we argue that this difference reflects greater pressure on women to comply with political norms as a result of discrimination and risk aversion, and therefore a gender gap exists in some political contexts but not others. Bribery, favoritism, and personal loyalty are often characteristic of the normal operation of autocratic governments and not stigmatized as corruption; we nd weak or non-existent relationships between gender and corruption in this context. We  find much stronger relationships in democracies, where corruption is more typically stigmatized.

The entire paper is here.

Sorry

By William Germano
Lingua Franca - Blog - The Chronicle of Higher Education
Originally posted September 18, 2013

Are academics ever really sorry?

A recent kerfuffle (a good Chronicle of Higher Ed word) at Johns Hopkins involved an interim dean who apologized for asking a research professor to remove a blog post.

When the dean’s apology came forth, my friend Christopher Newfield at the University of California at Santa Barbara tweeted “an explanation would be better than an apology.” I take his point to be that when somebody does what they say they shouldn’t have it’s not the expression of contrition we’re after, it’s the detailed rationale—the sequence of missteps—that led to the action that finally produced the apology.

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So what do we do when caught out? We tend to the deflective (“I’m sorry, but my hands were tied”), the absorptive (“I’m sorry, but I had to do what I thought was right”), or the obstructive (“I’m sorry you feel that way”).

The entire blog post is here.