White Coat, Black Hat Adventures on the Dark Side of Medicine

2Jan/150

Letter of reprimand – Carl Elliott

Posted by B Elliott

From the desk of:
Dr. Professor The Ethicator, Esq.

Dr. Carl Elliott, BFD
Department of Bioethics or some shit
University of Minnesota
Re:  Your failures

Dear "Dr" Elliott:

I am writing this letter to reprimand you for your significant acts of unprofessional conduct. After careful review of the facts surrounding your case, and what you consider to be your scholarship, I have concluded that you are a lying plagiarist and a bad older brother. I refer in particular to the following:

  • For five years now, and on multiple occasions, you used a younger sibling as primary source of information for one of your recent books (Remember those emails?). Yet, when confronted with incontrovertible evidence of your fabrication, you have consistently refused to rectify the error through contacting your publishers, your interviewers and the attendees of all your lectures since 2005 and informing them of your brother's contributions and intellectual superiority. Instead, you persist in advancing the wildly implausible theory that you wrote everything yourself. This is unfortunate.
  • In September of 2010, you badgered and cajoled same family member into building a website for your book. Aside from suffering deep humilation and ostracism from key business partners due to your maniacal, pharma-bashing rage; said family member was never even compensated for his work. It's unfortunate that all this has escalated to the point of our calling your house late at night with airhorns over the phone, and photoshopping wolfman heads onto your faculty portrait, but them's the breaks. Pay, up, say uncle and it's over. Your move.

Your conduct in this matter significantly departs from the expectations of an ethicist and of an Elliott family member. Seriously, you are fucking up the family brand, big time. You're reprimanded, fucker – suck on that.

Warm regards,

The Ethicator

3Jun/140

Dear Ethicator: Should I bite the hand that feeds me?

Posted by B Elliott

http://www.dreamstime.com/stock-photos-dog-begging-treat-image6796153Dear Ethicator,

I just scored a sweet little contract to investigate a client accused of wrongdoing. I've been assured it's nothing much, just a quick check to make sure all their current practices are on the up-and-up.  It's going to be forward-looking; no need to dig too deep into the past, apparently. The thing is, this is all making me a little nervous.  What if I find that something really, really wrong is going on? What do I do then? I mean, I make my living off this stuff. I know I'm supposed to do a good job, but what if I say something that makes people never want to hire me again? How do I do my job in a way that keeps me employed?

Conscientious

Dear Conscientious,

Why does everybody just assume that taking on an ethics gig requires them to become a sanctimonious, industry-bashing nutball? (Ok, don't tell me, I already know.)  Anyway, I'll say it again: You've got the profession all wrong.   Being one of the good guys often means knowing how to keep the bad guys  coming back for more. It's a delicate balance, but you can do it. Many of us have.

I'm reminded of an email that an elderly friend  passed on to me and a few hundred other people, about this tribe in Africa, where apparently they have an unusual way of dealing with crime:

When someone does something hurtful and wrong, they take the person to the center of town, and the entire tribe comes and surrounds him. For two days they’ll tell the man every good thing he has ever done.

The tribe believes that every human being comes into the world as GOOD, each of us desiring safety, love, peace, happiness.

But sometimes in the pursuit of those things people make mistakes. The community sees misdeeds as a cry for help. They band together for the sake of their fellow man to hold him up, to reconnect him with his true Nature, to remind him who he really is, until he fully remembers the truth from which he’d temporarily been disconnected: “I AM GOOD”.

Think about that for a moment, and ask yourself: Doesn't your client deserve the same? When that terrible moment comes, and you find out your benefactors have truly screwed the pooch, maybe you just need to put this in the context of your client's inherent, abiding goodness.

As they say, you've got to love yourself first.  And let's face it: Sometimes, exploiting sick people for money is just a cry for help. So consider being like those African tribespeople:  Take some time to remind your clients of every good thing they have ever done in their lives; bring witnesses to tell them the same.   Sing your clients praises at every event you can put together:   Press conferences.  State fair booths.  Infomercials.   And finally, do your absolute best to crush and humiliate all the sanctimonious weasels and vermin who would tell the public otherwise. But above all, bathe your clients in the warmth of that simple, homely reminder: “I AM GOOD.”

Face it, nobody listens to a scold.  Positivity is the key. That exoneration you are about to write?  Think of it as aspirational.

And above all, remember: You are one of the good guys. Otherwise, nobody would have given you the title. Sleep well.

You're welcome,

The Ethicator.

20Jun/131

Ethicator seeks intern

Posted by B Elliott

ethicatorCoverNew Opening!

Exciting opportunity for graduate students, newly minted Ph.Ds and ABDs with limited options to acquire hands-on experience bringing exploitative, bullying plagiarists to justice.

The Ethicator Foundation is a non-profit advocacy group dedicated to bringing honesty and integrity to the academic world, and ending impunity for ethicists who steal ideas.

Are you the ideal candidate for this position?  If so, you are a bold, truth-telling trailblazer with a passion for justice. You fear no one, least of all Big Ethics. A fiercely independent thinker, you tenaciously support the Ethicator Foundation's ideals of academic honesty and full compensation for web developers, and an end to academic bullying from siblings.  Above all else, you are passionate about bringing down cheapskate plagiarist shitheads.

Your responsibilities will include: Daily meetings with the Ethicator (late morning to early afternoon, depending on when I wake up); some routine opposition research, in the form of database searches and some surveillance; and a limited amount of landscaping, laundry and pet care. Work runs 50-70 hours per week, depending on your level of dedication.

This volunteer post offers hands-on experience with a top expert in the field, not to mention the prospect of excellent references from Carl's enemies. There is also the possibility of some future remuneration in the event that Carl ever pays up. If you are interested, please send your resume to: info@whitecoatblackhat.com.

The Ethicator is an equal opportunity employer.  We are dedicated to a safe, secure, non-threatening work environment and I never get handsy.

ethicator-53percCropped

17Jun/130

Dear Ethicator: Do we really need ethicists?

Posted by B Elliott

You're safe with me

Dear Ethicator,

I am a hard-working, dedicated researcher at one of our country's top pharmaceutical labs. We're working on a promising new antidepressant and we're pretty excited. You didn't hear this from me, but the side effects profile is pretty sweet: Euphoria, bursts of extreme productivity, extraordinary sexual prowess and a diminished need for sleep. Plus, we haven't had an adverse event in nearly three weeks. This could be big.

As far as I can see, we've only got one thing to worry about: Big Ethics. I know we're supposed to get these people involved at some point, but seriously: Can't we just get some momentum going before the buzzkill brigade heads onto the cable news shows and tells everybody they're all better off lazy, impotent and miserable? I'd rather just skip them altogether. Or maybe I could just hire one to make the others go away? What do you think?

Conflicted

Dear Conflicted,

Do you need an ethicist? You bet your ass you need an ethicist. Did you seriously think you were just going to waltz in with some wonder drug and not give any of my people a taste?

Besides:  You've got ethics all wrong. Questioning the value of your drug is not even remotely within the scope of our mandate.  We're here to stimulate discussion and frame the issues; the rest is up to you.   If your ethicists are hurting your bottom line, well, you are talking to the wrong ethicists.   An experienced pro will know what to ask.  Check these out:

  • Is it ethical to deny people your drug, once we know how awesome it is?
  • Are we harming the public by requiring this drug undergo more testing, instead of just saying "fuck it" and putting it right in the water supply?
  • What should our moral stance be toward the idiots and crazies who refuse to take your drug?  Is it wrong to post their home phone numbers online, or did these people give up their right to privacy the moment they started jeopardizing public health?

See what I mean? This is where our profession starts showing practical value.  Kick a little up to the right ethicist, and you'll start hearing all the good questions, the type that get people crashing down pharmacy doors.

All I'm saying is: I'm on your side. It sounds to me  like you've got a kick-ass drug on your hands, and it would really be a shame, hypothetically speaking, if anything happened to it. An ethicist can help you navigate those waters.

And remember: You asked me first. We both know what that means.

You're welcome,

The Ethicator

12May/130

The Ethicator’s next marketing venture

Posted by B Elliott

Devoted followers will know that I've been seeking ways to monetize the runaway success of my blog. I'm excited to say that I've just caught the eye of a highly coveted Internet marketing firm in the UK. I've left out the names, but as you can see, things look very promising.

If you've got a product to sell and want in on this action, email me at info@whitcoatblackhat.com.
----------------------------------------------------------

From:                      
To: info@whitecoatblackhat.com
Subject: Enquiry regarding Whitecoatblackhat.com
Date: Thu, 26 Jul 2012 10:25:32 +0800

Hi Carl,

I work for                   ; a UK based Digital Marketing Consultancy.

We represent clients interested in social media marketing on smaller sites with little or no existing advertising and we're currently looking for advertising partners.

We pay a fixed upfront annual fee which we will agree on with you. Once the ad is in place, payment is made within approximately 48 hours.

Would you be interested in placing a small text-based ad on Whitecoatblackhat.com?

Kind regards,

            

--------------------------------------------------------------

Date: Thu, 17 Jan 2013 00:08:32 +0000
From:                      
To: info@whitecoatblackhat.com
Subject: Follow Up on Advertising Proposal

Hi Carl,

I'm not sure if you recall, but I recently sent you some details regarding placing a text advert on your site. I was wondering whether you'd given it any thought. You're probably very busy, but it seemed sensible to send you a quick email.

That said, sometimes emails get flagged as spam, so I'm also making sure I'm not ending up in your junk mail by mistake, as it does sometimes happen! If you've any questions, please feel free to let me know, I'm here to help.

Many thanks,

            

-------------------------------------------
From: White Coat, Black Hat <info@whitecoatblackhat.com>

Date: Wed, Jan 16, 2013 at 10:34 PM
Subject: Re: Follow Up on Advertising Proposal
To:                                

Dear           

Thank you for your inquiry, but I think you have the wrong person. I am not Carl; I am his brother.  Carl talked me into setting up this website a couple of years ago, but then bailed on me after I wrote a biography he didn't like and published an interview that made him look like a mendacious, bullying fraud.   Then he went all crybaby on me, and I wound up on my own.  So here I am.

But here's the good news:  My blog has become a viral sensation, with arguably the highest impact factor of any bioethics blog out there.  I do interviews, I run a regular advice column called the Ethicator, and much more.  I have a large and growing fan base, especially among Carl's enemies, and I am totally up for getting some advertising revenue coming in (Lord knows I'll never see any money from Carl).  So let's talk turkey:  What are you planning on advertising on my site?  I'm thinking I need a diverse ad base - Scientology sites and boner pills alike.  Also some herbal stuff in case that makes me look even-handed.

How much money are we talking about? Do I need provide you with a Paypal account?  I would rather not have my name out there, in case Carl ever decides to sue me.  Would you be comfortable simply sending a cash envelope to a PO Box?  We can discuss further.  I eagerly await your reply.

The Ethicator

--------------------------------------------------

Date: Thu, 17 Jan 2013 04:16:07 +0000
From:                      
To: info@whitecoatblackhat.com
Subject: Re: Follow Up on Advertising Proposal

Thanks for getting back to me!

The client we represent would like to expand its brand influence further, and in order to achieve that goal, they need to advertise on sites based inside and outside of the UK. Since the best way to do this is through the internet, we search for websites that match our clients' requirements then contact the site's webmaster.

Basically, we wish you to create a new post or article on your blog to accommodate our client's link.

We will provide you with the URL, and you can link to it in any manner you see fit (topic, content, language, length). You can write the page (preferably 250-words or two paragraphs) in review format or simply write about the usual topics on your site. We would offer you 120 USD.

The fee I sent you are quoted for a year's placement and we pay the whole amount in US Dollars upfront.

To give you an idea of what a text advert looks like, please view our example at the following link: http://www.discoverdisney.co.uk/family-diary where the anchor is 'Virgin Atlantic'.

We aim to complete payment via secure payment partners Paypal or Moneybookers within 1 to 2 days of the advert going live on your site.

Also, you may read our terms and conditions:                             .pdf.

I won't be able to give you an example as it will violate our Non-Disclosure Agreement with webmasters but I can give you more details regarding the client we have for your website.

Our technical and clients team would have to make a further assessment of your website (in terms of quality, content, design, and etc.,) so that we can check to which client specifications your website matches before we can send you more details. We will make sure that you agree with client before asking you to place our advert live on your site.

Would you be interested in having your website further assessed? If you are, please let me know. We'll then send over the client's URL (subject to your approval) so you can proceed with the draft of the advert.

Lastly, if you have more websites we can work on, please feel free to send over a list. It would help if you can include the list of websites on your next email so I can start lining them up for assessment and review.

Looking forward to hearing from you.

Regards,

           

---------------------------------------------------

From: White Coat, Black Hat <info@whitecoatblackhat.com>
Date: Thu, Jan 17, 2013 at 11:53 PM
Subject: Re: Follow Up on Advertising Proposal
To:            

This sounds awesome. Do you have any pharmaceutical companies as clients? That would be even better. Now, I'm wondering if you could you explain a few things to me. I'm wondering if you have in mind my writing a full post devoted to your client's product, or just a casual mention with a link. If it's the latter, I'm thinking of something like:

  • “If that fucker Carl had ever bothered to pay me for his website, I'd be driving a KIA Sportage right now.”
  • “I spent last night with a bottle of George Dickel and some Ambien, thinking of the ways Carl has wronged me. Yet sleep never came.”
  • “I ordered the venti espresso from Starbucks, crushed up some of my Adderall and had myself a time”

I'm sure those could be worked into just about anything. A full post could be a little more complicated; it depends on who wants the ad space. Right now, I can tell you I have at least one post in the works that would likely interest both the makers of Levitra and Wild Turkey. But stay tuned ...

One last question: If Carl sues me for what I say in your ad, who pays? Will your client help, or is that still on me?

I look forward to hearing from you.

The Ethicator

---------------------------------

Date: Tue, 22 Jan 2013 01:24:01 +0000
From:                      
To: info@whitecoatblackhat.com
Subject: Re: Follow Up on Advertising Proposal

Hi,

Sorry for the delayed response.

On this occasion, we could not match your site with a current client. However, we are continuously bringing new clients on board and I expect to have a good match for you in the near future.

With your permission, I'll keep your site on our list and will get back to you if I find a suitable advertiser.

In the meantime, if you or anyone you know manages other sites that we might consider then please feel free to forward them to me.

Best regards,

           

 

26Oct/122

The Ethicator: Should I accept money for referrals?

Posted by B Elliott

Not your friend.

Dear Ethicator,

I am a psychiatrist, and I have a deeply fulfilling relationship with a contract research company. Whenever I send them a schizophrenic patient for one of their research studies, they send me a referral fee. Win-win, right? I score some coin for my kids’ college funds, and my patients get a 3 week vacation on a locked ward with cable TV. (Okay, they have to test unapproved drugs and wear a rectal sensor, but those things are not as uncomfortable as people say they are.) Problem is, there have apparently been some “adverse events” in these studies, whatever that means, and I am worried that the trial lawyers may claim that these referral fees are a conflict of interest. So my question for you is: how do I resolve my conflict of interest so that I can keep taking the money?

The Ethicator responds:

Here we go again. I'm flat-out sick of this talk about conflict of interest. Why do people always assume conflicts of interest are about money? Not all of them are. There are plenty non-financial conflicts of interests out there, not the least of which is your own conscience. That's a bias too, you know. If you're an overweening, sanctimonious prick who refuses to accept any money for advancing medical progress, how much integrity are you going to have making life or death decisions?

Same story, every time: Take a little money from people who make the world better, and the anti-pharma zealots will squeal like stuck pigs. But run around flouting your anti-pharma biases, and nobody says a word. Show me a ProPublica database of socialist nutballs bent on making the world sicker. Show me a journal article that discloses: "Carl Elliott is an attention-seeking media whore, salvaging his foundering career by pissing on the work of hard-working medical professionals. He also doesn't pay for websites" Think you'll see that anytime soon? Don't hold your breath.

Whether you're working for 2 mil in stock options or just want big-ups from your hippie lawyer fans, you've got a conflict of interest somewhere. The other guys are no better. Don't be bullied; just disclose and move on. Sleep well.

The Ethicator

Send your questions to the Ethicator:  info@whitecoatblackhat.com

Filed under: Ethicator 2 Comments
16May/120

The Ethicator on the Ethicist: My Answers to Last Week’s NYT Column

Posted by B Elliott

Miss LonelyheartsDear readers, I cannot begin to thank you for your ongoing campaign to nominate me as the next writer of the New York Times Magazine's “The Ethicist” column. It is humbling and overwhelming to think that I have touched so many lives.  I have not yet made up my mind on this matter, but just  as a gesture of extra goodwill toward the Times, I thought I'd provide the writers to last week's May 10 Ethicist Column with my own, alternative responses.  If you like what I write here, please feel free to mention it to the editorial staff at the Times.

A NY Times Magazine reader writes:

At my office, we were feeling a nagging concern about a candidate we were strongly considering for a position. So we decided to call someone at a company the person had listed on the résumé but had not provided a reference for. Wow, did we get earful on the person (not in a good way)! But then we weren’t sure if it was ethical to use this information in assessing the person. Of course, it was awfully hard to forget. We ultimately didn’t hire the person.
- NAME WITHHELD, OAKLAND

The Ethicator responds:
Dear Oakland: I fully understand the need to vet an employee thoroughly.  And who can trust references?  They all lie anyway.  The more they want to get rid of an employee, the better the reference they'll provide.  But still, you shouldn't limit yourself to asking other employers.  They can lie, too.  You need to start probing all your prospective employees' friends and distant acquaintances.  Thanks to social media, you can do this easily and under cover of anonymity.  An example:  A while back, while I was vetting an employee, I got suspicious of his references, so I just set up a fake twitter account, posted his name and address to twitter and the comments section of several newspapers, and asked if anybody knew him. Sure enough, my fears were confirmed. "Fuck that guy!  He's a racist and a child molester!" said one.  "Dumb fuck", said another.   So just to confirm we were talking about the same person, I sent out his address and social security number, and what do you know, I heard even worse things. Total douche, apparently.  Which goes to show:  You can never be too careful.

Another reader writes:

We are planning a trip to Orlando to take my son to Disney World for Memorial Day weekend. Everything was booked, and then the Trayvon Martin case happened. We are quite angry  . . . .  Are we obligated to cancel our trip? Our son very much wants to go, but even if we lose a lot of money, I feel that ethically we shouldn’t be spending our tourist dollars in Florida.
- NAME WITHHELD

The Ethicator responds:
You are reluctant to spend your money where you believe evil is taking place; I totally get that.  I've felt the same way from time to time.  For example, a short time ago I took my kids to the Mall of America.  The Mall is in Minnesota, a state which, as you are aware, continues to devote a portion of its budget to evil, plagiarizing pharmascolds.  I kept thinking to myself:  Is it not immoral for me to spend my tourist dollars in this state?  I solved the issue by going anyway, but refusing to spend any money, sleeping outside and foraging food  from the local dumpsters.  My kids considered it the most miserable experience of their lives.  They have flatly refused ever to go again, and have told all their friends how much they hate Minnesota.  Problem solved.  Do the same, and you can fulfil your son's wishes while teaching him a powerful moral lesson

My mom and I argue whenever we head to the mall or go grocery shopping. I think it’s fine to duck into Sephora and try on some makeup, even though it is out of my price range. Similarly, it’s fine to grab a free sample at Trader Joe’s or a food store, even if I have no intention of buying it. My mom happily takes free samples, but won’t try on makeup with me. Is there a difference? Is either ethical?
- NAME WITHHELD

The Ethicator responds:
You should not feel guilty at all.  There is absolutely nothing wrong with making free samples a part of your everyday routine.  I do this all the time at liquor stores, in particular, where free samples can make for a pretty entertaining evening out if you're willing to hop from store to store.  Also, pharmacies can be great for free samples, especially if you know how to get behind the counter when the pharmacist is not looking.  I try the samples, then I get to write about them and tell other people.  Win-win.

13Apr/120

The Ethicator Interview: Michael Palmieri and Donal Mosher

Posted by B Elliott

Bigfoot

Michael Palmieri and Donal Mosher's new film, Off Label, premieres at the Tribeca Film Festival on April 19, then plays at HotDocs in Toronto the last weekend of April. We spoke by email.

E: Congratulations on scoring an interview with the Ethicator. Please state your name, your occupation, and the product you are trying to sell us.

MP/DM: We are documentary filmmakers, we made a film called "Off Label", a new film premiering at the Tribeca Film Festival on April 19th in their competition program. So I guess this is the "product we are selling".

The film examines life on the margins of the medicalized landscape of America. Human guinea pigs, army medics with PTSD, an anarchist labor organizer on Adderall, a drug detail man turned medical anthropologist studying the effects of Paxil on chimps at the Milwaukee zoo, train-hopping newlyweds on a litany of test medications, and a woman who lives in the back of a Bigfoot museum on 20 separate meds for bipolar schizophrenia are some of the subjects covered in the film. So I guess at the very least, Bigfoot is in it.

E: Doctors and drugs and bad guys.  I get it. Now, does my name appear in the credits?

MP/DM: No, it doesn't. Actually, we took a closer look at your website and it seems that you actually know Carl, but I get the feeling you don't like him very much. Did you know we were heavily inspired by his work in the making of this film? Is that a problem?

E: "His" work?  That's what he told you?  Nothing to do with me? Actually, no, it's not a problem.  I've moved on. 

So, just for the sake of argument, what part of "Carl's" work was it that supposedly inspired you?  Was it "his" philosophical ideas?  Or was it his more recently acquired, nearly sociopathic resentment of the pharmaceutical industry and anyone who works for a living?  Or could it have been his knack for stealing other people's ideas and making money off them? Does plagiarism inspire you?

MP/DM:  I hardly consider Carl's work "plagiarism", nor our interest in expanding upon the subject in his article through a documentary film, but given your tone, it seems like anything's game. "Better Than Well" was a huge inspiration on the film, as well as "White Coat, Black Hat", the book you're promoting on your site that you seem to love so much. But Carl's article in the New Yorker, "Guinea-Pigging" was a sort of launching-off point for us and began us down a long and winding path examining medicine on the margins. A character in the film, Robert Helms, is actually in that article.

Say, I notice you designed the whitecoatblackhat.com web page in the Vegur font, one of those go-to fonts everyone seems to be using these days. Did you know it's a blatant ripoff of the Myriad font? And lemme guess, you're probably using the Word-Press template for the site. How… original.

E: Oh, right, that's it! I forgot to invent a new font for the website!  Hey, I bet that's why Carl hates me. It's because I've been sticking with standard-issue fonts. That must be such a drag for him after paying -- how much for his website again? -- oh, yeah. NOTHING.  Whatever.

But enough about me. I notice the two of you collaborated on this Bigfoot movie of yours, and that you've also done a couple of projects together in the past.  Yet interestingly, I'm only hearing from one of you (Michael). My question is: Does either one of you ever feel the urge to hog all the glory, or maybe steal the other person's ideas? For example, have you ever collaborated with one another via email for months on end, only to see the other person run off with a script, make a pile of money and give you no credit? Then, maybe coming back later, saying something like, "hey, buddy, how about taking a volunteer job as key grip? It doesn't pay shit, but it could be your big chance!" Anything like that?

MP/DM: "We" collaborate together on all of our documentary work, it started with "October Country", a doc that came out in 2009 that also features witches, ghosts and gun factories, in addition to the social ills that plague the working poor in Central New York. Sadly Bigfoot didn't make it into that film, he ended up on the cutting room floor after a long argument about the direction of the content of that film. But "we" enjoy working with one another because we come at things from different perspectives, often fighting for weeks on end over an edit only to find out the compromise we reach is almost always better than our individual take on things. Donal's background was as photographer and writer first and foremost, and I've been a filmmaker and spotlight-craving whore my whole life, so that's probably why I chose to write back to you first. Just think of me as the documentary version of Sally Field accepting her Academy Award in this clip at the 3:20 mark.  Donal cares less for these non-productive interviews, he has busy photo career, sort of like Faye Dunaway in The Eyes of Laura Mars.

But just because our responses are coming from my email address doesn't mean we aren't both poring over your questions/attacks at length. Suffice it to say Donal finds your tone really acerbic, and he seriously questions your intentions at all in interviewing us. He did notice that you ducked our inquiry on the all-too-overused word-press template design for whitecoatblackhat.com. Don't think WE aren't both waiting to hear back about that.

E: We're back to that WordPress template again? OK, once more, with feeling: I don't get paid for this shit. Sometimes, those of us in the creative professions are asked to create something out of nothing. Some people buckle under the challenge, but the more visionary types will take ordinary, freely available materials from our everyday life and impart new meaning to them. To wit: My brother bullies me into setting up a promotional website for a budget of jack shit. I then take an ordinary, colorless WordPress theme and transform it into a viral sensation, the bioethics world's most successful blog. That's what other people call resourcefulness. Innovation. Thinking outside the box. Not that I really expect you to understand my process, but let's just say I can't just cut to a car chase or throw in some fancy CGI whenever things get boring.

Now, if YOU're done interviewing ME: I think my readers will want to know about your Bigfoot movie.  Why Bigfoot, and why now? Are you doing voiceover narration like Leonard Nimoy , or acting it out like Andre the Giant did? And why the medication angle? Was it Carl's idea to medicate Bigfoot? Because it doesn't sound ethical to me.

MP/DM: Car chases? Fancy CGI? We make documentaries on shoestring budgets, so we also have to be resourceful in our creative strategies. In fact, we have a Bigfoot re-enactment in this film but we couldn't get Andre the Giant to play Bigfoot, so we did it from Bigfoot's POV instead. No one can replace Andre, and Bigfoot deserved the best to bear his likeness, so we came up with that solution. Ultimately our credibility as filmmakers rests on the effectiveness of such re-enactments so we had to tread carefully down that road. But it is really insightful that you mentioned the Andre the Giant clip from the Six Million Dollar Man. The subtle use of slow-motion and sound effects was way before its time. These kinds of artistic strategies are instrumental for us in our work to draw an audience in with the limited material we gather in the field. See, Ethicator, it seems like we have more in common than I actually thought. We're both resourceful. I can't ask Donal whether he likes this Steve Austin reference or not because he's off photographing the working class for a hard-hitting story about those who can't afford designer jeans, but he said he'd be back in a few minutes.

As for the medication angle, the whole film was actually proposed to us by our producers, Anish Savjani and Vincent Savino of filmscience. (filmscience.com)  They became interested in a story about human guinea pigs by Josh McHugh in Wired Magazine called "Drug Test Cowboys", as well as the article that Carl wrote for the New Yorker. We ended up reaching out to Carl and he kindly met up with us in Minneapolis. We kind of hit it off instantly, and spent numerous hours at The Bad Waitress discussing the possibilities of shaping a different kind of film about health care where everyone is implicated - not just the drug companies, but drug sales agents, doctors, and especially patients. The problem of overmedication is systemic; we don't aim to say all that drugs are bad, because we need medicine, but there are certain aspects of the drug industry that are dubious, where ideas and actions collide in complex and associative ways that a consumer may not necessarily be aware of. We think that's worth exploring in a film. We'd even go so far as to say it's the ethical thing to do.

E: OK, I think I'm understanding now. You made a Bigfoot movie, but couldn't do any CGI or car scenes, so you just got a tall guy to walk around with a camera. Fine. But out of respect, could you at least call him a Sasquatch? Bigfoot is the racist term, and it's making me uncomfortable.

Also, like Carl, you think people take too many pharmaceuticals. Is that why you're medicating a Sasquatch instead? What kinds of drugs did you test, and did Carl design the research protocol? As an ethicist, I find that deeply troubling. I could really nail Carl over that one.

MP/DM: Wait, what? We weren't testing any drugs, and we weren't medicating Sasquatch either. We made a film about people who are implicated by the pharmaceutical industry in numerous ways. Carl didn't have anything to do with testing anything! What's your beef with this guy?

E: OK, so now you're confusing me. First you're telling me about a racist, drug-addled Sasquatch movie, and now it's just a movie about doctors and drugs and bad guys.  It all sounds hard to follow. No offense, but I think you need to work on this interviewing thing. Focus your message, is all I'm saying. Just some friendly advice.

That said, have you ever thought about making a movie about a Sasquatch on psychoactive drugs? Maybe with social anxiety meds? If you do make this movie, I would expect you to put my name in the credits like you did for Carl.

MP/DM: We'd very much like to make that film. Do you have any thoughts on how we could convince Bigfoot to try Risperdal?

E: Again, Sasquatch. Bigfoot is the racist term.

I am not sure about administration, but in my professional opinion, an anti-psychotic would likely make the Sasquatch more docile and less socially phobic.  Also, unfortunately, less skilled at karate.

Still, let's not put the cart before the horse.  There's a lot of legwork to do.  For a project like this, you'll need a media-savvy bioethics geek, somebody who can navigate the waters between Big Pharma and Big Ethics.  Just blue-sky thinking here, but I believe we'll need to fire up a mission statement, bang out some research protocols, get an IRB, the works.  As a crossover type, I think I could work that out for you, but we'll need some face time to iron out the numbers.

MP/DM: Sounds like you're gonna get a producer credit for sure.

E: Thank you. Carl can be the key grip, if he'll work for free.

Filed under: Ethicator No Comments
22Mar/129

The Ethicator: Do you have a conflict of interest?

Posted by B Elliott

two faced

Dear Ethicator:

I have been reading your blog, and although you seem to be an eminent bioethicist, I am troubled by your scholarship.  You seem to hold a grudge against your brother, which seems to make you oppose everything he says and attack him every chance you get.  Are you really able to do your job properly, or is there a permanent conflict of interest at work here?

Signed,
Concerned

Dear concerned,

You are committing a fatal, disabling logical fallacy by conflating two distinct and separate roles I occupy: First, my role as an internationally recognized bioethicist and viral sensation, and second, my role as a younger brother to a bigshot bioethicist asshole. The two roles are distinct. By conflating them, you show a serious failure in the most basic principles of scholarly integrity, principles which have been with us since the time of Socrates. Indeed, if you were a student of mine, I would flunk you for the semester, demand your expulsion and perhaps recommend your involuntary commitment to an institution. The burden of proof is on you, not me, to demonstrate that I am not discharging my duties according to the requirements of the field. Otherwise, through your reckless accusations and serial failure in scholarship, you tarnish the field of bioethics, which you are not free to do.  You are obligated to withdraw your comments immediately, cry “uncle”, and declare your public admiration for my work.

Sincerely,

The Ethicator

Filed under: Ethicator 9 Comments
10Mar/123

Dear Ethicator: How do I get out of here?

Posted by B Elliott

Dear Ethicator,

A while back I got a spam email inviting me to be on the editorial board of a new journal.  I had never heard of it, but I was coming up for tenure, so I said yes and added it to my CV.

Last week, I finally got around to checking the Internet and found your "journal."  Is this some kind of joke?  You said the journal was peer-reviewed and had the highest impact factor in its class.  But as far as I can tell, you spend all your time insulting your brother.  Am I supposed to have heard of this guy?  You give out terrible advice, and you whore yourself to private industry at every opportunity.  I am a strong advocate of civil discourse, and I am embarrassed to be associated with this.  Plus, I have tenure now.  So my question is: how do I get off?

Sincerely,

Regretful

Dear Regretful,

I'm sorry. I missed the part where you thanked me for saving your academic career. I'm sure you intended to start with that, because that's the only thing any decent person could say under these circumstances. Your name is now associated with one of the three most widely cited websites in the history of the bioethics field. You have a lifetime meal ticket that can't be revoked, as long as nobody catches you in the faculty lounge with your pants around your ankles. That's my gift to you. You're welcome; use it well.

How do you get on my editorial board? It's easy: Say yes, give me your name, and – this is the hard part – shut the fuck up.  Seriously, put a sock in it.  Stay quiet, no matter what I say or do. Remember: this job is about loyalty, nothing more.  It may seem unsettling at times -- in fact, there will be days when you wonder if I am a batshit crazy, self-destructive psychopath -- but you've got to remember there's a method to my madness, and if you stick with me, you'll go places.

You want out now?  Look:  What you don't realize is that you've already boarded this crazy train whether you like it or not.  I've been writing this shit for a year and a half -- where've you been?  Sorry, too late. Your best hope at this point is to stick it out with the man who got you here.  And in case you didn't notice, I blog and tweet like a motherfucker.  You want to cut me loose in public, hoss, go right ahead.

Your loving mentor,

The Ethicator

2Mar/122

My Open Letter to the Chronicle

Posted by B Elliott

To the Editors of the Chronicle of Higher Education:

In his March 1 blog post on your web site, Carl Elliott makes a number of defamatory comments about “Internet trolls” who harass him online and are “occasionally funny.”   Although he does not mention my name, it is clear to everyone that he is referring to me.   This characterization is malicious and false.

According to Google’s accepted definition, trolls are “mythical, cave-dwelling beings depicted in folklore as either a giant or a dwarf, typically having a very ugly appearance.”  Fact: I am not a troll.  I am a real person, a conventionally handsome, middle-aged man of medium height and build – a far sight from being a troll.  I live in a house, not in a cave, or under a bridge.  That is a matter of public record, and Carl Elliott knows this.  Any attempt characterize me as a troll is demonstrably false, malicious, and by definition, defamatory.

Equally false and malicious is the characterization of me as “occasionally funny.”  Fact:  Among bioethicists today, I am widely recognized as one of the five funniest commentators on the Internet.  As such, I am more than occasionally funny. This is easily measured, and again a matter of public record -- but again, Carl has simply chosen to ignore the facts.

Finally, Carl Elliott has failed to disclose a Conflict of Interest (COI).   Fact:  For the past year and a half, I have been operating the White Coat, Black Hat website, where I routinely ridicule him for stealing my ideas, failing to pay for his website, and being a bad older brother.  I have photoshopped his picture several times, once to look like a werewolf and another time to look like Nixon.  The characterizations obviously left him embittered, vindictive, and humorless -- Certainly in no position to render judgement on my physical appearance or my sense of humor.

I expect the post to be removed by COB Sunday, March 4, or I will take the appropriate action.

Yours sincerely,

The Ethicator

PS  Carl:  You've been served, fucker.

 

Filed under: Ethicator 2 Comments
11Feb/120

The Ethicator: How much money should I take from Biotech?

Posted by B Elliott

revolving door

Dear Ethicator,

You are my personal hero and role model. Just thought I'd get that out there right at the start, just in case it might influence your answer.

I am writing you because I have a problem. Like you, I am a world-renowned bioethicist and digital pioneer. Recently, I was asked to perform an ethics review of a highly reputable, scientifically driven, offshore stem cell clinic. There's only one problem. A few people have died after getting the injections. Not that it's their fault or anything; these things happen. In fact, I suspect this clinic might hire me full-time at some point in the future. My question: when I clear them of wrongdoing, would it be impolite to ask for an "honorarium"? How much do you think would be appropriate?

Your Willing Disciple

Dear Willing Disciple,

No, sir, you are the hero.  You have taken leave from your cushy, well-paid university job to make a difference in the world.  While the rest of us sit and pontificate, you are out there getting your hands dirty, 24/7, keeping the life-saving innovators on the up-and-up.  Sure, some jealous colleagues will raise an eyebrow or two, but remember:  You are one of the good guys.  Otherwise, nobody would have given you the title.

Should you get an honorarium?  That is a tricky question, one that requires a bit of fact-finding, consultation and a thorough study.  You need an independent investigator, someone outside of both Big Ethics and Big Industry, an established ethicist who is not corrupted by the prejudices and petty jealousies of the university scene.  Until very recently, there were no such people in the field, but thanks to some of my own pioneering work on the Internet, a number of new possibilities have opened up.  For more details, feel free to contact me individually.

With good wishes,

The Ethicator

25Jan/120

Some doodles

Posted by B Elliott

Doodles from the Ethicator

Click to enlarge

Just some random doodles I did in my spare time. I do that kind of thing.  I hear a lot of leaders do.

 

Filed under: Ethicator No Comments
22Dec/110

The Ethicator Interview: Misha Angrist

Posted by B Elliott

Angrist and the EthicatorNote: This is the first of what I expect to become a series of interviews with various writers and academics seeking to utilize my fame. If you are important and would like to be interviewed by the Ethicator, feel free to send me an email.

Misha Angrist interviewed Carl a couple of weeks ago. In the interview, Carl called me "disturbed" and ridiculed my groundbreaking academic writing as "hilarious." Courageously, Angrist agreed to make amends by facing me for an interview. We communicated by email.

E: Thank you for facing the Ethicator.  First question:  Please state your name, profession, and the book you are attempting to sell us.

MA: Hi, Ethicator.  My name is Misha Angrist. I am an Assistant Professor in the Duke University Institute for Genome Sciences & Policy. My book is called Here is a Human Being: At the Dawn of Personal Genomics.

E: Interesting.  And you wrote this book yourself? 
I'm just asking because, you know, there are some academics out there who can be cavalier about this sort of thing (authorship), if you get my drift . . .

MA:  I'm not sure I follow you. Anyway, yes I wrote it myself, although I couldn't have done it without the generosity and talent of a lot of other people. And by the way, your brother's terrific article, " Guinea-Pigging," is mentioned in the book.

E:  You mean the New Yorker article allegedly written by my brother?  Right, I know all about that.  A lot of familiar stuff there.  Reminds me a lot of these "jobs" he kept enrolling me in at the U, back when we were living in Chicago.  ("Hyde Park rent is expensive, you know." "It won't hurt," "I'm just a post-doc, I don't make that much - Gotta pull your weight!" and so on).  Strangely, my name does not appear in the article at all.  Anyway, water under the bridge.

Your book is on genetics.  I've heard it said there is a genetic basis for cruelty and bullying behaviors,  such as those we often encounter with siblings.  Is this true, and what are your thoughts about this?

MA: Aggressive behavior in humans almost certainly has some hereditary basis, but it's not clear how important genes are in these types of traits. They are terribly hard to study and in most cases whatever genes are involved are probably interacting in ways we don't understand yet. It's a tough nut to crack. My colleagues Terrie Moffitt and Avshalom Caspi are among those who've been trying to unravel this stuff for a long time...I love them and admire their intelligence and doggedness, but I worry about them.

I should say that there's also a pretty strong evolutionary argument to be made for niceness. In any case, I think most geneticists expect most of these sorts of behaviors to be the product of the action of many genes plus a huge environmental component.

E:  Well, that's where you're wrong. I hadn't given this  matter any thought until just now, but my brother and I obviously share some genetic material.  He is an overly aggressive, bullying pharmascold with no moral compass whatsoever -- damn near a full-on psychopath, according to many in the field.  Yet, I share none of these repulsive traits.  How can that be?  So I disagree with you that it has a hereditary basis.

But OK, for the sake of argument, I'll play along. I understand you had your own personal genome mapped.  Do you carry any of those bullying genes you apparently believe in?

MA:  I don't think so. That said, my brother would say that I do, just as you do about your brother.

I can't claim to know your brother very well, but I will say that he is deeply concerned about you. He thinks you need to be on medication.

E: Yeah, I read that quote in your interview.  Yes, Carl is concerned:  Concerned that one of these days, I'm going to show up at his house with an invoice for all the work I've been doing.  He'll be all, "Oh, no! Where's Nurse Ratched?  My brother won't do shit for free!"

But enough about me. You're in the genetics game, right?   There's big money in that, I hear.  Have you found a good corporate sponsor?

MA: Not yet, though not for lack of trying. Unfortunately most of the small startups I take an interest in end up in Chapter 11. But since a WalMart VP suggested a few years ago that the company try to avoid hiring fat people in order to reduce its health care costs, I was thinking they might be able to use my services in Bentonville.

E: Wal-Mart!  That shows some pretty impressive, out-of-the-box thinking on your part.  Yet, I suspect there are some dinosaurs out there in the bioethics industrial complex who would love to ruin your plans.  Seriously, though, isn't it hard for an independent-minded visionary like you to get by without eventually giving in to pious, overweening pharmascolds?  How do you do it?

MA: Dude, you're breaking my heart. Was there something that went awry in your childhood that led you to have such contempt for your brother? Is there no way to heal this rift? I mean, the Everly Brothers got back together.  Will the Elliott brothers not share Christmas together?

E: Hey, water under the bridge.  Unlike some people, I've moved on.  When you speak hard truths to stubborn people, as I do, you just have to expect some resentments and petty jealousy to come back your way.  It's just the nature of the game. 

Speaking of bold truth-telling: Have you been following my website and twitter feed?  What do you think of it?

MA: I do look at your website. The production values are high and the graphics impressive. That said, I might argue that it's hard to read that and your twitter feed and then conclude that you've "moved on."

E:  Do I remind you of Steve Jobs?

MA:  Um...I don't know. The turtleneck and the petulance maybe?

BE:  Well, I'm just thinking of the effusive praise you had for the user interface on my website, plus the runaway viral success of my work thus far.  And of course the fact that Jobs and I are both considered renegades and trailblazers. I sometimes think of myself as the Steve Jobs of bioethics.  Not that I would put words in your mouth or anything.

MA: Well, I guess if the shoe fits, right? But I imagine that that's quite a heavy burden, no?

BE: Yes, a heavy burden indeed -- but not as heavy as Carl's burden, which is being known only as the brother of the Steve Jobs of bioethics.  I'm sure he can manage that, though.

On to your book.  What is it about -- genetics or something? I forget

MA: Yes, my book is about genetics or something. More important, it is about ME. And even more important than that, it is available in hardback, paperback, e-book and large-print-Sanskrit formats.  And it makes a swell gift for any occasion! And since it's published by HarperCollins, you can rest assured that most of the money from every copy sold will go directly into the Rupert Murdoch Defense Fund.

E: Sounds interesting.  If the library has copies on the shelf, maybe I'll look at it.  Thank you for your kind, effusive praise of my work, and congratulations on being the first interview on the most popular site in bioethics.

MA: I trust that you and Carl will bury the hatchet--it's the bioethical thing to do, after all. Thanks so much for having me on The Ethicator! It's been a dubious honor!

Filed under: Ethicator No Comments
13Sep/110

The Ethicator’s Moral Hero of the Week: Rick Perry

Posted by B Elliott

Click the image to view on Youtube

At last night's Republican Tea Party debate on CNN, things got a little testy over Governor Rick Perry's executive order mandating HPV vaccinations for 11- and 12-year old girls.  Michele Bachmann accused Perry of a conflict of interest with Merck pharmaceuticals,  but Perry knew just how to brush it all aside:

“It was a $5,000 contribution that I had received from them.  I raise about $30 million. And if you’re saying that I can be bought for $5,000, I’m offended.”

Amen to that. Perry practically gave it away.  Next time, Merck, if you want to mandate a vaccine, you better be prepared hand out some major scratch.

Got a moral issue you just can't solve?  Send your questions to the Ethicator: info@whitecoatblackhat.com

4Aug/110

Heroes at Globe and Mail Boldly Praise Ghostwriting

Posted by B Elliott

GhostwriterCheck out yesterday's copy of the Toronto Globe and Mail, where the heroes in the editorial section take a bold stance in favor of pharmaceutical companies hiring ghostwriters to publish in peer-reviewed academic publications.  I say good for them.

Now, I know what you are all thinking:  As a victim of ghostwriting myself, shouldn't I be against the idea?  Well, not exactly. If you pay your ghostwriters (unlike someone else I know),  I'm all for it.

Let's face it:  Scientists have the credentials and the name recognition, but can they make their product sound awesome?  Not a chance.  Bad self-presentation is an occupational hazard; just look at the way they dress.  Plus they're busy.

And yes, as the Globe admits, there is a danger that these Big Bad Pharma Companies will turn the articles into an advertising opportunities, but hey, that's the reviewers' job to sort out.  Which is why the Globe calls for  "particularly vigilant reading of the draft by the researchers, so that no advertising spin creeps in".  Caveat emptor, baby -- we've got bigger fish to fry.  Kudos, G&M.

The Ethicator

Got a moral quandary you just can't solve?  Send your questions to the Ethicator: info@whitecoatblackhat.com

 

1Aug/110

An important announcement about the PharmaVoice 100

Posted by B Elliott

screwI apologize for not posting sooner.  This morning, as you all know, PharmaVoice released its list of the  100 most inspiring people in the life sciences.  Mysteriously, and despite the massive groundswell of grassroots support I received, my name was not included on this year's list.

No doubt many of you will see in this the hand of a jealous sibling, or the petty vindictiveness of a powerful, pharma-bashing NGO. Of course,  it's not for me to say whether that assessment is bang-on, or whether it confirms what we really all should have known from the beginning.

What I can do is thank you all for your support, congratulate this year's winners, and appeal for calm amidst your crushing disappointment.   I know you are all angry right now, but please, keep your demonstrations respectful and nonviolent.  We are not like them.  Remember the words of Jesus:  What does not kill us, only makes us stronger.

I will be fine.   There are more accolades to garner, more contest forms to fill out, more battles to win.  Soldier on, my friends; you are all heroes, each and every day of your lives.

The Ethicator

Got a moral issue you just can't solve?  Send your questions to the Ethicator: info@whitecoatblackhat.com

27Jul/111

Building Your Brand the Ethicator Way

Posted by B Elliott

A recent article in Inside Higher Ed offers some handy advice on how to build and enhance your academic brand.   Titled "The Value of Self-Promotion", the article has generated some controversy by suggesting that new academics should cite their colleagues' work for professional gain:

You should be citing all of the senior people in your field, even if their work is tangential to your own. Citation is a way of demonstrating that you know your field and you know who the key thinkers are. It is amazing how often the same person will be asked to referee your work.

Now, I can’t say I’ve spent a lot of time advancing myself in academic circles (unlike one bootlicking, sycophantic assclown whose book you may  remember); however,  as an Internet-based bioethics expert, I'll say this sounds about right.  What's academic publishing for, anyway, if not for advancing your career?  Do it right, I say.

But there's also another side of me, the Internet marketing expert, that asks the obvious questions:  Citations? Peer-reviewed journals?   Does anybody read these anymore, let alone write for them?  Seriously, what decade is this?

Listen to me:  If you want some bang for your buck, take to the Internet. And don't just cite your colleagues; any milquetoast can make nicey-nice with the boss-man.  You need to find out who your colleagues' enemies are, then  start firing away in the online forums.  Take to the comments section of the newspapers and the online media (hell, take two or three screen names if you want, and trade insults off one another).  Rack up 2500 Facebook friends, including your senior colleagues, and start wailing away at the bad guys.   All this you can do in a third of the time it takes you to write a paper proposal, yet you will reach thousands more people and leave a permanent, lasting impression on the people you want most to impress.  It's quick, it's cheap and it's unfiltered:  That's the Ethicator way.

Got a moral issue you just can't solve?  Send your questions to the Ethicator: info@whitecoatblackhat.com

Filed under: Ethicator 1 Comment
6Jun/110

The Ethicator – Swept Up in Another Grassroots Movement

Posted by B Elliott

Dorland Health People Awards
It seems your generosity has no limits.   A mere month after nominating your humble servant for the PharmaVoice 100, another mass, grassroots movement is under way.  This time, the prize is the Dorland Health People Awards, which as it turns out, has an ethicist category.  As the Editor in Chief herself has said:

Ethicists are an integral part of the healthcare field, making a profound difference and positively affecting individuals and improving quality of life across America. It takes an exceptional person to do what you do, as I can attest to from my years of clinical healthcare experience.

So there you have it.  The only barrier is the $290 admission fee, but since there are hundreds of you out there, the cost per person should be peanuts.

No doubt, Carl Elliott and his raging band of anti-pharma thugs will try to scuttle this, just as he has always tried to squash my academic freedom at every turn; but this is your chance to beat the odds, fight back, and score that rare victory for Freedom.

The application deadline is this Friday, June 10.  You can get the details here.

My name:  The Ethicator
My organization:  White Coat, Black Hat website
My title:  CEO and Proprietor (pro-bono)

You are all heroes.  Thank you.

Got a moral issue you just can't solve?  Send your questions to the Ethicator: info@whitecoatblackhat.com

4May/110

The Ethicator: Did I vote for the right person?

Posted by B Elliott

Purple finger

Dear Ethicator,

I recently encountered a problem with coercion.

Someone I know of from the ethics world tried to manipulate people into nominating him for an honor. It seems that this person is trying to make his mark in the ethics world and does blatant self-promotion, sometimes at the expense of others. He decided that he should be nominated for an award given by a prestigious group from Big Pharma. He embarked on a campaign of wheedling, flattery and pleading to try to manipulate his readers into nominating him for this award. I and others were besieged by e-mails. All the same, begging to be nominated. Some of the e-mails were sent in the early hours of the morning. Not only was he obsessed with this idea, he was trying to drive us crazy, apparently hoping that his barrage tactics would force up to nominate him.

I was torn. This ethics geek seems to be dedicated, though sometimes his opinions are skewed. I really wanted to nominate someone who would merit the honor, like the world famous Carl Elliott. Or even the unemployed Randy Cohen. But, in the end, I caved in and nominated the dweeb. I was just too worn out by the endless e-mails.

Did I do the right thing?

Thanks.

MT

Dear MT,

I can see why you were torn.  A bold, fresh face bursts onto the ethics scene, skyrockets to fame, and forces you to confront your conscience. You think to yourself:  Shouldn't such courage and grace be rewarded in some way?  Who else is more deserving? And seriously, isn't filling out that little nomination form the least you can do?

Still, you realize your move will be controversial. There are so many safer nominees out there: People who have been flaunting themselves in the media for years, people who would no doubt want to bully you into nominating them instead.  In fact, who knows what the consequences will be for you, once this self-promoting narcissist learns you've passed him over for a more deserving candidate?  You face all these questions and still, you vote your conscience.  Good for you.

You did the right thing.  Sleep well.

The Ethicator

Got a moral question you just can't solve?  Send it to the Ethicator: info@whitecoatblackhat.com