Posts Tagged ‘medical’

Pot-ential?

Friday, June 12th, 2009

Drug Czar

Despite Obama drug czar Gil Kerlikowske’s admonition that marijuana will still be federally outlawed regardless of the reduction of “war on drugs” rhetoric, there appears to be an increase in legal measures both at a state and federal level to legalize pot within the next few years, or at least severely reduce penalties for distribution.

According to SFGate, California’s budget crisis and increased public support are tipping the scales regarding pot legalization. The efforts include a July ballot measure in Oakland to create a cannabis tax category and hearings in the fall on a bill for decriminalization. The bill would allow limited cultivation, sales, and personal possession, but pro-decriminalization groups like TaxCannabis2010.org, estimate billions of dollars in sales tax revenue gain if marijuana is legalized.

Of course, even if California manages to legalize marijuana, the federal government still outlaws it. Activists hope that successful state initiatives will motivate change in the federal government, and the underlying states’ rights issue might set a tone conducive to the constitutional ideology of allowing states to grant greater freedoms to its citizens despite federal efforts to impose.

This dynamic is evident in the same-sex marriage issue today — some states are legalizing same-sex marriage while bills are being proposed in Congress to amend the U.S. Constitution to outlaw it. The concept of infringing upon freedom was played out to great detriment when the federal government passed the prohibition amendment, The Noble Experiment manifest in the 18th Amendment, later repealing it with the 21st Amendment. Today, marijuana legalization opponents argue that states’ rights should trump the federal government in issues like gay marriage, abortion, and gun rights, while arguing that the federal government trumps state sovereignty with regard to personal use of marijuana.

While this interplay carries on, the sting of the federal prohibition against marijuana has already become less severe with Obama’s new pot dealer policy. Last March, Attorney General Eric Holder announced that the feds would no longer raid medical marijuana dispensaries, and that states would be able to set their own marijuana laws. Regardless of such sentiment, the feds are still convicting and imprisoning dispensary owners.

According to the Chicago Sun-Times, in June, a federal judge in Los Angeles handed over a year and a day prison sentence to a medical marijuana dispensary owner as an act of leniency, instead of the mandatory minimum five-year sentence for dealing in marijuana. This perpetuates the state-given rights versus federal prohibition issue, but it does establish some precedent and indication that, as Kerlikowske suggested, the tone of the drug war is being overtly and quickly lowered. What to watch for next is if California does legalize personal use, whether the federal government will conform to Holder’s assertion that states will be able to run their own show with regard to marijuana law.

Police Hunt for Boy Fleeing Diet and Exercise

Thursday, May 21st, 2009

Forces nationwide on alert for mom, son who are on the run.
obese
(Image is ubiquitous, represents but does not depict child in question)

Health and faith clashed in the courtroom, with police on the lookout for a Minnesota mother who fled with her obese 13-year-old son rather than consent to a diet and exercise program.

A court-ordered BMI examination on Monday showed that Danny Hoosier is severely obese, with a score of 43, and that he would likely die from the symptoms of obesity if he did not receive physical and diet therapy.

Before she fled, Caileen Hoosier, a Roman Catholic, told a judge that she wished to treat her son’s obesity with spiritual healing methods advocated by an American Spaniard religious group known as the Nameless Band.

Danny has severe childhood obesity, a highly curable form of obesity when treated with a regimen of diet and exercise. But the teen and his parents rejected the regimen after a single workout session followed by having to eat broccoli. The boy’s mother said that exercise and putting healthy substances in the body violates the family’s religious convictions.

Authorities are alerting the public to report the mother and son’s whereabouts, if seen, and that they have frequently been sighted at McDonald’s drive-thrus. 1

Seems silly, no matter how you look at it, eh?2

Isn’t this mother’s action equivalent to post-partum abortion, or should parents be allowed to “care for” their children in whatever manner they feel appropriate? What do the Libertarians say about this?

In addition, isn’t it curious how it seems that religion gets a free pass in many aspects of law and society (e.g., tax breaks, requiring monotheistic belief for public office, hate crimes based on religion, general inability to criticize religion, lighter sentences), but when society doesn’t agree with someone’s specific actions, it condemns those actions, even if they were motivated by sincere religious conviction?

Broken down, here’s what it means: Religion does not give you a free pass. Accepted religion does. That means someone’s dancing a jig on the grave marked “R.I.P. First Amendment.”

Speaking of the First Amendment, does this case threaten to violate it in the reverse respect? In other words, by not allowing someone to practice their religion as they see fit (no matter how kooky we perceive it), isn’t that “prohibiting the free exercise thereof”? Heck, perhaps the First Amendment does need an overhaul. It obviously doesn’t take into account all the wacky religions out there, and all the wacky people who do crazy things in the name of their religion. What the Supreme Court and others say is, “Oh, the founders didn’t mean absolutely no prohibitions! There has to be some reasonable guideline to keep the kooks from doing really crazy stuff.” Hmm, I wonder who establishes those guidelines. Could it be… mainstream Christians?

Either we need to eliminate reading between the First Amendment’s lines, risking religious justification for all sorts of heinous acts, or we need to eliminate religion as a justification for any action. In other words, if an act is harmful, it’s harmful. If it’s not, it’s not. Religious conviction should not be able to adjust that fact.

UPDATE:

Believe it or not, my satire has manifested in reality.

From CNN:
Authorities arrest mom for medical neglect of 555-pound teen

South Carolina authorities have located a 555-pound teenager and his mother, who faces a charge of violating a custody order, police said Thursday.

obese-reality
Alexander Deundray Draper, 14, “is possibly at a stage of critical health risk,” social services said.

Alexander Deundray Draper, 14, of Travelers Rest, South Carolina, and his mother, Jerri Althea Gray, were located at about 4:30 p.m. near a laundromat in Baltimore, Maryland, by the Baltimore County Sheriff’s Office, said Matt Armstrong, a spokesman for the Greenville County Sheriff’s Office in Greenville, South Carolina.

“The understanding was that the individual was of the weight where it was decided by medical authorities that he needed treatment that was not being provided for by his mother,” Armstrong said.

Earlier in the day officials said the boy “is possibly at a stage of critical health risk.”

Gray was supposed to appear in family court Tuesday with her son and failed to do so, the sheriff’s office said. During the family court hearing, the boy was ordered into state custody because of medical neglect, as well as his mother’s failure to appear. The Department of Social Services then contacted the sheriff’s office, authorities said.

The warrant said Gray was served with papers Monday and told to report to court for a hearing in which the department would seek state custody of Draper. “The defendant has avoided the custody proceeding and has concealed the child,” the warrant says.

Wow. Or is this more satire? How can anyone be sure?

  1. Yes, this is satire. Yes, I have to say it. The real subjects of this insanity are Colleen and Daniel Hauser. Daniel has Hodgkin’s lymphoma, a highly curable form of cancer when treated with chemo and radiation. His parents did, in fact, reject chemo after only a single treatment, and now mother and son are on the run, and the court has issued an arrest warrant for her arrest. [<]
  2. Note that my perhaps even more subtle satire here deals with the fact that in the real case, the mother said that putting toxic substances in the body violates the family’s religious convictions. When I read the story, I wondered how much fast food the kid had eaten (and how much more he’ll be eating on the run). We’re constantly putting toxic substances in our bodies. Quite a bit of it is natural. What the mother really meant to say is that under circumstances of her choosing, she’ll allow her god to kill her child, because that’s what Jesus would do. Or Abraham. Or someone ancient. She shouldn’t interfere. Funny how she still manages to find a way to ingest food. You know, if God wanted her to survive, she wouldn’t have to eat food at all, or take any action whatsoever to preserve her own life. Fucking hypocrite. [<]

Why is there a Legal Provision Allowing a Lighter Sentence Based on Religious Beliefs?

Friday, December 12th, 2008

As reported by ABC news, an Oregon couple, by offering up prayer instead of what would have been an easy treatment by medical professionals, allowed their infant daughter to die. Or, put another way, murdered their infant daughter.

Carl and Raylene Worthington, the killers (should we really call them parents?) happen to belong to the same church, the Followers of Christ Church, as Jeffrey and Marci Beagley, who were indicted on charges of criminally negligent homicide in October, 2008, after they attempted only prayer healing for their 16-year-old son, Neil Beagley, instead of medically treating him for what was an easily treatable illness. Apparently, this church as been the catalyst for at least twenty other child deaths as a result of applying faith healing techniques, when every one of them could have been easily cured with proper medical treatment.

Although my first reaction to these heinous acts is to shrug and hope the result is the direct or indirect thinning of the herd, my more contemplative criticism is not based on what the parents or church have done, but what our laws and the courts have allowed and currently allow. Specifically, the fact that a decade ago, during the events that led investigators to believe that twenty children affiliated with the Followers of Christ Church had died because of that affiliation, the existing Oregon law allowed for claims that religious beliefs prevented defendants from seeking medical help — the “spiritual healing defense.” In 1999, the Oregon state legislature, upon hearing about the twenty children, changed the law to bar such claims.

The original language of the defense:

Manslaughter in the second degree is a Class B felony.
{ – (3) It is an affirmative defense to a charge of violating
subsection (1)(c)(B) of this section that the child or dependent
person was under care or treatment solely by spiritual means
pursuant to the religious beliefs or practices of the child or
person or the parent or guardian of the child or person.1

But a lot of good that does when the law currently allows the same spiritual healing defense to be used to reduce sentencing: (emphasis mine)

137.712. (1)(a) Notwithstanding ORS 137.700 and 137.707, when a person is convicted of { + manslaughter in the second degree as defined in ORS 163.125, + } … the court may impose a sentence according to the rules of the Oregon Criminal Justice Commission that is less than the minimum sentence that otherwise may be required by ORS 137.700 or 137.707 if the court, on the record at sentencing, makes the findings set forth in subsection (2) of this section and finds that a substantial and compelling reason under the
rules of the Oregon Criminal Justice Commission justifies the lesser sentence. …
(2) A conviction is subject to subsection (1) of this section only if the sentencing court finds on the record by a preponderance of the evidence:
{ + (a) If the conviction is for manslaughter in the second degree:
(A) That the defendant is the mother or father of the victim;
(B) That the death of the victim was the result of an injury or illness that was not caused by the defendant;
(C) That the defendant treated the injury or illness solely by spiritual treatment in accordance with the religious beliefs or practices of the defendant and based on a good faith belief that spiritual treatment would bring about the victim’s recovery from the injury or illness….

In short, what it means is that if the court believes the parents believed that the spiritual healing would have worked, then the court can reduce the sentence of parents who murder their children based on their religious beliefs. Well, if you could call it “spiritual treatment,” which can really include just about anything, apparently.

This is clearly a law respecting an establishment of religion, a blatant violation of the First Amendment. Of course, the counter argument is that the First Amendment also prohibits the government from interfering with people’s ability to practice their religion. What the counter argument and those who would use it (obviously those who got that law enacted in the first place) fail to acknowledge is that we have employed our government to protect an even greater self-created right — the right not to be killed by fellow citizens. That greater right trumps any defense of religious preference when it comes to murder. (Yes, technically, it’s “manslaughter,” but I don’t view it that way).

What we all need to do, with swiftness and fervor, is contact our state representatives to find out whether our own states have similar laws unconstitutionally favoring religion and letting murderers off with potentially lighter sentences, and, if so, we need to tell them to work toward eliminating such laws. If there aren’t any such laws (doubtful), ask your legislator to ensure that none ever get passed, because such a breach of the separation of church and state is an affront to everyone (even the religious), especially when those laws favor the most vile of people. As Daylight Atheism skillfully argues, No Religious Exemptions from Child Abuse Laws.

Do you think the Followers of Christ Church should be tax exempt? If you live in Oregon, contact your state representatives and demand that the church lose its tax exempt status. The purpose of allowing religious organizations a tax exempt status is the flawed idea that the church is somehow benefiting society. The Followers of Christ Church does the reverse. It doesn’t deserve a tax break. Everyone in every state, in every country, should be demanding that churches be taxed.

Don’t let these murderers or anyone else use religion as justification for their actions.

Input from readers:

Blackstar9000, on Reddit, says:

The article leaves out the two clauses that follow:

(D) That no other person previously under the defendant’s care has died or sustained significant physical injury as a result of or despite the use of spiritual treatment, regardless of whether the spiritual treatment was used alone or in conjunction with medical care; and (E) That the defendant does not have a previous conviction for a crime listed in subsection (4) of this section or for criminal mistreatment in the second degree. + }

Those clauses shed some light on why there’s a provision, I’d say. It’s basically a learning curve that says, if you’ve been taught to believe that faith healing works, and there’s nothing in your past that should have demonstrated to you that it doesn’t, a lesser sentence may be warranted simply because you weren’t fully aware of the damage you could be causing. It isn’t a get out of jail free card, but if a person’s been cloistered all their life and might not reasonably have enough experience to know the consequences of their action, they might need at least some legal protections.

My response:
Why couldn’t there be a general provision indicating that if the defendant lacked the knowledge or mental capacity to understand that a particular method of treatment would not likely be successful, then the sentence could be reduced based on that fact? Why not that instead of the direct reference to religious belief? If the principle is, as you suggest, whether a person reasonably possesses the knowledge or know-how to treat someone with proper care, then why explicitly restrict that to the “spiritual”? Are there never any instances where non-spiritual upbringing can mislead someone?

Any takers?

Blackstar9000 replies:

Those are all valid question, and it’s way beyond my competence to give anything more than a reasonable guess. I will say this, though: Generally, laws of this sort arise as a response to particular instances rather than as a consideration of future possibilities. It’s a fair bet that this piece of legislation was written after a specific, precedent-setting case, and that the circumstances of the case itself did much to dictate the form that the legislation ultimately took. In other words, it specifies the religious belief because the religious belief is what the court has had to deal with in the past. Caution probably also played a part; not all judges and legislators are willing to introduce sweeping provisions without first having seen how a given set of circumstances will play out in an actual case.

Having said all of that — and, of course, this is all lay interpretation — while the law cited is setting forth an exception, the sense I get from it is that it’s spelling it out in order to provide restrictions on that exception. In other words, legislators could have laid out a blanket exception for religion: “If you’ve got a note from your priest, we’ll let it slide.” Instead, what they’re saying is that, in certain circumstances, a person’s religious background does mitigate some of the severity that would otherwise be warranted, but the court has to retain some control over how it’s determined that those circumstances have been met. What those provisions are looking for, it seems to me, is some relatively reliable guarantee that the parents weren’t being intentionally malicious or even simply callous in their neglect. The provisions likely aren’t a perfect instrument for gauging that, but in dealing with matters of judgment like that of deciding whether or not someone was a caring parent, the legal system has to traffic in evidence that is more or less tangible.

Where that’s true, ie. where caring and concerned parents have lost a child through their own neglect, then any punishment the court can mete out is likely to pale next to the suffering the parents already feel.

StOP

  1. http://www.leg.state.or.us/99reg/measures/hb2400.dir/hb2494.en.html [<]

Bush Administration Makes Last Ditch Effort to Diminish Women’s Rights

Thursday, November 20th, 2008

Apparently the Bush administration just wasn’t satisfied with all the other steps they have taken to bring the government into our bedrooms and our doctors’ offices: blocking over-the-counter access to the morning-after pill, granting fetuses a higher legal status than women, likening abortion to terrorism, promoting ineffective abstinence-only education, and fighting congressional efforts to give aid to overseas groups that provide contraceptives.1  It wasn’t enough.  They had to make one last ditch effort to further diminish women’s reproductive rights.

Opposition is growing quickly to a Bush administration proposal which seeks to grant sweeping protections to health care providers who oppose medical procedures, such as abortion, based on their religious beliefs.  The proposed rule2 would prohibit entities that receive federal funding from discriminating against health care workers who refuse to assist in performing abortions or other procedures because of their religious beliefs.  It would also prevent hospitals, clinics, doctors’ offices and pharmacies from requiring any employee to “assist in the performance of any part of a health service program or research activity” financed by the Department of Health and Human Services, if that employee refuses because of religious or moral objections.3

Under the current laws, employers must make reasonable accommodations for employees’ religious practices, so long as those practices do not cause “undue hardship” on the business.  Under this new proposed rule, family planning providers could be forced “to hire employees who may refuse to do their jobs,” according to the Ohio Health Department.  Pharmacies have said this rule would make it legal for their employees to refuse to fill prescriptions for contraceptives and could “lead to Medicaid patients being turned away.”  The rule could also overturn state laws which require insurance companies to cover contraceptives and which require hospitals to offer rape victims emergency contraception, according to state officials.4

Among those in opposition to the proposed rule are the American Hospital Association, the American Medical Association, the National Association of Chain Drug Stores, a vast number of doctors, pharmacists, and hospitals, the attorneys general of 13 states, 28 senators, more than 110 representatives, and many other political leaders, including President-elect Barack Obama.  Among those supporting the proposal are the U.S. Conference of Catholic Bishops and the Catholic Health Association.5

Three officials from the Equal Employment Opportunity Commission, including its Bush-appointed legal counsel, Reed Russell, as well as members Stuart Ishimaru and Christine Griffin, are opposing the rule and have stated, along with other senior members of the commission staff, that their agency was not consulted at all before the proposal was issued.  The proposal was received by the White House Office of Management and Budget on August 21 and was approved the same day.  These officials have said the rule is unnecessary for the protection of employees and could potentially cause confusion for employers.  Mr. Russell pointed to Title VII of the Civil Rights Act of 1964,6 which already prohibits religious discrimination in hiring practices.   Mr. Ishimaru and Ms. Griffin issued a letter stating that 40 years of court decisions have “carefully balanced employees’ rights to religious freedom and employers’ business needs,” and that this proposed rule would “throw that entire body of law into question.”7

A line needs to be drawn.  If your child needed a blood transfusion in order to survive, and your doctor happened to be a Jehovah’s Witness who believed that blood transfusions were forbidden by her God,8 would it be acceptable to you if she refused to treat your child?  Of course it wouldn’t.  You are welcome to believe whatever you want to believe.  You can believe that tiny, invisible faeries live underground and whisper your morals to you during the night.  Whatever floats your boat.  But as soon as you try to enforce those beliefs on me, I have a problem with that.  And the next time I go to the pharmacy to receive my doctor-prescribed medicines, be they contraceptives or otherwise, I expect those medicines to be provided to me, regardless of what my pharmacist believes about them.  

Download Procrustes’ Crappy Podcast of this Otherwise Excellent Article!

-Laura

  1. http://www.now.org/issues/abortion/roe30/record.html [<]
  2. http://www.hhs.gov/news/press/2008pres/08/20080821reg.pdf [<]
  3. http://blogs.wsj.com/health/2008/11/18/bush-abortion-proposal-raises-ire-of-health-groups-eeoc/ [<]
  4. http://www.nytimes.com/2008/11/18/washington/18abort.html?partner=permalink&exprod=permalink [<]
  5. http://www.nytimes.com/2008/11/18/washington/18abort.html?partner=permalink&exprod=permalink [<]
  6. http://www.eeoc.gov/policy/vii.html [<]
  7. http://www.nytimes.com/2008/11/18/washington/18abort.html?partner=permalink&exprod=permalink [<]
  8. http://www.religioustolerance.org/witness5.htm [<]

Life and Death

Sunday, November 9th, 2008

The believers among us are most apt to argue about when life begins. Does life begin at birth, at conception or somewhere in-between? The question of when death occurs is not asked often since a fortuitous death by accident or natural death by illness occurs out of the control of the recently deceased.

However, we have had cases where death has occurred somewhere in the middle, leaving a dilemma for bystanders who see medical professionals and grief-stricken relatives arguing about the state of the patient and the likely outcome of a course of treatment. The most well-known case of recent times was that of Terri Schiavo, who existed in a persistent vegetative state without any reasonable chance of recovery and whose sole existence was provided through parenteral nutrition.

Today, we have in the news yet another case of the game of When Does Death Occur.1 A young boy named Motl Brody is confined to a hospital following unsuccessful treament of cancer — unfortunately, Motl’s brain stem has “no electrical function”. Motl is dead. While this case would simply end by the patient being removed from life support, Motl’s parents are Hasidic Jews who follow their religious definition of death: the cessation of lung and heart functions.2 The irony is that the life support system that supports Motl is entirely man-made and without it Motl’s body would immediately cease to function. The religious definition of death has collided with technology.

How long can medical technology keep Motl’s body alive to satisfy the Judaic definition of non-death? Though no one knows for sure, Motl could live another 10 or 20 years before the actual tissues of his heart or lungs disintegrate (Motl is currently 12 years old). Yes, he is being pumped full of drugs that do the things that his endocrine system cannot since there is zero neurological function. Do we allow religious beliefs, however antiquated or insufficient to deal with modern life, continue to rule the rest of us?

With all due respect to grief-stricken families who wish to allow their loved ones to be maintained, in perpetuity, by a machine that replaces all bodily functions while the standard human functions are irretrievably gone, we should demand that logic and reason withstand the emotional pleas or the silly, outdated religious definitions of when life begins or when death occurs. We are a nation of secular laws that continually suffers from the intrusions of those who believe that an ancient book which speaks of an imaginary sky-daddy somehow should take precedence over the intellect of the human mind.

It will now be up the court system to decide if Motl Brody has passed away. If the court wishes to decide that Motl has not passed away, whether by acquiescing to a religious definition of death (a heinous outcome) or by concluding by some other means that Motl is still alive, the court system should also find that since there is no reasonable hope of rehabilitating Motl to a state which can be considered minimally interactive for a human, the family can surely keep the loved one alive if the family is willing to pay for the entire cost.

Though it is unlikely that the court system will find in favor of The Brodys to keep young Motl connected to life support, even if the court system agrees with the religious beliefs of The Brodys there should be no further demands placed upon those who do not share the same religious beliefs.

UPDATE

Motl Brody has died. He was still on life support at the time of his death, so the legal issue of death is no longer present.3

Download the Podcast – Narrated by Huntingdon

  1. MSNBC.com: NY Family opposes end to care for brain-dead boy. November 8, 2008. http://www.msnbc.msn.com/id/27603719/ [<]
  2. See Transplantation Ethics, Chapter 7, The Conscience Clause: How Much Individual Choice Can Society Tolerate in Defining Death?, by Robert M. Veatch. http://books.google.com/books?id=aNcbKssW30IC&printsec=frontcover#PPA114,M1 [<]
  3. WashingtonPost.com: Boy whose religious parents battled hospital dies. http://www.washingtonpost.com/wp-dyn/content/article/2008/11/16/AR2008111601226_pf.html [<]