9/11 Every Month — Where’s the Outrage?

Free Surgery Photo -- Pixabay

The headline on Hans Bader’s piece at the Foundation for Economic Education is true as far as it goes: “Lifting the Ban on Kidney Sales Would Save 30,000 American Lives Annually.” Bader draws on an earlier essay by Ilya Somin at The Volokh Conspiracy, who in turn riffs on findings published in the Journal of the American Society of Nephrology.

The TL;DR: “Many Americans die every year because they need kidney transplants, in large part due to federal laws banning organ sales. … [A]n average of over 30,000 Americans have died each year, because the ban prevented them from getting transplants in time.”

My preferred version of the headline: “The US government, as a matter of policy, kills 30,000 Americans annually.”

That’s 2,500 Americans every month.

And that body count consists only of Americans who die while awaiting kidney transplants.

It doesn’t include those who die waiting for hearts, livers, or lungs that never arrive because patients — or their insurers — are forbidden to pay live donors, or the survivors of those who die with intact, transplantable organs, for those kidneys, livers, and lungs. Adding those deaths would almost certainly push the number above 2,977 every month.

What’s special about 2,977? It’s the number of people killed by terrorist attackers (excluding the attackers themselves) on September 11, 2001.

As you may remember, Americans got pretty exercised about 9/11. Heck, we still DO get pretty exercised about it (for a recent example, note the reaction to US Representative Ilhan Omar’s “some people did some things” comment).

But every month, month in and month out, year after year, the US government kills that many or more with its policies. The public response? Crickets.

The federal ban on paying donors or their survivors for organs is premised in a weird claim that paying donors or survivors for organs would be “unethical.”

It’s OK — it’s “ethical” — to pay the surgeons. And the nurses. And the anesthesiologists. And the providers of anti-rejection drugs. And of course — of course! — the “medical ethicists” whose opinions underlie the ban.

Only the people who physically provide the indispensable elements of organ transplants, the organs, get empty envelopes come transplant payday.

Where’s the outrage? The US has been at war for 18 years straight now, with 9/11 as the excuse. But 9/11 every month barely raises eyebrows. The politicians and the “ethicists” they’ve listened to remain at large. And, yes, they are well-paid.

Scary stories about homeless people with drug problems selling kidneys for crack, or being denied transplants for lack of money are just that: Scary stories.

If the purchase of organs was made legal, insurers (presumably including Medicare and Medicaid) would leap at the opportunity to save the money now wasted on expensive care for patients slowly dying as hope fades. A market price would emerge and people with good organs would respond to the incentive — probably mostly in the form of prospective post-mortem donors looking to ease their families’ losses.

Of course, there would be a place for ethical considerations in that process. Hopefully better considerations than the currently prevailing ones.

Thomas L. Knapp (Twitter: @thomaslknapp) is director and senior news analyst at the William Lloyd Garrison Center for Libertarian Advocacy Journalism (thegarrisoncenter.org). He lives and works in north central Florida.

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Capital Punishment Isn’t Unconstitutional. We Should End it Anyway.

SQ Lethal Injection Room
The lethal injection room at San Quentin State Prison, completed in 2010 [public domain, Wikimedia Commons]

On April 1, The Supreme Court of the United States ruled against death row inmate Russell Bucklew’s appeal of his execution method. Nixing his claim that a rare medical condition would make the execution unconstitutionally “cruel and unusual” by virtue of being excruciatingly painful the Court (in an opinion written by Associate Justice Neil Gorsuch) held that the Eighth Amendment “does not guarantee a prisoner a painless death.”

SCOTUS has been the most prominent venue for opposition to the death penalty, but also the least effectual. Intermittent victories on procedural details produce false hopes that the Court will eventually find the death penalty as such an unconstitutionally cruel and unusual punishment. Then events like the retirement of Associate Justice Anthony “Swing Vote” Kennedy dash, or at least delay, those hopes.

The constitutionality of capital punishment has never really been in question. While some of the Constitution’s framers disliked the practice (“I should not regret a fair and full trial of the entire abolition of capital punishments by any State willing to make it” wrote James Madison, one of those framers and later President of the United States), it was common practice at the time of the Constitution’s ratification and has never in the round (as opposed to in particular details) been successfully challenged on constitutional grounds.

But it’s still wrong, and it still needs to go.

The claim of inherent jurisdiction over life and death — the claim of a “legitimate” power to kill disarmed prisoners, in cold blood and with impunity (as opposed to the currently violent, in defense of self or others, subject to requirement to justify the deed) — is the very definition of totalitarianism.  You can have limited government or you can have capital punishment. You can’t have both.

Over the last half-century, opponents of the death penalty in America have energetically chipped away at both its popularity and its political legitimacy.

Exonerations of death row inmates, and execution fiascoes resulting from Mengele-like experimentation with methods, have probably pushed us past the point of no return as state governments reconsider (and in some cases declare moratoriums on) capital punishment.

In 2016, two American political parties — first the Libertarian Party, then a few weeks later the Democratic Party —  enshrined opposition to capital punishment in their platforms.

In an era of ever-growing government power, this is one issue we seem to be moving in the opposite direction on. We should move faster.

Thomas L. Knapp (Twitter: @thomaslknapp) is director and senior news analyst at the William Lloyd Garrison Center for Libertarian Advocacy Journalism (thegarrisoncenter.org). He lives and works in north central Florida.

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On Obstruction, the Mueller Report is Clintonesque

CC0 Public Domain dedication, via Max Pixel

On April 18, US Attorney General William Barr released Special Counsel Robert Mueller’s report on the probe into “Russian meddling” in the 2016 presidential election. The report cleared President Donald Trump and his campaign team of allegations that they conspired with the Russian government in that meddling. But on the question of “obstruction of justice,” Mueller punted in an eerily familiar way.

Return with me briefly to those thrilling days of yesteryear. Specifically, July 5, 2016. As I wrote then:

“FBI director James Comey spoke 2,341 words explaining his decision not to recommend criminal charges over Hillary Clinton’s use of a private email server to transmit, receive and store classified information during her tenure as US Secretary of State. He could have named that tune in four words: ‘Because she’s Hillary Clinton.’ Comey left no doubt whatsoever that Clinton and her staff broke the law …”

Mueller’s report likewise cites evidence of multiple attempts by the president to obstruct his investigation. “[T]he President sought to use his official power outside of usual channels,” he writes. “These actions ranged from efforts to remove the Special Counsel and to reverse the effect of the Attorney General’s recusal; to the attempted use of official power to limit the scope of the investigation; to direct and indirect contacts with witnesses with the potential to influence their testimony.”

But before the evidence, the punt: “[W]e determined not to make a traditional prosecutorial judgment. The Office of Legal Counsel (OLC) has issued an opinion finding that ‘the indictment or criminal prosecution of a sitting President would impermissibly undermine the capacity of the executive branch to perform its constitutionally assigned functions’ in violation of ‘the constitutional separation of powers.'”

Translation: Anyone else who did what Donald Trump did would find himself buried under obstruction of justice charges. But Donald Trump is the President of the United States.

The difference between Comey’s treatment of Clinton and Mueller’s treatment of Trump is that Clinton’s immunity to laws meant for mere mortals was unofficial — based on her prominence as a ranking member of the political class — while Trump’s similar immunity is a formal function of his holding a particular office.

Did Trump “obstruct justice?” I’m no lawyer, but Mueller’s report indicates that Trump abused his power to attempt to impede the investigation. That sounds like obstruction to me.

Does it matter that the investigators found no underlying crime after overcoming the obstructions? Some people think so. I don’t.

If you were accused of a “missing body” murder you didn’t commit, and asked someone to give you a false alibi (because you were actually in bed with someone other than your spouse and didn’t want THAT known), or gave a false tip to the police, you’d face charges independent of the underlying crime even if the supposed victim turned up alive.

Why? Because (in theory at least) a criminal investigation pursues the truth of the matter, not just a particular suspect or verdict.

Trump’s conduct was aimed at frustrating that pursuit of truth. Immune or not, that’s wrong.

Thomas L. Knapp (Twitter: @thomaslknapp) is director and senior news analyst at the William Lloyd Garrison Center for Libertarian Advocacy Journalism (thegarrisoncenter.org). He lives and works in north central Florida.

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