Question: How would the poor obtain medical care in a free society? In your May 12th, 2013 show, you discussed how EMTALA – the law that obliges emergency rooms and doctors to treat patients, regardless of ability to pay – violates the rights of doctors and results in worse care for the poor. But what is the alternative? How would the poor and indigent get medical care – if at all – in a society without government welfare programs? What if charity wasn't sufficient?
Question: What should a person do to make up for a past unpunished crime? Suppose that a man, say when between 9 to 12 years old, committed a serious offense such as sexual assault or rape. At the time, he did not realize the effect of his actions. Now, as an adult, he is living a decent life – meaning that he's gotten a good education, he has a good job, and he's developed good sense of ethics. He's never told anyone about this incident. It was never reported, and he was never investigated for or convicted of that offense as a juvenile. Legally, he need not report this incident to anyone. But ethically, what should he do about it? Should he disclose it to someone – such as his family, friends, a therapist, or even the police? Should he do anything else?
Question: What kinds of charities are worthy of support? Many people laud donating to charities, but they don't seem particularly concerned with which charities they support. However, I'd like my charitable dollars to do some good in the world – and do me good in return. So when is it proper to donate to charity? What kinds of charities are worthy of support or not? How can I judge the effectiveness of a charity? Are local charities better than national or international charities?
Summary: What are some common confusions about Ayn Rand's philosophy of Objectivism? In this talk, I briefly survey Ayn Rand's basic principles, then explore six common but false views about her, namely: (1) Ayn Rand was primarily concerned with politics. (2) Ayn Rand was an elitist: she despised everyone except super-high achievers. (3) Ayn Rand's ethics tells people to do whatever the heck they feel like doing. (4) Ayn Rand supported charity: she just thought it should be voluntary. (5) Ayn Rand's advocacy of reason and logic excludes any concern for emotions. (6) Ayn Rand's ideas are compatible with belief in God and Christianity. This talk was given to the Free Minds Film Festival on 8 October 2011.
Question: Is charity to strangers virtuous? In a recent podcast, you answered the following Rapid Fire Question: "Does providing voluntary, non-sacrificial help to innocent, unfortunate poor people qualify as virtuous? In a free society, would such charity be a moral obligation?" You said that it's not a moral obligation, and I agree with that. You also said that you think it's a "great thing to do." But why? I'd evaluate it as such if the person you're helping is a good friend or a close relative. In that case, the act would be an expression of integrity, or of loyalty to one's personal values. But I don't understand why it's a "great thing" to provide charity to people you don't know, even if you're contextually certain that they didn't bring their hardship upon themselves and you don't view it as a moral duty. I'd think that such an act is morally neutral, or at best slightly positive. Can you explain your evaluation a bit more, please?
Question: How should I respond to panhandlers asking for money? I live and work in a downtown area, and I am often asked by strangers on the street for money. These requests vary in form from the brief but honest ("Spare some change?") to the manipulative and dishonest. My stock response is to say that I have no cash, which is almost always true, but somewhat dishonest in that my lack of cash is not my main reason for refusing to give. Explaining my real reasons – I don't know who this person is, I don't know how he will spend the money, and I don't think giving people money helps reduce their reliance on handouts in the future – seems overly harsh on someone who is obviously having a rough time of it already, and takes a long time to boot. I feel like I should acknowledge the request somehow, but I want to effectively disengage from the situation as quickly and safely as possible. Is my stock response inappropriate because it is dishonest? If I shouldn't be using my stock response, what can I say to quickly and safely disengage? Also, I get a lot of dubious stories about being stranded downtown without bus fare. I've often thought about carrying a few valid, single-use transit tickets with which to respond to such stories. It's something I can afford, and it would in theory limit how my charity gets used. Would this be a wise or safe course of action?
Question: Do people have a right to emergency medical care? EMTALA (a.k.a. the Emergency Medical Treatment and Active Labor Act) is a federal law that requires emergency rooms to stabilize any patient with an emergency medical condition, regardless of the patient's ability to pay. Is that proper? Is that the same as a right to medical care?
Question: Am I obliged to help a friend in trouble due to her own poor choices? I have a friend who is emotionally draining to me, and she is especially "down on her luck" this month. However, her situation is a direct result of especially poor personal choices over the last year, and there is no good path to get her out of the hole of poverty and depression. We don't have much in common other than similar-aged kids, and active participation in a local moms' group, but because I have come to her aid in the past, I feel an unspoken obligation to continue. (Maybe it's guilt, or pity, or empathy?) What are my obligations in a friendship that has recently become more taxing than beneficial? I don't dislike her, and we have many mutual friends, but I just don't think I can muster the time, financial resources, or energy this time to help bail her out of the latest fiasco. Is it morally acceptable to refuse to help? Should I talk to her about why now – or wait until she's less vulnerable?
Question: How would antibiotic resistance be handled in a free society? Bacteria acquire resistance to antibiotics by exposure to low doses of antibiotics. Such low doses may come from misuse of antibiotics, for example when taken to combat a cold or flu (which are viral infection against which antibiotics do nothing) or by not completing the full course as prescribed by a doctor. Antibiotics are indeed awesome drugs which have saved millions of lives. But resistant bacteria pose a serious health problem, often causing serious and difficult-to-treat illness in third parties. What would be the proper way to address this problem in a free society?
Question: Should a person contribute to animal welfare organizations? Animal shelters find good homes for abandoned and abused pets. They also offer assistance to pet owners during emergencies, such as the recent wildfires in Colorado. That work seems laudable to me – and something that a rational person might support and even contribute to. Yet such groups often advocate wrong views (such as veganism) and support rights-violations (such as animal welfare laws). So are such groups worthy of support or not?
Question: How should I respond to the constant demands to contribute to fundraisers from my child's school? I am barraged with "requests" for contributions to school fundraisers. This week, for example, each student in the band is asked to put together a "buddy bag" with sweets (against my views), a toy (more plastic junk to fill the landfills), and a gift (I can't afford that). Every week, there's another fundraiser, for which parents are asked to spend their money on things they don't value or aren't a fair value. Should I refuse these requests – and if so, how should I do so?
Question: Is a person ever obliged to "give back to the community"? Businesses often speak about their charitable work as "giving back to the community." I know that's wrong, because they didn't take anything from it in the first place. But when a person benefits from a certain group or organization, should he "give back" to it by volunteering his time or donating his money? Why or why not?
Question: Do we have an obligation to help others in need? Many people think that the need of others creates an obligation to help. Is that right or wrong? Why? When should a person help others?