Doctors as Government Snoops

Via the Politech list comes notice of an FBI pilot program in which emergency-room physicians report to the feds suspicious injuries or illnesses that might have resulted from terrorist activities.

We’ll have to wait and see how it turns out, but from the article’s description of the program there appear to be some potential pitfalls. The program’s use of non-police agents raises the same questions as did the now-defunct homeland-security plan to deputize meter readers and cable-TV installers to report suspicious activities. The incentives in such schemes tend to be for massive over reporting. Given that there are probably very few terrorists among the population that uses emergency rooms, the odds of a very high percentage, and high absolute number, of false positives seem significant. The cost to the people who are incorrectly fingered will be high, and nobody knows if any terrorists will be caught. There will also be a temptation, as Declan McCullagh notes, to expand the program to report drug use and other activities that are unrelated to terrorism.

This program is a bit like the system for reporting child abuse, except that there are probably several orders of magnitude more child abusers in the health-care-seeking population than there are terrorists, and deciding which medical problems result from terrorist activity is probably much less clear cut than deciding whether a child has been abused. I don’t know if the FBI is up to the task. (The Bureau is still trying doggedly to make a case against Steven Hatfill, for supposedly mailing the anthrax-laced letters that to some of us seem more likely to have been sent by the Sept. 11 hijackers.) It’s difficult for me not to be skeptical that the benefits of this program will exceed the costs even if it does catch the occasional terrorist.

There is also the matter of the spirit in which this program is being promoted.

That approach, Allswede acknowledges, sometimes raises issues with the constitutional right of being presumed innocent until proven guilty.

“That was in the days of our founding fathers when the worst thing that could happen to you was your horse was stolen,” he said. “We were willing to give up a few horses in order to prevent innocent people from going to jail. But in the era of bio terrorism, when you could lose a city, the threshold has changed.”

This is the new justification for government snooping and bureaucratic empire building: with the existence of WMD, the stakes are so high that safeguarding the rights of individuals (life, liberty, and property are contemptuously dismissed as “a few horses”) is secondary. This is a dangerous idea.

I’d like to give the FBI the benefit of the doubt but I can’t. It never accounted adequately for its abuses at Waco and Ruby Ridge; its leaders stymied proper analysis of pre-Sept. 11 intelligence and didn’t take responsibility for their failure (they still have jobs); it has bungled major investigations and covered up malfeasance (the Crime Lab). Its competence is questionable. This snooping plan deserves more scrutiny.

Remember William Pitt’s apothegm:

Necessity is the plea for every infringement of human freedom. It is the argument of tyrants; it is the creed of slaves.

Moral Hazard

Here’s a tricky situation. It reminds me of this.

Osama: Amputee, Cadaver, Loser

The Command Post links to this story which says that OBL probably had his arm amputated after the Tora Bora raid, and then probably died from it, since surviving an amputation under those unsanitary conditions is unlikely. Of course, this is all speculation. But it seems pretty convincing.

I sure hope it is true. I must say the idea of OBL scurrying around up in the mountains hiding from our commandos, getting caught in a huge air attack, barely surviving the raid, maimed, undergoing a field amputation, then falling sick, withering, suffering a fevered, lingering death of shock and infection up in the mountains, knowing he’d blown it, knowing the soft, weak, cowardly US had killed him, knowing that the Muslim world was not rallying to his cause, knowing we were going to hunt down the rest of his gang like rats … well, I like that a lot better than him being vaporized by a direct hit on his cave. He did not deserve a quick death.

Bush put it well. They chose to go to war with the United States, and war is what they got.

And if he’s not dead, we will get him. Sooner or later, dead or alive.

Death to America’s enemies.

Amazon and Permalinks

Amazon should make it possible to link easily to individual posts in book- and product-review threads. Some of these review posts are great, easily the equivalent of high-end published reviews. Others are merely greatly entertaining. It isn’t currently possible to link to these posts except by linking to the poster’s “about me” page (which is cumbersome and not quite specific enough) or to a book’s main review page, which is almost useless for books that have lots of reviews. Real permalinks for individual reviews would have no downside for Amazon but would greatly facilitate the use of Amazon’s substantial online content in blog posts and other online publications. Whatever happened to “viral marketing”? Permalinks should be a natural for Amazon.

(Thanks to Val for sharing his Amazon knowledge.)

Holy Cow!

Disaster strikes in Chicago.