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Ethics - a near-masterpiece, let down by unnecessary contrivance

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Qonundrum

Just graduated from Camp Ridiculous
Premium Member
Worf, injured in a serious accident due to a container leak that caused the barrels of Ghostbusters Ectoplasm to fall over, led to what started out as three great topics:

  • Assisted suicide arguments
  • Living with a disability
  • The line between traditional and experimental medical treatments
Dorn, Frakes, and Stewart all put in tour de force performances, are treated excellently by the script, and the story (much to my shock), was very nuanced, thoughtful, and knew precisely where to avoid being preachy in those regards. Using Riker as an advocate (think "Measure of a Man") was as impressive as Riker's rattling off names of mutual officer friends. While mandated death (think "Logan's Run without the song and dance") was discussed in a season 4 episode that was trying to weave in ageism as well, that one didn't come off as well but that's another story, complete with big helicopter hair that simply can't compete against Leia's...

What gets my goat is that the guest doctor is contrived at every turn just to make her look bad, solely for the sake of Crusher getting to bleat on an increasingly tall soapbox. It's incredibly bogus. Keeping the guest doctor with working on a new treatment for spinal injuries and bypassing the contrived scene with the near-dead patient, just for another excuse for Crusher to get all pious (where's Q when we need him? At least until season 6...)

And that's not even taking into account Worf's convenient synaptic backup system, which I bellowed out loud laughing with over how cheesy it was. It ranks up there with how having more redundant organs means "more can go wrong". Yet they have only one heart to go with the two livers, two kidneys, and everything else... Ugh.

Crusher's wasting so much time with her apparently sordid history yet the guest villain of the week still so high ranking... Add in the "it's never been tested on Klingons" and "Oh there were some simulation hiccups" (Despite the story also shoehorning in how so little being known on Klingon anatomy to begin with?! Worf would have been toast either which way. And that's not taking into account his desire to off himself, at which point citing 37% success rate becomes less than moot. But the episode really wanted to make the guest doctor look so gung-ho by introducing in-development medicines based on preliminary results, I'm truly amazed they even wrote in how the subject's blood pressure was too low for the other medications and how Crusher refused to listen - but I oughtn't be since most of the episode is well-handled and not preachy, so there was genuine effort applied. And yet, despite it all, the only things missing from the guest doctor were a big floppy black hat and mustache to twirl.)

Worst of all, strangely, the episode still wanted to drag out the "He's dead Jim, no he's not" drama way too long, mostly to hide around a laughably bad plot contrivance set up far earlier in the story, possibly in hopes none of us would remember it. It doesn't matter and I'll get to the why in a moment. Had this been Michael Dorn's final Trek episode, it'd have a lot of gravitas going for it. But there's no way to win when a main cast member that isn't leaving is given a dramatic turn, which makes a lot of plot points even that much more cringey because we know he's going to make it thanks to his backup brain cells (okay, "synapses") since the problem was with the spinal cord and not his brain and for all anyone knows it would have been the addition of Crusher's medication that, in cocktail with the guest doctor's, caused the brain damage, yet his backup brain was still intact, just like Data's UNIX operating system and memory backup disks. How convenient and unique; an alcoholic raccoon could have 3 redundant livers and they're all attached to the same core systems and would all get fried by the same external impetus (perhaps slower, so 3x the delicious Everclear is then needed... but whatever, and if "The Chase" states similarities between all species and how Romulan unlike Vulcan can be used to save Klingons, this far bigger stretch of convenient backup systems-- ugh, just let humans fly around without wings while they're at it, it's just as hokey); interior organs where duplicates are found are either backups in the sense of one being damaged the other can still operate (there's just no on/off switch as such) or for the multiple units operating in greater efficiency...

It's a real testament to the non-doctor scenes' quality and acting that buoy and keep this episode going.

My score is ultimately 5/10, which is depressing because a couple of mild and mundane script changes were all that's needed to have kept this as being one of Trek's all-time finest entries. Every other subplot was nuanced and thoughtful and sublime. Except for Dr Preachathon(tm) and her seasoned one'd frenemy o' the week(tm). There was simply no need to contrive the guest Doctor to be such a baddie just to make Crusher look good, especially with meretricious yet simplistic and sophistry-laden dialogue. That was just done in another attempt to prop up Crusher. But, as they say, "like son like mother". If Wesley could be written by making everyone else look dumb, it's inevitable the same will happen to other characters in some episode eventually. Bev got her turn in this story.

That said, "Ethics" is still worth a watch as the non-Doctor plot strands are surprisingly compelling, especially for season 5's shiny new format, but I wouldn't do this type of format every week.

How might you rate this story?
 
I never understood Crusher's POV there...
Well, there's 2 points she's standing for. One seems to be a personal belief that Worf's choice to end his life over living paralyzed, is small minded, contemptible, & probably barbaric, which in itself, I disagree with, on the grounds that it's his life & her point of view on the matter is of no merit, just because she has a medical degree.

However, she never approaches it like Deanna, who I think makes a stronger point, about it not just being a decision about his own life, but one that impacts his part human son, to whom he's already largely been a disappointment at fathering. A personal belief about what conditions under which your life should end, should in all reality take a back seat to your obligation as a parent. So in that sense, I do agree that Worf is being selfish (Big surprise there) :rolleyes:

Crusher's other point, which is more valid, is the medical perspective. This other doctor is reckless, & unscrupulous, intentions be damned, & any practitioner should & would get called out on that, in a major way eventually. Experimenting on people, before all the research is conclusive, is malpractice, even if they agree to participate... especially when these are people looking for a cure, who would agree to any chance for a favorable outcome. She's preying on the desperate, & that ain't no kind of doctor imho, & If someone were doing that, I'd refuse them access to my facility altogether, as the CMO

& I agree that this is where the episode shows its failings. It's hard to buy a respected doctor in Starfleet being so terrible as that, & I'd have much preferred a more realistic approach of 2 doctors with legitimately differing recommendations. (Sadly we can't then have our heroine doctor be the piety champion in the end though)
 
I like the episode.
Who would want TNG without Worf?:shrug:
And the "evil" Doctor looks like one of my cousins.
And
If I had something wrong with me to the level that either fix me or I feel the need to die. Hell yes, if the doctor wanted to break every rule in the book to save me, I'd be all for it.
Why not?
Like cancer drugs that may work for someone, but they're not allowed to try it because it hasn't gone through 18 years and 7 million dollars worth of trials. Silly.
 
I agree with all the criticisms. However, it was all worth it to hear Picard give an unexpected argument to Crusher. She’s asking Worf to make this journey from one extreme to another (in his mind) “but it’s too far!”
Of course, it’s just the writers making Picard day this so we can get the reset at the end and Worf back to normal like nothing. It’s almost insulting to those who do make it through so being 100% but have to go through a lot of therapy to get there. Next episode, Worf’s traumatic experience is forgotten, no slow recovery, therapy, nothing.

But I found it strangely comforting to hear Picard argue on Worf’s behalf that what Beverly is asking is too much for some people. Not the greatest message for anyone who has to deal with a serious, permanent injury, but it somehow at least validates the feelings one might have when dealing with such a life altering event. Instead of just hearing “just be strong,” “you can still lead a full life,” Picard is at least asking Beverly to see it from Worf’s point-of-view.
 
However, it was all worth it to hear Picard give an unexpected argument to Crusher. She’s asking Worf to make this journey from one extreme to another (in his mind) “but it’s too far!”
But I found it strangely comforting to hear Picard argue on Worf’s behalf that what Beverly is asking is too much for some people.
Picard has always been low key a Klingon sympathizer. Doesn't order Worf to save the Romulan in The Enemy. In Reunion, Willingly participates in the arbitration of selecting a new chancellor (Walking a fine line with the PD), & then doesn't pull Worf from service after leaving his ship, to kill a visiting dignitary, while on a mission involving that dignitary (Deserved or not)

Probably wasn't the most appropriate thing for him to become Worf's Cha'DIch in Sins of The Father, as it's interfering in a Klingon internal matter (That we find out implicates the world government). Aids him in proving Mogh's innocence & then reinstates him after Redemption, and also is maybe the only one of Worf's crewmates to support or at least not condemn his decision for ritualistic suicide, in Ethics

Yeah, Dude respects that culture's values waaaay more than any reasonable human in Starfleet would imho
 
Crusher's other point, which is more valid, is the medical perspective. This other doctor is reckless, & unscrupulous, intentions be damned, & any practitioner should & would get called out on that, in a major way eventually. Experimenting on people, before all the research is conclusive, is malpractice, even if they agree to participate... especially when these are people looking for a cure, who would agree to any chance for a favorable outcome. She's preying on the desperate, & that ain't no kind of doctor imho, & If someone were doing that, I'd refuse them access to my facility altogether, as the CMO
And that's what I found odd. Worf chose her untried novel approach knowing the risks and potential gains. And it worked, he was fully restored. Why did Bev give her such a hard time?
 
Yes, with Kate Pulaski in the Toby Russell role.
Right. Something tells me that might have been the original intention, but with such an inappropriately written character, you couldn't have it be Pulaski. She was nothing like the character in this episode. That said, Both Crusher & Pulaski are in themselves very different types of practitioners, & someone with any sense could've written them a really good situation to come to a head over, & having it be Pulaski would've made that conflict much more personal for the crew, but this? Pulaski would've never done any of this.

And that's what I found odd. Worf chose her untried novel approach knowing the risks and potential gains. And it worked, he was fully restored. Why did Bev give her such a hard time?
That Worf was making an informed decision (Mostly because Crusher demanded he be fully informed, & not the experimenting doctor, who really did sort of gloss over the dangers) doesn't change the fact that it's still preying on someone who will go to any lengths, including suicide, to avoid an unfavorable outcome

Even if Dr. Toby Russell, had been entirely right in the end, she was still wrong to go about it that way. It is not good medical practice. What made it even worse was that it would be pretty shocking to see an actual doctor pull a stunt like that once during her visit, but she actually pulls it twice, the other time on the triage patient from earlier on in the episode, who she gave a new unverified therapy. Frankly, anybody doing that more than once in the span of a few days, should've been escorted from the ship. Toby Russell is a borderline quack.
 
it's still preying on someone who will go to any lengths, including suicide, to avoid an unfavorable outcome
[...]
It is not good medical practice.
So he better kill himself than try a promising new treatment? I don't get it. Her method cured him, he knew all the risks, he made the decision. Was it wrong to save him, and potentially more in the future?
 
So he better kill himself than try a promising new treatment?
No, HE'S free to do whatever he wants, kill himself, use holistic medicines, take Crusher's recommendations, sign off with a quack who has an untried gamble, etc... That's got nothing to do with how the other doctor practiced. It's a matter of poor ethics on her part
I don't get it. Her method cured him, he knew all the risks, he made the decision. Was it wrong to save him, and potentially more in the future?
Actually, her method killed him, & they unexpectedly were able to save him, because of his specific anatomy. That means someone in his largely rare anatomical situation is potentially the ONLY person that such an outcome could be possible. If anything, this experiment actually pushed her research BACK, because it failed. Worf got lucky.

Doctors shouldn't be recommending "Get lucky", because then she could've just told him to rub snake oil on it, & maybe he'll get lucky. That he strikes a streak of good fortune & ends up cured does not absolve the poor medical practice
 
I just realized... The right way for a reasonable person to have proceeded with their disability is the way Geordi did. I recall at one time Pulaski offering Geordi implants & he turns it down, because the potentiality of it was not yet where he felt good about it. Yet, years later, we do see that Geordi does get implants, & so that means at some point it improved to where he was comfortable in doing it.

That's how Worf should've proceeded, if he were reasonable about his ailment. Doing what Crusher told him to do, until such time as Russell's research had developed to the point where it was safer & proven. That's how this stuff should go, anything before that is premature & gambling with your safety, & while people are free to gamble with their safety however they want imho, doctors by profession should not be recommending they do that, just because they have a new thing they want to take credit for
 
A typical TNG episode that has a great basic premise but frankly the usual way of playing out. It's the outsider(s) that are the flawed or ones in the wrong while the TNG are the paragons of virtue. Just another example of Roddenberry's idealogy of needing the TNG crew to be the superior morally virtuous ones.
 
Picard has always been low key a Klingon sympathizer. Doesn't order Worf to save the Romulan in The Enemy. In Reunion, Willingly participates in the arbitration of selecting a new chancellor (Walking a fine line with the PD), & then doesn't pull Worf from service after leaving his ship, to kill a visiting dignitary, while on a mission involving that dignitary (Deserved or not)

Probably wasn't the most appropriate thing for him to become Worf's Cha'DIch in Sins of The Father, as it's interfering in a Klingon internal matter (That we find out implicates the world government). Aids him in proving Mogh's innocence & then reinstates him after Redemption, and also is maybe the only one of Worf's crewmates to support or at least not condemn his decision for ritualistic suicide, in Ethics

Yeah, Dude respects that culture's values waaaay more than any reasonable human in Starfleet would imho

I'll make a quick point on Picard as a side note.

Picard essentially owed the Klingons one by the time "Reunion" happened. Remember the Klingon ships that followed the Enterprise in the Neutral Zone as backup in "The Defector"? I'm sure K'mpec did not forget, which is part of the reason he likely felt Picard would be obligated to be the Arbiter of Succession.

And while he may be sympathetic, he does place a premium on people's personal beliefs and points of view, which is big chunk of why he is such a skillful diplomat. Worf not giving blood was a personal choice based on his beliefs, and Worf even said he would do it if ordered... but Picard respects his officers too much to go that route. Another reason why people are so staunchly loyal to him.


To the episode...

I really liked it, and everyone did give their all. The script handwaving recovery aside, I thought it was very well done.

Regarding Worf's choices, I happen to agree with his original one of suicide versus being crippled. It's his choice and life. He is a proud warrior who lived his entire life on Klingon culture and beliefs, and for him to reject them all for Crusher's knee devices was, as Picard rightfully said, asking him to go too far.
 
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