Doubling Down: A Communication Gamble

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--> This article first appeared in odwyerspr.com.
 
In the casino game of blackjack, doubling down is the chance to double your bet after receiving your first two cards. Then, you’re allowed just one more card. But doubling down is now code for reinforcing a controversial or politically charged position with a potentially more controversial or politically charged position.

The inspiration for this article, of course, was the days-long verbal attack on Georgetown University law school student Sandra Fluke by conservative radio host Rush Limbaugh. While Fluke argued that contraception should be made available through any employer, Limbaugh called her a “slut” and a “prostitute.” His logic makes us, the U.S. taxpayers, the “pimps.” Limbaugh doubled down when he continued the next day and demanded, “If we’re going to pay for this, then we want something in return… the videos of all this sex posted on-line so we can see what we’re getting for our money.”

Was this just a passionate stance on morality or on the First Amendment? Can we excuse it because, after all, Rush will be Rush? Georgetown President John J. DeGioia had it right when he wrote that Limbaugh “responded with behavior that can only be described as misogynistic, vitriolic, and a misrepresentation of the position of our student." A number of Limbaugh’s advertisers seem to concur. Two sponsors – Sleep Number and Quicken Loans – took a stand and reacted quickly. Now, a total of eight firms have walked away or suspended their support.

So, what about the front-runners for the Republican nomination? Their response has been shamefully, how should I say, impotent. Mitt Romney said, “It's not the language I would have used. But I'm focusing on the issues that I think are significant in the country today and that's why I'm here talking about jobs in Ohio.” And Rick Santorum rationalized, “He's being absurd. But that's, you know, an entertainer can be absurd.”

Seeing the advertising dollars begin to disappear, Limbaugh finally apologized over the weekend:

“For over 20 years, I have illustrated the absurd with absurdity, three hours a day, five days a week. In this instance, I chose the wrong words in my analogy of the situation. I did not mean a personal attack on Ms. Fluke.

I think it is absolutely absurd that during these very serious political times, we are discussing personal sexual recreational activities before members of Congress. I personally do not agree that American citizens should pay for these social activities. What happened to personal responsibility and accountability? Where do we draw the line? If this is accepted as the norm, what will follow? Will we be debating if taxpayers should pay for new sneakers for all students that are interested in running to keep fit? In my monologue, I posited that it is not our business whatsoever to know what is going on in anyone's bedroom nor do I think it is a topic that should reach a Presidential level.

My choice of words was not the best, and in the attempt to be humorous, I created a national stir. I sincerely apologize to Ms. Fluke for the insulting word choices.”

This looks like an apology wrapped in an explanation inside a justification. And, in predictable fashion, Limbaugh told his listeners that he felt no pressure to apologize:

"I reject millions of dollars of advertising a year, much to the chagrin of my ad sales team including General Motors. I made the decision [after the government bailout] not to accept [GM advertising] because you, the audience, comes first. We're going to replace those that leave."

It’s hard to quantify but the doubling down phenomenon seems to be growing; when challenged, the default response is often a lurch toward further entrenchment. President Clinton’s denials about Monica Lewinsky, Mel Gibson and his tirade against Jews, Michelle Bachmann and her assertions that then Senator Obama has anti-American views, Anthony Weiner and the infamous Twitter messages and photos, the list goes on. In each of these examples, and so many more, the offenders were given an opportunity – a big media platform – to reposition or restate their claims (i.e., apologize and just plain ol’ admit that they were wrong or lied). Some do apologize eventually but not until a good deal of damage has been inflicted on themselves and on those around them. Some can recover from the incident depending on the amount of trust and previously banked good will, degree of authentic contrition and subsequent behavior. But why take the chance on shattering credibility, crushing a reputation or poisoning a legacy?

Will Rogers’ cowboy wisdom still echoes: “If you find yourself in a hole, the first thing to do is stop digging.” No matter how awkward or embarrassing or uncomfortable, bite the bullet and take the pain as early as possible. In his apology statement, Rush Limbaugh asked, “What happened to personal responsibility and accountability?” Exactly, Rush, exactly.

Between blog posts, I invite you to follow me @pauloestreicher.

Informed Dissent

H1N1 Vaccine is Here With Too Few Takers

Parents want the best for their children – happiness, success and good health. But nearly two-thirds plan on delaying or denying vaccinations against the H1N1 flu to their kids. It’s more than ironic to me, especially when so many complain about the lack of access to preventative care in this country.

Two similar polls just came out – one from the Associated Press-GfK and the other from Consumer Reports – that demonstrate that only about half of the U.S. population will be vaccinated. It’s not big news, though. This sort of result has been the unfortunate norm.

Why haven’t the numbers improved? Why are people so wary? Why are there so many who actively oppose vaccination? Is this just a case of people not being adequately informed? And, is this the government’s fault? The report published by the AP said that “The survey raises questions about government efforts to stem illnesses already spreading widely across the country.” I’m not quite sure what this statement is based on but my view is that the public-private partnership that has made millions of doses available is an impressive achievement.

So, allow me to briefly address some of the suspicions and concerns:

Flu isn’t all that serious. Influenza and pneumonia are the eighth leading cause of death in the U.S. (over 56 thousand annually).

It may be safe but I worry about side effects. Everything we do carries a risk. One must weigh the risk of injection site swelling and pain against contracting the flu with its potentially serious sequelae.

The vaccine hasn’t been adequately tested. Again, nothing is fool-proof, nothing is risk-free. FDA’s requirements for safety and effectiveness, however, are demanding. Moreover, the methodology for manufacturing the H1N1 vaccine is no different from other flu vaccines – vaccines that have an excellent safety record.

Vaccines can cause autism and other diseases. We may never know with 100 percent certainty but every credible study and review thus far (the most recent having been conducted by the Institute of Medicine) has concluded that there is no causative link.

I don’t think I/my children will get the flu. Sure, you might get lucky but why count on this wishful thinking? It has already been reported in 37 states – a much more rapid spread than in previous years.

I don’t trust it if the government is behind it. Fine, have a healthy skepticism but please don’t take it too far. Don’t undermine your health or the health of your family by listening to the fringe opinions of people like Rush Limbaugh who recently said that “All of this is designed to get people to respond to government orders, not to do things or to do things. It is designed to expand the role and power of governments and schools, and the media, of course, just falls right in line here with amplifying the nature of the crisis.” It's too bad there's no vaccine for paranoia.

If there are such good responses to these concerns, why aren’t people listening? Why aren’t people better informed?

My sense is that people are listening. They listen to and are informed by people that make sense to them. The CDC and NIAID have been all over the news with compelling information. About half of the country will act on what they heard. The other half will not be convinced. The message from anyone employed by or connected to these sources will not be trusted.

This is a barrier that will probably take a long time to breach. The ongoing outreach and education must continue while new efforts must be established to address the reasons why health messages bounce off of so many. Politics and conspiracy theories aside, elevating the public’s health and science literacy may give everyone a common ground from which to make their healthcare choices.

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