IEEE Technology and Society Magazine - September 2019 - 12

exerted as much legal muscle as she
could against Tyler, Carreyrou, and
her other perceived enemies while
she still clung to the levers of power.
As of this writing, full justice for
Holmes is still waiting in the wings, as
she and Sunny have been indicted by
a federal grand jury and the case is
currently under trial.
The story of Holmes and Theranos shows how easy it is to cross
ethical boundaries in pursuit of success. In a time like ours when everyone is expected to design and use
their own moral compass, Holmes
is an example of what can happen
when genuine talent and tremendous drive are not tempered by an
equally strong ethical framework.
While Holmes distorted reality for the

outside world, Sunny ran Theranos
like a dictator, and the anythinggoes environment of Silicon Valley
was hospitable to that combination
for a while. But when real patients
began to get flawed blood-test test
results from companies such as Walgreens with reputations to uphold,
the cards began to fall, and Carreyrou's reports finished the job.
I cannot think of another book in
the areas of engineering or business
ethics that combines such a wide
variety of blatant ethical lapses in the
story line with an engaging style that
makes it fun to read. But it's fun in
a grim way, because the whole enterprise was based on mining the gold
that medical care has become in the
U.S. It's too late to call for a return to

the time when medicine and healthcare were more of a calling than a
profitable career, and there is no
space left here to discuss the question of how commercialized healthcare should be. But the fact that one
of the most spectacular cases of business fraud in recent memory involved
a healthcare company should at least
give us pause, and make us think
of better ways to provide healthcare
while avoiding the traps that Holmes
and Sunny fell into - or rather, fashioned for themselves.

Reviewer Information
Karl D. Stephan is Professor in the
Ingram School of Engineering at
Texas State University, San Marcos,
TX. Email: kdstephan@txstate.edu.

A. David Wunsch

Climate Madhouse
The Madhouse Effect: How Climate Change Denial Is Threatening Our Planet,
Destroying Our Politics, and Driving Us Crazy
By Michael E. Mann and Tom Toles. New York, NY: Columbia Univ. Press, 2016 , 186 pages.

don't believe it." These
were the words of
Donald J. Trump, President of the United
States, leader of the
free world, as he addressed reporters on Monday, November 26, 2018.
He was responding to a report issued
by his own administration, released
on the previous Friday, which was
produced by 13 federal agencies
and 300 major earth scientists that
warned of the growing catastrophe
"

I

Digital Object Identifier 10.1109/MTS.2019.2934588
Date of publication: 30 August 2019

12

due to climate change. Trump said
that he had read "part" of the report.
It was evidently not necessary for
him to read the whole document. He
had assured the American people
earlier that year "Throughout my life,
my two greatest assets have been
mental stability and being, like[sic],
really smart." Putting aside the grammar, his not believing his administration's report must have come as
small comfort to residents of California who in the same year experienced the largest wildfire in the
state's history. For years, climate scientists have warned of the growing
IEEE TECHNOLOGY AND SOCIETY MAGAZINE

ferocity and frequency of forest fires
because of the earth's warming.
Reading Mann and Toles's book
in 2018 is a very different experience
from reading it in 2016, the year of
its publication, when Barack Obama
was president. Michael Mann is a
distinguished climate scientist who
directs the Earth's Systems Science
Center at Pennsylvania State University and who has been prominent
in bringing to the American public
knowledge of the risks inherent in
global warming. Tom Toles, a Pulitzer Prize winning cartoonist for the
Washington Post, provides lively
∕

SEPTEMBER 2019



IEEE Technology and Society Magazine - September 2019

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