Employees and the Right to Privacy So far, all of our issues have focused specifically on the doctor-patient relationship. Now we are moving beyond that to consider relationships in the broader workplace. I have heard of dentists (and other doctors) who treat their patients with utmost respect but treat their employees with anything but respect. The “ethics of the clinic” is no less important than the more specific issues of medical ethics. Thus we turn to issues in medical management. The plan: Today, we’ll talk about the employee-employer relationship. Next Tuesday, we’ll discuss the important issue of whistle blowing. Then we’ll conclude with sexual harassment and discrimination. These are issues that all employees and employers face, regardless of profession, but we are going to turn our focus to the clinic. Civil Liberties in the Workplace: Very simple—you don’t have any. Any that you have are granted by the employer, and those may be withdrawn at any time, for any reason. The Bill of Rights applies to the workplace only to the extent that the boss wants it to. Employment at Will: One of the cornerstones of the employee/employer relationship is the “employment at will principle.” It says that in the absence of law or contract, employers have the right to hire, promote, demote and fire whomever and whenever they please. Moreover, this may be done with justification, with inadequate justification or with no justification at all. What about this principle? Does it sound fair? Let’s start with traditional reasons given in favor of it: 1) The proprietary rights of employers guarantee that they may employ or dismiss whomever and whenever they wish. 2) EAW defends employee and employer rights equally, in particular the freedom of contract. The employee can also quit at any time. 3) When the employee chooses a job, he or she voluntarily commits herself/himself to certain obligations and company loyalty, including the knowledge that he/she is an “at-will” employee. 4) Extending due process to the workplace interferes with efficiency. 5) Legislation and further regulation of employment relationships would further undermine an already over-regulated economy. Critics: the primary defense of the principle is flawed. That is, defenders of the EAW do so based on property rights. This fails to notice that employees are PERSONS, not property, and therefore employees morally require different treatment than property or robots. Property rights are not basic rights. That is, our most basic rights are the negative rights to freedom--life and liberty. Rights of ownership cannot override rights to freedom, for the former require the latter as a foundation. But is the employee’s labor the property of the employer? And can’t the employer do what he wants with her property? The false assumption behind this is that labor is a form of property. Consider this: we can distinguish someone from their possessions. But persons cannot be distinguished from their working, their productivity. If someone wants to get rid of their chair, fine, let them do so without interference, no harm is done. If an employer wants to get rid of this particular “labor”, then not so fine, for that is to get rid of the laborer. To treat an employee “at will” is analogous to considering that employee as a piece of property at the disposal of the employer, because arbitrary firings treat rational persons as things. (Note the Kantian objection to this practice.) Does an argument for employee rights violate the freedom of contract? Does the EAW provide equal protection for the employee and the employer? Utilitarian Considerations: The argument goes that the employer must have the absolute freedom as a means for maximizing efficiency. Can we assume that’s what a manager wants to do? Requiring justification makes certain that the moves are justified! That seems to be in the best interest of the corporation. More recent arguments in favor of EAW: Kantian: it’s fair. We all know what we are giving and what we are getting. The importance of the freedom of contract is important as an end in itself. Freedom of contract is as basic as freedom of speech, religion, etc. Any limit on our freedom of contract limits the power of workers and employers to transact their business Utilitarian: 1. Monitoring behavior-EAW is more useful because it allows corporations to fire employees who are mis-behaving without having to go through the expense of legal proceedings. 2. Reputational losses: Typically, those who argue against EAW argue that it unfairly advantages the employer. But, this doesn’t take into account the problem of arbitrarily firing folks--you lose good workers. 3. Risk diversification and Imperfect Information: If you get stuck with a job that turns out to be unfortunately not your ideal, you can find another. Also, it allows a “let’s try this out and see if it fits for us” approach. 4. Administrative costs: There are none. It’s cheap to administer, certainly cheaper than any kind of due process. So, you run a dental clinic. Which do you want? Say instead that you work for a larger clinic. Which do you want? Second big issue: What interest does the employer have in the lifestyle of the employee? Why is privacy important? 1) We want to control intimate or personal information about ourselves and not permit it to be freely available to everyone. We are concerned to restrict who has certain kinds of information about ourselves, the means by which they acquire it, and those to whom they may disclose it. 2) We wish to keep certain thoughts, feelings, and behavior free from scrutiny, monitoring, or observation of strangers. We don’t want our private selves to be on public display. 3) We value being able to make certain decisions autonomously. We seek to preserve and protect a sphere of privacy in which we can choose to think and act for ourselves (319, text). Clearly, employers can have an interest in your behavior while you are at work or representing the company. Some of these interests they have taken may be more reasonable than others. Look at some of the examples on 320-1. But what about behavior outside of work? Look at the case of the gay stripper, Henry Ford, and Milton Hershey (320). Furthermore, many companies use lie detector-honesty tests; rules about smoking, exercising, drinking, drug use and testing, sexual orientation. Autonomy suggests that we ought to be given informed consent when our privacy is being invaded, right? That’s the values of the medical profession. But, the employer can lay down these conditions. In hiring, we may discriminate (rightly or wrongly) based on language, physical appearance, lifestyle, education, employment history gaps, tests, etc.