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Naked Fitzies and Iron Cages | Meet the author | Sources cited


Naked Fitzies and Iron Cages:
Individual Values, Professional Virtues, and the Struggle for Public Space

By Barry Sullivan

An earlier version of this essay was presented under the auspices of the Rufus Monroe and Sophie Payne Lectureship, as the inaugural lecture of the Center for Religion, the Professions, and the Public at University of Missouri-Columbia, on October 14, 2003. The author would like to thank Dean R. Lawrence Dessem, Professor Jill Raitt, and the faculty and students of MU for their warm hospitality and thoughtful comments. The author would also like to thank Jacob Corré, Brian Murchison, Michael Palmer, Ellen Podgor, Jeffrey T. Shaw, Joseph P. Tomain, and Winnifred Fallers Sullivan for helpful comments on an earlier draft. This essay was originally published as Naked Fitzies and Iron Cages: Individual Values, Professional Virtues, and the Struggle for Public Space, 78 TULANE LAW REVIEW 1687 (2004). RPP is grateful for the opportunity to reprint it here.
When we talk about the problem of religious values and the professions, we usually have something quite specific, and quite practical, in mind: the need of the professions to develop greater understanding, tolerance, and openness to religious values and practices, particularly those of clients or patients, but also those of the professions' members.[1] This is a project that is critically important, both from the viewpoint of accommodating the need for individual self-realization, which is fundamental to a free society, and from the viewpoint of effectively delivering professional services in a society characterized by great diversity.[2] It is an important project in any society, but particularly so in one such as ours, which was recently described in a New York Times book review as "rich in everything except the warmth of human connection."[3] Important as this project is, however, it cannot be the only project that commands our attention. Nor is it a project without its own risks, difficulties, and limitations.

To state the problem as a need for openness or accommodation seems to suggest that the professions hold all the cards, that their place and authority are settled, and that all will be well if the professions simply do more to accommodate themselves to religious practices and values. This statement of the problem is questionable, however. Not only does it presuppose that accommodation is necessarily a good thing, but it does so based on the implicit assumption that religious values and practices categorically are good in themselves or at least usefully reinforce other desirable values and aims of civil society.[4] That may or may not be the case. To the extent that religion may itself be intolerant, for example, its values contradict, rather than reinforce, other important values of civil society. Accommodation cannot be achieved in all cases without undermining the worthy goals and values of other institutions and components of culture. In addition, all religious values and practices are not necessarily harmonious.[5] Accommodating some may disadvantage others. Moreover, as Mary Douglas, the British anthropologist, has suggested, religious people do not necessarily make better citizens or better contributors to economic life.[6] Finally, religions typically seek to explain the whole world, including the world of the professions and professional relationships. But the professions themselves have values, and those values may or may not be consistent with particular religious values. The well-being of civil society emphatically depends upon those values too.

Perhaps most important today, the professions are themselves embattled. By no stretch of the imagination can they be said to hold all the cards. The professions have lost significant authority, particularly in the last half-century, and that trend continues.[7] To some extent, the professions have themselves to blame. Their records of achievement have often seemed slight in comparison to their claims, their high principles less compelling than examples of their venality.[8] Professional values are also often said to be "thin" values. The professions may be strong in intellectual content, but weak in normative engagement. In some cases, the relationship between the profession and the professional school may be uncertain. When we say that law schools teach people to "think like a lawyer," we generally mean only that they teach a particular intellectual style, a form of reasoning. Whether they can or do transmit the ethos of the profession is another matter.[9] But the influence of the professions has also been eroded by other forces. Among these are the growing relative strength of other institutions and the growing tendency to believe that all important questions of human life should be answered by the market. Religious values and practices represent another set of claims that vie for the space held by the professions and other institutions of civil society. In this sense, religion does not simply seek its own space, but it increasingly demands the space held by other institutions of civil society, demanding that they conform themselves to religious values and practices of one kind or another.

For these reasons, it is useful to view the problem of religious values and the professions in a broader context. What do we expect of the professions in a free society, and, consistent with giving religion its due (and no more than its due), how do we ensure that the professions are able to meet those expectations?

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I.

Let me begin with a story about Sean O'Faolain and his friend Frank O'Connor, two of the great Irish writers of the twentieth century. Sean O'Faolain was a man of letters-novelist, editor, essayist, critic, and teacher. Frank O'Connor was the master of the short story. He was often called the Irish Chekhov and wrote the story My Oedipus Complex,[10] which most of my generation read in high school or college. In 1977, about ten years after O'Connor's death, O'Faolain published a review in the Times Literary Supplement discussing a then-recent book about O'Connor and his work.[11] Not atypically, O'Faolain's review devoted more attention to O'Connor, O'Faolain, and their friendship than to the book under review. Towards the end of the review, however, O'Faolain praised the author of the book for being "splendidly insistent" with respect to one aspect of O'Connor's character, that is, his "warm feeling for people (or against them), his wide, deep humanity that pierced beyond all appearance, rank, office or profession."[12]

In an unforgettable elaboration of this point, O'Faolain recalls standing with O'Connor in O'Connell Street, Dublin. O'Connor suddenly pointed across the broad avenue to a new bookshop-Fitzpatrick's. He said to O'Faolain, "Let's go across to Fitzy's."[13] O'Faolain continues: "Struck by the familiarity of the word 'Fitzy's,' I said, 'So you know him?' He just shrugged and laughed, and at that second I understood the one great difference between us, and the main source of his strength as a writer, this wide humanity."[14] O'Connor, "unspoilt by any formal education, liberated from all known and imaginable institutions …, saw in the people about him only their naked personal identities."[15] O'Faolain sums up: "He saw no uniforms or titles, not even such titles as bookseller, writer, professor, priest, saint, whore, hero, or ponce. His world was inhabited by naked Fitzies."[16]

There is a seductive quality, an irresistible attraction, to the promise of transparency which Sean O'Faolain sees in his friend's ability to touch the fundamental reality of human lives, transcending barriers imposed by institutions and social life, stripping away all accidental and incidental attributes. Each of us struggles with the challenge of authenticity in our own lives, while other minds are a mystery we seek to understand. On a practical level, we strive constantly to overcome the distance that separates us from others. Much of philosophy deals with these two problems. To know ourselves and one another truly is a deeply human need. Cardinal Newman spoke to this yearning in his choice of a motto: "Cor ad cor loquitur," that is, "Heart speaks to heart."[17] And it is the conceit of great literature to provide us with an insight into what is truly real. Science has a similar objective: to separate the relevant from the irrelevant, the material from the immaterial, to provide an understanding of some fundamental reality.

Yet it also seems naive to think that we can know ourselves or each other better by stripping away the barnacles of our educations, professions, and institutions. These barnacles have eaten deep into the hull itself and are part of what we are; they are not irrelevant to our search for reality. We do not truly encounter each other as "naked Fitzies," but as lawyers and clients, as teachers and students, as nurses and patients, as reporters and sources.

But none of us is only a lawyer, a teacher, a nurse, or a journalist, still less only a student or a patient, a client or a source. A patient, for example, may also be a lawyer, a nurse, or a physician herself. In addition, we encounter each other across or within racial, ethnic, political, and religious divisions. Our respective tastes and interests (or lack of interest) in art, music, or sport may also be something that provides us with common ground or not. How and where we were brought up, and how we were educated, may also provide points of affinity or difference that facilitate or impede communication.

Needless to say, the effect that each of these factors may have on our conduct and relationships will vary from person to person, and from case to case. Not all lawyers have been taught "to think like lawyers" to the same degree. Some lawyers see their work in broader-or narrower-terms that have their origins in other aspects of their educations and experience. Not all Catholics are equally religious; not all Catholics are religious in the same way; not all Catholics give the same weight to their religious beliefs in competition with other values or institutions which have some hold over them. All Catholics do not believe the same thing or act in the same way. All Catholics do, however, share something important in common, as do all lawyers, all physicians, and all nurses. Among the many factors that influence us, our professional training and our attitudes about religion seem particularly important.[18] We do not enhance our ability to negotiate interpersonal communications or interpersonal relationships by ignoring the reality of these sources of values, that is, by thinking that we can make our ways in the world as "naked Fitzies."

Two examples may be useful in illustrating this point. The first is a scene from Betrayal: The Crisis in the Catholic Church,[19] the Boston Globe reporters' account of the recently disclosed scandal in the Archdiocese of Boston; the other is a scene from fiction, taken from The House Gun,[20] a novel by the South African writer, Nadine Gordimer.

In May 1993, almost a decade before the full extent of the sexual abuse scandal came to light, Cardinal Bernard F. Law invited four nationally known experts on child sexual abuse to meet with him and two of his priest-advisors for a working lunch at the Cardinal's Residence.[21] The four experts were a pediatrician, a child psychologist, and two psychiatrists. The four experts consisted of two married couples; none of them was a Catholic. One of the experts was Carolyn Newberger, a child psychologist, who described the meeting to the Globe.

According to Dr. Newberger, the experts sat at one end of the table, while the Cardinal and the priests sat at the other end. A group of nuns waited on the table. The experts all "realized early on, before the appetizers were cleared away, that the cardinal wasn't especially receptive to what they were telling him," namely, that the way the Church was handling these cases was wrong, that sexual abuse should be reported to the civil authorities, and that priests who abused children were likely to do so again.[22] At the meeting, Dr. Newberger spoke at length about a particularly serious case in Arizona, where a sexual abuse victim had later abused his siblings. Dr. Newberger tried "not only to emphasize the facts of the case but to engage the cardinal and the other priests there to empathize with the victim."[23] However, neither Dr. Newberger nor her colleagues sensed that they were "getting through on the human level."[24]

Let me quote from the book:

"The cardinal said canon law had to be considered. We [the experts] just looked at one another. Whatever we had just told him didn't seem to be registering," Newberger said. "Canon law was irrelevant to us. Children were being abused. Sexual predators were being protected. Canon law should have nothing to do with it. But they [Cardinal Law and his advisors] were determined to keep this problem, and their response to it, within their culture."

At the end of lunch, Newberger and the other experts offered to help the cardinal shape a new approach to aggressively rooting out the sexual abuse of minors by priests. Newberger said the cardinal smiled at them and looked deeply into their eyes as he shook their hands, thanking them. But he never contacted any of them again.

"I'm not Catholic, but I feel betrayed," Carolyn Newberger said. "I look to spiritual leaders of all faiths to be moral. And the Church's response to this problem has not been moral. I'm angry in that the cardinal asked for our advice and then ignored it."[25]

There is much to reflect on in this account. As we now know, the Archdiocese of Boston had been engaged for many years in the practice of denying and concealing accusations of criminal sexual misconduct against its priests. Virtually nothing was done to protect children from priests who were known to have sexually abused young children. Cardinal Law apparently was not the instigator of that policy, but he and his advisors did nothing to alter the Church's approach during his administration, even as the seriousness and scope of the problem became ever more clear. Indeed, as we now know, Cardinal Law and his colleagues were embarked, at the time of this meeting, on a despicable course of action, a morally grotesque delusion in which they put more value on maintaining the reputation of the Church (against truthful accusations of past criminal activity) than on healing victims of sexual abuse or on preventing innocent children from becoming victims of sexual abuse in the future. As Dr. Newberger noted, Cardinal Law seemed indifferent to the claims of the criminal justice system, the teachings of modern psychology, and the claims of elementary justice or compassion. To the Cardinal, protecting the Church from disrepute trumped all else. For most people, that moral judgment not only seems wrong, but unpardonable.

On the other hand, it seems a bit presumptuous for Dr. Newberger to dismiss Cardinal Law's asserted concern for canon law by declaring that "[c]anon law should have nothing to do with it."[26] Cardinal Law may well have raised the subject of canon law simply to shut off discussion, and to disclaim personal responsibility for his own failures. Indeed, Cardinal Law may have chosen to discuss these issues with non-Catholic experts for the very reason that it would be easier to shut off conversation with experts who would not be able to challenge him on this ground. With Catholic experts, he might well have been pressed to defend his assertions about the meaning of canon law and its relevance.[27] Nonetheless, the demands of canon law, whatever they might have been, were undoubtedly a feature of the landscape to be negotiated. The applicability of canon law to the situation certainly was something that was appropriate for someone in Cardinal Law's position to consider.

Dr. Newberger is undoubtedly correct in stating that the Cardinal and his advisors intended "to keep this problem, and their response to it, within their culture."[28] But what does she mean by that? On the one hand, there is the sense in which Cardinal Law and his staff were undoubtedly attempting to conceal criminal activity. On the other hand, they also can be seen to have been attempting to address problems within the framework of their own values and institutions. One has the sense that Dr. Newberger sees her own perspective as representing objective reality, whereas the Cardinal's views only reflect his "culture." That is why she is angry that the Cardinal sought expert advice, but declined to take it.

The situation seems to me somewhat more complicated than that. Dr. Newberger's views are the product of "culture" every bit as much as the Cardinal's, and the Cardinal must have recognized that fact in some sense. We may be more comfortable with Dr. Newberger's views, but they are the product of professional training and experience and other cultural factors, just as Cardinal Law's were. In the final analysis, I do not believe that there is any defense for Cardinal Law's actions, and I am not willing to assume that he acted in good faith in his dealings with the experts. Rather than dismiss the Cardinal's culture as a false one, however, it would have been useful to explore it further. What was the culture that provided the Cardinal's framework? Canon law was part of it, but what did canon law really require? Was numbness to human suffering and the elevation of secrecy and bureaucracy over considerations of justice and pastoral concern a necessary part of it? Would Cardinal Law's actions be justified even within his own culture? In retrospect, this professional consultation seems doomed from the outset by a mutual lack of professional and cultural understanding.

My second example comes from Nadine Gordimer's novel The House Gun. In this example, one may assume good faith, but some degree of wariness, on both sides. Duncan, a young, white South African, is accused of killing one of his housemates in a crime of passion. Harald and Claudia, Duncan's parents, are wealthy liberals in post-Apartheid South Africa. Duncan seems unwilling to cooperate in his own defense and chooses to be represented by Hamilton Motsamai, a distinguished black barrister who has returned from abroad. Harald and Claudia know many lawyers; they are uneasy with their son's choice of counsel. The following passage describes their initial interview with Motsamai:

They came independently to Advocates' Chambers, she from her surgery, he excusing himself from a board meeting of the insurance company where he was a director. … Motsamai was like his chambers, well-appointed. There was immense self-confidence in his combining the signs of success in a prestigious profession … with the wisp of beard just under the point of his chin that asserted a specific traditional African style, another order of dignity and distinction. … In his elegant grey suit, here is a man who has mastered everything, all contradictions that were imposed upon him by the past. … His is a face made by disciplines of the mind, the features drawn closed by concentration. … They study him; whatever is there is what they are dependent on as neither has ever before been dependent on anyone.

His intermittent attention to them was a kind of rehearsal of how to approach what he has to tell them. He had been briefed … so [he] knew they were not nobodies — one of the directors of a large insurance firm with a pragmatically enlightened policy towards blacks, and the wife, evidently, a doctor. Educated people to whom he could speak plainly so that they would understand his position: that is, the limitation of his possibilities in undertaking the brief.


The advocate was nodding, tapping extended fingertips in a little tattoo of agreement with the father. … There is often … difficulty when an individual is in trouble, is in shock. You know (to her) it's like when someone comes to you after an accident, in trauma, just like that. …
The advocate knows the accused's mother is accusing him: of being too measured. He's accustomed to this kind of reaction, fear turned to resentment. In her case no doubt exacerbated by the fact that she is accustomed, as he has reminded her, to being the professional adviser instead of the victim. He looks away, flicking aside the shred of irrelevancy.[29]

Motsamai is familiar with the evidence and he knows that his ability to defend Duncan is seriously limited. Motsamai attempts to explain these facts, but Claudia is both personally engaged as a parent and unaccustomed as a professional to being the recipient, rather than the purveyor, of professional advice. As the foregoing passage suggests, there are deep cultural differences between Motsamai and his client's parents, but nothing is so great as the effect of Motsamai's professional perspective and the parents' utter dependency upon his professional skill — a dependency magnified by its novelty and alienness. As Motsamai notes, Claudia is accustomed to being the professional advisor, not the victim. She blames him for being "measured," which is what she doubtless would wish to be if the roles were reversed. Whether Motsamai's demeanor is arrogant or not, that is how it strikes Claudia, despite good faith on both sides: his well-intentioned, but profoundly naïve, attempts to engage her as a fellow professional, rather than as a mother; her attempts to understand that he has been retained for his ability to do the job he has to do, with what he has to work with, and not to ingratiate himself with his client's parents.

As these two examples suggest, it is not as "naked Fitzies" that we usually encounter one another. To be sure, we must endeavor to encounter each other in a reflective way, and based on our common humanity, not as masked men and women defined only by the roles that we play. However, for us to be liberated from "all known and imaginable institutions" is not only impossible, it would leave us crippled and diminished if it were possible. To consider ourselves in this way is the antithesis of the reflective posture we need.

We are greatly influenced by our professional training and roles, and by our attitudes about religion, among other things.[30] As Mary Douglas noted in How Institutions Think, however, we are generally disinclined to credit the mediating effects of institutions, or the influence that institutional categories exert on our individual thinking.[31] We like to believe that we have escaped from "the old non-market institutional controls," and that "we are the first generation … to come face to face with one another as real individuals, and … [are thus able] to achieve full self-consciousness."[32] Ironically, as Douglas points out, these propositions themselves depend upon the very kind of shared classification from which we like to think we have escaped.[33] Institutions provide us with categories of thought, set terms for self-knowledge, and fix our identities.[34] Douglas argues that even "[t]he most profound decisions about justice are not made by individuals as such, but by individuals thinking within and on behalf of institutions."[35] Thus, "[c]hoosing rationally … is not choosing intermittently among crises or private preferences, but choosing continuously among social institutions."[36]

If Mary Douglas is correct, institutions, including the professions, have a profoundly important role to play in civil society. For institutions to fill this role, their values must command respect; they must be strong, and they must be perceived as legitimate. But neither society nor institutions are static. In a pluralist society, the strength and legitimacy of institutions is always relative and subject to ongoing renegotiation.

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II.

Like other institutions of civil society, the professions are not static. For example, the boundaries and influence of professional jurisdictions are constantly subject to change. This phenomenon manifests itself in numerous circumstances, but is particularly obvious in circumstances of technological innovation, where several professional groups may lay claim to exclusive jurisdiction over a new set of procedures or techniques. Was it clear, for example, in the early days of radiology (or roentgenology, as it was then called) that these new diagnostic procedures would become the province of physicians, rather than some new or existing allied field? Who wins these jurisdictional battles, and how secure and final the victory is, depends on many factors, of which logical connections and existing expertise are important, but by no means determinative. The existing power of a particular profession may be as important as anything.[37]

Jurisdictional disputes may also be influenced by exogenous factors. At a particular time, for example, the intellectual and political currency of cost containment may be sufficient to trump every competing consideration, so that the only question that concerns policymakers will be the cheapest way to satisfy a specific perceived need. At other times, a widespread concern for individual safety may be dispositive. These factors necessarily interest us at the level of interprofessional jurisdictional disputes, but they also have a profound effect upon the larger environment, which not only affects distributions of authority among the professions, but the equally dynamic balance of authority between the professions, on the one hand, and other institutions of civil society, on the other hand.[38]

Many factors undoubtedly affect the relative space that the world of the professions is capable of claiming at any particular time. Before the 1960s, as Stephen Toulmin has observed, American society was characterized by a "politics of consensus," which encouraged the public to place substantial trust in the expertise and good faith of professionals.[39] Around 1970, however, that consensus had been shaken by disagreements over civil rights and the legitimacy of the Viet Nam War, among other things, and "the assumption that professionals were true to their callings had weakened, [so that] physicians [and other professionals] faced the same shift in the burden of proof as … other authority figures."[40] In addition, the claims made for professional knowledge and expertise often exceeded the reality. That was true of government officials and the military in the Viet Nam era, of the legal and medical professions throughout much of the period, of the business and accounting professions in the wake of the Enron and WorldCom bankruptcies, and of the clergy at various times and in various ways, but most notably in connection with financial corruption in Protestant television ministries and the cover-up of the sexual abuse scandal in the Roman Catholic Church.

A more permanent feature may be the relative strength of claims made by competing institutions, such as capitalism and the state. In a sense, as Elliott Krause has argued, the professions are remnants of a lost world, when neither capitalism nor the state exercised the kind or degree of authority they now have.[41] In the early modern period, the world of work was organized around the guilds, which were autonomous by virtue of their control over four different areas: (1) setting requirements for entry, training, and full membership in the guild; (2) regulating the workplace or means of production; (3) regulating the market, that is, setting more or less enforceable rules relating to production; and (4) maintaining monopoly through the guild's influence over the state.[42] The autonomy of the guilds was challenged by the power of capitalism and the state at various times, and most of the guilds — the weavers, the goldsmiths, the stone masons — disappeared as guilds long ago. Those that survived — the lawyers, the physicians, and the clergy — established the model for what we now call the professions; they still maintain some aspects of the guilds' autonomy. According to Elliott Krause, the professions were able to persist in their autonomy because of their connections to the universities, the perceived cultural prestige of knowledge, and the difficulty of commodifying knowledge.[43] Capitalism, the state, and the professions still compete for influence in a dynamic way.

Even now, the professions aspire to define their own jurisdictions, the body of knowledge and skills necessary for practice, and the requirements necessary for admission and continued membership.[44] In describing the professions, two additional factors are critical: (1) the concept of professional work is understood to include the idea that it is not work performed simply for remuneration, but something that gives pleasure and a sense of fulfillment; and (2) the idea of professional autonomy includes the idea that professional service encompasses something more than merely serving the interests or choices of others.[45] In other words, the ideology of the professions "claims devotion to a transcendent value which infuses its specialization with a larger and putatively higher goal"[46] than mere client service. In this respect, the professional schools are thought to play a central role, as the faculty of professional schools not only "codify, refine, and extend the profession's body of knowledge and skill," but they also "elaborate and clarify the values served by their discipline." [47]

The extent to which the professions are able to act autonomously in these areas is ultimately a question that the state will decide; the autonomy of the professions is now largely a delegated autonomy, which may be limited or withdrawn by the political process. (We have seen a somewhat stark example of this principle in action in the past two years, as the SEC has sought to redefine the ethical responsibilities of lawyers in the wake of the Enron bankruptcy.)[48] As a practical matter, the autonomy of the professions is also subject to economic and cultural forces, both internally and externally. The hourly (or other) fees that a law firm may charge clearly depends on market forces; lawyers cannot charge more than the market will bear. However, the number of hours that lawyers in a law firm work depends not only on the amount of business that a firm has (more lawyers could be hired to do additional work), but on lawyer expectations as to their overall compensation. Just as the number of lawyers and the pervasiveness of law in society have increased in the past thirty years, so too has the amount of public information about lawyer compensation, as well as expectations about levels of compensation and the size of the cohorts to be compensated at those levels.[49]

As everyone knows, starting salaries in large law firms skyrocketed in the 1990s, and senior lawyers saw themselves entitled to similar increases. Firms which considered it unprofessional to talk about billing targets a generation ago (but generally expected lawyers to bill about 1500 hours a year) may now expect 2100 or 2200.[50] Many promise hours-based bonuses to associates who work even more. These positions seem attractive to students and young lawyers, who face large debt burdens, but many view these positions as relatively short-term opportunities to earn large salaries, rather than opportunities for long-term professional growth and development. Law firms often tend to take the same view.

In other words, the influence of the market on the professions is very strong, and necessarily so, at least insofar as the world of the professions is indistinguishable from other ways in which economic value is created in society. Even in economic terms, however, the professions are fundamentally different in at least one economic sense: there are inherent limits to how much professional labor can be replaced by capital, or to how much productivity can be improved by technology. In this sense, as Robert Kuttner has suggested, the professions are inherently inflationary.[51]

Physicians expect to be paid more as the cost of living increases, but there are fairly strong constraints on increasing productivity. Higher pay can only marginally be justified in that way. For example, diagnostic technology has improved the speed and accuracy of medical diagnosis — and physicians may choose to be more productive in various ways, such as by seeing patients only in their offices, while leaving hospital care to others-but they cannot see many more patients in an hour than they always have, unless the notion of "being seen by a physician" is dramatically redefined. That, of course, gets us to the heart of the matter because changing the nature of what it means to be "seen by a physician" may be unobjectionable from the viewpoint of economic efficiency, but extremely troubling in terms of the moral responsibility which the medical profession and the public believe to be owed to an individual patient by an individual physician.[52]

Of course, physicians also have duties beyond those that they owe to individual patients. They have the duty to preserve and enhance their own professional knowledge and skills, and to assist others in doing so.[53] They also have an ethical and legal duty to report certain threats made by patients, as well as the diagnosis of certain types of diseases and injuries,[54] and they have the duty to be truthful when advocating for their patients in connection with the allocation of scarce resources, such as organ transplants.[55] In the two latter cases, the physician's duty to the public may actually conflict with her duty to the patient, who may wish to keep his gunshot wound or venereal disease secret, or have the gravity of his liver disease exaggerated to make a transplant more likely. If the physician is employed by a hospital or other entity, that entity's economic interest may also be antagonistic to the patient's or the public's. In other words, the medical profession operates within constraints that have force and are peculiar to the nature of the work that medical professionals do.

The same is true of lawyers, who owe similar duties to their clients, but also to the courts and the public.[56] A lawyer must normally prefer his client's interest to his own. He must normally also keep his client's secrets, at whatever cost. But he sometimes must prefer the public's interest, as when he knows that his client is planning to commit a crime.[57] Similarly, a lawyer may not put a client on the stand when he knows the client will lie in a civil case.[58] But this conflict also arises in less dramatic circumstances. Under the rules of civil procedure, a lawyer may not submit a pleading that he has not independently investigated.[59] Generally, such an investigation is also in the client's interest, but that is not always the case. Even where the client has no need for an investigation, and does not wish to incur the expense of having one, the lawyer's duty is absolute. In these important ways, the lawyer is required to do something other than "give the lady what she wants." Indeed, the lawyer is sometimes required not to give the client what she wants.

But suppose that the client wants something less stark than that. Suppose that the client instructs the lawyer to take advantage of every procedural tool at her disposal, and to be as obstructionist as humanly possible without incurring the wrath of the judge. And assume further the client will not be persuaded that such tactics are actually inconsistent with her own self-interest, and that she is utterly unmoved by the fact that engaging in such tactics is also contrary to her lawyer's interest. Or suppose that the client does not like Muslims and makes it a condition of the lawyer's continued professional engagement that he not represent any Muslims so long as he represents her?

What response does one make to such demands? What if the lawyer is a sole practitioner and the demands come from her most important client? What if she is employed by a firm and subject to its discipline? Or, more starkly, what if the lawyer is not a lawyer in private practice, but an employee of the client?

Let me return for a moment to the relationship between professional schools and the professions. Law schools, like other professional schools, offer instruction in professional responsibility. Some do an excellent job; others less so. If one assumes, however, that the connection between the profession and the professional school is essential to the nature of the profession, and that the faculty's role is not simply to "extend the profession's body of knowledge and skill," but also to "elaborate and clarify the values served by the discipline," I think there is room for asking some fundamental questions about the adequacy of our approach to these issues.

In sum, members of a profession are generally understood to have ethical obligations that are peculiar to their professional status. These obligations often cannot be explained in economic terms and may actually conflict with economic interests. In addition, as Durkheim has suggested, the ethical systems of various professions are "not only … distinct from [each] other, but between some kinds there is real opposition."[60] The virtue of passive obedience that may be required of a soldier or a priest, for example, would be a serious fault in a scientist.[61] Professional virtues may also be opposed to the values embraced by other institutions of civil society.

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III.

Thus far, I hope that I have suggested something about the importance of professional values, the competition among professional values, and the inherent fragility of professional values. But professional values also exist, of course, in a world in which the professions and their values compete with other institutions or components of civil society, and their respective values. What I would like to consider now are two aspects of that greater world which seem to me to be quite important at the present time. Both involve claims that are imperial in their aspirations. Both involve a preference for individual self-realization over the value of institutions. One is the increasing tendency to assign economic value and significance to every aspect of human life, and, more particularly, to make markets the ultimate arbiter of value, perhaps because of their seeming neutrality or because of the apparent absence of social consensus surrounding other systems of determining value. The second involves the more aggressive claims recently made on behalf of religion, which seem to have come about, at least in part, in response to perceptions of increased secularism in civil society. These two sets of claims result in serious challenges to other institutions of civil society, including the professions.

Forty or fifty years ago, legislatures routinely passed legislation which either purported to solve problems directly, or delegated the authority to solve problems to administrative officials, without any systematic consideration of economic costs or benefits. In law schools, one could take a course in administrative law without hearing a whisper about the economic consequences of regulation.[62] Public policy was impoverished by that absence, and far better legislation undoubtedly would have resulted from a legislative process in which such questions were straightforwardly engaged. Today, by contrast, we often seem to begin with the assumption that the economic answer to a problem is the correct one, and the burden rests on those who champion some other view to demonstrate their relevance. Thus, one might well be challenged by ostensibly responsible people to explain why a university should not capitalize on the perceived value of its undergraduate degree by auctioning off the last 100 places in its freshman class to the highest bidders among a group of minimally qualified applicants.[63] The same question could be raised with respect to auctioning off the opportunity to name a law school among wealthy lawyers and other prospective donors, who may or may not embody exemplary professional standards. In other words, we have gone from a situation in which policymakers did not attend to clearly relevant economic considerations to one in which only economic considerations are deemed presumptively relevant, even dispositive.

As Stephen Toulmin has suggested, "any assumption that the standard methods of economic analysis are applicable similarly to all situations introduces distortions that we can escape only by 'de-universalizing' them, and limiting their application to well-recognized and carefully analyzed conditions."[64] But that may not be as easy as it seems. Robert Kuttner has observed that "[m]arkets relentlessly seek to commodify things that are unsuited to market principles of impersonal exchange."[65] The assumption is that markets work perfectly if left alone, and that market theory can be applied to virtually any situation.[66] The extravagance of the claims made for economic analysis, and the degree to which those claims have been accepted, seems well summed up by a seminar paper written by a third-year student at a leading law school. The student wrote: "Students at this law school do not aspire to careers in public service or in public interest law. Nor should they." In the paragraphs that followed, the student argued that it would be a waste of human resources for the brightest and best-educated law students to devote their attention to the public's business. If his fellow students had any desire to do that kind of work, they could do it at large firms, which permit pro bono work, he asserted, not out of any concern for professional values or the public interest, but simply as a means of recruiting the ablest law students.

If this is one's point of view, then how does one deal with the ethical responsibilities of lawyering? If nothing has purchase but self-interest and utilitarian calculation, the moral suasion of professional values must indeed be fragile, and compliance with professional values can depend on nothing more than locating the optimal level of noncompliance. Duty, to say nothing of generosity or altruism, is illusory. But this is a thin, and ultimately unsatisfying, view of professional or civic life. Mere calculation and self-interest provide too slight a basis on which to build the institutions of civil society.[67]

The other development that I think significant is the new assertiveness, and the increasing numbers, of those who demand public space in the name of religion. It might be thought that this development is a salutary one, from the perspective of those interested in professional values, and that may well be the case, to some extent. On balance, however, I think that the imperial claims made on behalf of religion are potentially as dangerous as those made by the market.

There are undoubtedly many causes for the new assertiveness of religion, which are beyond my ken and expertise. We live in a time when great significance is attributed to particular forms of personal expression and self-realization. The influence of the mainline churches is less than it was, and different kinds of religious institutions have filled that vacuum.[68] There is also a sense in which members of the dominant culture feel threatened by pluralism and the openness to other cultures which seem essential to civil peace and individual self-realization in a diverse society. To the extent that such accommodations are perceived as growing secularism in a "Christian society," as they are by many, these accommodations seem threatening to them. Similarly, many are frustrated by the historical trend towards greater individual liberty, in the sense championed by John Stuart Mill.[69] Those who believe that certain practices are immoral, usually on religious grounds, often are reluctant to leave such practices to individual conscience, but believe that the well-being of society depends upon the deployment of state power against them. Whatever the causes, the results are clear enough.

Let me illustrate this point with two examples. The first is a case, Endres v. Indiana State Police, that was recently decided by the United States Court of Appeals for the Seventh Circuit in Chicago.[70] Benjamin P. Endres, an Indiana state trooper, was assigned to work full time as a Gaming Commission agent. "Gaming Commission agents certify gambling revenue, investigate complaints from the public about the gaming system, and conduct licensing investigations for the casinos and their employees."[71] Endres declined this assignment. He told the state police that he was willing to enforce general vice laws at casinos, but that he could not perform the specialized duties required of Gaming Commission agents because doing so would facilitate gambling, in violation of his religious beliefs.[72] His request for another assignment was refused, and his employment was terminated.[73] Endres then brought an employment discrimination action under Title VII of the Civil Rights Act of 1964.[74] According to Endres, Indiana could justify its employment action only if it could show that it could not reasonably accommodate his religious practice without undue hardship.[75] The federal government supported Endres in his claim.[76]

In an opinion by Judge Easterbrook, the Seventh Circuit held that the relevant provision of Title VII did not oblige states "to afford the sort of accommodation that Endres requested."[77] If it did, the court said, "law enforcement personnel [would have] a right to choose which laws they will enforce, and whom they will protect from crime."[78] The court noted:

Many officers have religious scruples about particular activities: to give just a few examples, Baptists oppose liquor as well as gambling, Roman Catholics oppose abortion, Jews and Muslims oppose the consumption of pork, and a few faiths . . . include hallucinogenic drugs in their worship and thus oppose legal prohibitions of those drugs. If Endres is right, all of these faiths, and more, must be accommodated by assigning believers to duties compatible with their principles. Does [the Civil Rights Act] require the State Police to assign Unitarians to guard the abortion clinic, Catholics to prevent thefts from liquor stores, and Baptists to investigate claims that supermarkets misweigh bacon and shellfish? Must prostitutes be left exposed to slavery or murder at the hands of pimps because protecting them from crime would encourage them to ply their trade and thus offend almost every religious faith?[79]

Obviously not. The answer is obvious in this case, however, only because the employer is not an ordinary employer, but a paramilitary organization.[80] It is not "reasonable," according to the court, to require such paramilitary organizations to accommodate "task-specific conscientious objection."[81] "This is especially pertinent," the court suggested, "when the assignment is unpopular: the State Police had to draft Endres because there were not enough volunteers."[82] Accommodation would be unreasonable, whether it would constitute an "undue hardship" or not. Agencies "designed to protect the public from danger may insist that all of their personnel protect all members of the public-that they leave their religious (and other) views behind so that they may serve all without favor on religious grounds."[83]

There are two things that interest me about this case. The first is the extent to which Endres's claim (regardless of its ultimate rejection by the court) reflects currently prevailing views as to the importance of self-realization, the role of religion in self-realization, and the degree to which religious values are commonly thought to be privileged as against other values. Obviously, we are far removed from the time when Justice Holmes could dispose of an analogous claim with the aphorism that someone "may have a constitutional right to talk politics, but [not] to be a policeman," as he did in McAuliffe v. Mayor of New Bedford.[85] On the other hand, I would submit that only thirty or forty years ago, most policemen assigned to protect a casino or a barroom would have accepted that as part of their jobs; they would have done it, regardless of their personal, religious views. This is not to say that they took their religious beliefs less seriously, but that they did not think that it was the state's job to design their public responsibilities in a way that accommodated or complemented their personal religious views. Of course, the case reports of the period reflect various claims of conscientious objection, but the expectations expressed by those conscientious objectors doubtless seemed more unusual then. These obviously are points that I cannot prove, but I believe them to be true. What may have seemed an unusual or extreme position then seems a more mainstream view today.

The other aspect that I find interesting is the court's reliance on the fact that the organization involved in Endres is a "paramilitary" force, where demands of professional discipline are necessarily more stringent. That characterization is true, of course, but similar issues arise in other contexts. Presumably, religious claims will prevail more easily where the employer is not a paramilitary force. But conflicts do not arise only between religious values and an employer's demands; conflicts also arise between religious values and professional values, among and between professional values, and between professional values and an employer's demands. Consistent with our constitutional system, objections based on religion will receive a fuller hearing than those based on professional ethics. A relevant illustration is the recent case of a physician employed by the New York Times, whose termination for refusing to violate the physician-patient privilege was upheld by the New York Court of Appeals, which gave virtually no consideration to the physician's claim that her employment by the Times was subject to the Code of Medical Ethics.[86]

President Clinton's Guidelines on Religious Exercise and Religious Expression in the Federal Workplace,[87] issued in 1997, provides my second example. The stated purpose of the guidelines is to ensure that what otherwise would be permitted speech or conduct by federal employees should not be deemed prohibited simply because it is religious in nature. In addition, agencies are generally prohibited from

restrict[ing] personal religious expression by employees in the Federal workplace except where the employee's interest in the expression is outweighed by the government's interest in the efficient provision of public services or where the expression intrudes upon the legitimate rights of other employees or creates the appearance, to a reasonable observer, of an official endorsement of religion.[88]

Of course, federal workplaces exist for the primary purpose of accomplishing the public's work, and the guidelines properly acknowledge that fact.

Perhaps the most interesting provision of the guidelines is that dealing with expression "directed at fellow employees."[89] The guidelines permit employees to engage in "religious expression directed at fellow employees, … and even attempt to persuade fellow employees of the correctness of their religious views, to the same extent [as with] speech not involving religion."[90] The guidelines specifically recognize that some religions impose a duty to "spread the faith at every opportunity, a duty that can encompass the adherent's workplace," and the guidelines seek to accommodate conduct based on such beliefs.[91] Similarly, federal employees may urge colleagues to participate (or refrain from participating) in religious activities to the same extent as with "other personal endeavors."[92] On the other hand, "employees must refrain from such expression when a fellow employee asks that it stop or otherwise demonstrates that it is unwelcome."[93] Conduct by supervisors is dealt with separately.

There are several points to be made about these guidelines. First, like Endres's claim, the guidelines reflect certain prevailing views as to self-realization and religion. Second, they treat religion as being indistinguishable from baseball. If some people in the federal workplace are afforded the opportunity to talk baseball, a similar opportunity must be afforded to talk religion. Third, the guidelines recognize that some religious groups require their adherents to proselytize whenever possible, and it is the intent of the regulation to accommodate or facilitate the activities of such religious groups. If a federal employee does not wish to be the object of such efforts, she has the duty to make that clear. Her right to be left alone will be protected only if she affirmatively asserts it. Fourth, the regulation properly recognizes that workplaces are social as well as economic in nature, but one must wonder about the balance that the regulation strikes in this regard. Again, it seems to me that the very existence of this regulation, to say nothing of its content, demonstrates a profound shift in American society. Individuals undoubtedly have always proselytized in the workplace. On the other hand, I do not think that most people, until fairly recently, thought of themselves as having an inalienable right to do so. Not to be Dickensian about it, but I think people generally went to work with the expectation of getting their work done, gossiping a bit, and talking politics or baseball, but not necessarily securing new adherents to their religious organizations.[94]

To be sure, there is much discrimination and lack of understanding with respect to some religious groups. The truth of that fact has been demonstrated graphically and repeatedly since the events of September 11, 2001. On the other hand, as these two examples suggest, "religion" seems to be doing quite well. Perhaps Endres himself did not fare as well as he would have liked, but that was due to the nature of his employment. At the same time, there are strong pressures being exerted on the professions. Some of these are economic, but others are rooted in the claims made by competing institutions such as religion.

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IV.

As I noted at the outset, the demand for greater awareness and more understanding on the part of the professions, with respect to the religious beliefs and practices of their members and clients, is both reasonable and necessary. As I also noted, however, the project of responding to that demand is one that carries its own risks and difficulties. Nor can it be the sole object of our attention. More general questions about the role of the professions in society, and the weight that their values rightly command, are also questions that deserve our consideration. This is work for all of us, but it is particularly necessary that the professions themselves demonstrate greater self-awareness and understanding of their own values and of the social space they occupy. For a profession to hold its own in competition with other institutions, its values must have some purchase. But it is difficult for professions to reach consensus on values that do have purchase. Indeed, even to talk about professional values is to engender skepticism. What values, for example, do lawyers have?

For many years, the American Bar Association took a narrow view as to the range of issues it deemed relevant to the corporate concerns of lawyers. It spoke out against such evils as lawyer advertising and in favor of mandatory fee schedules, but it neither admitted people of color to its membership nor spoke out in favor of racial equality. When civil liberties were threatened in the early years of the Cold War, the leadership of the bar often was not heard from at all. If the bar was heard from, it was often on the side of those who wished to restrict civil liberties. In recent years, that focus has changed. The bar has recognized its obligation to the public, to speak out on matters within its expertise, and to contribute what it can to the greater conversations of humanity. The leadership of the American Bar Association has taken strong positions about such matters as access to legal services, the administration of the death penalty, minimum requirements of due process, and various issues relating to legal equality. In some cases, such as access to legal services, the ABA's words have not been matched by actions. Indeed, the legal profession has fallen seriously short in its commitment to solving the problem of unmet legal needs. In other cases, as when the leadership of the ABA decided to take a position on abortion, the debate became protracted and bitter, and many members left the association. More generally, a substantial minority has criticized many of these initiatives on the ground that they have nothing to do with the corporate concerns of the bar.

Perhaps the most noteworthy example of this type of criticism is to be found in Justice Scalia's dissent last term in Lawrence v. Texas, where he pronounced the majority opinion "the product of a Court, which is the product of a law-profession culture, that has largely signed on to the so-called homosexual agenda, by which I mean the agenda promoted by some homosexual activists directed at eliminating the moral opprobrium that has traditionally attached to homosexual conduct."[9