Honoring Alex Pretti’s Moral Courage and the Cost of Caring; The Hastings Center for Bioethics, February 17, 2026

 Connie M. Ulrich, Mary D. Naylor and Martha A. Q. Curley , The Hastings Center for Bioethics; Honoring Alex Pretti’s Moral Courage and the Cost of Caring

"The death of Alex Pretti, an ICU nurse who was killed last month in an anti-immigration protest in Minneapolis, is, first and foremost, a devastating loss for his loved ones. But it has also shaken the nursing profession to the core. 

People often encounter nurses at the bedside when they  are ill or someone close to them is ill. But nurses also have a long history of advocating for social justice in their communities, speaking out against unjust policies, challenging unsafe practices, and advancing public health reforms.

The 2025 Code of Ethics for Nurses reflects this activism. It calls on all nurses to be civically engaged and to work toward policies and systems that have positive ends for the communities in which we live and work. Alex met this call. 

Alex used his ICU training to help someone in need; it was second nature to him and reflected his primary obligation as a registered nurse to protect the rights and well-being of patients, families, and communities. He lost his life because he helped a woman during a protest against federal immigration action in Minneapolis. Pretti stepped in front of the woman, who was on the ground, to protect her from being pepper sprayed by U.S. Border Patrol agents. Agents then pinned Pretti to the ground and shot him.

Nurses are no strangers to conflict and moral turmoil. They take a professional and ethical oath to care for anyone — victim or perpetrator — regardless of their identity or ideological belief. But Alex’s death exposes a stark and troubling reality for every nurse and healthcare provider: Immigration enforcement agents are now occupying spaces that should be protected in hospitals, waiting rooms, lobbies, and clinics. These are places where patients must feel safe and trust that they will receive care without discrimination and be protected from intimidation. 

The presence of immigration enforcement agents in these places is creating profound moral distress and a climate of deep fear for all those who deliver care and for the people who need it most within these buildings. Nurses and other healthcare providers are caught in the age-old dilemma between what is ethical and what is legal: They question what they ought to do when faced with immigration enforcement agents standing outside hospital rooms and observing the care they are ethically and professionally obligated to protect.

When nurses and other healthcare providers cannot meet their ethical duties to protect the rights and welfare of their patients, this distress can intensify into a deeper wound with lingering residue of regret and a searing violation of their sense of integrity. 

For their part, patients may withhold critical health information, become afraid to ask questions, and mistrust health professionals when immigration enforcement agents are present. Patients who are immigrants are most vulnerable to these harms, but other patients may also experience them. The harms – to healthcare providers and patients – can ultimately compromise ethical decision-making, patient-and family-centered care, and the overall quality of care that all patients deserve, and healthcare providers are trained to deliver.

The patients and families cared for by Alex will always remember him. Nurses will remember Alex’s sacrifice – that his caring extended beyond the walls of his hospital to the stranger he protected in his community. 

Nurses can honor Alex’s moral courage through our individual and professional resolve. We must say no more to the infiltration of immigration enforcement into healthcare spaces that were previously off limits to them. We must speak out on re-establishing “safe zones,” hospital-wide policies that limit enforcement access, and confidential reporting mechanisms that reflect the humanity of the nursing profession towards those we took an oath to serve. 

May a better and more humane world prevail, reminding each of us that moral courage carries risk, but it also helps us rise to the occasion when change and moral repair are needed most. We are at that moment.

Connie M. Ulrich, PhD, RN, is a registered nurse and professor of nursing and of medical ethics and health policy at the University of Pennsylvania School of Nursing and a Hastings Center Fellow. LinkedIn: connieulrich1, X: @cm_ulrich

Mary D. Naylor, PhD, RN, is a registered nurse and professor of gerontology and nursing at Penn’s School of Nursing. LinkedIn: Mary_Naylor,  X: @MaryDNaylor

Martha A.Q. Curley, PhD, RN, is a registered nurse and professor of pediatric nursing at Penn’s School of Nursing.LinkedIn: Martha-a-q-curley, X: maqcurley, Bluesky: @maqc.bsky.social"

Chicago’s faith leaders on front lines of resistance against ICE crackdown; The Guardian, November 28, 2025

 Siri Chilukuri, The Guardian ; Chicago’s faith leaders on front lines of resistance against ICE crackdown

"For weeks, Chicago has been at the center of the Trump administration’s brutal immigration crackdown. Immigration and Customs Enforcement (ICE) and Department of Homeland Security officials have arrested 800 people as of 1 October, while also using violent tactics such as body-slamming and deploying teargas in residential areas.

Amid the raids and arrests, which have created a pervasive sense of fear, faith leaders have stepped up, putting themselves on the front lines of resistance.

“Faith leaders bring a very powerful prophetic and moral compass into the space,” said the Rev Ciera Bates-Chamberlain, executive director of Live Free Illinois, a group that mobilizes Black churches around social justice issues in Chicago. “While many others may be able to argue the economic impact, or argue the law, faith leaders are typically the ones who are arguing and standing on the side of humanity and for people.”

‘I’ve Been Doing This Work for 25 Years and I’ve Never Seen Such Fear’; The New York Times, November 30, 2025

 David French, The New York Times; ‘I’ve Been Doing This Work for 25 Years and I’ve Never Seen Such Fear’

[Kip Currier: Amidst appalling stories of brutality by masked ICE agents against migrants, detainees, immigrants, and even allied clergy members, examples of people helping and loving their neighbors, as described in David French's 11/30/25 New York Times piece, are heartening and inspiring.

Yesterday's 11/30/25 liturgical reading Romans 13:11-14 sees the apostle Paul's letter exhorting followers of Christ to "lay aside the works of darkness and put on the armor of light". It's a particularly timely and pertinent reminder in conjunction with French's statement about present-day darkness and light:

The story of America is far from perfect, but if there is one constant in our history it’s that American darkness is always answered by American light.

https://www.nytimes.com/2025/11/30/opinion/chicago-ice-new-life-centers.html 

What can each of us do to promote American light -- to put on the armor of light -- over the works of darkness?

To show compassion and generosity over hate and cruelty?

To see ourselves and those we love in the eyes of a stranger or migrant?]

 

[Excerpt]

"In the book of Leviticus, God says to his people, “When a stranger sojourns with you in your land, you shall not do him wrong. You shall treat the stranger who sojourns with you as the native among you, and you shall love him as yourself, for you were strangers in the land of Egypt: I am the Lord your God.”

Providing care for immigrants is one of scripture’s clearest commands. It is one of the great tragedies of our time that millions of Christians are cheering and applauding the administration’s brutal crackdown on immigrants.

But not all Christians. There are believers, Catholic and Protestant alike, who are rallying to treat migrants with dignity, compassion and respect. New Life gets government funding for parts of its work, but DeMateo told me that when it began to support immigrant families during Operation Midway Blitz, it did so entirely on its own...

The story of America is far from perfect, but if there is one constant in our history it’s that American darkness is always answered by American light.

The masked agents of ICE make headlines with their aggression. But it’s important to answer those headlines with a different story, of volunteers who fulfill God’s command to love their neighbor — with their time, their money and their friendship."

The Blue Wave Cometh?; The Ezra Klein Show, The New York Times, November 7, 2025

 

Ezra Klein

Produced by Annie Galvin and Claire Gordon

, The Ezra Klein Show, The New York Times; The Blue Wave Cometh?

"Klein: [Laughs.] So this Judith Shklar essay that you’re mentioning — I want to read another part that you had sent me because I think it gets at this conversation we’re having in an interesting way, as well as at something that I am trying to get at when I talk about love or respect or politics as a difficult but worthwhile act.

Virtues are hard to carry out. That is why they are virtues. If they were easy, they wouldn’t be virtues.

So Shklar writes:

Courage is to be prized since it both prevents us from being cruel, as cowards so often are, and fortifies us against fear from threats both physical and moral. This is to be sure not the courage of the armed, but that of their likely victims. This is a liberalism that was born out of the cruelties of the religious civil wars, which forever rendered the claims of Christian charity a rebuke to all religious institutions and parties. If the faith was to survive at all, it would do so privately. The alternative then set and still before us is not one between classical virtue and liberal self-indulgence but between cruel military and moral repression and violence and a self-restraining tolerance that fences in the powerful to protect the freedom and safety of every citizen, old or young, male or female, Black or white. Far from being an amoral free-for-all, liberalism is in fact extremely difficult and constraining. Far too much so for those of us who cannot endure contradiction, complexity, diversity and the risks of freedom.

I do find something very inspiring in that.

Retica: I hoped you would. [Laughs.]

Klein: Not just that liberalism should be about trying to protect against fear, about cruelty, but this idea that it actually takes tremendous courage, that it takes tremendous self-discipline, that it is a part of yourself that you are honing and working on and strengthening — a muscle you are strengthening.

There’s something Obama has been saying as he’s been back on the trail in the last couple of weeks that I found interesting. He said it, too, in his interview with Marc Maron: that for a lot of us, none of what we believed has been hard. We didn’t grow up at a time when it was hard to believe in political freedom, hard to speak our mind. There was no risk to any of it — not really. There have been at other times in our history — Jim Crow, the Red Scare, World War II.

He said: It has not asked that much of us to believe in political freedom, to believe in liberalism. And all of a sudden it does. And right now we’re seeing who is willing to have that asked of them — who’s willing to believe some of these things when it’s hard.

And his point was that a lot of the leaders in civil society, business leaders and so on, have performed very poorly in this era. They’ve bent the knee — particularly compared with the first era of Trumpism.

Now they go give Donald Trump golden gifts in the White House. They are very much willing to pay to play. And not just pay money, but pay out in terms of other people’s freedoms. Pay out in terms of other people’s safety. Pay out in the kind of society that, if you had explained it to them a couple of years ago, they would have told you they did not want to live in that."

Trump declines to call for unity after Charlie Kirk killing in stunning move; The Guardian, September 12, 2025

 Ed Pilkington , The Guardian; Trump declines to call for unity after Charlie Kirk killing in stunning move

"In an interview on Fox & Friends on Friday morning, the US president was asked what he intended to do to heal the wounds of Kirk’s shooting in Utah. “How do we fix this country? How do we come back together?” he was asked by the show’s co-host Ainsley Earhardt, who commented that there were radicals operating on the left and right of US politics.

Less than 48 hours after Kirk was shot in broad daylight on the campus of Utah Valley University, Trump replied: “I tell you something that is going to get me in trouble, but I couldn’t care less.”...

Trump’s refusal to seek a common bipartisan way forward at a time of profound national anger, fear and mourning was a stunning move for a sitting US president, even by his standards.

The US has a long history of presidents using their rhetorical powers to try to overcome political fissures. The pinnacle perhaps was Abraham Lincoln’s second inaugural address towards the end of the civil war, in which he sought to “bind up the nation’s wounds” and made a point of striving for unity “with malice toward none, with charity for all”."

Northwestern Libraries’ website removes DEI mention as University responds to executive orders; The Daily Northwestern, February 23, 2025

 Melody Xu, Assistant Campus Editor , The Daily Northwestern; Northwestern Libraries’ website removes DEI mention as University responds to executive orders

"Northwestern Libraries removed the mention of diversity on its website, following President Donald Trump’s executive orders against diversity, equity and inclusion initiatives."

David Frum Accuses MSNBC Of Giving Into Fear Of Trump After Mika Brzezinski Apologizes On-Air For His Comment; Mediate, December 4, 2024

Alex Griffing , Mediate; David Frum Accuses MSNBC Of Giving Into Fear Of Trump After Mika Brzezinski Apologizes On-Air For His Comment

[Kip Currier: Mika Brzezinski's on-air apology yesterday is what self-censorship looks and sounds like.

Since last month's election of Donald Trump, MSNBC's Morning Joe program has been periodically engaging in what Yale University authoritarianism expert Dr. Timothy Snyder calls "anticipatory obedience", due to fear of potential retribution from an incoming Trump administration.

When media personalities like Brzezinski kowtow to perceived risks of reporting and engaging in constitutionally-protected free speech, we the public are well-advised to be skeptical of their integrity and commitment to showing and telling the truth. Brzezinski's servile appeasement is more about saving her own skin than having skin in the game of speaking truth to power.

Look for free and independent presses and journalists who don't surrender to fear to curry favor.]

[Excerpt]

"Mika Brzezinski, the co-host of MSNBC’s Morning Joe, apologized on-air Wednesday for David Frum making a comment that “was a little too flippant” about Fox News earlier in the show. Frum then took to The Atlantic and accused MSNBC of capitulating to the fear felt in the media of President-elect Donald Trump’s promised retribution.

Frum’s article later elicited a response from MSNBC...

Frum’s article on the incident was titled, “The Sound of Fear on Air,” and ran with the subhead, “It is an ominous sign that Morning Joe felt it had to apologize for something I said.”

MSNBC comms exec Richard Hudock responded to Frum in a statement, saying, “Joe and Mika have consistently expressed their strong reservations and perspectives regarding Pete Hegseth’s nomination from the very beginning, and that stance remains unchanged. We would have responded in the same manner regardless of when these comments were made or what news organization was referenced.” Hudock also invited Frum back to discuss the topic on-air tomorrow.

In the piece, he recapped what had happened and commented on the current environment MSNBC finds itself in as viewers continue to tune out following Trump’s win...

“I do not write to scold anyone; I write because fear is infectious. Let it spread, and it will paralyze us all. The only antidote is courage. And that’s infectious, too,” he concluded.
Watch the clips above via MSNBC."

'The Calculator Mistake': Denial, hostility won't help lawyers deal with emergence of AI; ABA Journal, October 23, 2024

 TRACY HRESKO PEARL , ABA Journal; 'The Calculator Mistake': Denial, hostility won't help lawyers deal with emergence of AI

"There are two ways to deal with this kind of uncertainty. The first is denial and hostility. Legal news outlets have been filled with articles in recent months about the problems with AI-generated legal briefs. Such briefs may contain fake citations. They miss important points. They lack nuance.

The obvious solution, when the problem is framed in this way, is to point lawyers away from using AI, impose strong sanctions on attorneys who misuse it, and redouble law school exam security and anti-plagiarism measures to ensure that law students are strongly disincentivized from using these new forms of technology. “Old school” law practice and legal teaching techniques, in this view, should continue to be the gold standard of our profession.

The problem, of course, is that technology gets better and does so at an increasingly (and sometimes alarmingly) rapid rate. No lawyer worth their salt would dare turn in an AI-generated legal brief now, given the issues listed above and the potential consequences. But we are naive to think that the technology won’t eventually overtake even the most gifted of legal writers.

That point may not be tomorrow; it may not be five years from now. But that time is coming, and when it does, denial and hostility won’t get us around the fact that it may no longer be in the best interests of our clients for a lawyer to write briefs on their own. Denial and hostility won’t help us deal with what, at that point, will be a serious existential threat to our profession.

The second way to deal with the uncertainty of emerging technology is to recognize that profound change is inevitable and then do the deeper, tougher and more philosophical work of discerning how humans can still be of value in a profession that, like nearly every other, will cede a great deal of ground to AI in the not-too-distant future. What will it mean to be a lawyer, a judge or a law professor in that world? What should it mean?

I am increasingly convinced that the answers to those questions are in so-called soft skills and critical thinking."

That Discomfort You’re Feeling Is Grief; Harvard Business Review (HBR), March 23, 2020

Scott Berinato, Harvard Business Review (HBR); That Discomfort You’re Feeling Is Grief

"One colleague mentioned that what she felt was grief. Heads nodded in all the panes.

If we can name it, perhaps we can manage it. We turned to David Kessler for ideas on how to do that. Kessler is the world’s foremost expert on grief. He co-wrote with Elisabeth Kübler-Ross On Grief and Grieving: Finding the Meaning of Grief through the Five Stages of Loss. His new book adds another stage to the process, Finding Meaning: The Sixth Stage of Grief. Kessler also has worked for a decade in a three-hospital system in Los Angeles. He served on their biohazard’s team. His volunteer work includes being an LAPD Specialist Reserve for traumatic events as well as having served on the Red Cross’s disaster services team. He is the founder of www.grief.com which has over 5 million visits yearly from 167 countries...

What can individuals do to manage all this grief?

Understanding the stages of grief is a start. But whenever I talk about the stages of grief, I have to remind people that the stages aren’t linear and may not happen in this order. It’s not a map but it provides some scaffolding for this unknown world. There’s denial, which we say a lot of early on: This virus won’t affect us. There’s anger: You’re making me stay home and taking away my activities. There’s bargaining: Okay, if I social distance for two weeks everything will be better, right? There’s sadness: I don’t know when this will end. And finally there’s acceptance. This is happening; I have to figure out how to proceed.

Acceptance, as you might imagine, is where the power lies. We find control in acceptance. I can wash my hands. I can keep a safe distance. I can learn how to work virtually...

One particularly troubling aspect of this pandemic is the open-endedness of it. 

This is a temporary state. It helps to say it. I worked for 10 years in the hospital system. I’ve been trained for situations like this. I’ve also studied the 1918 flu pandemic. The precautions we’re taking are the right ones. History tells us that. This is survivable. We will survive. This is a time to overprotect but not overreact.

And, I believe we will find meaning in it. I’ve been honored that Elisabeth Kübler-Ross’s family has given me permission to add a sixth stage to grief: Meaning. I had talked to Elisabeth quite a bit about what came after acceptance. I did not want to stop at acceptance when I experienced some personal grief. I wanted meaning in those darkest hours. And I do believe we find light in those times. Even now people are realizing they can connect through technology. They are not as remote as they thought. They are realizing they can use their phones for long conversations. They’re appreciating walks. I believe we will continue to find meaning now and when this is over." 

Reflections from "An Afternoon with Supreme Court of the U.S. Justice Sonia Sotomayor" at Duquesne University in Pittsburgh; Ethics in a Tangled Web, December 8, 2018

Kip Currier; Reflections from "An Afternoon with Supreme Court of the U.S. Justice Sonia Sotomayor" at Duquesne University in Pittsburgh

 

"Life is about differences and how we manage them." -- Justice Sonia Sotomayor

That was just one of the many practical insights from a refreshingly grounded conversation that U.S. Supreme Court Justice Sonia Sotomayor--one of the storied nine from the highest court in the land--had Friday afternoon with an audience of several thousand at Duquesne University in Pittsburgh. Indeed, after taking roughly three questions each from Duquesne President Ken Gormley and U.S. Court of Appeals Judge Marjorie Rendell while seated with them on the stage of the A.J. Palumbo Center, the sciatica-battling (by her candid admission!) Justice Sotomayor literally descended from the stage--flanked by hypervigilant security--to wander amongst the audience, randomly shaking hands while responding to questions from eight Duquesne students. Toward the end of the impromptu walk-about, the Justice spotted one young girl dressed in judge's robes as Justice Sotomayor herself, observing with audible delight that her mini-me "even has the curly hair!"

I'll post the video of the event that Duquesne said they will be making available, as soon as it's released.

Some of the most powerful, relatable moments came when Justice Sotomayor shared the doubts that she faced about whether to continue with the nomination process, following her nomination to the U.S. Supreme Court by former President Barack Obama, in the face of attacks by opponents. She spoke of fear as being "the greatest obstacle to success", that "most of the time we fail to take chances", and the importance of taking a chance at something new and different that comes our way, even when we are afraid. And the pride that comes with trying to do that which we fear. Even if we fail. "Failure is a teaching tool", she noted, adding that we often grow the most from the introspection we do after a failed relationship. After we've critiqued the other person, she interjected, eliciting a swell of knowing laughter from the audience.

Other advice from the Justice, along this line of discussion:

It takes courage to admit your own limitations.

Get over your fear and ask the questions you need to ask; go to someone safe and ask the questions you need to ask.

Being too comfortable "may be the worst thing in life."

Sometimes opportunities come your way and you have to be open enough that you throw out the playbook and try something. Create a new playbook on the spot; what really stellar attorneys do, for example, she opined.

On the importance of college, Justice Sotomayor shared that "college gave me the foundation of a liberal arts education." "I wanted to be a citizen of the world." And she spoke of "the foundation" that courses in art, philosophy, and religion gave her for life, encouraging students to "take courses that will teach you something new". And how she wished that she had taken anthropology, and would someday, when she retired. The Justice stated that "the beauty of college is becoming a well-rounded human being" and that "the Founding Fathers were well-educated world citizens".

The line that started this post--"life is about differences and how we handle them"--was a response to President Gormley's question "How do we take the lead in restoring civil discourse?", invoking the recent trauma that Pittsburgh had experienced from the Tree of Life synagogue massacre. The Justice spoke of encouraging open conversation, understanding why the other side feels the way they do. And, turning to President Gormley, she said that if you (meaning higher education institutions like Duquesne) can teach that to students like those at the event, "you can teach it to the world." 

One of the very last observations that Justice Sotomayor shared will particularly warm the heart of any teacher, librarian, bibliophile and writer:  

"Reading was the key to my success."

No bosses, no managers: the truth behind the ‘flat hierarchy’ facade ; The Guardian, July 30, 2018

Andre Spicer, The Guardian; No bosses, no managers: the truth behind the ‘flat hierarchy’ facade

"Getting rid of formal hierarchies has also proved dangerous in social movements. After spending years in the women’s liberation movement of the 1960s, the American political scientist Jo Freeman warned of the “tyranny of structurelessness”. Although egalitarian and democratic structures have many benefits, she pointed out, structurelessness easily “becomes a smokescreen for the strong or the lucky to establish unquestioned hegemony over others”. By putting rules and structures in place, you make it clear and transparent how the group or organisation works. The lesson Freeman learned in the early 1970s has been forgotten over and over again.

Fantasies of no rules, no bosses and no hierarchies are seductive. Hierarchies can be repressive, rules can be absurd, and bosses can be toxic. But not having these things can be worse."

In Navajo Nation, a Basketball Elder Earns Respect; New York Times, 1/1/17

Michael Powell, New York Times; In Navajo Nation, a Basketball Elder Earns Respect:

"Mendoza took a battery of tests and aced math. He applied to a college and was awarded grants. He met his wife, Marjorie, a Navajo, in college. She got pregnant, and they dropped out. Mendoza worked in a factory, making $30,000 a year.

It was good money, yet again he felt an ache: He wanted to coach and teach children to navigate new worlds. When he quit his factory job, his friends hooted: “You’re crazy! You won’t make any money teaching!

He paused, laughing.

“Sure enough, my first job at Window Rock, I made $9,500 a year.”

Mendoza has worked ever since as a guidance counselor and coach in the Navajo Nation and the Apache Nation in the White Mountains. His wife teaches on the reservation.

These nations are bounded by mountains and forests and buttes, with embracing clans, leaders and spiritualism woven deep. Each is poor, plagued by alcoholism and drug abuse and fractured families...

The Apache reservation suffered an epidemic of teenage suicide. Mendoza is a master at infusing the rez ball whirlwind with offensive and defensive discipline. His proudest accomplishment, however, was this: None of his teenagers took their own lives.

“I told the kids, ‘I understand, I knew fear,’” he said. “I learned how anger can affect you.”"

Abraham Lincoln’s lesson for Trump: America’s at its best when we respect individual dignity; The Conversation via Salon, 7/8/16

Donald Nieman, The Conversation via Salon; Abraham Lincoln’s lesson for Trump: America’s at its best when we respect individual dignity:

"Lincoln believed that America’s commitment to equality and human dignity made it great. He criticized those who denied that the Declaration of Independence applied to African-Americans as “blowing out the moral lights around us.” In announcing his support for emancipation as president, he argued that it would preserve America’s role as “the last best hope of earth.”

If Trump wants to “make America great,” he can learn a lot from Lincoln. He can begin by following Lincoln’s example and appeal to “the better angels of our nature” rather than to fear. He should realize that we are at our best when we respect individual dignity, not when we stigmatize groups because of their race, sex, identity or religion.

Or he can join the Know Nothings. The party enjoyed a meteoric rise in 1854 but splintered over slavery and fizzled in the 1856 presidential election. Today, Lincoln is remembered for expanding our understanding of freedom and equality. In contrast, the Know Nothings’ appeal to fear and bigotry reminds us only of our worst instincts."