The study of institutional failure is fundamental to a proper society, and it’s vital that everyone understands the inherent failures, especially in the case of Howard Saal, the 73-year-old former geneticist and dysmorphologist at Cincinnati Children’s Hospital. He was recently indicted and arrested on federal charges for possessing and transporting child sexual abuse material as investigators found 153,000 images and 470 videos on his electronic devices, with some of the victims being as young as newborns. The Children’s Hospital doctor admitted that he photographed children during exams as “glamour shots.” Saal surrendered his medical license in July of 2025 and is currently out on bond, facing up to 20 years in prison. The hospital itself has tried to distance itself from the doctor, but this has rattled people’s trust in the process because they usually think of doctors as being wiser and above such matters. So understanding how and why people would do something like this is essential, especially when we are dealing with sexual perversion that migrates into children. We see this kind of thing way too often to ignore, and this isn’t some loser hiding in his mom’s basement. But was a very mature person of elderly years working in a very responsible position at a well-respected hospital. People need to trust these kinds of authority figures, and this case is proof that nobody can really be trusted. The best solution to this kind of situation is always to be a little cautious when dealing with everyone. And don’t give out trust like candy. We often trust professionals and experts because we are too lazy to do the work ourselves, and the unsettling element is that there are many Howard Saals out there looking to take advantage of people, especially children.

I learned more about child pornography and sex abuse than I’ll ever care to know recently as I was a foreman for a grand jury in Butler County, Ohio. And let me tell you, I thoroughly enjoyed that job. I enjoyed indicting bad guys and convincing the other jury members to move toward aggressive resolutions. It was a very satisfying job, and I could have done it every day of my life, finding significant meaning in the experience. But before that experience, child pornography was something I had heard about, but didn’t think much of it. It seemed to me like something impossible to do, where grown adults were involved in sexual activity with children because of the apparent size difference. But for several cases, as a grand jury, we had to watch evidence of child pornography by people prosecutors were trying to indict. Regarding Butler County, I would like to mention that some truly dedicated prosecutors had their hearts in the right place for the job. It would be challenging to sift through thousands of these images and still maintain sanity. I saw just a fraction of what they did to prepare these cases, so as I watched my fellow jury members crying over what they saw, imagine how the prosecutors felt having to look at that stuff all day long, preparing for these indictments. Most of the people on my jury, about half of them, were moms, and seeing kids sexually abused on video was too much for them, and they broke down quickly at the grim reality of the abuse they had to watch. There’s not much that rattles me about anything. Watching those videos was tough. But seeing how much child pornography is out there, it is even worse. These were not isolated cases by a few degenerates. These were common and were getting worse as our society loosened its sexual predilections.
One way this harsh reality is concealed in our society is that nobody feels they can express an opinion about it unless they are a professional. That is the first problem, where we surrender logic to authority figures like Howard Saal, and they find they can abuse that power for their own distorted thinking, keeping it concealed from society at large. However, I have many opinions on various subjects. And I know enough about everything to be a professional in hundreds of different professions. And I’m happy to argue with any psychologist on the deterioration of the human mind that descends into child pornography any time anybody wants to. Chances are, I know more about psychology than people working in the industry. Sexual perversion is a dangerous path to take. As teenagers emerging from puberty, it’s pretty simple. Find a member of the opposite sex that you want to procreate with. Get married. Have children. When nature selects you for termination, take it like an adult and die quietly as the world lives on. When you step away from that path and make sex a recreational activity that increases in sign stimuli as adults move into their 20s and 30s, things get complicated. To keep the things that provoke arousal, constantly recreating that initial stimulation, more and more perverse acts have to be accepted by the mind. And by the time people get into their 50s, 60s, and 70s, natural sex has long left the mind, and a very diabolical thought process has to take place to carry sexual thought into an arousal state that satisfies the urge. The danger lies in people who don’t develop hobbies as they age, such as model trains or flying airplanes, during their leisure time. If they are still pursuing sexual satisfaction, they are likely going to engage in behavior that is illegal or diabolical.
Socially, we recognize the danger of a 50-year-old having sex with a 20-year-old. Or even an 18-year-old. Our 18-year-old daughter couldn’t or shouldn’t ever bring home a boyfriend who is 60 years old. We don’t like to see such things, even if they may be legal, because they are destructive to our minds and can’t bring anything good. So, to further step outside the boundaries, sex with children of any age is the ultimate power trip for an adult who wants domination over people in a weak intellectual condition. Human beings often struggle with power over others, and the role of an adult over a helpless child can be particularly perilous. And we should never assume that because someone is a professional, they have learned to deal with these emotional temptations. And based on my experience with that grand jury, this appears to be a common occurrence. It’s not just a random occasion here and there. The more sexual our society has become, the worse sex with children has emerged as common, and not unique. It appears that adults often seek to exert power over others, which is why they tend to target the most vulnerable. So while people are shocked to learn that a respected doctor at Children’s Hospital in Cincinnati has a serious addiction to child pornography, and that they took their own children to him under an understanding of trust, and that trust has now been shattered, this isn’t the only guy doing this. It’s a common occurrence in our schools, among medical professionals, and in every professional class. And trusting any of those professional types was a dumb idea. Leaving us to figure out the future without them having nearly the kind of power they have today. Trust is something that everyone needs to earn. We should not give it away so cheaply because we are too lazy to protect the innocent from the diabolical hiding behind professional titles like wolves in sheep’s clothing. Because the minds of many of these people are not functioning correctly. And this case with Howard Saal is just a small glimpse into that ominous, dark world of child sexual predators.
Rich Hoffman

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