An Illusion of Fidelity

The healthcare industry is a pinnacle of enforced quality assurance, perhaps the best example we can think of. And yet, nurses and physicians, emboldened by pushback against institutional censorship, are coming out of the closet, telling us not to trust their profession.

Why should we be surprised? Have we not seen enough evidence that self-interest prevails over virtue more commonly than not, even when punishment will almost certainly follow?

General Motors can crank out all the defective engines they want. Lawsuits — Foo. Regulatory penalties — A drop in the bucket. Loss of customer confidence — Who cares?

Certainly not decision-makers. They do not pay for their errors.

You pay.

Who can you believe? Well, that’s a tricky proposition. If you cannot trust yourself to sort it out and make the best possible decision for you, then all I can say is …

Punt, and don't be a sucker.

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