Yeah, I think it's morally wrong. I don't want to take money from someone unless I've done the best job I can for them.
1) This is naive.
2) you still have not demonstrated by any means other than holding your breath and stamping your feet that this hypothetical fat doctor has not done the "best he can for them". Even in that language alone, he would have done the best HE can. But even without that minor technicality you have yet to establish that obesity is correlated to a lower standard of care. You just assume it to be true even if a patient could be more comfortable in that situation vs some super intense health nut like yourself.
This is just another example of that whole logic thing you struggle with
That's just me. Even if it helps, I'll know I didn't do my best. That's wrong in my eyes. If I'm going to make my living off of advising people to get healthy, I need to follow my own advice and set a good example. If I'm not doing that, I'm not doing my job to the fullest I can. I don't care what my actual job description says, I know I can do more. It's not right to make money off of being a hypocrite.
So.... you're cool with obese radiologists then, right? Just making sure that this IS some sort of logical progression leading to a conclusion and not a personal preference with half-baked rationales spun from it, then extended and, if you got your way, forced upon others who may not feel the same.
Just checking
I can't charge my fat patients for weight advice and then go and keep eating double bacon cheeseburgers every day. It'll make me feel extremely shady and grimy. Even worse if they catch me after I just gave them a talk about not doing exactly that and how bad it is. I'll feel disgusting. Giving out advice I don't believe in or follow, and charging for it, is wrong.
It isnt wrong. You tell them to do that because they asked you what would fix x, y, and z. that is the correct answer. It remains the correct answer no matter what you shove into your mouth after those words come out of it.
Your moral outrage at all of this is just.... I dunno. Some special mix of shallow, naive, and conceited. Any advice you give someone is tailored to them and the
autonomous patient gets to take that advice or leave it. If your obese patient has edema due to HTN and wants to get rid of it, the correct answer is to lose weight (and whatever else you want to prescribe, but this is about weight). It is still the correct answer even if the doctor spits bacon flecks while saying it
You are treating the patients like infants here. If the patient wants the symptom to resolve the patient will follow the advice. If the patient follows the advice the patient received a benefit. the doctor should get paid for that benefit he provided so he can buy more bacon
I'm sorry you don't have that sense of moral obligation to people you supposedly care about. I'm sorry that you can't feel that saying one thing and doing another is just plain wrong. I can't give you morals, you have to develop them yourself.
This isn't saying one thing and doing another. This is saying one thing to someone for whom that one thing applies, and then not doing that yourself.
The ONLY thing you have said that approaches accuracy is that some patients (and IMO only those who come in seeking help with weight) may not take a fat doctor seriously about such issues. They can find another doctor
because a good many people know weight control is common sense and aren't dumb enough to think "oh well that doctor is fat, I bet he is lying to me and weight actually makes you healthier!" Seriously that the way you portray these patients. It's sad. But otherwise, the "saying one thing and doing another" argument only applies to issues of morality. i.e. conveying a moral truth to someone and then not following it.
It isnt morally wrong for a mechanic to recommend yearly services but neglect his own car. It may be dumb, but morally wrong? please.... same thing applies to the doctor in this case. If he is fat he only hurts himself, not his patient. Any patient who doesnt trust him will find a new doctor so that is a moot point. It's *****ic for that doctor to be obese because he understands all of the health issues with it, but morally wrong it is not. that is just a completely ridiculous statement. It is yet another example of you lacking the logic required for these discussions and stretching an unrelated statement (in this latest case "saying one thing and doing another") into a completely unrelated topic. That demonstrates a very poor understanding of all of this. Its akin to a child gasping at a naughty word. Why? because its naughty!
"but but but, saying one thing and doing another is bad! mommy said so!" Seriously.... Even if we accept that absurdity for the sake of argument, you still can't link that by any reasonable means to patient harm or lower standard of care so the next layer of your concocted reality still falls apart.
