meta_pixel
Tapesearch Logo
Log in
Hospital and Internal Medicine Podcast

The JAMA controversy and loss of conversation in medicine

Hospital and Internal Medicine Podcast

Gil Porat, M.D., FACP, CPT

Health & Fitness, Fitness, Science, Health & Fitness:medicine, Medicine

4.7587 Ratings

🗓️ 5 April 2021

⏱️ 19 minutes

🧾️ Download transcript

Summary

My take on what went down at the Journal of the American Medical Association. I disagree with the comment there isn't "structural racism in health care", but was the backlash against the Editor who didn't say it (and actually opposed the comment) an over-reaction? Can we have discussions about the controversial issues that affect healthcare (like gun violence or abortion) without cancel culture cancelling the people who want to have nuanced discussions? I fear we lost the ability to have dialogue in a field where every MD/DO/PA/NP by definition has an advanced degree - and therefore we should be able to dispute misinformed statements to bring about change without the outrage going so far as to fire a person who actually objected to the hurtful statement.

Transcript

Click on a timestamp to play from that location

0:00.7

Today I read that the current average annual salary in the MBA is $8.32 million a year.

0:08.0

And I was thinking about that greater than $8 million year salary and thinking about how much the MBA excludes people from getting that salary.

0:19.1

People need to speak up and demand that a certain percentage of

0:23.5

short guys and women and people in wheelchairs and a higher percentage of white guys have access

0:29.2

to those salaries. That is such a big salary. And clearly what I'm saying is woke, man. I mean,

0:35.2

not enough people are going there with the MBA.

0:42.9

And if I was serious about that, you would all turn me off now as an unseen person with extreme views. And at the same time, I think it's also fair to say that there are fields out there

0:48.1

where gender and race bias exist or did exist, and where people have been very excluded unfairly from making

0:58.7

headway into those professions and as a result have been excluded from incomes that they should

1:06.0

have been able to participate in for them and their families and their next generations.

1:12.2

And threading that needle is getting really hard. I mean, if someone tries to dig into issues and

1:17.0

doesn't have an exact opinion of those with extreme views, the cancel culture attempts to

1:21.7

smash that person's house down. And it does exist on both sides of the aisle, probably a little

1:27.0

bit more on the liberal side these days.

1:29.4

But that's not to say there are right-wing people that don't try and cancel, whether it's Cardi B, or gay people, or transgender people, or atheists.

1:38.8

We probably wouldn't even have rock and roll and rap over the airwaves or on the internet or half the movies or TV shows

1:46.9

if it were up to crazy people that get to decide decency standards, right? And what I'm not trying

1:53.7

to say is that everything and anything can be done at all times. And we're really just coming out

1:58.6

of this pandemic. We've seen these debates flourish, right?

2:02.4

Like so, the anti-maskers, for instance, versus the people that felt all of society should be

2:08.7

completely shut down for however long this virus exists on the planet. These were extremes,

2:15.0

and these extremes don't work, just like we have to have traffic laws.

...

Please login to see the full transcript.

Disclaimer: The podcast and artwork embedded on this page are from Gil Porat, M.D., FACP, CPT, and are the property of its owner and not affiliated with or endorsed by Tapesearch.

Generated transcripts are the property of Gil Porat, M.D., FACP, CPT and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.

Copyright © Tapesearch 2026.