Quotulatiousness

June 17, 2020

“We don’t need no stinkin’ badges!”

Theodore Dalrymple on the use of badges within the NHS to virtue signal and compel compliance in the unwilling:

Not actually the official symbol of Britain’s National Health Services … probably.

In Britain’s highly-centralized, almost Soviet-style healthcare system, the National Health Service, staff are being encouraged all over the country to wear little rainbow-coloured metal badges to show that they are homosexual, bisexual, and transsexual-friendly, and do not discriminate against them. The wearing of these badges is voluntary, but about 3,000 of the staff of Guy’s and St Thomas’ Hospitals, for example, now wear them. The self-congratulatory website of those ancient hospitals — St. Thomas’ is over 800 years old and Guy’s was founded in 1721, now combined into one administrative unit — says:

    The badges are just one way to show that Guy’s and St Thomas’ is an open, non-judgmental and inclusive place for people that identify as LGBT+ [which] stands for lesbian, gay, bisexual and transgender). The + simply means we are inclusive of all identities, regardless of how people identify themselves.

This language, which combines the unctuous with the bureaucratic, is typical of the way British hospital administrators express themselves nowadays. And if, as Buffon said, the style is the man himself, we may justly fear for a semi-totalitarian future.

By implication, the badges bully the staff, for if any of them refuse to wear one, their refusal is likely to be taken to mean that their minds are closed, judgmental (in the sense of being censorious, for even the attempt to avoid making judgments is itself based on a judgment), and exclusionary. It is to imply that they would deliberately treat any patients in the above mentioned categories differently and worse from all other patients. Wear the badge or declare yourself to be a bigot.

This is an insult to all those people who worked before the advent of the badges (or who now refuse to wear them) who strove and continue to strive always to treat patients to the best of their ability, irrespective of the many categories into which any individual patient falls. In my experience, the great majority of doctors have always tried to do this.

Let me give an example. Working as I did as a doctor in prison, I met many men who had done terrible things. I treated them, as a matter of course, to the best of my ability. I remember, for example, a man who had strangled three children and then impaled them on railings. Though I did not think he was a good man, and in that sense passed a judgment on him within the privacy of my mind, I treated him for his bronchitis exactly as I would have treated anyone else with bronchitis. I did not find this difficult in the least and do not claim any special merit for having done so, for it is only what all my colleagues in the profession did — as a matter not only of course, but of principle.

A couple of years ago, I read the diary of one of Marshal Pétain’s doctors during the latter’s imprisonment after World War II. The doctor had been a member of the Resistance and had no reason to love Pétain, to say the least: Pétain’s supporters would have had not a second thought about killing him if he had fallen into their power. Yet, as the diary makes clear, the doctor treated Pétain, who by then was demented, with the greatest humanity. Moreover, the doctor refused to publish his diary, despite the financial advantage of doing so, because he thought that publishing it would be to break patient confidentiality. It was only after his death, and more than half a century after Pétain’s, that the diary was published. The doctor’s adherence to his medical ethics was impressive, and he needed no badge to proclaim his virtue.

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