Chatting with someone about Critical Social Justice in medicine, with the question being will some real things that are happening lead to horrible things led me to really appreciate the "deepfake methodology" analogy (though Frankenstein's monster works too).

A thread.

The question at hand is whether Critical Social Justice in medicine will lead to situations where people only want doctors, nurses, surgeons, etc., who have certain identities, and what that kind of thing will mean for medicine.

The answer is yes, and it'll be ugly.

What's likely to manifest there isn't really the point I'm getting to, though I'll say a little. "Minoritized" groups will have to have properly "minoritized" doctors to prevent systemic power from corrupting treatment. "Dominant" people get more choice but from a worse pool.

Mostly, by necessity, most professionals will have to be members of minoritized groups and by diversity requirements will also have to be woke to the "realities" of systemic oppression, i.e. critical theorists, many of whom will believe suffering equalizes privilege and teaches.

The pillar of all medicine, primiere non nocere, will be in force but twisted in Orwellian Critical Social Justice fashion to focus upon the harms of systemic oppression ahead of all others. Care will thus be reprioritized and segregated, but that's not all.

In addition prioritizing care to minoritized groups restricting it to dominant groups (to achieve equity of care, equal outcomes assessed ethno-historically), expect cruel lesson-laden treatment of dominant groups. They learn about the evils of systemic oppression this way.

But James, you're like, surely not! That's insane! Well, sure it is, and it's exactly what's already being crafted and fashioned in education in all regards described, so you're a bit naively optimistic if you think premiere non nocere won't be gang-pressed into that service too.

That nightmare wasn't my point, though. The "deepfake methodology" or Frankenstein's monster way of getting there is. The necessary seeds are already planted and completely reasonable. Deepfake has materials upon which to work.

For reference: https://newdiscourses.com/2020/05/deepfake-methodology-limits-critical-theories/

There are already efforts for cultural awareness and competence in medicine (as in education, where they make less normal sense). For example, immigrant communities have cultural, linguistic, etc., differences that make providing care difficult. Integration helps but isn't magic.

These cultural competence initiatives can be valuable and important, both in increasing trust and in providing workable care. Healthcare professionals and their patients need to understand one another, and across *some* cultural differences, the relevance is high. Hello, motte.

Deepfake methodology will take this reality and contort it in its usual ways. That's how we get to Critical Social Justice Hell. "Culture" will be defined as they define it, narrowly and politically. This will happen subversively (for inclusion!) and seem reasonable at many steps

The point in Critical Social Justice is the identity politics, not people (except the grifters it empowers), so making cultural competence about identity politics instead of about helping people will be the real priority.

Learn more: https://newdiscourses.com/tftw-identity/ 

By chopping up cultural competency initiatives and rearranging them into a radical deepfake for their identity politics goals, while resting on their value and expanding it in ways that are clearly, at best, fractionally legitimate but hard to pick apart, they bend it to purpose.

Of course, they'll also brand any resistance as inherently bigoted, uncaring, causing harm (premiere non nocere!), etc., and what happens over time as they keep turning these thumbscrews is that pillars and programs in medicine turn into Critical Social Justice deepfakes.

At that point, with medicine remade from within by means of a *Silent Revolution* that slowly twists the meanings of terms and concepts to its agenda, we can find ourselves in a place, as in education, where the deepfake becomes the only option and the nightmare is installed.

Then, ask yourself: how can you fix it? Medicine is more or less lost and broken, its wells are poisoned, and the cultural communists are in charge of it. You can't fix it without nuking it, but you can't afford to nuke it. Like academia.

Quite the pickle.

Another medical adage seems appropriate in closing here: an ounce of prevention is worth a pound of cure.