The feeling of moral responsibility is inversely proportional to the distance between the moral agent and the point of responsibility.
The closer the point of responsibility, the greater the feeling of responsibility.
To illustrate: it’s easier to blow the face off of a toddler by passive consent to war when she’s 6,000 miles away than 30 feet in front of you. Why? It’s much easier to justify the killing when the toddler has no face to begin with in your mind’s eye.
This is why banality is so evil – if you don’t feel a sense of responsibility, it’s harder to step up. You feel no reason.
With that, let’s explore how our healthcare institutions, ideologies, practices, providers, FDA, HIPAA, information systems and vendors can continue to kill patients…and get away with it.