Dear Julien -- thanks for the comment. Actually, I did not mean to imply that I had any perference for an insurance/payment model. But I think it is unavoidable that MDs would be involved in the issue -- partly it determines their pay (a guild issue which, I think, is becoming less important to them as private practice is becoming a relic) and also because they want their patients and the public to have access to care. I also agree that a lot MD's who advocate for one policy/legislation over another probably don't really understand the nuts and bolts. But I do see their engagement with coverage as much more valid than with electoral politics or the vague goal of dismantling racism. Lastly, as a patient, I completely agree. I want my doc, especially if I have a complex illness, to know the literature inside and out and to be as experienced in treating such cases as possible. His or her political activity is of no interest and if he/she were vocial about it, would strike me as a worrisome distraction.