Sorry for the double-reply, but I realize I didn't address the meat of your comment. > When people hold a self-perception of what they do that is wildly at odd

Sorry for the double-reply, but I realize I didn't address the meat of your comment. > When people hold a self-perception of what they do that is wildly at odds with what you think they do, it's often because folks who actively believe they are doing bad for the world are often so bitter that nobody wants to be around them. I don't agree with this, at least as applied to my comment. There's a wide, wide gulf of reasonableness between "what I do is unhelpfuly and unworthy" and "everyone in my industry is an omnibenevolent, maximally-selfless angel". I'm quite proud of the work I do without thinking this, and as I mentioned in my previous comment, if my sister had a possibly-irrational but not totally-unreasonable greater pride in her work, I wouldn't blame her at all. But doctors who consider themselves a separate moral species from human beings aren't just egomaniacs, they're _dangerous_ (as I said, my sister luckily grew out of this a little bit).