Doctors valuing their position as an authority, and caring enough about this to threaten to withhold vital care until their authority is affirmed, seems like it would necessarily entail the kind of distrust you’re worried about. The paradigm of epistemic authority is one where information can only flow down power gradients—there’s no way someone with lower rank would know something that someone with higher rank is ignorant of.
Obviously this is a terrible paradigm for any kind of healing that requires knowing about the patient.
Doctors valuing their position as an authority, and caring enough about this to threaten to withhold vital care until their authority is affirmed, seems like it would necessarily entail the kind of distrust you’re worried about. The paradigm of epistemic authority is one where information can only flow down power gradients—there’s no way someone with lower rank would know something that someone with higher rank is ignorant of.
Obviously this is a terrible paradigm for any kind of healing that requires knowing about the patient.