Most of my colleagues get pissed off when I point out that MDs belong to a guild and that medical school is as much an apprenticeship to join the guild as it is training to reach certain knowledge and performance standards. The AMA call itself an "Association", the Writers' and Directors' Guilds are perhaps more honest. But almost all professional organizations start out with one premise: How can we keep others from stealing our business? Let's limit the use of our organizational name/letters after their names to our paying and buddies. Oh yeah and we'll "grandfather" in some real talent/famous names to make it look like our club didn't just leap out of nowhere. God knows, it's easy to become a multi-card carrying sport diver. That's the business. To become a nitrox blending, tri-mix breathing, pony spanking, monkey petting (hate horses, love primates) instructor takes (1) knowing and paying a Someone (2) who thinks you won't be too much competition and (3) won't disgrace the guild in public - more often than they do. That's the guild. The last part is where public safety comes in. Only if your the KKK is it in your guild's interest to be associated with fear, loathing and messy public deaths. It sounds professional to espouse motherhood, the flag, apple-pie and road safety. The AMA could care less about doctor-assisted suicide, except it might make all doctors look like murderers - that would be bad for the guild. Never mind the folks who are genuinely in pain. The dive agencies are wracked by the paradox that they want to train every last biped (cognitive or otherwise) to leap from boats into the water and leave their wallets on shore. They would also like *most* of the said suckers to return to their loved ones, if only because you get more money from a live sucker than a dead one. So why are PADI, NAUI, SSI, PSA etc. any different from any other guild? Whatcha expect? Philanthropy? Physiology? P Heseltine, MB, BCh, BAO, FACP, FIDSA, PADI, PSA, *RUBE* etc etc etc
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