Equity, Diversity, and Inclusion — Is EDI Unquestionable?

A perfect (underaged) board of directors?

In 2020, the American EDI movement exploded into Canada. EDI is the latest fad every modern organization must reflect.

At a glance, EDI seems unquestionably true. It simply stands against unfairness, group think, and hatred of outsiders.

But it is not so simple.

Humanities professors have written about EDI for fifty years. Articles grew out of the 1960’s American civil rights movement and created a new area of expertise. Today, high-priced consultants retrain bureaucracies by expunging bad thinking and replacing it with new ideas.

According to EDI, an ideal board of directors should look like a middle-aged Benetton ad. Equity means equality of outcome. The consultants will say this is wrong and far too simple, but they will love the ad.

The Ontario Medial Association and Canadian Medical Association take great pains to prove they are on the cutting edge of EDI. No one need question their passion.

Is EDI New?

Unquestioned truth—especially when it fuels a social movement—should give pause.

EDI has rebranded ideas as old as Plato. However, EDI experts insist all thought prior to their own enlightenment suffers from unconscious bias (unless they say otherwise). EDI is truly new under the sun.

Equity is just the same old equality agenda. “Equality” risks someone saying everyone should get an equal chance to try out for the team. That is not good enough for equalitarians. Everyone should be on the team.

In The Republic, Plato presents a utopian society built on equality.

Children should be taken from their parents and put into a state home. Kids need an equal start, equal training, equal nutrition, and equal exercise.

Parents should also participate in their own group exercise classes, in the nude.

Some assume Plato was joking. Others disagree—he simply offered a solution which takes the problem of equality with proper seriousness.

The pursuit of equal outcomes is an ancient idea.

Rousseau: the First Radical

EDI also repackages Rousseau’s work from the 18th century.

Man is born free, but he is everywhere in chains.

Rousseau said social institutions condemn people to suffer lives of unfair treatment. Today for example, boards choose people using systems which lead to unfair (unequal) outcomes. Continue reading “Equity, Diversity, and Inclusion — Is EDI Unquestionable?”

Celebration Without Politics – A Canada Day Post

Since 1982, July 1 is Canada Day. It was Dominion Day 1867-1982

Celebration of anything or anyone requires one of two mindsets.

The first mindset is make-believe. We pretend something is what it is not. We sing, dance, and light fireworks in false celebration.

Eulogies about abusive drunks being great family men call us to false celebration. We pretend the bad did not exist, and we focus on the good … or make it up.

The second mindset requires gratitude and humility. Gratitude directs our mind to the good, humility to the bad.

We take a principled stance of thankfulness — principled because it requires more than emotion. Principled thankfulness chooses to remember the good, even when the bad creates emotions which make thankfulness almost impossible.

True humility comes in knowing the full extent of our failure and that it could have been worse. We know our current failure is not anywhere close to demonstrating how badly we could screw things up if we try.

Enthusiasm

Healthy, mature minds hold two or more things in tension, all the time. Children and certain personality disorders hold only one thing in mind at any time. They are having The Best Day Ever! or the worst day of their lives. Everything splits into all good or all bad, and at full emotional intensity.

When an immature mind adopts a mindset of make-believe celebration, it abandons reality. It uses a vision of false purity to create unfounded enthusiasm.

Enthusiasm is like starter fluid. It makes everything light up. Enthusiasm works equally well for celebration and penance.

Celebration becomes ecstatic and intolerant of any balance. Getting together is not good enough—it must be wild! Continue reading “Celebration Without Politics – A Canada Day Post”

Faith in Forms Changes Medicine

Still buried in forms.

Clinic walls used to sag with special shelves and trays full of forms. Cupboard doors refused to close as forms refused to stay inside. Extra forms always slipped out onto counters and floors, when you tried to yank one out from the bottom of a pile.

A secretary’s job description included being able to answer: “Where’s the form for the new clinic?”

Last time we looked at forms, I aimed at bureaucrats and the heavy loads they tied on doctors’ backs. It was accurate but not entirely fair. Many physicians (most?) love forms and hide an insufferable desire to bureaucratize.

Thousands of Forms

Computers now store all our old paper forms, plus hundreds and hundreds of new ones—over 1,100 in some cases.

One form is for ordering a CT scan at Southlake Hospital. Another for CTs at Markham.

Anything required outside the clinic needs its own form. Hand-written notes will not do.

Inside hospitals, Pre-Printed Orders multiply forms near infinity.

Forms set the standard of practice for all tests, most treatment protocols, and many referrals.

Doctors started designing their own clinical forms for personal use years ago. It started with simple stamps and templates designed to speed the chore of charting negatives—just paste the same idealized note over and over, while adding positives if necessary.

Today, chart-taking excellence means inserting a scoring tool for every clinical question for which a scoring tool exists. The only thing worse than not using a clinical form is not knowing one exists for the clinical problem at hand.

Does your patient feel depressed? There’s a scoring tool for that.

Anxious? One for that too.

Confused? Forgetful? Out of shape? Look in the forms’ list.

Even if you cannot find a form to fit perfectly, you can tweak the patient history a bit. Everyone will think you much smarter for having used a form.

Redundant Forms?

A dozen different versions of a similar form begs for streamlining.

Pray no one takes notice. An enthusiastic manager might convene a committee to help simplify your forms and propel him up the civil service at the same time. Continue reading “Faith in Forms Changes Medicine”