"I think that duty is out of fashion. It isn't what motivates most people," he says. "It's been replaced with weakness and cowardice, narcissism and careerism" The essay was written one or two days after the Uvalde massacre in which students were shot over and over again.
Oncologist and epidemiologist Vinay Prasad argues that too many very expensive drugs get approved by the FDA that have very limited impact on the lives of patients. Prasad explains the incentives that distort the current system. The general problem, he explains to EconTalk host Russ Roberts, is the death of duty--too many players in the health care landscape and elsewhere stay quiet or do the wrong thing in order to serve themselves.