Such a good opening line, "The medical profession has an ethic: First, do no harm.
Silicon Valley has an ethos: Build it first and ask for forgiveness later."
It's necessary to establish a policy before you can enforce it.
You can't argue about exceptions if you don't fundamentally support the legitimacy of the policy, either.
"First, do no harm" is a policy statement. Once you accept it, you can make arguments about tradeoffs (pain management, amputation, chemotherapy, abortion), but without having a policy statement, there's no argument being made, just a free-for-all mess.
But, they get away with it since most people sue the drug companies instead of the doctors.
During primetime in the US, you can see the ads for drugs. Wait a few years and you can see lawyers advertising class-action lawsuits for those same drugs during daytime TV.
Then, when you bring it up, someone mentions, "doctors don't harm people. They have a motto to do no harm." Actually, most doctors ignore it and do what other doctors do. Just look at statin drugs: https://www.huffingtonpost.com/jacob-teitelbaum-md/statins-c...
Let's see doctors prescribe magnesium citrate + fish oil instead of statin drugs. "Oh, but fish oil contains mercury!" No doctor ever says, "Be careful of drugs. One gives you side-effects and you will end up on a treadmill of drugs to cover the side-effects of the others."
It's all hard to accept, but Silicon Valley is no different. Except people scrutinize Silicon Valley and Wall Street more than they do their own doctors. Go ask your doctor about statin drugs and see the clever rationalizations they make. No different than the people here who say, "I can't program without NULL!"(https://www.destroyallsoftware.com/talks/ideology)
It’s the downside of the VC model where the investors are insulated from the activity and are just throwing money against the wall and seein what sticks.
Ethical behavior is a cousin of accountability. Tech is about failing fast. When the management and investors in a firm have little accountability in the future of the individual enterprise, why would you expect them to make correct decisions vs expedient ones?