In his excellent novel, A Gentleman in Moscow, the author, Amor Towles writes about early Soviet equalitarianism. The main character (the Gentleman) having placed his luncheon meal of a fennel and orange salad, followed by osso buco, ordered a bottle of San Lorenzo Barolo, 1912. The waiter asked if it was a red wine and the Gentleman, a bit taken aback for he was in a fine hotel restaurant, confirmed it with good grace.
Before the wine arrived, the Gentleman had an opportunity to speak to the manager who explained that the waiter was brought on as an employee “because he knew someone.” Then the manager asked his guest to follow him to the wine cellar, which was one of the best in Moscow with over ten thousand cases of wine. To the dismay of the Gentleman, he found the labels had been soaked off every bottle, so there were only white wines and red wines. The explanation was that under the new Soviet system, it was unfair for one wine to cost more than another, hence the stripping of the labels. Now, all wines were equal.
I mention this tale as it leads quite well into the column by Heather Mac Donald on the great levelling in our medical schools. Under the cover of battling racism and providing equity, many schools are dropping grades based on levels of knowledge and replacing them with the simple pass/fail system. This is because the universities are demanding medical students be actively involved in the battle against racism based on the goal of wanting to, “prioritize an integrate the voices and ideas of people and communities experiencing great injustice and historically excluded, exploited and deprived of needed resources such as people of color, women, people with disabilities, LGBTQ, and those in rural and urban communities.” These concepts are pushed so hard, that the medical students do not have sufficient time to study medicine. Hence, the dumbing down of a profession. Are Maoist self-critical confessions next?
There use to be a good argument for getting a younger doctor as they could be more open to new medicines, procedures, and technology. Those days may be behind us. More and more it appears that diversity+equity=lowering standards.



