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I have a gut feeling that he may have been practicing bigotry against some demographic or other. Possibly an "out group" like obese people. Wouldn't surprise me if others in the system turned a blind eye to it. I hope I'm wrong about this.
Also, having worked in a hospital previously, some surgeons are revered as gods. I've seen it.
You ask me if I have a God complex? Let me tell you something. I am God.
Malice, right? That monologue could be used pretty well to point out the stupidity of giving all the credit to god and none to the docs who do the actual work, arrogant as it may be. The rest of the movie doesn’t reflect any of it, but still
He takes it up another notch, partially because he believes it and partially because he is trying to lose the malpractice suit. But yes, there's truth in it.
It’s not impossible but a popular theory in medical circles is that he was trying to steer transplants to patients that he thought would have a higher success rate. Surgeons are judged based on their patient outcome statistics and their bonuses are tied to it as well.
That would make sense. You'd think they would weight those numbers, since they are always being evaluated. Maybe this case will spark some changes, since hospitals are always in CYA mode.