One of my best friends is an accountant. He knows about as much about medicine as I know about double entry bookkeeping, which is next to nothing.
Early in the COVID pandemic, he asked me about the rules. He was not trying to make a political point. He was trying to make sense of what he was being told.
Why did he need to wear a mask while waiting for a table at a restaurant, but not while eating? Why did his two year old need to wear a mask at daycare, but take it off to nap? Why were playgrounds locked up? Why could people exercise on the beach, but not sit there with their family?
And perhaps most damaging of all, why was protest described by many as a public health imperative, while keeping a business open was treated as reckless?
That is when a lot of ordinary people started losing trust. Not because they suddenly became anti science. Not because they were too stupid to understand public health. Because they could see the inconsistency, the hypocrisy, and the moving goalposts.
I understand why physicians are frustrated by partisan ideology. I do not administer vaccines, but I can imagine this is a miserable time to be a family medicine doctor who does.
But pieces like this are part of the problem.
The breakdown in trust did not begin with Trump, RFK Jr., or Casey Means. The Casey Means nomination was unfortunate, but it was a symptom of the disease, not the cause.
In California, Gavin Newsom ordered sweeping restrictions on businesses and ordinary life, then was caught dining at the French Laundry with executives from the same California Medical Association that published this piece.
People remember that.
So maybe we should stop pretending trust was destroyed only by the other tribe. It was also destroyed by leaders and institutions that demanded sacrifice from everyone else, then acted as if the rules were optional for themselves.
But rebuilding trust will require honesty, humility, and a little less partisan finger pointing.
Pieces like this do not rebuild trust. They remind people why they lost it.
"What is happening to our profession and our patients troubles me deeply," says California family physician Dr. Alex McDonald in this new op-ed. "The intrusion of partisan ideology into clinical care is a public health crisis." Read the full op-ed now at
cmadocs.org/newsroom/news/vi…