It's an incredibly lame and dubious at best cop-out to avoid having to simply talk about the issue.
It's also incredibly hypocritical to bring up the idea of anti-competitiveness as a defense when essentially the ONLY way to be permanently employed (non-locums) as a rad onc is to go get credentialing from a single source -- the ABR. Why is the ABR singularly allowed to control the supply of rad oncs through subjective examinations but the RRC is not allowed to control the supply of rad oncs through residency program accreditation?
Side-stepping B.K.'s tweet for a moment as the following has nothing to do with him or this particular comment, and making a more general comment/observation about people posting on twitter:
I am really, really troubled by how our governing bodies are using the twitter-verse mob mentality to stifle debate, especially in the context of a society that has maniacally embraced the value of credentialing for almost everything such that asking questions puts your credentialing at risk, and therefore your ability to earn a living at risk. I mean, these are old school soviet-era tactics, and it's the same anti free-speech b.s. that is being used to push false narratives and silence opposing voices in modern politics. Don't go along with the party line? We'll put you under a microscope then doxx you, call you names, shame you, take away due process and have the twitter mob judge you, and get you fired. Forcefully silencing all dissent through fear tactics is easier than having debate you.
How many residents stood up to Lisa Kachnic at ASTRO last year to criticize the ABR's actions when the only option was to have a microphone shoved in your face to be recorded because the question system supposedly wasn't working? So dissenting opinions are all painted as necessarily originating from a small group of lame keyboard warrior internet crazies and those opinions are therefore invalid. The reality is they've created a system where we can't ask questions publicly that challenge the leadership because it puts our credentialing at risk.
There are two alternatives:
1. Anonymous forums like this one. Basically an underground where you can criticize leadership without fear of reprisal. Eventually they grow big enough to lead to...
2. Large scale organized resistance that offers protection through power in numbers. It's hard to gaslight people into believing opinions come from a fringe minority when there are thousands of people willing to put forth their names publicly. E.g., the MOC petitions and class action lawsuits.
History has always shown that leadership will do everything they can to shut down #1 before it can turn into #2. Hence, all the anti-SDN rhetoric on twitter and elsewhere.
