What do the voluntary stranglers get out of it? They feel like they're participating in the practice of medicine.
It's parallel to the pleasure of any mass movement, including "democracy" itself. When you riot and "vote" and muzzle, and righteously demand that everyone else must riot and "vote" and muzzle, you delusionally believe that you're part of the power structure.
See Courtiers.Labels: #WholeOfSociety, Answered better than asked, SES
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