A doctor’s first duty is to the patient. They owe duties to others too (employers, the public interest, regulators, wider public health etc.) but the patient must be the first priority. Public servants have to abide by the Nolan Principles. How about the radical suggestion that “keeping users (and the wider public) safe from harm MUST take priority over satisfying our employers/clients”? Professional self-respect and trust starts with some substantive ethical commitment.