We must navigate very different fields then , because what I'm seeing cannot be "professional disagreement" mistaken for something else. But even so, this is a sterile debate. What is important is that our academic system selects for bad actors in all fields through the "publish or perish" motto. In my field at least, dedication only will rarely propell you to full professorship, because you are competing with those who are dedicated to both research and academic misconduct. Noone becomes important by being nice. A second and important downside specific to medicine is that most academics also do clinical work. Now what do you think happens when the guys running the clinics are hiding in their office most of the time to write papers? Lack of supervision of juniors, in addition to the fact that hiding in your office often does not make you the best clinician.

What's truly sad is that people will often push for being cared for by the big fish professors when it's actually often the worst choice they have.