I thought I'd share a little bit of my thinking behind this tweet.
First, it's topical because I think JD Vance said something to the effect of "illegals shouldn't be served by US ER staff" though I didn't verify because I don't really care for Vance and don't want to absorb his words. But his words ARE getting a lot of play right now.
Why I bring in the Hippocratic Oath is not because I misunderstand it! I indeed checked it before I even wrote the tweet since I appreciate things popping into my head and then refreshing my "schema" on them. I brought it in for two reasons:
A) It needs updating since a doctor is sworn to do no harm but his very livelihood is reduced by helping a person who is a drain on the system he is forced to participate in by the State
B) We need to rewrite terms in order to fit OUR culture - therefore I use words in my own specific way. Just enough in the direction of the general drift so that people catch on with it but also within the purview of my values (universal philosophy).

Just a little something I thought to write in here, as I was in the sauna, because it could be an odd tweet at first glance!