"It is like a totalitarian regime: anybody who criticises it is said to be mentally ill - what used to happen in Russia."
These are the words of a high court judge and he was describing the GMC. Classic signs of a totalitarian regime is its complete inability to react sensibly to criticism, rather than listening and acting to improve things, a totalitarian regime will silence any criticism at any cost, it will brutally throw around its power and ignore due process in trying to bully its own way.
Another thing that is true of totalitarian regimes is there complete inability to take a joke, they will react violently and aggressively to satire or humour when it is directed at them. Anyone who is a regular in the medical blogosphere will have read the amusing, intelligent and sometimes overly offensive Dr Rant. There are rumours concerning Dr Rant and the subject of this piece. Certain fights are rather unwise as they will attract one hell of a lot of unwanted attention and I suspect this may be one of them.