The slide uses direct quotes to expose the contradiction between the physician's knowledge of drug inefficacy and their continued prescription behavior.

The endocrinologist noted the failure of the phase 3 trial and the weak data from the subsequent withdrawal study that pushed it over the line to FDA approval; confessed to what we interpret as guilt and 'hypocrisy' at still prescribing the drug to desperate families; and stated that he didn’t care enough to fight insurance denials

The slide explicitly contrasts the doctor's knowledge of clinical failure with their continued prescription behavior.