“From the very beginning, you have doctors saying, ‘This is not right, this is not the way we want to do this, we can’t take care of people the way we want to,’” said Allen Miller, program director at the Beck Institute for Cognitive Behavioral Therapy in Bala Cynwyd. “That’s an ethical and moral violation of the way doctors think, the values they have, and it challenges what they think it means to do a good job.”