In the March-April 2024 Journal of the American Pharmacists Association, there is an article that may drastically affect the practice of pharmacy in the United States. It is, unfortunately, not an article that describes a new life-saving drug that pharmacists can counsel their patients to use correctly, but rather it is about “Exploring LGBTQ+ cultural competency and DEI in continuing education: A cross-sectional review of U.S. pharmacy legislation.”

The article by Ko, et al. approvingly writes about California Assembly Bill 2194 that requires an hour of continuing education in so-called cultural competency for pharmacists (approximately 32,000) and pharmacy technicians (approximately 37,000) to renew their licenses: “Requiring LGBTQ+ cultural competency training will help pharmacists uphold the Oath of a Pharmacist to promote inclusion, embrace diversity, and advocate for justice to advance health equity and to assure optimal outcomes for all patients.” The Oath of Pharmacist was updated and adopted in November 2021 by the American Academy of Colleges of Pharmacy and the American Pharmacist Association to reflect the “commitment to diversity, equity, inclusion, and anti-racism.” In particular, the Oath now includes the following vow, “I will promote inclusion, embrace diversity, and advocate for diversity to advance health equity”. In other words, these two organizations bowed before the asherah of BLM and included this vow.

Critical Cultural Revolution Theory

Before proceeding to the particulars of AB 2194, which is being challenged in court, let’s define what is meant by diversity, equity, inclusion, belonging, anti-racist, etc. In its essentials, DEI, or Critical Race Theory (CRT), is Frankfurt School Marxism: Critical Theory focused on race. DEI and related initializations are hard to keep track of, so we’ll use the term Critical Cultural Revolution Theory (CCRT). It is a critical theory that is focused not only on race, but has more generally replaced Marxists’ concerns with labor with culture (race, gender, immigration status, etc.) and includes its own versions of Marx’s Labor Theory of Value and Alienation. Further, its stated purpose is cultural upheaval and the tearing down of the biases inherent in the current societal structures.

For CCRT, instead of the capitalists exploiting the worker, the “privileged” exploit those who are “unprivileged.” The former enjoys “profits” at the expense of the latter by the very nature of their privilege. Since there is a privileged class, this causes alienation in the unprivileged where this disparity of privilege can only be solved by a society that is fully planned and controlled without competition. As such, these contemporary Marxists speak of diversity instead of e pluribus unum, equity instead of equality, inclusion instead of liberty, and as we’ll see, humiliation instead of humility. Thus, CCRT is a totalitarianism based on a hierarchy of race, sex, gender, etc., where some of these groups are more deserving of governmental protection and largess than others. The groups mentioned in AB 2194, which became law through the backing of the California Pharmacists Association and sponsored by Assemblyman Christopher Ward, are enshrined as an especially deserving group since a class of medical professionals are required to be indoctrinated on their behalf.

Indoctrination

The germane section of AB 2194, which will be quoted in full:

Section 4231 is added to the Business and Professions Code, to read: 4231. (a) For purposes of this section, “cultural competency course” means a cultural competency and humility course that meets the following criteria:

(1) The course focuses on patients who identify as lesbian, gay, bisexual, transgender, gender nonconforming, or queer, or who question their sexual orientation or gender identity and expression.

(2) The course is approved from an accreditation agency approved by the board.

(3) The course covers recognized health disparities faced by Black, Indigenous, and people of color.

(4) The course contains elements demonstrating how sexual identity is directly impacted through intersectionality.

(b) The board shall not renew a pharmacist license unless the applicant submits proof satisfactory to the board that the applicant has successfully completed 30 hours of approved courses of continuing pharmacy education, including at least one hour of participation in a cultural competency course, during the two years preceding the application for renewal.

While this is referred to as a cultural competency course, note the law states not merely cultural competency, but also humility, by which is meant humiliation. One must not only respect the values and beliefs of “lesbian, gay, bisexual, transgender, gender nonconforming, or queer, or who question their sexual orientation or gender identity and expression” people but humble himself before the ashram of LGBQT+. The law is not saying that a pharmacist or pharmacy technician should treat all patients the same regardless of their background, beliefs, etc., but to meet the above criteria, the medical professional needs to further respect their beliefs and humiliate himself in the manner of a Maoist struggle session. The Marxism of CCRT has cast off its class warfare pretenses and instead will use your capitalism (wanting to remain employed) against you by forcing you to take the continuing education course in culture competency. Further, this law has at least two layers of violations of conscience. First, if the pharmacist or pharmacy technician is opposed to the tenets of CCRT, there is no way the pharmacist or pharmacy technician can avoid the training if he would like to keep his license. Second, the law presumes that certain groups should receive special treatment whereas a pharmacist or pharmacy technician is called to treat all his patients the same with competence and care.

While this continuing education requirement seems modest since it is only an hour every two years, let’s return to the law to see that it is not as minor as it may seem: “The applicant has successfully completed 30 hours of approved courses of continuing pharmacy education, including at least one hour of participation in a cultural competency course.” Before this law, the pharmacist or pharmacy technician had to have 30 hours of continuing education, and they still do, but one of those hours now must be on Critical Cultural Revolutionary Theory. So now there are only 29 hours that are required that are actually relevant to pharmacy practice. Additionally, the law states that there must be at least one hour of participation, meaning that an individual can fulfill his continuing education requirements with up to 30 hours of Marxism, where the balance of actual pharmacy practice continues to decrease. Unfortunately, this CCRT trend in pharmacy has also spread to another Marxist asherah: the cult of climate change. In this same issue of the Journal of the American Pharmacists Association, there are articles entitled, “Earth Day: An opportunity for pharmacists to act” and “Challenges to decarbonizing medication prescribing and use practices: A call to action.”

Struggle Session

Consider the case of a woman pharmacist who is a Vietnamese legal immigrant, not LGBTQ+, and who is described in AB 2194 as a demeaning afterthought: “and person of color.” As the pharmacist sits through the training, she is being extorted in order to keep her license and hence, her job. She may wonder why women are not included in the above list. Perhaps this is because 61.6% are pharmacists in California are women. Further, in California, 53.5% of pharmacists are Asian, which means that Asian women are roughly 1/3 of the Californian pharmacists while being about 8% of the population. Thus, this pharmacist may justifiably conclude that this “cultural competency and humility” requirement is being directed at her exact demographic since if Blacks and Hispanics are “underrepresented” as pharmacists, then that must mean she is “overrepresented.” This is her bourgeois crime akin to Wang Gunagmei’s pearls and for this, she must likewise be humiliated.

Critical Cultural Revolution Theory’s goal with respect to AB 2194 is not for better health care for a selection of so-called marginalized groups. There are no reports, studies, or articles of those enumerated groups in the legislation being mistreated or receiving inequitable care from pharmacists and pharmacy technicians in California. AB 2194 is not trying to fix a known problem, but neither is it a solution in search of a problem. Rather, it is a manifestation of California’s government stifling any thought that does not conform to the progressive gods of the day. This is not only morally damaging to those being extorted to take the training, but professionally dangerous since pharmacists and pharmacy technicians are being subjected to Marxist brainwashing at the expense of learning more about actual pharmacy practice that can save lives.