We’ve been in an oligarchy for a while, according to an Oxford study of US history and the policy voting behaviors of elected representatives. It’s only gotten spicy since Reagan, when the Republican party decided it had enough power to take all the cake (and is trying to do so).
The Federalists tried this before, which caused the party to die out and the Democratic Republicans to split. (Source: Helen Cox Richardson) It’ll be exciting to see how this all plays out.
This is the purpose of patient-doctor privilege, since it is beneficial to the community that people come to be treated (say for STIs even if they were transmitted during unlawful action, say, sex with underaged persons) It’s the doc’s job to treat patients regardless of parental consent.