Open dialogue with these people gets you fired like THIS:
At major Harvard-affiliated Boston hospital: Physician expelled from staff for telling the truth about homosexual behavior and criticizing hospitals involvement in Gay Pride events.
Hospital says physicians statements on homosexual behavior constitute discrimination, harassment, and unprofessional conduct.
http://www.massresistance.org/docs/gen2/15b/DrChurch-BIDMC/index.html
Timeline of events: Beth Israel Deaconess Medical Center reacts with hostility and intimidation to Dr. Churchs concerns.
Physician expelled from staff for simply telling the truth to his colleagues about unhealthy lifestyle.
http://www.massresistance.org/docs/gen2/15b/DrChurch-BIDMC/timeline.html
When RJ Reynolds owned Winston-Salem, doctors at Bowman Gray hospital were told not to discuss cigarette hazards.