They are beyond the reach of anyone. They have no need to be fair or responsive to anyone.
They just don't care what anyone, including this ER doctor, says.
The only thing that would make them change is their vanity, if they fell out of the 'cool' group of liberal schools. Or if no kids wanted to go there because it was no longer 'cool'. Or if no professor wanted to work there because it had lost its reputation.
Believe me there are LOTS of other not so famous schools where you would receive a better education in just about anything, including their so called great med school.
Their endowments and the vanity of their alums, faculty, and wannabe students keep them afloat and inflated.
They are walking dead in my mind. Legends in their own minds.
Karma will get these evil institutions.
It just may take a while.