Think of this scenario: heart surgeon says to his boss "if my success rate was 100% and I was saving lives, nobody would say a word". Director of Cardiac surgery: "You haven't been to a cardiac surgeon conference in 30 years, you are using the same techniques as existed when you first entered practice, and your success outcomes are not just the worst of this hospital, or even this region, you are literally performing at the bottom tenth percentile for the entire country. You are lucky I'm just firing you and not referring you to the boards and for criminal prosecution.
We have hit Radio Gorlden Defcon 1, people. These guys are beyond oblivious, they have no shame.