Following a debate at the American College of Psychiatrists’ annual meeting, the audience was provided with four options: retain the Goldwater rule, abandon the Goldwater rule, modify the Goldwater rule, or abstain from voting. A large majority of the audience voted for a modification, overwhelming all three of the other options (Bosworth, 2018). Dr. Steven Sharfstein, a past president of the APA and a paragon of ethics in resisting governmental pressure during the Iraq War to modify ethical guidelines to allow for torture, as the American Psychological Association had done (Ackerman, 2015), was in that majority. A poll by Psychiatric Times specifically addressing the instance of Trump yielded tenuous support for the APA’s position at best (Moffic, 2018).