You are an expert in your field of medicine. You are much better at making predictions from data in it than lay people and you are vastly better at effecting changes in your domain of expertise than laymen. That’s real expertise, like engineers, meteorologists, astronomers, microeconomists, or engineers have. Then there are people who are experts on talking about something but have no expertise in doing. Art historians are quite close to astronomers here in that they can be very good at out of sample tests and prediction but have limited ability to do things because their field doesn’t call upon them to do more than render accurate judgments. Then there are people who master a body of lore, who are called upon to discuss things. Ethicists are in this group, like priests, pastors or imams.
Ethicists are experts in talking about ethics. They have no special expertise in acting ethically, compared to other philosophers[1].
Ethicists have expertise in what amounts to a body of administrative law, like rabbis, imams or canon lawyers.
And we have strong evidence of actual harm caused by them. If bioethicists can’t get their shit together enough to defend compensated kidney or gamete donation they aren’t even broadly neutral. There are people being paid to argue against saving lives, and against helping to bring into the world new lives that are actively wanted. There are ethicists who argue that poor people can’t really consent because the offer of some good to sufficiently poor person qualifies as duress.
The Nuremberg Code is good. The system of IRBs and bioethicists built up around it is not just bad, it’s genuinely awful.
[1]The moral behavior of ethics professors: Relationships among self-reported behavior, expressed normative attitude, and directly observed behavior
Eric Schwitzgebel & Joshua Rust
https://philpapers.org/rec/SCHTMB-4