I see the broad point Waytz is making, but the ranty delivery is pretty silly. Why is the doctor's act not selfless? It certainly appears to be motivated by altruism (even if that altruism is misguided, from a utilitarian perspective). Having a non-utilitarian moral code is not the same thing as selfishness.

Second, the anger in that comment seems to have more to do with a distaste for deontological altruistic gestures than anything else. I really doubt Waytz would be as mad if the doctor had simply decided that he had had enough of working in the medical profession and decided to open a bistro instead.