He knows them because he works with them: nurses who kill to save their art pieces from going down in value; internists who kill significant others to prevent them confessing stuff to fiancées and bosses; doctors who kill to protect their legacies--or make money.
Even Alan Rachins shows up as a bad guy!
The
reason Sloan's kindliness is so excellent is that unlike many
detectives on television, Sloan doesn't automatically, instinctively
know that a particular person is a bad guy. Every now and again, he has
less than fond feelings for potential bad guys, but most of the time, he
is willing to give people a chance. He is as surprised as everyone when
they go bad.
A lot of relationships on Diagnosis Murder have a vaguely sociopathic quality--that is, the murderous boyfriends or girlfriends are so self-interested and conniving, they easily fool others with their charm. On the one hand, these characterizations may seem like a way to excuse Sloan's "blindness." However, there is another possibility, namely--
People are good until they aren't.
Mark Sloan, played by the excellent Dick Van Dyke, treats nurses and internists and doctors as decent human beings because they should be; they can be. If they then do evil things and make evil choices, that is on them, not on the genial doctor who gave them a chance.
It
is a remarkably advanced moral perspective that is quite consistent
throughout the show. Fate does not make criminals, even criminals who
have suffered. Even criminals who were pushed too far.
"I didn't have a choice," one murderer tells Sloan.
Sloan treats everyone with respect because until they kill, they are in fact deserving of respect. They aren't inherently bad due to a future action (or a label or group identity). Badness is contingent on behavior.
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