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1* AlternateAesopInterpretation: The Valakians are holding the Menk species in hovels and keep them as a SlaveRace. Phlox's only comment is that on other worlds, the Menk would have been subject to a FinalSolution. The plague being allowed to ravage the Valakians would free the Menk from bondage.
2* BrokenBase: This is a strong contender for the most divisive ''Enterprise'' episode. Generally speaking, those fans who agree wholeheartedly with the Prime Directive tend to like the episode, while fans who are more critical of the directive (or at least how it was typically used in the latter stages of the Berman era) ''really'' don't like it. And in the middle, there are fans who do in general support the directive, but consider the episode a wasted opportunity for having Archer and Phlox behave like it already exists, rather than showing Starfleet making the kind of mistakes that could have resulted in the creation of the directive (something that even ''Series/StarTrekTheOriginalSeries'' had depicted, despite being in a setting where the directive had been established for decades).
3* {{Narm}}: The {{foreshadowing}} for the Prime Directive officially becomes silly with the huge emphasis Creator/ScottBakula gives the word "directive" while discussing a hypothetical future rule Starfleet will have. Some fans even found it so weird that they remembered him going even further and saying "a directive which is prime."
4* TheyWastedAPerfectlyGoodPlot:
5** The whole point of a prequel series was to explore a rougher, unrefined Starfleet still working out its kinks, but a potential conflict between Captain Archer and one of his officers is removed so as not to undermine the captain's authority. [[Series/StarTrekVoyager Where have we seen this before?]]
6** Phlox and Archer find that a species is held in bondage to another one as well as kept from any sort of integration by a lot of dubious pseudo-science claims. However, the ruling species is the one suffering and to help them will keep them in power.
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