Yes I posted something, then edited it and tried to post it again. I figured it might show up eventually, but oh well.
Anyway, basically what I said was that it seems to me you’re interpreting the sutta as saying that ANY and ALL actions done by a person who holds one or more wrong views will ultimately be bad, but I don’t think that is the case. In my opinion, interpreting it that way is too much of a sweeping generalization. Instead, I think the sutta is making a very specific statement; any kamma that is undertaken “IN ACCORDANCE WITH THAT [wrong] VIEW” will lead to what is undesired.
So that doesn’t mean that a person who happens to a hold a wrong view is totally incapable of doing good deeds or that genuine good deeds done by that person won’t bring good results. Like in your example of a doctor, it may be the case that a person with a materialist’s outlook on the world might still help others out of a genuine sense of altruism. I think it’s possibe that such good actions may have another root cause that is unrelated to their materialistic viewpoint, since all people have a mixture of lobha/dosa/moha and alobha/adosa/amoha.
But a person who undertakes an action with a micca ditthi as the fundamental motivating factor for that action will end up with what is undesirable. In extreme cases (like Lal’s suicide bomber example), actions born out of such wrong views wouldn’t be considered good deeds anyway; there would be no gray area. But since most people’s actions aren’t that extreme and all people have a mixture of good and bad gathi then the “genuine goodness” of certain actions in certain situations can become ambiguous. For this reason I think it’s a very complex issue to try and determine how karmically fruitful a given action is by trying to precisely pinpoint what sort of world view the action might have arisen from.
Somebody correct me if I’m wrong, but isn’t it true that any Ariya will still have minor wrong views about what is and isn’t good to do until they reach the Arahant level, because until that point Samma Ditthi is still incomplete?