Captain X said:
JUst thinking of a couple off the top of my head, both Strange New World and Shuttlepod One were much better than Dear Doctor, even if they weren't "issue" episodes. To me, Dear Doctor was up there with Stigma as an example of what was wrong with ENT.
They weren't issue episodes, but they weren't great either. I'd qualify them both as two okay episodes from the first season, but not nearly as interesting as "Dear Doctor".
Anyway, the "Dear Doctor" approach to morality is hardly confined to ENT, nor was it more heavy handed than it was on TNG or VOY, say. While I don't think those shows had as much of the same problem with simple, straightforward stupidity that ENT had. This was one of the few episodes of ENT's first season - or any season - to tackle a moral issue and, unlike "Detained" and "Desert Crossing", it made a serious and reasonable effort to show both sides of the coin in the argument. And unlike "Stigma", it did have intelligence.
Personally, I'll take Phlox arguing his ethical stance to Archer, however reprehensible I might find it, over Malcolm fantasizing about T'Pol calling him "Stinky". Most of ENT's best episodes are light, escapist fare - like most of the excellent S4 trilogies. I think this is the one episode that tackled a more serious issue and came off best, which is why I consider it the best episode of the series.
I probably should also mention that Phlox was the one character who was a real improvement over his predecessor. Most of the ENT crew were clearly modelled on one or more characters from past ST shows - mainly TOS (as in the Archer, T'Pol and Trip triad with the supporting minority cast) but also VOY (Seven and Neelix being T'Pol and Phlox). While some of the characters turned out okay and quite interesting, Phlox was a distinct improvement over Neelix - Neelix as he should have been, really.