I think the extreme complexity of medicine has become more than an individual clinician can handle. But not more than teams of clinicians can handle.

No one teaches you how to think about money in medical school or residency. Yet, from the moment you start practicing, you must think about it. You must consider what is covered for a patient and what is not.

If the conversation people think is coming is the 'death panel' conversation, that's a total failure.

Writing lets you step back and think through a problem. Even the angriest rant forces the writer to achieve a degree of thoughtfulness.