Standardization of medicine as a result of the desire for predictable outcomes. Unbelievable differences between US practice of medicine and doctors in other parts of the world.
Doctors as cogs in the machine as the “art” of medicine is systematically removed from the practice of medicine, despite the fact that those in the need of the most critical medical care require a doctor who grasps the art, not just the science. (Think “House, MD”).
What does it mean to be a “good” doctor? Who are you trying to please, who are you really serving? Should doctors be embarrassed about how much money they make? should they not make so much money? How much is too much?
Why would anyone want to be a doctor under these conditions?
These were all thoughts left rattling around in my mind after reading Atul Gawande’s book “Better”. I’m still not sure what to think.