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May 25, 2009

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The Soul of American Medicine

If I ever meet Atul Gawande, I’m giving him a high-five, a hug, and then I’m going to try to talk to him for about fifteen minutes about why I think he’s special. From “The Cost Conundrum,” in the new New Yorker:

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. You must pay attention to insurance rejections and government-reimbursement rules. You must think about having enough money for the secretary and the nurse and the rent and the malpractice insurance…

When you look across the spectrum from Grand Junction [Colorado] to McAllen [Texas]