And In Stories, Endings Matter.

You Want To Ensure People Can Do It Right 99 Percent Of Time. When We Have To Fire One Of Our Surgical Trainees, It Is Never Because They Dont Have The Physical Skills But Because They Dont Have The Moral Skills - To Practise And Admit Failure.

The Big Thing That's Happened Is, In The Time Since The Affordable Care Act Has Been Going On, Our Medical Science Has Been Advancing. We Have Now Genomic Data. We Have The Power Of Big Data About What Your Living Patterns Are, What's Happening In Your Body. Even Your Smartphone Can Collect Data About Your Walking Or Your Pulse Or Other Things That Could Be Incredibly Meaningful In Being Able To Predict Whether You Have Disease Coming In The Future And Help Avert Those Problems.

Outsiders Tend To Be The First To Recognize The Inadequacies Of Our Social Institutions. But, Precisely Because They Are Outsiders, They Are Usually In A Poor Position To Fix Them.

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.

We Look For Medicine To Be An Orderly Field Of Knowledge And Procedure. But It Is Not. It Is An Imperfect Science, An Enterprise Of Constantly Changing Knowledge, Uncertain Information, Fallible Individuals, And At The Same Time Lives On The Line. There Is Science In What We Do, Yes, But Also Habit, Intuition, And Sometimes Plain Old Guessing. The Gap Between What We Know And What We Aim For Persists. And This Gap Complicates Everything We Do.