If We Took Away The Ability To

This Was Not Guilt: Guilt Is What You Feel When You Have Done Something Wrong. What I Felt Was Shame: I Was What Was Wrong.

When [disease] Can't Be Stopped, That's Where We Become Lost.

Go Back To The '30s, '40s, '50s, And It Was The Discovery Of Heroic Interventions, The Ability To Cure People With Penicillin Or Do An Operation To Stop Disease That Was What Saved The Day. Primary Care Physicians Couldn't Do All That Much That Really Demonstrated A Difference. The People Who Control And Work With You To Control Your Blood Pressure, They're Not Rewarded For Doing That Or To Be Innovative About Doing That. So, The Result Is Half Of Americans Have Uncontrolled High Blood Pressure, Despite Seeing Clinicians.

Having Great Components Is Not Enough, And Yet We've Been Obsessed In Medicine With Components. We Want The Best Drugs, The Best Technologies, The Best Specialists, But We Don't Think Too Much About How It All Comes Together.

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.