When [disease] Can't Be Stopped, That's Where

One Of The Consequences Of If The Affordable Care Act Is Repealed, Is That All Of Us Now Are At Risk Of Being A Preexisting - Of Having A Preexisting Condition Waiting To Happen. Life, Increasingly, Is A Preexisting Condition Waiting To Happen, Now That We Have More And More Of This Data Available.

The Possibilities And Probabilities Are All We Have To Work With In Medicine, Though. What We Are Drawn To In This Imperfect Science, What We In Fact Covet In Our Way, Is The Alterable Moment-the Fragile But Crystalline Opportunity For One's Know-how, Ability, Or Just Gut Instinct To Change The Course Of Another's Life For The Better.

At Times, In Medicine, You Feel You Are Inside A Colossal And Impossibly Complex Machine Whose Gears Will Turn For You Only According To Their Own Arbitrary Rhythm. The Notion That Human Caring, The Effort To Do Better For People, Might Make A Difference Can Seem Hopelessly Naive. But It Isn't.

We Recruit For Attitude And Train For Skill.

After Readinf Some Essay On The Nature Of Human Fallibility, I Was Very Aware That We Are The Recipients Of A Huge Amount Of Discovery Over The Last Century. Medicine Exemplifies This. And That Has Transitioned Us From A World In Which People's Lives Were Mostly Governed By Ignorance To One That's Constrained By Ineptitude. A Century Ago, We Didn't Know, For Instance, What Diseases Afflicted Us, What Their Nature Really Was, Or What To Do About Them. And That Has Changed.