When We, Doctors, Ask Patients What Their

Culture Matters. Of Course, If Physicians Are Rewarded Or Penalized For Their Service And Results, The Culture Will Change. But The Key Values We Doctors Are Being Pressed To Embrace Are Humility, Teamwork, And Discipline.

Courage Is Strength In The Face Of Knowledge Of What Is To Be Feared Or Hoped. Wisdom Is Prudent Strength.

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.

My Biggest Fear, That 27 Percent Of Americans Under 65 Have An Existing Health Condition That, Without The Protections Of The Affordable Care Act, Would Mean They Would - Could Be Automatically Excluded From Insurance Coverage. Before The Aca, They Wouldn't Have Been Able To Get Insurance Coverage On The Individual Market, You Know, If You're A Freelancer Or If You Had A Small Business Or The Like.

There Are Times When You Have Sharp Elbows, And People Are Trying To Muscle You Out Of Certain Meetings - Because Then People Could Leak To The Press That You Had A Role In Certain Decisions. I, At Twenty-six, Was Very Impatient And Didn't Know How To Keep My Powder Dry. I Was Running A Team Of Seventy-five People When I Had Never Been A Boss. I Was The Worst Boss Ever.