"one of the great challenges facing American medicine"

Great stuff. You have hit on one of the great challenges facing American medicine with powerful intelligence, clarity of thought and the stones to call it like it is. Making physicians aware of the problem is a good thing, but I fear that changing the culture from the physicians' side of the equation will not happen in our lifetimes. I think we agree the solution will probably be political when the economic pressures to reduce medical costs reach a boiling point. We are close if not already there. It will be interesting too see if the gov't. has the will to do battle with big Pharma. P

P.R. MD