I believe that those of us who are here today are among the most fortunate people in the world, since we live in a most favored part of a great country and practice one of the world's most ancient and honorable professions, a profession that allows us to serve people who are not well and who come to us for help.
But something has happened in paradise in recent years, and we have been accused of being inefficient and profligate. I do not mean to put a simplistic spin on a very complicated matter, but actually we have been guilty of caring for our patients as we always have and not addressing completely the escalating costs that have resulted from the spectacular advances that have occurred in our profession during our time.
Vetto RM. What Should We Want?. Arch Surg. 1998;133(8):809-811. doi:10.1001/archsurg.133.8.809