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Invited Commentary
Mar 12, 2012

How to Feed and Grow Your Health Care System
Comment on “The Cost of Satisfaction”

Author Affiliations

Author Affiliations: Department of Veterans Affairs Medical Center, VA Outcomes Group, White River Junction, Vermont, and The Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, New Hampshire.

Arch Intern Med. 2012;172(5):411-413. doi:10.1001/archinternmed.2012.62

Not long before the editorial deadline for this Invited Commentary, I headed off on vacation to warmer climes (this is not difficult when leaving from northern New England). But would a week in tropical paradise be worth the frustration and indignity of commercial air travel? It turns out I was lucky. The lead flight attendant ran a tight ship, assuring us an orderly, safe, and comfortable trip. Maybe I should plan more discretionary travel.

According to the findings of a study published in this issue of the Archives, had my recent shoulder surgery gone more smoothly, I might instead be planning more discretionary health care.