And In Stories, Endings Matter.

If The Conversation People Think Is Coming Is The 'death Panel' Conversation, That's A Total Failure.

Just Look At The List Of Who The Lowest-paid People Are. Pediatricians Are At The Bottom. You Would Also Look At Internists. You Would Look At Psychiatrists. You Would Look At Family Physicians, Hiv Specialists. People Who Take Care Of Chronic Illnesses By Seeing People Carefully Over Time, Those Are The People Who Get The Least Money. The People Who Have The Most Are People Like Orthopedic Surgeons, Interventional Cardiologists. And My Point Isn't That There Is Something Wrong With Heroism.

Practice Is Funny That Way. For Days And Days, You Make Out Only The Fragments Of What To Do. And Then One Day You've Got The Thing Whole. Conscious Learning Becomes Unconscious Knowledge, And You Cannot Say Precisely How.

No One Teaches You How To Think About Money In Medical School Or Residency. Yet, From The Moment You Start Practicing, You Must Think About It. You Must Consider What Is Covered For A Patient And What Is Not.

Over Time I Learned That There Are Two Very Different Satisfactions That You Can Have In Your Life. One Is The Satisfaction Of Becoming Skilled At Something. It Almost Doesn't Matter What The Terrain Is. There Is A Deep, Soul-feeding Resonance In Mastery Itself, Whether In Teaching, Writing A Complicated Software Program, Coaching A Baseball Team, Or Marshalling A Group Of People To Start A New Business.