Word: doctorings
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...book begins as Kirihito (which means "Christ" in Japanese), a brilliant doctor, visits a remote village to investigate the cause of monmow disease, a disorder that slowly twists its victim's features into that of a dog, eventually killing them. But when Kirihito himself contracts the disease, his world is turned upside down. Erased from the rolls of his hospital by an ambitious boss who sees Kirihito's work as a threat, Kirihito finds himself a total outcast and put on display in a private freak show for a group of decadent patrons. As Kirihito struggles for his freedom...
...addition to being less generous, businesses are being less paternal too, forcing workers to be more accountable for spending, a practice called consumer-driven health care. One immediate change has been a move away from fixed co-payments for such medical expenses as doctor visits and prescription drugs. That's being supplanted by coinsurance, under which the covered person pays a percentage of the expense. Nearly half of companies will have made the switch by next year. "The idea is to get employees to think before heading to the doctor for a cold," says Columbia University professor of health management...
...Following in a parent's footsteps, knowing firsthand the unusual life of a doc and stoking the early fires of a developing superego with such high octane respect and responsibility that scarcely any other human endeavor seems worthy - this is the psychology that makes doctors' kids into doctors. There are, quite honestly, many in my field of surgery who will work for any salary - some would literally pay to do it. They can derive satisfaction from little else, their self-concept is utterly enmeshed in it and doctor's children or not, they will be doctors in the next generation...
...conceive of life not-as-a-doctor are on the verge of being replaced by a bunch who don't seem to mind the bureaucratic stuff - the 9 to 5 docs. Hard problems do not attract them. Sub specialization, cost-effectiveness and "compliance issues" will increasingly dominate their professional lives and they will deal well with an enlarged para-medical industry and hospital bureaucracy...
...will probably still have the "at least you know you won't starve" immigrants and the upwardly mobile "my son, the doctor" crowd. And still just maybe this daughter of mine - not that I would push her, you see, but she did so well this summer in anatomy camp...