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I talked to over two hundred patients and family members…

“I talked to over two hundred patients and family members about their experiences with aging, serious illnesses, and the big unfixables. But I also spoke with scores of physicians, and especially geriatricians, palliative care doctors, hospice nurses, and nursing home workers. The biggest thing I…” quote by Atul Gawande
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“I talked to over two hundred patients and family members about their experiences with aging, serious illnesses, and the big unfixables. But I also spoke with scores of physicians, and especially geriatricians, palliative care doctors, hospice nurses, and nursing home workers. The biggest thing I found was that when these clinicians were at their best, they were recognizing that people had priorities besides merely living longer. The most important and reliable way that we can understand what people's priorities are, besides just living longer, is to simply ask. And we don't ask.”

Atul Gawande

About This Quote

This interpretation was drafted with AI assistance. It is one reading of the quote, not the author's own explanation.

The core idea is that clinicians often overlook patients' broader life goals, focusing on longevity, but truly understanding priorities requires directly asking patients about what matters to them beyond survival.

In simple terms: Ask patients what matters beyond living longer.

Key Takeaway

Listen to patients' priorities.

Themes

patient care priorities communication aging palliative care

Mood

empathetic reflective thoughtful

Type

clinical ethical philosophical

When to use this quote

  • clinical consultations
  • care planning meetings
  • family discussions
  • policy development
  • medical education

Key Concepts

shared decision making holistic care patient autonomy

Questions to Reflect On

  • How can healthcare systems embed systematic questioning of patient priorities?
  • What barriers prevent clinicians from asking about non‑medical goals?
A Different Perspective

Clinicians may lack time or training to ask and interpret these personal priorities.

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