Go back to the '30s, '40s, '50s, and it was the discovery of heroic interventions, the ability to cure people with penicillin or do an operation to stop disease that was what saved the day. Primary care physicians couldn't do… — Atul Gawande Copy Share Image
We now have 30 percent, for example, of Medicare patients who are seeing doctors who are rewarded for doing this kind of work, like high blood pressure control. So, the Affordable Care Act has pushed this direction down the road. — Atul Gawande Copy Share Image
Don’t let yourself be. Find something new to try, something to change. Count how often it succeeds and how often it doesn’t. Write about… — Atul Gawande Copy Share Image
“Wilson spent several days camped out in one government office after another until she had secured an exemption. Unbelievably, she and her husband cleared… — Atul Gawande Copy Share Image
What is needed, however, isn't just that people working together be nice to each other. It is discipline. Discipline is hard--harder than trustworthiness and skill and perhaps even than selflessness. We are by nature flawed and inconstant creatures. We can't even keep from snacking between meals. We are not built for discipline. We are built for novelty and excitement, not… — Atul Gawande Copy Share
“8. Chapter 4 describes the birth of the assisted-living facility concept (Park Place), designed by Keren Wilson to provide her disabled mother, Jessie, with caregivers who would not restrict her freedom. Key components included having her own thermostat, her own schedule, her own furniture, and a lock on the door. What does it mean to you to treat someone with… — Atul Gawande Copy Share
When we lived in a society where we had large families that lived together, especially in agricultural societies like my grandfather and father grew… — Atul Gawande Copy Share Image
My biggest fear, that 27 percent of Americans under 65 have an existing health condition that, without the protections of the Affordable Care Act, would mean they would - could be automatically excluded from insurance coverage. Before the ACA, they wouldn't have been able to get insurance coverage on the individual market, you know, if you're a freelancer or if… — Atul Gawande Copy Share
“..how we seek to spend our time may depend on how much time we perceive ourselves to have. When you are young and healthy, you believe you will live forever. You do not worry about losing any of your capabilities. People tell you "the world is your oyster," "the sky is the limit," and so on. And you are willing… — Atul Gawande Copy Share
“I cannot pretend he escaped unscathed. The extended period of low blood pressure damaged an optic nerve and left him essentially blind in one eye. He didn’t get off the respirator for days. He was out of work for months. I was crushed by what I had put him through. Though I apologized to him and carried on with my… — Atul Gawande Copy Share
The battle of being mortal is the battle to maintain the integrity of one’s life, — Atul Gawande Copy Share Image
“an average of $94,000 during the last year of life with a metastatic breast cancer. Our medical system is excellent at trying to stave… — Atul Gawande Copy Share Image
“we need practice to get good at what we do. There is one difference in medicine, though: it is people we practice upon.” — Atul Gawande Copy Share Image
People underestimate the importance of dilligence as a virtue. No doubt it has something to do with how supremely mundane it seems. It is… — Atul Gawande Copy Share Image
