A Quote by Atul Gawande
I think we are faced in medicine with the reality that we have to be willing to talk about our failures and think hard about them, even despite the malpractice system. I mean, there are things that we can do to make that system better.
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The interesting thing about it to me is the mindset. With all these "helpers" running around, they talk about doing deals. We talk about welcoming partners. The guy doing deals, he wants to do a deal and then unwind it in the near future. It's totally opposite for us. We like to build lasting relationships. I think our system will work better in the long term than flipping deals. I think there are so many of them [helpers] that they'll get in ea h other's way. I don't think they'll make enough money to meet their expectations, by flipping, flipping, flipping.
It's hard to talk about childhood trauma. It's hard to talk about depression. It's hard to talk about anxiety. And we thought - I wonder if we just open up our subconscious and the things that we think about and hide from people every day and just let them come out in some of these lyrics.
In comparison to the U.S. health care system, the German system is clearly better, because the German health care system works for everyone who needs care, ... costs little money, and it's not a system about which you have to worry all the time. I think that for us the risk is that the private system undermines the solidarity principle. If that is fixed and we concentrate a little bit on better competition and more research, I think the German health care system is a nice third way between a for-profit system on the one hand and, let's say, a single-payer system on the other hand.
I think we need to rethink our ideas about what policing is and should be. I think we need to rethink our ideas about the criminal justice system as a whole, including the hysterically named corrections system. I mean, what's being corrected? Look, none of it's working.
I talk to golfers, I talk to my grand kids about their game, and tell them to develop a system, Now, when they're young. And if they develop that system, it will be the crutch they need to be good. To know that system and make it work for you, know what it is and make it work.
I think that if you have a single payer system and an opt-out for people who want to pay more [for better service, etc.], I think it would be better - and I think we'll eventually get there. It wouldn't be better at the top - [our current system] is the best in the world at the top. But the waste in the present system is awesome and we do get some very perverse incentives.
I think it's absurd to talk about - one time you were outside the system, now you are in the system - no, we fight, the cause of the fight is because the system is bad that we can't get out of it.
I'm a big believer in the system, but I just don't think we follow our own system and laws very well. I think ultimately we'll see the system collapse. Because no system has ever stayed around forever.
The cash register did more for human morality than the Congregational Church. It was a really powerful phenomenon to make an economic system work better, just as, in reverse, a system that can be easily defrauded ruins a civilization. A system that's very hard to defraud, like a cash register, helped the economic performance of a civilization by reducing vice, but very few people within economics talk about it in those terms.
The costs of running a prison system as large as Arkansas' are significant, and the system's failures can make things worse.
You have to talk about 'The Terminator' if you're talking about artificial intelligence. I actually think that that's way off. I don't think that an artificially intelligent system that has superhuman intelligence will be violent. I do think that it will disrupt our culture.
You cannot lecture another people about what you think is right or wrong based on your value system unless you're willing to accept others imposing their value system on you.
A lot of times you talk about what you know, but since our reality is so difficult, its hard to think about travelling beyond the stars to another dimension - fantasy worlds - when, in reality, you can't get a job on Earth.
The market system requires that people be committed and willing to work hard. Inherent with that is what I call a merit system, which I think gives people the greatest opportunity.
I think that's one of the great things about the Pittsburgh Steelers - we're not a big free-agent team. We build guys up through our system to have a better understanding of our defense.
Unlike the phone system, the Internet has no Ma Bell or FCC to mandate new policies for the entire system. Not even Microsoft can make us all upgrade our routers. I think.
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