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The state of medicine 

Paul Ingraham ARCHIVEDMicroblog posts are archived and rarely updated. In contrast, most long-form articles on are updated regularly over the years (see updates page).

Dr. Sandeep Juahar’s book about his bleak experience as a physician seems to be at odds with the autobiographical accounts of other doctors that I have read, most of which present a healthy mix of optimism and cynicism about their work and profession. It’s the same with the doctors I know personally, who all seem to be vigorous idealists of one sort or another. Their awareness of the failings and limitations of medicine is clear, but balanced by a strong and admirable enthusiasm to improve. If medicine is the unmitigated disaster that Juahar seems to think it is, I would expect to see a lot more doctors declaring it.

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