The Evidence Is That People

When [disease] Can't Be Stopped, That's Where We Become Lost.

These Are Folks That Keep People Out Of Hospitals, Out Of Emergency Rooms, Out Of Nursing Homes. And Not Only That, They Help People Achieve More Fulfilling Lives.

After Readinf Some Essay On The Nature Of Human Fallibility, I Was Very Aware That We Are The Recipients Of A Huge Amount Of Discovery Over The Last Century. Medicine Exemplifies This. And That Has Transitioned Us From A World In Which People's Lives Were Mostly Governed By Ignorance To One That's Constrained By Ineptitude. A Century Ago, We Didn't Know, For Instance, What Diseases Afflicted Us, What Their Nature Really Was, Or What To Do About Them. And That Has Changed.

The Definition Of What It Means To Be Dying Has Changed Radically. We Are Able To Extend People's Lives Considerably, Including Sometimes, Good Days.

We Look For Medicine To Be An Orderly Field Of Knowledge And Procedure. But It Is Not. It Is An Imperfect Science, An Enterprise Of Constantly Changing Knowledge, Uncertain Information, Fallible Individuals, And At The Same Time Lives On The Line. There Is Science In What We Do, Yes, But Also Habit, Intuition, And Sometimes Plain Old Guessing. The Gap Between What We Know And What We Aim For Persists. And This Gap Complicates Everything We Do.