I have been practicing internal medicine for 25 years and I love it. My initial decade I provided outpatient primary care. The last 16 years I’ve worked as a hospitalist, a doctor who admits and manages hospitalized severely ill patients, working with all the surgical and medical subspecialties, as needed by the patient. Over the last quarter century, as I’ve seen medical care of patients become more and more complex, I see the very broken, business modeled health care system of our nation, force physicians into seeing more and more of these complex patients in less and less time. It is no wonder that literature on leading causes of death in our country list in the top 10, adverse outcomes from health care.