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    A wake-up call for physicians

    Buffett, Munger take on medicine, ‘tapeworm’ of American industry


    A clear message

    The hyperbolic language of the 93-year-old Munger may be unfortunate and perhaps offensive to many in our profession, but to me the larger discussion conveys a clear message.

    We do spend too much on care for people near the end of their lives that would be better allocated to less-costly palliative care, and we are not successfully managing the costs of the care we provide.

    Either we physicians will wake up soon and start taking responsibility for addressing the problem, or outside forces will soon weigh in and we will be bystanders who may not be happy with the solutions imposed upon us. 

    Peter J. McDonnell, MD
    He is director of The Wilmer Eye Institute, The Johns Hopkins University School of Medicine, Baltimore, and chief medical editor of ...

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