We’re in the midst of a rebellion. The bottom and middle are pushing against the top. It’s a throwing off of old claims and it’s been going on for a while, but we’re seeing it more sharply after New Hampshire. This is not politics as usual, which by its nature is full of surprise. There’s something deep, suggestive, even epochal about what’s happening now.Physicians, too, are rebelling against the established sheltered and elite institutions of the House of Medicine: the ACGME. I can see it. I feel it.
I mention this to say we are in a precarious position in the U.S. with so many of our institutions going down. Many of those pushing against the system have no idea how precarious it is or what they will be destroying. Those defending it don’t know how precarious its position is or even what they’re defending, or why. But people lose respect for a reason.So true. Greed does this to people. So does money.
It will be interesting to see where things land but one thing is for certain, the staid bureaucratic institutions within the House of Medicine are in trouble and they brought this on themselves.