Regarding the "drops in the bucket" -- Yes, you're right, but that's besides the point. Social change has to start somewhere. This reminds me of the "Day the Pa

Regarding the "drops in the bucket" -- Yes, you're right, but that's besides the point. Social change has to start somewhere. This reminds me of the "Day the Pain Died" article posted here the other day. (http://news.ycombinator.com/item?id=647058 http://news.ycombinator.com/item?id=647058) The last line in that article is key: "The real milestone witnessed in Boston that day was the moment when culture had finally caught up with chemistry." Independent of what Obama decides to do about health care, the American medical community needs a cultural "attitude adjustment" to start thinking about the macro-economic effects of their behavior.