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Atul Gawande Quotes
Atul Gawande Quotes
Atul Gawande
American
Scientist
Born:
Nov 5
,
1965
Care
Health
Money
People
Think
You
Related authors:
Ben Carson
Carl Sagan
E. O. Wilson
George Washington Carver
Isaac Asimov
Margaret Mead
Neil deGrasse Tyson
W. Edwards Deming
Human beings are social creatures. We are social not just in the trivial sense that we like company, and not just in the obvious sense that we each depend on others. We are social in a more elemental way: simply to exist as a normal human being requires interaction with other people.
Atul Gawande
People
Human Being
Depend
Sense
Other
Others
Way
More
Trivial
Simply
Like
Obvious
Exist
Normal
Human
Just
Being
Interaction
Human Beings
Social
Requires
Beings
Company
Each
Elemental
Creatures
No one teaches you how to think about money in medical school or residency. Yet, from the moment you start practicing, you must think about it. You must consider what is covered for a patient and what is not.
Atul Gawande
You
Money
School
Patient
Think
Consider
Must
About
No-One
Practicing
How
Covered
Teaches
Moment
Residency
Medical
Medical School
Start
When I do an operation, it's half a dozen people. When it goes beautifully, it's like a symphony, with everybody playing their part.
Atul Gawande
People
Half
Everybody
Symphony
Part
Like
Beautifully
Operation
Goes
Dozen
Playing
I was never born to write. I was taught to write. And I am still being taught to write.
Atul Gawande
Born
Write
Never
Am
Still
Taught
Being
My vantage point on the world is the operating room where I see my patients.
Atul Gawande
World
See
Vantage
Vantage Point
Point
Operating
Patients
Where
Room
The vast majority of doctors really do try to take the money out of their minds. But to provide the best possible care requires using resources in a way that keeps you viable but improves the quality of care.
Atul Gawande
Best
You
Quality
Money
Try
Care
Doctors
Resources
Minds
Way
Out
Possible
Vast
Vast Majority
Take
Majority
Provide
Improves
Viable
Really
Requires
Using
Keeps
I think the extreme complexity of medicine has become more than an individual clinician can handle. But not more than teams of clinicians can handle.
Atul Gawande
Become
Think
Medicine
Extreme
Complexity
More
Individual
Handle
Than
Teams
Outsiders tend to be the first to recognize the inadequacies of our social institutions. But, precisely because they are outsiders, they are usually in a poor position to fix them.
Atul Gawande
First
Our
Recognize
Be The First
Tend
Outsiders
Institutions
Because
Fix
Precisely
Social
Them
Poor
Social Institutions
Position
Our health-care morass is like the problems of global warming and the national debt - the kind of vast policy failure that is far easier to get into than to get out of. Americans say that they want leaders who will take on these problems.
Atul Gawande
Failure
Problems
Will
National
Our
Say
Easier
Out
Kind
Vast
Take
Leaders
Like
Global
Global Warming
Policy
National Debt
Debt
Than
Get
American
Want
Far
Warming
Who
Doctors quickly learn that how much they make has little to do with how good they are. It largely depends on how they handle the business side of their practice.
Atul Gawande
Good
Business
Doctors
Practice
Side
Make
Learn
How
How Much
Quickly
Handle
Depends
Little
Much
Business Side
Largely
I write because it's my way of finding cool ideas, thinking through hard problems and things I don't understand, and getting better at something.
Atul Gawande
Better
Problems
Thinking
Way
Finding
Something
Through
Write
Ideas
Because
Understand
Getting
Getting Better
Hard
Cool
Things
Our great struggle in medicine these days is not just with ignorance and uncertainty. It's also with complexity: how much you have to make sure you have in your head and think about. There are a thousand ways things can go wrong.
Atul Gawande
Great
You
Ignorance
Struggle
Think
Medicine
Our
Ways
Complexity
Thousand
About
Uncertainty
Head
Wrong
Days
Also
Make
Sure
How
How Much
Go
Just
Much
Your
Things
You know, 97 percent of the time, if you come into a hospital, everything goes well. But three percent of the time, we have major complications.
Atul Gawande
Time
You
Three
Everything
Complications
Percent
Hospital
Major
Come
Know
Well
Goes
George Orwell is a pinnacle writer, for his combination of moral insight and literary writing.
Atul Gawande
Writing
Moral
Insight
Writer
Combination
George
His
George Orwell
Pinnacle
Literary
Orwell
You want to ensure people can do it right 99 percent of time. When we have to fire one of our surgical trainees, it is never because they don't have the physical skills but because they don't have the moral skills - to practise and admit failure.
Atul Gawande
Time
Failure
You
People
Fire
Our
Ensure
Moral
Physical
Admit
Percent
Never
Because
Practise
Surgical
Want
Skills
Right
Every country in the world is battling the rising cost of health care. No community anywhere has demonstrably lowered its health-care costs (not just slowed their rate of increase) by improving medical services. They've lowered costs only by cutting or rationing them.
Atul Gawande
Health
World
Care
Country
Community
Every
Increase
Battling
Cost
Rate
Rising
Only
Costs
Rationing
Health Care
Improving
Just
Anywhere
Them
Cutting
Lowered
Medical
Services
Care Costs
The health-care sector certainly employs more people and more machines than it did. But there have been no great strides in service. In Western Europe, most primary-care practices now use electronic health records and offer after-hours care; in the United States, most don't.
Atul Gawande
Service
Health
Great
People
Care
Strides
States
Machines
Sector
More
More People
Records
Most
Employs
Practices
Been
Western
Western Europe
Offer
Than
Did
Use
Certainly
Europe
Electronic
Now
United
United States
The history of American agriculture suggests that you can have transformation without a master plan, without knowing all the answers up front.
Atul Gawande
History
You
Agriculture
Master
Transformation
Knowing
Master Plan
Without
Answers
Up
American
Front
The History Of
Plan
As economists have often pointed out, we pay doctors for quantity, not quality. As they point out less often, we also pay them as individuals, rather than as members of a team working together for their patients. Both practices have made for serious problems.
Atul Gawande
Working Together
Together
Quality
Problems
Made
Doctors
Pay
Members
Out
Rather
Both
Point
Pointed
Individuals
Economists
Also
Practices
Quantity
Than
Often
Patients
Them
Working
Less
Team
Serious
Providing health care is like building a house. The task requires experts, expensive equipment and materials, and a huge amount of coordination.
Atul Gawande
Health
Care
Building
Like
House
Health Care
Equipment
Materials
Providing
Huge
Huge Amount
Task
Expensive
Experts
Requires
Coordination
Amount
In every industrialized nation, the movement to reform health care has begun with stories about cruelty.
Atul Gawande
Health
Care
Cruelty
Nation
Every
About
Industrialized
Health Care
Reform
Begun
Movement
Stories
This is the reality of intensive care: at any point, we are as apt to harm as we are to heal.
Atul Gawande
Reality
Care
Apt
Point
Heal
Any
Intensive
Harm
To become a doctor, you spend so much time in the tunnels of preparation - head down, trying not to screw up, trying to make it from one day to the next - that it is a shock to find yourself at the other end, with someone shaking your hand and asking how much money you want to make.
Atul Gawande
Time
Day
You
Yourself
Doctor
Money
Become
Down
Preparation
Other
Spend
One Day
Find
Someone
Shaking
Head
Make
How
How Much
How Much Money
Hand
End
Up
Shock
Trying
So Much Time
Want
Screw
Much
Asking
Next
Your
Most people are squeamish about saying how much they earn, but in medicine the situation seems especially fraught. Doctors aren't supposed to be in it for the money, and the more concerned a doctor seems to be about making money the more suspicious people become about the care being provided.
Atul Gawande
Saying
People
Doctor
Money
Care
Doctors
Become
Situation
Medicine
Earn
Fraught
About
Seems
More
Supposed
Most
Concerned
How
Making
How Much
Making Money
Provided
Suspicious
Being
Much
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