"Da arbeiten Politiker Handlungsleitlinien aus, die der Arzt abarbeiten soll. Schon ist der Patient gesund. Eine völlig mechanistische Vorstellung der Medizin."
"A few years ago I realized that my bonus, based on my "quality" management of diabetes, was compromised by the poor quality of my patients. I then dismissed many of the alcoholics and non-compliant (more correctly, I maneuvered them to dismiss me -- much less hassle); and my bonus scores have greatly improved. I thought I was clever, but I've come to believe that this is exactly what the the network, the insurance companies, and the gov't, wants me to do."
"The best diseases, from a business point of view, would be those that cause lingering illnesses. Ideally – that is, for maximum profit – the patient should either get well or die just before all of his or her money runs out. It’s a fine calculation."