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Participation in a recent ethics symposium at our hospital required one to read The House of God. For most of us, it was not the first time we had read the novel, but rather a return to it after 15 years. It is worth revisiting The House of God because of the many changes in medicine during those 15 years.
One is struck early on by how much the book is outdated. The sycophantic attending physician who hospitalizes patients for extended testing, portrayed in the book as Dr. Putzel, has been all but eliminated by reimbursement based on diagnosis-related groups.
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