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In the doctors' coatroom, maybe 10 years ago, I heard a colleague say that he had had enough now he was doing it only for the money. For money alone? Could you make enough, I wondered, not to live in resentment against the fatigue, the perpetual responsibility, the constant worry about error, the interminably intrusive telephone, the second-guessing . . . ? Provide your own list. Imagine what it would be like, I thought, to practice medicine without ideals. The more I reflected on it, the more I realized that there could not be good medicine without the engine
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