Gawande reveals that everyday people do not realize that less experienced residents perform complicated procedures on patients in the hospitals on a daily basis. Knowing this, Gawande chose a senior cardiologist to treat his son, over a resident, for a heart condition. He admits that usually only those who are knowledgeable about the medical education system know that this choice exists. Gawande comments, "If choice cannot go to everyone, maybe it is better when it is not allowed at all." Explain why you agree or disagree with his statement.

Gawande notes that Hank Goodman was practicing medicine very poorly for years before he was stopped. There is plenty of research that demonstrates that much time passes before unacceptable behavior is actually stopped. Can you think of an example in which this happened? What happened and what could have been some alternatives for dealing with...