The operation to be performed on Mr. Viall, scheduled for Monday,
would be complicated to say the least. So the experts gathered. The leader of
the medical team which would soon transplant a heart was an Internet
billionaire who first became interested in improving health care after watching
Patch Adams on cable TV. Naturally, Mr.
Gates, the billionaire, was having his say. “I think, because I have made
billions in the Internet field, everyone should listen to me. And I believe we
need better doctors and nurses in hospitals. I think we should test them on
what they know every few weeks.”
Mrs. Viall, a former educator, like her heartsick husband,
had been asked to attend and a keen observer might have noticed her raise an
eyebrow in a first sign of disbelief. Polite to a fault, however, she held
doubt in check. She would listen with care and not rock the medical boat.
A second gentleman in a white lab coat spoke up. His name
tag read: “Arne Duncan.” Mrs. Viall wondered: Where had she heard that name
before?
“I believe,” said Dr. Duncan, “that we should amputate Mr.
Viall’s left leg.” I might not be a medical
doctor,” Duncan admitted. “But I did serve as administrator of a hospital once.”
Mrs. Viall seemed about to spit out her coffee at Dr.
Duncan’s remarks. “I don’t see why you’re in on this discussion….” she offered.
A fourth individual at the conference table interjected. Like
all the other experts she wore a lab coat. But where her name tag should have
been, the words “Pearson Education” were embroidered in green, followed by dollar signs. “You know,” offered the Pearson person, “you can never have too many
tests. I think we should test Mr. Viall for glaucoma and probably Ebola.
“That would be an additional $20,000,” she added cheerfully,
smiling in the general direction of Mrs. Viall.
“But those tests couldn’t possibly help. My husband has a heart condition,” Mrs. Viall tried to
object.
“We have to test patients on everything, Mrs. Viall,” suggested
Dr. Ripley, another expert on the team. “That’s how we know how sick they really
are. Did you know patients in Finland and other advanced nations live longer than American patients? In life expectancy, we finish 26th, which only proves
that other countries have superior doctors and nurses. So we need to raise
standards in our medical schools.”
“I’m not sure I agree,” Mrs. Viall replied. “I think the
fact my husband likes to finish off a bag of chips every time he
watches The Muppet's Show might have something to do with his condition.
I’m not sure the fault lies with…”
“Don’t be ridiculous,” Ripley remarked with a slight hint
of disdain. “All of us here at this table agree: America’s health care system
is failing. And besides, you have to listen to me. Because I wrote a book on
the topic! As for Mr. Viall, I believe we should also remove his spleen.”
By now, Mrs. Viall was deeply worried. It seemed these
“experts” had no clue. She looked round the table at the twenty men and women
in the room. “How many of you have ever performed actual surgery?” she inquired with a frown.
Not a single expert raised a hand.
“I once worked briefly in a pediatrician’s office,” a woman
named Rhee offered with a forced smile. “Now I like to give speeches about how
to fix our nation’s health care system. In fact, I can talk to you for an hour if
you like. I only charge $35,000.”
“Are you kidding? Who are you people,” Mrs. Viall exclaimed.
“What makes any of you think you know anything about heart surgery? It doesn’t
sound like any of you even went to medical school?”
“It doesn’t matter. We’re all experts, don’t you see,” Dr.
Duncan replied. “We’re all really smart. And some of us are rich, too.”
“I’d like to talk to an actual doctor,” Mrs. Viall tried again.
“Don’t be old-fashioned,” said another white-coated figure
at the end of the table. The elderly fellow looked familiar. Then it dawned on
Mrs. Viall. This was Senator Mitch McConnell, taking a break from a busy
schedule talking to lobbyists in Washington, D. C. “We politicians understand
heart surgery better than doctors and nurses ever will. We have just passed an expanded
version of No Patient Left Behind. We call it the “Every Patient Lives Act” and
it’s going to be great! As a result of this legislation, we can now guarantee
that every patient will survive. If patients die, we will close failing
hospitals and fire all the doctors and nurses.”
“Also, we will need to create new batteries of tests, to find
out what doctors know,” chirped the happy Pearson lady. “We should probably
test patients, too. I mean, we’d be talking billions!”
“Who here is in charge of surgery tomorrow?” Mrs. Viall
asked, looking nervously around the room. A man with “Klein” on his name tag
raised a hand.
“I’m a lawyer,” Klein replied. “So I know exactly what
doctors and nurses should do. I wrote a book about how bad the doctors and
nurses we have really are.”
“I’ll be in charge of hooking up all those arteries and
veins and positive and negative wires,” offered a younger woman seated to his left.
Her name tag read, “Kopp.” For once, Mrs. Viall recognized a name. Kopp was
founder of Stitch for America, an organization dedicated to bringing smarter
nurses and doctors into hospital across this great land.
“My god,” Mrs. Viall gasped. “Have you ever been part of a
heart surgery team, Dr. Kopp?”
“Not really. But I went to an Ivy League college! So you have
to do what I say.”
“You know, I was an educator for more than thirty years,”
Mrs. Viall offered. “So, if you asked me, I wouldn’t offer opinions on medical
care, because that’s not my area of expertise. I only know education. My husband would say the same. Frankly, I don’t think
any of you have the slightest idea what you’re talking about. You’re not
trained in the medical field.”
“Doesn’t matter,” piped up a fellow named Brill. “I also wrote
a book about surgeons. That means I know everything there is to know about the
challenges of being a surgeon. And I think it’s clear. Surgeons are at fault
every time a patient dies. By the way, I’m a lawyer, too.”
“I made a movie about surgery,” interjected a fellow two
seats to Brill’s right. Guggenheim was his name. “I’m a millionaire. So my wife
and children and I enjoy the very finest health care available in the United
States. But I want to see poor families have better care. I want them to have
the best doctors and nurses. And it’s clear: doctors and nurses in poor neighborhoods are failing, because poor people die at a younger age than rich
people…So my movie puts blame where it belongs, on doctors and nurses working
with poor people.”
“Maybe poor people die sooner because they have poor
housing and live in dangerous neighborhoods, Mrs. Viall tried. “Maybe gang
violence is a problem. Maybe drugs are rampant.”
“I wouldn’t know about that,” Guggenheim interrupted. “I
live in a gated community high on a hill. I mean, you don’t expect my family to
actually interact with poor people,
do you? I mean, I send my own children to private schools…”
“It might help if you wanted to understand the problems poor
people face, and the problems a health care system faces in treating them, if
you hung out with them once in a while,” Mrs. Viall muttered.
“Oh, ‘poverty, poverty, poverty,’ that’s just an excuse
doctors and nurses offer for their failings.” Mrs. Viall stared at the newest
speaker. No! It couldn’t be! This was no doctor, either. It was Patrick
Dempsey, who played “Dr. McDreamy” on Grey’s
Anatomy for many years.
For a moment, Mrs. Viall sat in stunned disbelief. Surgery
tomorrow was going to be bad, really, really bad. The people who were going to do
her husband’s heart transplant had no idea what they were about do. It reminded
her of current trends in U. S. education, where so-called “experts” had spearheaded
a naïve and entirely misguided—and expensive— movement to reform the nation’s
schools.
Well, if she and Mr. Viall needed help with a will, at
least there were several good lawyers in the room.
You don't have to know anything about education to become a famous education expert. You only need an inflated opinion of yourself. |