Which path will we as professionals choose: the wallet or what's best for our patients?

I just read Atul Gawande's piece in the New Yorker.

Whom do we want in charge of managing the full complexity of medical care? We can turn to insurers (whether public or private), which have proved repeatedly that they can’t do it. Or we can turn to the local medical communities, which have proved that they can. But we have to choose someone—because, in much of the country, no one is in charge. And the result is the most wasteful and the least sustainable health-care system in the world.

As a profession we have a choice.  The choice between doing good and doing well is false.  I choose both.   I believe the ethical practice of medicine is ultimately consistent with doing well as a professional.

Health insurance policies at the moment force us to choose between doing good and doing well and this is wrong. I have to choose between working outside of insurance and delivering highly ethical health care to the few who can afford it or take the insurance company strictures that force the unethical practice of medicine.  This is wrong.  We need a better way.