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