This is the time of year when many people contemplate contacting a psychologist. It may be the drop in mood that occurs in winter, the lingering stress of the holidays, or perhaps it stems from a New Year's resolution.
Forty years ago I was diagnosed with type 1 diabetes. I was told -- as we all were -- that the cure was five to 10 years away. There still is no cure, but I just interviewed the man who may be a breath away from preventing type 1 diabetes.
While rewarding doctors for each step they take to make a patient better may seem fair, it has disastrous consequences for the structure of our health system. Chief among them is our top-heavy physician specialty structure.