“It is better to know some of the questions than all of the answers.”
James Thurber (1894 -1961)
When I named my blog several years ago I did not quite realize the analogy would have so many applications to health care.
Our "train" is certainly not travelling a straight line on the track. In fact at times the train seems to have left the track.
One unfortunate observation is that like our country overall there is no ten year or twenty year cohesive plan. Healthcare has become a hodge podge of entities and chaos. In fact if we can plan beyond next month running our medical practices we are lucky.
A train with a locomotive at each end pulling in opposite directions won't move very far.