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Health Care Needs a New Kind of Hero
The surgeon and best-selling author readily concedes his own limitations as he explains how doctors-and health care generally-could do better. In his latest book, The Checklist Manifesto, Atul Gawande describes how asking a set of simple questions before the surgery starts-things like "Did we give the patient her antibiotic?" and even "Did we introduce ourselves to one another?"-can reduce infections and deaths by nearly half. As simple as this exercise is, it's often met with hostility, because it challenges beloved notions about doctors' status, autonomy, and expertise. In this edited interview Gawande discusses what checklists reveal about the culture of medicine and how its dysfunctions might be fixed.