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First, Do No Harm?

By Amy Fahey

A little over a year ago, I took my aged father for a specialist visit. The appointment, which I still recall with painful clarity, put me in mind of the Anglo-Saxon poem known simply as "The Ruin." The manuscript is damaged, so what remains is itself a kind of ruin, a meditation on former splendor contrasted with brokenness and fragmentation. It struck me then, as it does now, as a fitting metaphor for the current state of healthcare in our nation.

The receptionist hands me a tablet and stylus and tells me to register my father. There are a series of questions on the screen, all…

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