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I hope that readers will create a conversation on this and other postings I have written in the past three weeks. Give and take is actually my main motive in creating this "newsletter". I have been commenting on Substack, WSJ, National Review and other postings. There is always some risk in commenting as vituperation happens and nuanced communication is not always easy to create. I am really concerned that physicians have lost a great deal of credence and respect in the public marketplace. I believe that much of this is related to the deference to the establishment voices, which have been such a mixed bag of truth and falsehood. There is much work to do and few forums on which to discuss these matters.

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