I haven’t read it in a long time but I remembered it due to the hometown connection. There are lots of these old anecdotal conspiracies but this one always rang true to me. Too many things he described came to pass. Especially how they transitioned us from a system that was built upon the doctor-patient relationship on the individual scale to one of bureaucrats, hospitals, medical groups, and insurance groups. I wish we could get back to an era of home-visit doctors who remained your family doctor for decades.