“The English, who look on stoically as national health hospitals in run-down metropolitan areas close their wards through lack of support and patients spend time on trolleys in corridors, are comforted by the knowledge that wounded hedgehogs are tenderly cared for in a hedgehog hospital.”

“I followed Barry closely as we walked through the main doors of the hospital, down the corridor that smelt like disinfectant and false hope.”

“The hospital will never be healthy for patients if it's not a healthy environment for nurses, where their voices are heard and where they can care for their patients and use the full extent of their knowledge, abilities, and skills. After all, hospitals today have become one big intensive care unit: all patients need intensive caring.”

“So Medicare decided to pay hospitals like ours for internship andresidency training programs, get it? It’s a win-win, as they say—the hospitalgets patients cared for by interns and residents around the clock,people like us who live on site, and whose stipend is a bloody fraction of what the hospital would pay full-time physicians. And Medicare delivers health care to the poor.”

“I don’t think the people today who start hearing voices, stop eating and sleeping, and run amuck are likely to get good treatment. Having more knowledge, better diagnostic capabilities, better medications with fewer side effects, can’t make up for the fact that most patients are being treated by doctors, therapists, and hospitals, who are operating under constraints and incentives that reward non-treatment, non-hospitalization, non-therapy, non-follow-up, non-care. Lost to follow-up is the best outcome a health insurer can hope for.”

“Cookery means…English thoroughness, French art, and Arabian hospitality; it means the knowledge of all fruits and herbs and balms and spices; it means carefulness, inventiveness, and watchfulness.”