Roy Poses at Health Care Renewal explains the economics of faculty medical practice. It’s like used car sales—minus the integrity. Used care dealers have a goal (to get their sales people to sell cars) which their methods actually may work towards—in that the best salesmen make the most money for themselves and the dealer. Whereas the goals of academic medicine (to create the most rational system of care, and to provide services to the poor and the huddled masses) are in direct contrast to the medical faculty’s financial goals. Well worth reading the whole piece—and if Roy’s not on your RSS feed, well he should be.