Notes on life, philosophy, and medicine

dear big hospital institution, my question for you is are you a health (life) giving or a health (life) taking place? if you realize that you were the latter, would you change? how would you change? When does a hospital become just a place of employment? How can we maintain our ability to be a place that offers hope, life, and even perhaps peaceful place of death? How can we empower our patients to take care of their own health? how can we create an environment where health/life reigns supreme and death and dying are respected not an invasive part of society? how can we always recognize the human aspect of what we do in medicine?

what's wrong with a hospital that is too big? does it take away the individual responsibility of caring for their own health. the same way big government takes away the intimate knowledge and responsibility one feels toward their community?  So we might have clean streets, but is it sustainable when the community is only paying for it to some form of taxation 10 steps far removed? Or rather, what is lost - so we have clean streets but we don't know our neighbors?  Has the hospital become a place where people go not only for emergencies, but is the easiest option for someone to go when they don't have a community that knows their name or cares about their health?  Can their hospitals do better? Are there better hospitals?  What about teaching hospitals? highly stratified systems with no one truly invested in your education?  who is teaching who?  who is learning what?  I suppose for now, I will learn what I can, see what's out there through green eyes. Will someone