Please check out my new blog, stethoscopeonrome.com , where the first post you see deals with this very question, as will many of the future posts. You might consider somehow linking to it. I also have written a brief essay on the subject - with nearly the same title as your email - that is currently under consideration as an op-ed piece. Maybe eventually DA could find it useful to the cause… with thanks for having the great idea of using the DA mailing list to pursue this project susan Susan Levenstein, MD