The delivery of medical care is changing. The pressures and incentives to make medical care more “efficient” are ever increasing. In today’s climate I appreciate and admire those who can deliver health care in an “old fashion” manner- through doctors and staff who listen, are caring, are compassionate, and are kind. Such qualities are essential in lifting health care delivery beyond the purely technical, the mechanical, the singular focus of dollars and cents. Doctor bags may deteriorate but great health care will always endure and be appreciated.