Abstract
Thank you for honoring me with your Society's Heidbrink Award. It is a humbling truth, however, that as I look back on my 45 years of practicing anesthesia, I feel ill prepared to become clairvoyant regarding the newest and latest things that will advance our practices to the next level of patient care. Many changes have occurred in our practices over the past decades. These include technical, socioeconomic, and cultural changes. Also, for the most part, each subsequent change is a little more complex than its predecessor. However, the question remains: have changes been made for the betterment of patient care, or for the benefit of the health-care industry?
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