
Giants and Dinosaurs ◾ 11
And I found that analogy in medicine, which has taken the same profes-
sional journey we have but is much farther along the path of needing to pro-
vide more valuable outcomes with an increasingly specialized and isolated
practitioner population.
The Mayo brothers, Charles and William, were the first to recognize early
in the twentieth century that medical specialization had led consumers to
believe that quality of medical care was declining as a result. That belief
persists today, despite our living almost twice as long as we did a hundred
years ago. It persists despite the fact that diseases formerly thought of as