I'd ask Atul Gawande why he blogs.
However, 1) he doesn't blog, and 2) he's already answered, sort of. (Scroll down to the bottom of the second page, unless you want to read the boring details of a parathyroidectomy, or something.)
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Thank you for your interesting post!
I thought perhaps you may find this related post about new article by Atul Gawande interesting to you:
Longevity Science: The Way We Age
http://longevity-science.blogspot.com/2007/04/way-we-age.html