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Sure, med­ical progress has been astound­ing. But today the U.S. spends more on health­care than any oth­er coun­try, with so-so out­comes. Atul Gawande — can­cer sur­geon, pub­lic-health researcher, and best-sell­ing author — has some sim­ple ideas for treat­ing a painful­ly com­plex system.