Top positive review
Great read with insights into the questions of medical care in the future
May 28, 2012
Island Practice is tale of quirkiness and peculiarities as well as nuanced reporting on moral and political issues like abortion, substance abuse, suicide and, especially, medical care as it has been practiced, but perhaps, may not be in the future. Belluck's description of the Nantucket's only surgeon's behavior gives insights about his pragmatic dealings with real people in tough situations as well a showing this unique doctor plying his trade while holding onto his values and persona. The lesson is that medicine is a micro and macro issue and where you sit defines what you see. Dr. Lepore and his special patients need a kind of care that is uniquely available because of his personality and the unusual characteristics of Nantucket. Anyone who is a patient wants a doctor to go above and beyond the crazy quilt of the insurance and hospital and malpractice "rules" to get us the care we need. Island Practice entertains with stories yet leaves you wondering how will that care be provided in the future, not just on Nantucket, but especially in an isolated situation. Loved all the characters - and they couldn't have been more unusual if this was a work of fiction - so kudos to Belluck for finding them, introducing us to them and getting them to share their unusual tales.