We lost our economic savvy -- We turned our charismatic leaders into gurus -- Don't worry, managed care is a passing fad -- We are not a healthcare profession -- At war with ourselves : failure of the profession to own its training -- Our anti-business bias : an inadvertent vow of poverty -- Our public relations : a disaster or just a fiasco? -- Political correctness : we no longer speak as a science and profession -- Creating patients where there are none -- Diversity fiddles while practice burns -- RxP : is this our sole economic thrust?