Lileks is beating up Patch Adams with a verbal truncheon. Is nothing sacred? Could it be more politically incorrect?

It's wonderful.

If you knew your doctor was a clown, you?d find another doctor. You don?t want to be given the biopsy results by someone with a flowerpot on his head. You don?t want your doctor to demonstrate the effect of chemotherapy on a tumor by sweeping up an ever-diminishing spotlight. God forbid you should wake up during the operation and see your doctor pulling yards of knotted scarves from your abdomen.

People who are clowns are telling you something and you?re a fool not to heed them.