PAGE 20 FEATURE NO MORE EXCUSES QUESTION : Does the new modern medical system have what it takes to create world class results? The answers lie in our willingness to return to a solution based mindset. GEARS T he fact is that we are running out of time and our culture has to change and change quickly. No one entity is actually to blame for the difficulties we are facing. It is the relentless drift of events that is responsible for the current state of affairs in medicine and otherwise. As populations grow and diversify, there becomes inevitable shifts in cultural beliefs and attitudes. As technology expands exponentially, access issues become inevitable. Who should have access, and how will that be funded, is often a tough (potentially unanswerable) question permeated with blame, jealousy, and finger pointing.