Dr. Nagel is a rebel. He does not accept the status quo and challenges current medical models. He takes aim at the “business of medicine”, the disability system, and the impersonal electronic health record. This is contrasted with affirmative recommendations about changing primary care training and incentives for treating chronic pain. His ideas about patient care will inspire readers to hold fast to concerns about our medical system and to advocate passionately for patients with chronic pain and other difficult-to-treat illnesses.