Being a medical resident, you get shielded from a lot of hospital politics. In fact, during nearly all of your training you usually are. If you ever become the chief resident of your particular specialty, you might get exposed to more of it as that’s pretty much your job (in addition to teaching younger trainees).
But what I have learned throughout the hospitals that I’ve worked at, is that all of them — even in Canada, where its all publicly funded — still depend on the charity and philanthropy of others. My understanding is that most academic hospitals in downtown Toronto, in fact, have trouble making their budgets on what they’re given, and being in the black is often the exception rather than the rule.
Its nice, therefore, to see Marc Andreesson (of Netscape fame, ‘natch) being as generous as he is with a $27 million donation to a local hospital, with a goal to improving the emergency department. With the rising cost of everything — but not including expensive technology, whether they be blood tests or imaging modalities (i.e. CT scanners) every hospital needs wealthy patrons, and I would say that’s probably true even for ones in Silicon Valley.
In a day and age where headlines still persist with respect to new tech millionaires who feel unfulfilled with their largesse — its nice to see someone really finding a sense of happiness and fulfillment by taking that money to help others. Even if he’s part of the relatively “old” tech guard. ;)

