Beginning of Essay
Initially, James Gorman appears to be stating that physicians should not be ethically obligated to treat each and every "slob" that seeks treatment. The title of the essay, and the sarcastic tone, give evidence that the thesis is quite the contrary. Gorman does i ....

Middle of Essay
.... predicament and others don't. At this point, the reader sees that Gorman is being very sarcastic and bitter towards physicians who mare share this view. In paragraph three, Gorman attempts to make an analogy between other professions and related obligations. In essence, the analogy equates the amount of money and personal taste one may have, with the level of care and/or attention one deserves. The analogy appears to be very inappropriate at first, however, this may be exactly what Gorman is trying to point out, making the reader more sympathetic to the thesis. Gorman begins to touch on a sound idea of preventative medicine in paragraph fou ....