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Following an intensive employee-naming contest that lasted all of five days, the agency formerly known as the Health Care Financing Administration in mid-June renamed itself The Centers for Medicare and Medicaid Service (CMS).

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The fact that we tend to ignore or avoid things that we dread provides a fascinating insight into human nature. Why do pedestrians who take risks in crosswalks avoid making eye contact with drivers? Why did we put off studying for finals until the night before? Why are so many coding and compliance people delaying necessary preparations for HIPAA?

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On September 7, robotic surgery was elevated from a vague concept in most people’s minds to a cutting-edge breakthrough with news of the first procedure performed on a human patient by a surgeon “operating” from the far side of the Atlantic Oceans. Accounts of the operation, a gallbladder removal, explained in some detail the science behind the high-tech procedure. The promise of the new technology brings vast implications for the health care system – affecting considerations of ethics, reimbursement, education, clinical practices, cost effectiveness – in short, the full range of issues that confront practitioners. And consider this: future “centers of excellence” may not actually be “centered” anywhere.