About 10 years ago, my hospital remodeled a floor for elite, paying customers. It is called the Pavilion. Located on the top of our tower, there is a cost differential to stay there. No one asked my opinion about this decision, but I was not pleased.
I love the place where I work. I came here to train and I’ve never left. One of the things I loved about our institution was that it was, somehow, egalitarian. I liked that my marginally housed, alcoholic patient with cardiomyopathy shared a room with a family member of a senator. I liked it even more when they brought each other coffee. I liked being able to tell residency applicants that we didn't have a tiered system. I made the usual wisecracks too. “The Pavilion,” I would say, “is near a hospital.” On my first tour of the space, I scoffed with a colleague at the security and made fun of the bidet, the huge bathroom, and the room service.