The document discusses the past, present and future of general practice in medicine. It touches on essential tools like stethoscopes, the differences in interiors and locations of practices over time, the increasing commercialization and competition in the field, and how technologies like telemedicine, computers, new tests and gadgets are changing patient care. It also addresses issues like insurance factors, financial aspects, legal regulations, and the need for ongoing learning. The conclusion emphasizes that physicians must be accountable while organizing care through networks on a not-for-profit basis focused on quality, safety and the patient's whole health.