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The problem with predestination
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When I was in seminary and beginning the process that would lead to a doctorate, I was required to spend a summer working in a hospital environment. I not only had to know the hospital's policies, but also every area where patient care was given: emergency room, nurses' stations, intake, counseling, was on call 24/7 and had to meet with a qualified supervisor, prepare in-depth written reports (often post mortems) and attend specific seminars in order to stay up-to-date with regulations and modifications. I developed a very sensitive loyalty toward anyone in the medical profession.
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