After taking one year off to teach “Forums for a Future” as a university honors course, I have resumed the series. The continuation applies the concepts developed in the first 16 episodes to an open-end list of contemporary social issues. As a way to get started, I created a three-part “Review and Transition” (Podcasts 17-19) to provide a brief summary and introduction for those new to the series, and a quick review for the original subscribers. Today’s episode, Podcast # 31, is the 12th in the open-ended series of positive approaches for addressing the many specific contemporary economic, social and political issues that challenge our capacity for having a future in the 21st Century. The key concept in today’s podcast is that for a surgeon to continue to perform a more expensive and intrusive procedure when a less expensive and intrusive procedure exists, without informing his patients of the alternative, is an approved medical practice according to the review process of the Florida Department of Health.