Ross's commentary, "Stretching a Minute"1 exemplifies much that is wrong with the health care delivery system as it exists today. Ross accurately described many of the different types of anticipatory guidance that are available to providers. He should have ended his commentary at that point. However, he chose to continue by pointing out the ugly truth that much of the reason for the lack of time devoted to preventive health care and anticipatory guidance is sheer avarice on the part of the physician.