If you were a patient, would you rather be treated by someone with the Fat Man’s hands-off approach, or Jo’s hands-on approach? 

What points do you think Shem is trying to make about the medical system at the time that the book was written? Use textual evidence to support your argument.

Do you agree with Updike’s statement that the sex in The House of God is portrayed as a “mutual relief” (xvi)? Does Roy’s relationship with Berry play an ethical role in his sexual relationships at the hospital?