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Fear and Loathing in Las Vegas—a savage journey to the heart of the American dream, a box-office flop by most financial measures—little did I know the sequel was currently playing in the heart of “Sin City.” And as Oscar Wilde’s aphorism predicts, life does, indeed, imitate art. My trip to Vegas was planned in haste, desperation to save a failing clinic. The difficulties were apparent: fewer patients, declining revenue per patient, shrinking bank balances, delayed payments to vendors and creditors, and concerned investors. As I listened to the physician/owner tell his story, it felt like déjà vu. Like a movie ...