The symbol for American medicine is the caduceus of Hermes Trismegistus. The figure of Hermes has troubling connotations as an overseer of the medical profession. For example, he is known as a liar, thief, and trickster. Sadly, American medicine seems to have taken on the characteristics of Hermes Trismegistus. Reform is needed, perhaps beginning with the symbol, but continuing on to the field of medicine.