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After graduating from Harvard Medical School in 1986, Bill Thomas started working as the medical director of a small nursing home in central New York. It was a run-of-the-mill institution, "depressing and dispiriting," he says. He was attending to an elderly resident's rash one day when she looked up at him and whispered, "I'm so lonely, doctor." Thomas says he had an epiphany. He realized the residents he was caring for seemed plagued less by medical issues than by boredom, loneliness and...