Many of the terms defined in this book (see glossary) have since become widely known and used in medical culture. It is difficult to say which came first, the book or the terms, but terms such as 'bounce' back and 'turf' are now in standard medical usage. Similarly, many of the concepts central to the book are now well accepted medical truisms. For example, since the 1970s "falls risks" has become a standard assessment for all patients and the notion that "gomers go to ground" is well established, if not always phrased in those terms. It has been argued that 'The House of God' was revolutionary in that it brought to light paradoxical issues of care in modern medicine. Patients (in the book under Putzel) who were not acutely ill could nevertheless be admitted to the hospital and undergo multiple invasive procedures, creating a revenue stream for the hospital but exposing the patient to risk and discomfort, and demoralizing the residents. Reimbursement rules have been changed to prohibit this under value based purchasing (see Pay for performance (healthcare)). JAMA (the Journal of the American Medical Association) has a distinct collection of hundreds of articles titled "Less Is More" that discuss multiple areas of medicine where standard interventions seem to hurt patients. The Fat Man's last law "The delivery of good medical care is to do as much nothing as possible" is supported. Others propose that the book was the impetus for limiting medical resident work hours.