“Doctors always want to prescribe the newest option because it bills higher to the insurance,” he said.

He turned to the second page of the blue folder.

I could see the bold black numbers printed at the bottom of the column.

Two hundred twelve thousand dollars.

“What’s in there?” I asked.

“These are the college fund statements,” he said.

He tapped the stiff paper with his index finger.

I watched him run his thumb over the metal clip.