S D Med 2018 Aug;71(8):367-371
Sanford Clinic - Infectious Disease, Sioux Falls, South Dakota.
Healthcare delivery in the U.S is in the midst of a social crisis and demands social reform. Physician-reformers
must understand that the roots of this dilemma lie in a loss of legitimate authority, as it extends to the patient.
Legitimate authority in medicine exists when patient-centeredness leads - with self-less advocacy that strengthens
the patient bond, radical accountability that restores the public trust and extraordinary teamwork that
addresses exploding complexity. Absent these, authority is simply an exercise of power. Physician-reformers must
stand on the ground of patient-centeredness and debate the truth-claims of patient-centered reform.
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