We need to return to the patient-centered care that Dr. Arnold Relman advocated for throughout his professional life rather than continue with the present disease-centered system if we truly want to reduce the burden of disease.
There are many modalities to healing. Combining experience and knowledge, gut instinct, lifestyle and, most importantly, the individuality of each patient will help counter medical reversals and better our health.
Although I continue to believe that these professional qualities are paramount to excellent patient care, I am finding that other, less-obvious proficiencies are also required. Ironically, these skills that I have in mind involve a field what we as physicians know least about: business.