The principle of patient choice" sounds like a great principle. Choice resonates with the underlying values of freedom and self-determination that are so much a part of American culture. Yes, patient autonomy is a good principle. But sometimes, this good principle and good treatment conflict. And it takes a wise doctor to know how to manage the conflict.
We Americans are growing increasingly disenchanted with the institutions on which we depend. In our new book, Practical Wisdom: The Right Way to Do the Right Thing, we argue that what philosopher Aristotle called practical wisdom is what's needed to make our instutions run better.