Entrepreneurs with "disruptive" business models are driven idealists and rebels, impatient with current practice. In this way they are like adolescents. Our future is in their hands, but they need guidance.
Traditional medical ethics puts patient welfare first. As corporations increasingly control health care, business ethics replace medical ethics. Doctors and patients must work together to defend the doctor-patient relationship.
What is a competent psychiatrist? Harsh critics declare the question moot, official bodies print long lists of "competencies." Is the answer in between? What does it take to understand and help troubled people?
Excessively paternalistic doctors are reviled by many patients today. But is a servile physician better? By avoiding both extremes doctors may demean neither their patients nor themselves — and in the process deliver the best healthcare.