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Books, Journals, New Media
May 10, 2000

Patient EmpowermentThe Patient Self-Determination Act: Meeting the Challenges in Patient Care

Author Affiliations

Harriet S.MeyerMD, Contributing EditorJonathan D.EldredgeMLS, PhD, Journal Review EditorRobertHoganMD, adviser for new media


Not Available


by Lawrence P. Ulrich, 351 pp, $65, ISBN 0-87840-747-2, Washington, DC, Georgetown University Press, 1999.

JAMA. 2000;283(18):2454. doi:10.1001/jama.283.18.2454-JBK0510-4-1

Highly motivated persons, attempting to navigate the labyrinth of health care reform, have seen occasional flashes of lightning, but the path remains obscured by darkness. The key, in my view, to effectively opening the door to health care reform is possessed by doctors: they simply know more about the system than anyone else. Doctors need to reaffirm their traditionally strong bond of professionalism with patients. Moreover, well-informed physicians must think seriously about the thicket of thorny issues raised by the burgeoning entrepreneurial wave engulfing the medical profession, the resultant great tension between the traditional values of the profession, and the let-the-patient-beware mentality of entrepreneurial medicine.

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