A caring partnership: can we gain control?
Balint, J.A.
Mount Sinai Journal of Medicine new York 72(2): 100-104
2005
ISSN/ISBN: 0027-2507 PMID: 15770339 Document Number: 590271
The health care system in the United States is in trouble. Patients and physicians are becoming increasingly unhappy with the system. There has been a progressive deterioration in trust in the system and in patient-doctor interactions. The history of the evolution of medicine as a profession over the past 350 years is briefly reviewed. The forces that have changed a paternalistic, but caring, system into one that is no longer paternalistic, but also less caring, are discussed. It is suggested that the current market-driven, industrial model is failing both patients and physicians, and that it is too costly. The case is presented for patients and physician to join forces to work for reforms of the system, to encourage more physicians to take up careers in primary care, to fund health insurance for the uninsured, and to subsidize the education of future physicians. These approaches should help restore trust and a caring partnership between patients and their physicians. This partnership is necessary for attaining the reforms suggested.