In American culture, there is no doubt that the “consumer” reigns supreme. While this consumer mindset has long been present in other areas of American life, it is a relatively recent development when it comes to health care. Historically, the "patient" relationship with the health care system was based on an “authoritarian” model of care – the "man" in the white cost was the expert and the patient was a passive participant in the process.  A patient would select a physician based on geography or finances – and make an appointment. Services were delivered in the physician's office for a face . . .
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