Which, to your point, means that we have to be much better informed and wiser consumers. I am no fan of most physicians, and in fact would faster listen to a PA or Nurse Practitioner than the doc, a choice that has been repeatedly borne out in practice. ANY time we expect someone else to know vastly more about ourselves than we do, we give way our power. That nearly cost me my life on several occasions (several surgeons who accused me of being hysterical when I told them I was a bona fide hemopiliac, which I am, and damned near died on their operating tables because they didn’t take the precautions that I had researched, verified and brought from other doctors to help manage my care). While I value professional input, as you indicate, Dan we have to follow the money and question the intentions. We don’t know how to question with confidence. We don’t take responsibility to create collaborative, competent relationships. It has taken me years to form mine, and I will have to start all over again when I move. Oy.