Richard Gunderman is a wise and prolific writer, radiologist and professor of many disciplines. He writes eloquently in NEJM Catalyst:
What Is Medicine For?
The core problem, then, isn’t managerial. It isn’t even ethical. It’s ontological, pertaining to the most fundamental question of all: what in medicine is most real?
Recent efforts to convert medicine from a relationship-centered profession to an efficiency-focused production process have shifted the focus of attention……describing…a health care culture seriously out of step with what matters most in patient care. This imbalance inevitably erodes the engagement of health professionals.