How Patient Centered Are Medical Decisions?

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Abstract
In 1982, the President’s Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research decried the extent to which medical decisions were being made in a paternalistic way, with physicians essentially controlling the decision making. The commission took the position that ethical medicine required that patients be provided with the information they needed to form their own opinions about what should be done, and their voices should be well reflected in the resulting decisions.1