The face of the woman sitting across from me begins to quiver, and my job as a psychiatrist is to keep my mouth shut. I knew when she came in and said her beloved Scottie of 15 years had died how big a loss that was.
The doctor/patient relationship has become more complicated and less effective with the introduction of third-party managers into the payment process. The authors propose a middle path solution to this problem that emphasizes clear, up-front communication in order to ensure fairness, privacy and informed consent.
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