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2¢: I wouldn't take it that way.

I upvoted your comment. There are a couple of things you ought to consider when reading the replies.

1.) People want to believe that they'll know when they're "off their game". That doesn't make them brutalist thugs. There's plenty of cognitive bias to go around.

2.) Saying it is "out to lunch" to manage one's own care is lacking in the context department. It seems to me that there are plenty of situations where the patient is in a strong position to "manage" their own care. Is that always the case? Certainly not, but it's not patently false. It depends.

There's been talk in the comments on this story about modern aviation, copilots. The relationship between a patient and provider ought to be adjusted to find the best outcome. Finding the right mix is difficult, but I think we can do better than "The patient is always right" or "The provider has absolute control."



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