Title: brilliant analysis of medical culture & its consequences
Review: This superb book is a critical examination of the cultural aspects of the doctor-patient relationship and how these may operate to benefit or harm the patient. He discusses the reasons that well-meaning physicians behave in an arrogant and dictatorial manner, express more certainty than they really feel, manipulate their patients, rely on "clinical judgment" rather than scientific evidence, overtreat, etc. This is not a doctor-trashing book, as he sees much of this as being outside the ability of an individual physician to change given the pressures of medical culture. I recommend his fascinating analysis without reservation.
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