It's always good to have the patient's input, and to have them understand what's going on. She admits that when patients do not respect her expertise, it can be frustrating, but it is something with which every doctor must deal. Dr. Henry Chang, currently the Chief Resident at the University of Minnesota Hospital, disagrees somewhat with Dr. Moy's point of view. One can find those qualities in older doctors too. Medicine has been a profession that prides itself on being ethical and truthful.
Younger doctors are no more truthful or honest than older physicians.
Dr. Chang, however, realizes that the changing medical profession has impact on the privileges and authority of physicians. Younger doctors have realized things that older doctors can't accept. Autonomy of the physicians has been compromised. What they said used to be the law, but now, everything is subject to the approval of insurance companies, physicians need to explain and justify to the payers. Dr. Chang believes that the physicians have not changed that much, but that the institution in which they operate directs them in radically new ways.