The way doctors are asked to practice medicine today is often in direct conflict with their deepest values. Over the past decade or so, doctors have gone from being independent practitioners to employees of healthcare systems, some owned by hospitals, some by insurance companies. One result, studies show, is that profits often come before patients, with the business of medicine divorced from—and controlling—clinical care. Doctors are squeezed, typically placed on tightly controlled schedules, with patient quotas to fill that drastically curb their time with each patient.