[AlphaOne1]

I also think the complete implosion of family medicine has made this worse. In the past, you would keep the same family medicine doctor for decades and trust them. They in turn would know what your values and priorities are. Moreover, they would be able to guide you through difficult healthcare decisions that inevitably come up (cancer diagnosis, mental health etc.). We have lost the human connection aspect of medicine and those few physicians that are able to hang on to it are burning out due to the massive amounts of paperwork they need to accomplish. From the hospital perspective, (which many physicians now work for) good paperwork=good patient care. Paperwork is measurable. Relationships (other than in the abstract) are not.