Table 1.

The Expectations of the Two Major Parties Involved in Medicine's Social Contract

Patients/Public Expectations of MedicineMedicine’s Expectations of Patients/Public
Fulfill the role of the healerTrust
Assured competence of physiciansAutonomy sufficient to exercise judgment
Timely access to competent careRole in public policy in health
Altruistic serviceShared responsibility for health
Morality, integrity, honestySelf regulation
TrustworthinessBalanced lifestyle
Codes of ethicsMonopoly
Accountability: performance, productivity, cost effectivenessRewards: non-financial
Transparency in decision making and administrationRespect
Respect for patient dignity and autonomyStatus
Source of objective advice on health mattersRewards: Financial
Team health care
Promotion of the public good