Abstract

In 1970, the prominent medical sociologist Eliot Freidson lamented the near absence of a concept of patients' rights in medicine.1 In response, he called for measures to ensure patients' rights to participate in their care, arguing there is an ineradicable moral element2 to the practice of medicine that demands the participation of those on whom it is practiced.3 Since Freidson first published his classic study of professional autonomy, many changes have taken place that were intended to enhance the rights of patients and increase the accountability of professionals: The courts and the legislatures have mandated the protection of patients' rights, ethics committees have been convened, and bioethicists and lawyers have joined physi-

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