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Letting patients call the shots

By The Atlantic  
   March 20, 2015

In many hospitals and clinics around the country, oncologists and surgeons simply tell cancer patients what treatments they should have, or at least give them strong recommendations. But here, under a formal process called "shared decision-making," doctors and patients are working together to make choices about care. It might seem like common sense: Each patient has different priorities and preferences; what's right for one patient may be wrong for another. Of course patients should weigh in. But many aren't accustomed to speaking up. Even the most engaged or educated patients may defer to their doctors because they are scared, they don't want to be seen as difficult, or they think the doctor knows best.

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