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In The Silent World of Doctor and Patient, Jay Katz painted a portrait of medical practice in which physicians' voices dominate and drown out others with at least equal and often superior claims to be heard. Many physicians today, however, complain that their voices are no longer sufficiently heard in the provision of medical care. Some are angry at this perceived turn of events; they see intrusions by unscrupulous lawyers, by unsympathetic judges and lay jurors, by greedy malpractice insurance companies and by ham-handed bureaucratic regulators. These angry physicians mimic Rodney Dangerfield's comic complaint that they "don't get no respect." And many of these angry physicians regard the influential work of Jay Katz as part of their problem. Another contemporary group of physicians evaluate Jay's work in a different mood. These physicians, typically younger members of the profession, are intrigued by Jay's analysis and often seem eager to implement it-to solicit patients' "informed consent," to invite (sensible) judicial or legislative regulation, to eschew the old model of the infallible father-physician. These physicians view Jay's influence as a welcome contribution to the solution of their problem.

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