Walter Hinteler wrote:As to George's last question's and remarks: I agree with spendi.
I know that some doctors here in Germany try to dp their profession as if it was a business.
They usually change their attitude when patients stop coming because of that (which is, of course, business related as well).
I guess your opinion depends in large part on just what preconceptions you attach to the phrases "business, or like a business". Any physician, anywhere who operates a private practice is also a businessman. The voluntary relationships with his clients (patients) depend entirely on the degree to which they are satisfied with his services. This is a good thing - not a bad one.
I have long suspected that medicine is a field that attracts people with a strong psychological drive for personal autonomy. We have all encountered the attitudes too common among doctors that lay people couldn't possibly understand all the complexities they deal with. The truth is that many fields & professions involve as much (or more) complexity and arcane detail as medicine.
Altruistic motives are also part of the typical psychological profile of those who enter medicine. However that attribute is not unique to them (we encounter the same thing in recruiting engineers, biologists, chemists, and geologists at various universities for our environmental consulting firm). Moreover it isn't their only motivation, and there is nothing wrong with giving them an economic incentive to remain attentive to the needs and wants of their patients.