There is considerable interest in reinvigorating medical professionalism.1,2,3,4,5,6This interest reflects a profound unease with the seeming primacyof economic factors among those currently affecting medicalpractice in the United States. There is general agreement thatpatients' interests must take precedence over physicians' financialself-interest and that professionalism also entails serviceto vulnerable populations and civic engagement. But as commentatorsfocus on managed care and other issues of the moment, many considerationsare entirely overlooked. These omissions may well subvert theeffort to make professionalism relevant to contemporary medicine.
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