Too much medicine and the poor climate of trust (authors’ response)

Abstract

XX has made many interesting points(ref), and we welcome the opportunity to develop the ideas of ‘Too Much Medicine, Not Enough Trust’ (1). We will address: (i) the asymmetry between the trust that patients extend to doctors, and the trust that doctors extend to patients; (ii) our reasons for doubting that litigation or complaints reflect a betrayal of the patient-doctor relationship and (iii) the importance of institutional trust, both for the doctor and the patient.