Increasingly, independent physicians, accountable only to their patients and the Hippocratic oath, hae been replaced by salaried doctors who are accountable to the hospitals or insurers that employ them.

• 全心全意只从病人和医疗职业道德考虑的医生越来越少，那些考虑医院和保险公司利益的并由它们支付工资的医生正在增多。