Please, let patients help improve healthcare. Let patients help steer our decisions, strategic and practical. Let patients help define what value in medicine is.

Value in medicine depends on information - as I said in 'Let Patients Help,' 'People perform better when they're informed better.' It follows that to make patients and families more effective in care, they need to know more.

In other industries, value is defined by the ultimate stakeholder - the one who benefits, or not, from the service. We should do the same in medicine.

In my book, 'Let Patients Help,' one chapter is titled 'Let patients vote on what's worth the cost.' That's sensible, right? In other industries, consumer preference is a key determinant in prices.

As I've met clinicians in my travels, time after time I've been inspired to hear why people went into medicine: to apply their way-above-average minds (and hearts) to work that's beyond most people's capacity, and perhaps save a few lives.

The baby boomer surge is forcing society to face decisions about costs - and particularly what is valuable. It's senseless for clinicians and governments to bear these choices alone; a sad effect of needless paternalism is that it places a false burden on responsible people.