Care used to be based on a team approach. Doctors & nurses would discuss patient issues, needs etc and there was a collaborative approach to care, especially in the ICU/CCU type setting. This has changed for the most part to a more authoritative approach to care. The approach to care is most definitely more pharmaceutical rather than a whole patient, mind, body, spirit, ( holistic) approach. Time constraints are enforced by outside entities that refuse payment if a certain number of patients are not seen in a day, for instance. This reduces the time available to provide more holistic care. More & more documentation is required to receive payments, reducing the time available to actually care for patients. The whole medical industry needs to be dismantled and returned to a holistic approach to care. Peatients also have a huge part to play. People need to take personal responsibility for their own health. Eat right, exercise, hydrate, reduce weight, stress etc.