The shift toward consumerism in health care means patients have more status in the doctor-patient relationship. However, this relationship is significantly affected by an external influence:

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Third-party payers, such as insurance companies, have a significant impact on the doctor-patient relationship as they often dictate what treatments and procedures are covered, how much a doctor is reimbursed, and what medications can be prescribed. This can create tension between the doctor's recommendations and the patient's desires due to financial constraints. Social class, the state, and religious groups may have some influence on the doctor-patient relationship, but not to the same extent as third-party payers.

The Shift Toward Consumerism in Health Care Means Patients Have