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Talk to the Invisible Hand

The promises and perils of treating patients more like consumers.

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And that's how health care works today: Patients are willing supplicants to a vast, complex machinery of health care that works in mysterious and hidden ways. Without a helpful nudge in the right direction, even someone like a former president is powerless against it.

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Darshak Sanghavi is Slate's health care columnist. He is chief of pediatric cardiology and associate professor of pediatrics at the University of Massachusetts Medical School as well as the author of A Map of the Child: A Pediatrician's Tour of the Body. Follow him on Twitter.

Photograph of a patient by Ryan McVay/Getty Images.