TY - JOUR T1 - The physician fiduciary: understanding trusteeship and leadership amid the US healthcare system JF - British Journal of General Practice JO - Br J Gen Pract SP - 430 LP - 430 DO - 10.3399/bjgp18X698657 VL - 68 IS - 674 AU - Zachery Paterick AU - Timothy Paterick AU - Nachiket Patel Y1 - 2018/09/01 UR - http://bjgp.org/content/68/674/430.abstract N2 - ‘The best solutions to the problems of national order lay in education of individuals to the ideals of service, stewardship, and cooperation.’(Charles W Eliot, 1910)As physicians, we live in a complex, ever-changing medical landscape. The goal of maximising profits percolated into the healthcare sector, which was once based upon the ‘common good’ of our patients and society. The common good consists of our communal values, about what we owe one another as citizens, bound together in the same society seeking the rules and principles we wish to achieve together. A concern for the moral good is an ethical attitude recognising we are all in it together. If there is no common good there is no society.A century ago hospitals and health insurers had palpable public responsibilities. The original purpose of health insurance plans, devised at Baylor University in the 1920s, was not to maximise profits. The original intent of the health insurance plan … ER -