Craig Bowron, MD, an internist and hospitalist in St. Paul, Minnesota, writes about how the patient-doctor relationship is altered when business leaders apply business systems and metrics to a ‘job’ where it often doesn’t make sense.

[Physicians] are looking for recognition that an ill patient is something more than a paradigm, pie chart, or simple algorithm, that a diseased person cannot be explained simply by finding an insurance billing code for their disease.

What will never be part of the system is the sacred space that I and an ailing patient occupy when I pull a chair to the bedside and commit all of my energy, education, and humanity to listening to and deciphering his or her story.