We (medical professionals) are the only patient advocate left in the system. When the doctors are all owned by the hospitals and/or government who will dare advocate for the patient. Even worse is the brainwashing to which even doctors fall victim, especially the young and idealistic. We have bought into the model that says we MUST deny care to certain folks, i.e., the elderly, the obese, smokers cancer patients and others. They really believe that 90 y/o folks with dementia, who don't know their family or don't even respond are being resuscitated and kept on ventilators. In 35 yrs of practice I've never seen such an occurrence. While I have seen instances of inappropriate care it occurs rarely compared to all the good care that is given.