Think you are right Sheri about the importance of being aware. The medical people I’ve dealt with over the last year have made being ill the least of my problems. As a group they have no awareness of the judgmental way their system treats patients outside the actual encounters in their office. As busy and “important” professionals they simply refuse to make space in their minds for reflection on the patient experience. At one time it seemed this was a glitch in the system, or my bad luck. But after a few years of it I’m convinced exclusion is actually designed into the system to keep patient concerns from gumming up the efficient delivery of “care.” So the actual design is flawed and awareness is based on a false belief that people are satisfied because they are silenced into thinking this is all they will get.