Medical professionalism is service delivered to the patient's interest. It
is essential to reinforce this notion because financial pressures threaten
the integrity of the patient-physician relationship. Excessive commercialis
m directly contrasts the ideals of medical professionalism. This fact neces
sitates re-Examination and reaffirmation of professional behavior. If histo
rical standards of professionalism give way to market-driven incentives, th
e provision of medical care will become a commodity and practitioners will.
be only agents of service delivery. Such a model not only threatens the ph
ysician's identity, but also threatens the patient's interests. Medicine ca
n never succeed as a transaction; it can only succeed as a partnership, a t
rusting exchange with patients, which is the hallmark of professionalism.