In Dr. Stephen Sagar’s view, medicine has become a dystopian business enterprise. There are so many rules and regulations for health care professionals to deal with that it is becoming increasingly difficult for them to provide compassionate health care. Bureaucratic systems are taking the soul out of health care organizations, he said, by pulling physicians and nurses out of the front lines and into a culture detached from patients, one that values efficiency and productivity over personal interaction. “You may be surprised to learn that physicians are losing their power to make decisions and moral choices,” Sagar said. “A major contributor to that is micromanagement of the physician and nurse by a burgeoning bureaucracy of administrators and managers who impose a top-down approach to controlling clinicians.”