Paternalism in medical care refers to?

• A. Shared decision making
• B. Where the provider calls all the shots
• C. Ignoring patient concerns
• D. Patient-physician collaboration

Answer: (B)

Paternalism in medical care means the clinician makes the medical decisions for the patient, assuming what’s best and limiting the patient’s input or autonomy. It’s the idea that the provider’s judgment should “call the shots” without—or with minimal—patient involvement. This view reflects a protective stance, but it can override the patient’s values and preferences.

In modern practice, emphasis is on autonomy and informed consent, with shared decision making that involves discussing options, risks, and benefits and incorporating the patient’s goals. The description that best fits paternalism is the one where the provider calls all the shots, since it centers decision-making authority with the clinician rather than the patient.