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A recent news article on NPR describes a patient experience with doctors who prescribed an effective but very expensive medicine to treat a minor toenail fungus they noticed but that the patient did not even go to them for.

This story illustrates why the best care is also always the least expensive, and Why collaborative care is the best care.

There were many safe, effective and inexpensive alternatives available to treat the problem.

A good shared medical decision would have included a discussion of the mild nature of the problem, and the benefits, risks (including financial risks), alternatives and unknowns of the treatment.

The best care is collaborative care because it is individualized, and it strongly engages the patient to optimize the healing process.