Primary care medicine is changing for the worse. With new health care reforms, Patients will have less interaction with a doctor. The biggest impacted medical field is primary care, an inherently slower, more personal, and uniquely tailored service. Patients are feeling helpless and alienated; losing a valued close connection with a doctor while health care becomes more transactional than relational. Dr. Frederick Barken is fighting for traditional primary care in his book, Out of Practice.