There is increasing international emphasis on patient-centered care at all levels of health services. This shift recognizes that it is the patient, not the doctor, who should drive health care decisions. Patient-centered care involves acknowledging that each patient is unique and health care decisions should be guided by individual needs, values, and preferences (Table).

Patient-centric healthcare starts with sharing decisions with physicians. Politicians and policymakers are discussing what parts of the Affordable Care Act to change and what to keep. While most of us have little control over those discussions, there is one health care topic that we can control: what we talk about with our doctor.