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Vermont has the second highest rate of Lyme disease in the country, according to the federal Centers for Disease Control and Prevention. The rate of infection in Vermont is nearly 10 times the national average for the Lyme disease, which is the most common tick-borne disease.
The point here is that the doctor-patient relationship is tremendously important in healthcare. I believe that a lot of the art of medicine is based on the dynamics of that relationship, and on the mutual trust that emerges. In the modern version of primary care medicine we have seen the doctor-patient relationship deteriorate to a point where there is often very little trust developed.