I can see some of the points she's making, but I don't think the balance of power in the patient/doctor relationship is as she seems to describe it.
The reality for most patients is not that we want to be in control of decision making. Maybe we just don't want to feel like everything is out of our control.
Which is no reason to dismiss patient expertise and the importance of active participation. I'm sorry, but if well-informed, participatory patients stretch resources, that's an argument for increasing the resources, not for slapping down those of us who try to be co-responsible for our treatment as selfish.
The BMJ takes comments; perhaps some of you would like to talk back on this.