“The bond of trust between patient and physician has always been the essential ingredient in medicine, assuring that the patient receives individual attention and the best possible medical care. Yet often lost in the seemingly endless debate over the Affordable Care Act is how the health-care bureaucracy, with its rigid procedures and regulations, undermines trust and degrades care. In my pediatric ophthalmology practice, I have experienced firsthand how government limits a doctor’s options and threatens the traditional doctor-patient bond.”