An ethical and corresponding legal structure based on physician supremacy over patients and other healthcare professionals has evolved over the past 40 years to recognize patient autonomy and realize that systems and societal structure influence healthcare outcomes as greatly as do provider-patient interactions. Future ethical and lega) imperatives for pharmacists will necessitate a profession prepared to deliver primary, secondary, and tertiary care services as part of teams of providers, and less devoted to drug distribution as a professional raison d'ětre.
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