Who exactly is responsible for the patient’s wellbeing long term? The old idea of doctors and pharmacists should be putting themselves out of a job doesn’t seem

Who exactly is responsible for the patient’s wellbeing long term? The old idea of doctors and pharmacists should be putting themselves out of a job doesn’t seem to be reflected in many healthcare systems. It is also not morally responsible for patients who may not be self reliant to do so for a number of reasons(I.e. not in right health or mind). On the reverse, how many doctors or pharmacists actually recommend lifestyle and supplementation changes before resorting to a prescription through observation? My experience has been quite disappointing and I lose faith every time I get a checkup. For what it is worth, I’m not on any prescriptions and actively refuse recommended prescriptions when only seen for 30 minutes every half year. It always feels like an up sell when all you want is to be sent on your way with an acknowledgment that you’re healthy.