"The worst... medical care would be just say, "Oh well, it's completely up to you. I'm not going to give you any advice." Well... you're the guy who knows... [the] supposed... expert. ...I want your advice. ...[T]his is an invaluable process which I hope all medical students have been taught. How to engage... It's not . ...Paternalism is ...immediately saying, "...I think you should do this," without really allowing that person a full autonomy to choose."