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In health care, what does it mean that a patient is a consumer, and what is the common critique?

Increased patient autonomy and equal power.

Decrease in access to information.

Improvement in personalized care due to market choice.

Commodification of care and unequal power dynamics.

Seeing patients as consumers in health care means framing care as a market where patients make choices among providers and services, guided by price, availability, and perceived value, much like buyers in other markets. The common critique of this view is that it tends to commodify care—treating health services as products to be bought and sold—and it elevates market considerations over clinical needs. This can tilt power toward those who pay or control access, while patients often rely on professionals for information, recommendations, and gatekeeping, creating unequal power dynamics and questions about equity and clinical appropriateness. While autonomy and information can be part of the picture, the critique focuses on how market logic can erode care as a public good and widen disparities.

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