Medical oncologist Ranjana Srivastava contends that the best medicine begins with a good chat, to guide the decision-making of both doctors and patients. Increasingly, people are unable to properly comprehend the complex treatment choices on offer, or are self-diagnosing and demanding unnecessary or risky procedures. Doctors, in turn, feel unable to deny the requests of patients and their families. Narrow specialization also means no one is discussing the overall picture of a patient's health. Srivastava warns that people are suffering—even dying—as a result, and the medical profession should be taking responsibility.In a frank and clear-eyed assessment of an unacknowledged crisis, she makes an impassioned case for healthcare training to incorporate effective communication skills.