Physician's professional autonomy in Korea has been threatened by several factors. The most important are the unreasonable national healthcare system and negligence of education of the professionalism in medical schools. Physicians' dual roles -as healer and professional- are linked by codes of ethics governing behaviour and are empowered by well established medical system.
Unfortunately, Korean medical system is not guaranteed physicians' professional autonomies. Korean government made a health care system that has a very strict regulations, but, the budget is very restrictive. Most Korean physicians have to manage their private clinics under strict regulations. The change in Korean healthcare systems in recent 3 years has been dramatic, resulting in physicians having diminished autonomous decisions for their patients. The increased complexity and cost of medicine undoubtedly made this inevitable. Societal attitudes to physicians have changed from supportive to increasingly critical- with physicians being criticised for pursuing their own financial interests, and failing to self-regulate in a way that guarantees competence. Korean physicians failed to take social agreements for their difficulties, the reason is that they should have to show up their effort to establish better relationship with patients more earlier before this critical period. The contract between professions and society is relatively simple. The physicians are granted a monopoly over the use of a body of knowledge, as well as considerable autonomy, prestige, and financial rewards- on the understanding that they will guarantee competence, provide altruistic service, and conduct their affairs with morality and integrity. Both government and publics should wish for the same type of physician- competent, moral, idealistic, and altruistic. This is best guaranteed by a reasonable health care reform.