Culture of biomedicine itself is the relationship of the individuals that use this model, western society to explain their conditions and the treatment that is expected. Like stated many times previously doctors are the western societies gate keeper to the pharmaceutical remedies. The relationship of patients to biomedicine and the development of the culture itself is just as important as the doctor-patient relationship. Dichotomies in terms of medicine are not only logical but necessary for existence. In the western world today as technology grows the need for a doctor-patient dichotomy is necessary to maintain existence through survival of the fittest. With an exponentially growing field of information those who choose to become doctors are allocating portions if their life and mind to gain this knowledge in medicine and the well-being of others which is needed to take care of the majority of the population that choose to take the role of patient. As described in lecture the expert patient has evolved in our culture. We as patients are the most informed medically as we could be and actively take an interest in our health that was not there in past generations. It is understood in this dichotomy in terms of medicine that the doctor is the authority, will provide beneficial information and is trusted by the patient in doing so. As the western world developed so did this dichotomy which ultimately strives in not only benefiting the fittest but curving the rules of life with their knowledge of medicine to ensure the survival of many more thus turning the population into a less fit species constantly needing medicine and doctors to open the and cure the conditions we as a culture have created. The need for medication as a culture was described in the video Pill Poppers. It has now become blurred for numerous reasons whether ailments are being cured by drugs or the development of these drugs are creating ailments. The doctor-patient dichotomy was consciously created to solve the problems of humanity with the use of medicine while unknowingly aiding as the biggest ailment against them.