We are in the midst of a sea of change in healthcare—driven largely by healthcare reform and evidence based medicine. Public trust is critical to the success of healthcare reform. But many patients believe that EBM is vulnerable to corruption by stakeholders—like insurers seeking to control costs and panel members who have industry conflicts of interest. Patient distrust in IDSA Lyme guidelines is high because Lyme patients believe that the guidelines panel was corrupted by industry conflicts (diagnostic tests, vaccines, and insurance) and researcher self-interest. Today, a shift from old models of medicine toward patient-centered medicine is emerging. It seeks to focus medical attention on the individual patient needs and concerns rather than those of physicians, insurers, pharmaceutical companies, and researchers. At LymeDisease.org we have been up to our eye-balls in EBM and patient-centered care since 2004, when we launched the two standards of care campaign.