In "The Paradox of Choice: Why More Is Less", Barry Schwartz explores the complexities of decision-making, particularly in the context of healthcare. Research indicates that while a significant number of patients express a desire to choose their own treatment options in serious situations like cancer, their actual preferences may differ when faced with the reality of making those choices.

Specifically, Gawande points out that many people tend to prefer having others, such as healthcare providers, make decisions on their behalf. Despite the overwhelming desire for autonomy in theory, the pressure and uncertainty associated with serious health decisions often lead patients to seek guidance and support from others, highlighting a disconnect between what people say they want and what they truly prefer in high-stakes situations.