What is medical school for?

The AMA is supporting a Senate bill to improve health literacy! We are told this is because patients need to understand how to take care of themselves. Is that not what we were supposed to learn in medical school? Isn't that also part of the expectations of CME and the medical literature? Why do we need a new law to carry out the objectives of medical education? I thought the LCME which certifies medical schools and the ACGME which approves residency training, and the Boards of Medicine which oversee podstgradiuate practice were supposed to perform this function. Is the AMA hierarchy really this much out of touch with reality? It appears that training is focused too much on technology and examinations are focused on abilty to answer multiple choice questions, not on performance. Yet even more emphasis is being placed on the wrong competencies in CME programs, which train the wrong way, and are associated with new state and federal mandates being pushed on state boards of nedicine. Those who decry a recipe-based approach to medical practice are prescribing such a practice to avoid law suits, rather than fixing the problem in medical school. I am sure this is not what the IOM intended when it published "To Err is Human". The fixes are worse than the problem.