The Atlantic has an analysis of what it calls Big Med and compares it to the collapse of Big Law and the so-called deprofessionalization of law. I think the collapse of the legal market is overstated in general and certainly in this article. I don’t think anyone in private practice has ever assumed that they are doing it solely to improve society. It is a way to make a living, enjoyable for some of us (I am a solo and a big law refugee and I love what I do), and less enjoyable for some. I think notions of professionalism are largely overrated in any event.
People don’t trust lawyers because we are as a bunch not trustworthy. We aren’t really supposed to be. We are tasked with arguing on behalf of clients to get them a favorable result regardless of what is right, so how can you trust us?