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The author comments on an article by C. J. Peek that focuses on Don Bloch's vision of collaborative family health care and the evolution over the past 20 years of the field. He mentions the importance of family in Bloch's and the Wingspread workgroup's ecosystemic collaborative care model. The author thinks that the ability of the health care consumer and professionals to collaborate in a more egalitarian and less hierarchial manner hinders progress.