I was thinking of the effect that maximizing ties in a network (density) could possibly reduce with a large number of clinicians in the network who may not serve as bridges to the non-medical alters. In its most simple terms, density in an egocentric network is a measure of the success of optimizing the number of ties available to an ego. Waste not, want not. The ego is connected to everyone else (alters) then density is an “alter connectiveness” measure (Snoke and Yang, 2007, p.53). Could the aspect of power in the doctor-patient relationship upend the desire for “balance” both structurally and cognitively that egos forge in a network? While there may be differences in doctors’ aptitude at bedside manner, an imbalance away from patient-centered care (as Utopia) leaves the power in the hands of the provider. I think that we would all agree that we must acknowledge that ties with a provider may be positive or negative. We love. We de-friend. Structures live precariously on an edge needing balance. Thoughts?