Cure is a goal; healing is a choice

In clinical training, the pursuit of a cure is often framed as the paramount objective-the definitive measure of therapeutic success.Medical education reinforces this paradigm through rigorous emphasis on disease trajectories, staging algorithms, and treatment response criteria.However, during my clinical rotation, a single patient profoundly reoriented this framework, illuminating a distinction between curing and healing.Aruna, a 29-year-old woman diagnosed with metastatic synovial sarcoma, had exhausted third-line systemic therapy and transitioned to palliative care.At our initial encounter, she greeted me with a smile and a statement that disrupted my clinical lexicon: "I know there's no cure.But maybe I don't need to be cured to be okay."Her words, unaligned with the quantifiable metrics of medicine, articulated an alternative paradigm of healing-one rooted in agency, meaning, and emotional resolution.

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Publication Details

Journal
Academic Medicine
Published
2026-03-24
DOI
https://doi.org/10.1093/acamed/wvag086
Primary Topic
Music Therapy and Health
Type
article
Field-Weighted Citation Impact
0.00
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article

Cure is a goal; healing is a choice

Victor Sai
Academic Medicine
Music Therapy and Health
article

Cure is a goal; healing is a choice

Victor Sai
article en

Abstract

In clinical training, the pursuit of a cure is often framed as the paramount objective-the definitive measure of therapeutic success.Medical education reinforces this paradigm through rigorous emphasis on disease trajectories, staging algorithms, and treatment response criteria.However, during my clinical rotation, a single patient profoundly reoriented this framework, illuminating a distinction between curing and healing.Aruna, a 29-year-old woman diagnosed with metastatic synovial sarcoma, had exhausted third-line systemic therapy and transitioned to palliative care.At our initial encounter, she greeted me with a smile and a statement that disrupted my clinical lexicon: "I know there's no cure.But maybe I don't need to be cured to be okay."Her words, unaligned with the quantifiable metrics of medicine, articulated an alternative paradigm of healing-one rooted in agency, meaning, and emotional resolution.

Academic Medicine
All India Institute of Medical Sciences (IN)
Zero hunger
Openalex Percentile: Top 17%
Music Therapy and Health
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