Loren M. Fishman, M.d., B. Phil. (oxon.) left Oxford after earning an advanced degree in philosophy, spending three years in India before returning to the United States to study medicine. He has led a private practice in New York City for 30 years, authoring more than 80 academic publications and books, and teaching residents at Columbia College of Physicians and Surgeons.

He has thought about trust throughout these years and assembled his thoughts and research in the last decade.