Other work in feminist bioethics attempts to reconfigure autonomy to give fuller consideration to patient agency. These approaches view autonomy not solely as a property possessed by all competent adults but also as an aspirational achievement that requires moral development, social cooperation, and supportive institutions. They emphasize the importance of encouraging the development of autonomy capacities to balance disparities in education and status that distort physician-patient, and other, communications. A more adequate conception would make visible how social norms and pressures influence the choices offered to patients, and would emphasize the obligations of healthcare providers to actively support patient autonomy and decision making.