Additional strengths of on line environments

In the previous post mainly inspired by Vanessa S Watkins & John Lantos, from the Ethicscope Editorial Group contributions,  that "On-line learning environments are best when they support exploratory and dialogical learning", 

I would like to bring the ideas of Kain, D,J,Teacher-centered versus student-centered: Balancing constraint and theory in the composition classroom. Pedagogy. 2003;3(1):104-8. where she concludes that: 

"The teacher-centered/student-centered binary serves only as a convenient construct for categorizing activities and responses; it works against the give and-take that most of us labor to achieve with our students. Balancing our responsibilities, expectations, and goals with our students’ seems preferable to centering the classroom on either ourselves or them"

I would also like to add to what extent an analogy could be made between the "teacher-centered learning" approach and the biomedical model, and, in parallel, if this type of teaching would be able to reproduce a kind of "educational paternalism".

In line with this I suggest to return to the previous Blog post where we briefly presented some of Dillenbourg (2013) thoughts mainly based on the orchestration metaphor (‘teacher as a conductor’) that "favors asymmetrical distributions, in which the teacher takes the ultimate decision. In other words, orchestration is a form of educational regulation but with a different scope, which leads to different design choices"

Likewise and continuing with analogies perhaps student-centered learning can be associated with the "person-centered care" and in turn with the "shared decision-making approach" in a health care setting, which involves patients in the planning and implementation of their care and in building trust between staff and patients.

In order to add more fuel to the discussion (not the chaos), can we, as we do with paternalism, distinguish between soft or hard teacher centered learning approaches? 

Thanks in advance!!