Our healthcare system is truly in a crisis. Most people in the field or using the services clearly see how broken it has become. In effect, the system is “bleeding” money away from patient care and into a vast bureaucracy. A recent study shows that the biggest cost increases have come from insurance companies, pharmaceuticals, and administrations. Physicians, although commonly blamed, do not substantially contribute to the rise in costs directly. Having been in the field since 1981, I am appalled at the attack on physicians from multiple fronts, mainly legal through continued legislation that only adds to costs and derails patient care. We have become hired “guns” and they are looking for cheaper ones; hence, a flooding of poorly trained, mass produced physicians and mid level providers will assume the reigns of seasoned physicians who are leaving the field prematurely, during their peak productive years. I don’t see an easy answer, but am open to suggestions.