It seems to me our government has lost all perspective. Our Congress continues to make laws, perhaps in good faith, that add a tremendous financial burden to society without true benefits. For example, while there is no doubt we have a serious drug abuse problem in our country, will putting expensive restraints on the use of prescribed narcotics for pain solve it? I seriously doubt it. My friend just had a narcotic prescribed for severe pain from a shoulder injury and the drug screen required cost over $1000. (Whose lobbyist won that cash cow) Meanwhile there is a huge push to legalize marijuana. Congress can make these “trivial” laws, but cannot fix healthcare, education, or the economy. Perhaps a Presidential order or a Supreme Court ruling can intervene…who makes laws again??70444885-D7BA-4C15-876D-1513F78B2CE3.jpeg


When I think of layers, I generally think of the peeling off of layers of clothing or layers of skin. But today I read an amazing article (Physicians aren’t ‘burning out.’ They’re suffering from moral injury by Drs. Talbot and Dean) on the moral injury of physicians by a broken healthcare system. In my medical mind which has many years of experience, I believe the authors are exactly correct with their assessment. As this kind of honest information about physicians hits the media, I feel the first layers of this massive medical bureaucratic quagmire begin to peel—a glimmer of hope.

Physician Shortage??

88C87311-814C-487F-924F-7A7652E5F908.jpegDo we have a physician shortage? Like so many areas of healthcare, the answer is not straightforward or clear. I personally believe we do NOT have a shortage of physicians; instead, there is a lack of good distribution and efficiency.  The legal and administrative demands on physicians have limited their ability to care for the numbers of patients they should easily manage with a more common sense approach. The responses to a perceived shortage seem dangerous to me. For example, we have increased the number of medical students in school, but their clinical experience and training often suffer. It seems we are generating physicians and not educating them sometimes. I believe we have set sail on a treacherous course in healthcare and the strong winds of  overregulation are blowing us away. We need practicing physicians at the helm. Too often, physician input comes from those hired by the government, hospitals and insurance companies.