Survival

We talk a lot about fixing healthcare, but none of it matters if the people delivering care cannot survive the system themselves.

More than half of physicians in America report burnout.

The same is true for nurses. These are not small numbers.

These are the people holding the entire system together, and they are exhausted.

When physicians tell surveyors they are thinking of leaving the workforce, we should be listening.

When nurses say they cannot sustain the pace, we should be listening.

And when clinicians at every level say the loss of autonomy is breaking them, we must listen.

Burnout is not a personal failure. It is a signal that the system has pushed its workforce past the breaking point.

When the work becomes more about documentation than healing, when decisions are dictated by insurance algorithms instead of clinical judgment, when autonomy disappears, purpose disappears.

That is when people walk away.

If we want a healthcare system that works, we need to protect the people doing the work.

That starts with restoring autonomy, rebuilding meaningful patient connections, and giving clinicians space to practice the medicine they were trained to deliver.

Healthcare will not heal until the healers do.

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