Third-party payors, government, hospitals, and non-physician staff disrupt the patient-physician relationship, once considered sacred. Productivity demands, shorter appointments, and a one-size-fits-all algorithms rob patients of physician time.
Political funding schemes limit expansion of graduate medical education. Graduating physicians are left jobless while inadequately trained mid-levels are being used to fill the void. Soaring debt fuels physician exploitation by administrators resulting in abusive leverage over physicians in both employed and private practice settings.