03/03/2026
A senior physician executive once told me:
“Large organizations have a different tempo. Each has its own culture. Some coaching on organizational dynamics would likely be helpful.”
Translation?
Slow down. Blend in. Learn how the machine works.
No.
Because the machine is failing people.
We have a healthcare system where chronic disease is exploding, clinicians are burning out, and patients are fighting insurers for basic, evidence-based care.
And somehow the advice is still to adapt to the tempo? 😒
Respectfully, I’m not interested in learning how to move more gracefully inside dysfunction. 🥱✌🏼
Sorry not sorry. 🤷🏻♀️
We don’t need more clinicians who are well-trained in corporate survival.
We need clinicians who are willing to say the quiet part out loud:
The system isn’t strained.
It’s structurally broken. 🚨
And “leaders” telling clinicians that fiercely advocate for their patients they need “coaching” is one of the most effective ways to keep it that way.
Because once you frame conviction as a professionalism issue, you don’t have to address the actual problem.
It shows these “leaders’” true colors ➡️ canned corporate responses, avoid accountability, feign transparency, and continue to line their pockets while the members they publicly post that they “care” about continue to suffer.
⭐️Here’s the truth:
Healthcare has never evolved because people mastered organizational dynamics.
It evolved because people disrupted them. ⛓️💥
Every major advancement came from someone who refused to accept:
“That’s just how it works here.”
So no, I won’t apologize for urgency. 🙂↔️
I won’t dilute truth to match corporate pacing. 👎🏼
And I won’t pretend that compliance is the same thing as professionalism.
If being direct in a broken system makes me “difficult,” so be it.
Patients don’t benefit from clinicians who are run by corporate agendas.
They benefit from clinicians who are hard to silence. 🗣️🗣️🗣️
