05/25/2026
This is now true in office practices. I went into private practice hoping to avoid this, but Obama Care and Covid finally destroyed it. I suggest you read the whole article.
I entered medicine because I genuinely cared about patients. Most physicians did. That is the part many people outside medicine still do not fully understand. Doctors do not sacrifice years of their lives, miss holidays, destroy their sleep schedules, and carry this kind of emotional burden because they dream about maximizing throughput metrics or documentation compliance. We entered medicine because we wanted to help people. It sounds simple saying that now, maybe even naïve, but it is true.
Somewhere along the line medicine changed. Hospitals changed. The language changed first because that is always how these transformations begin. Patients slowly became “throughput issues.” Beds became “capacity management.” Discharges became “flow optimization.” The ICU became “utilization.” Doctors became “providers.” Everything slowly started sounding less human and more operational. And eventually, hospitals stopped feeling like places centered around caring for human beings and started feeling like giant processing centers where movement itself became the priority.
The strange thing is that many younger doctors probably think this is normal because it is the only medicine they have known. They inherited the system after it changed.
The electronic medical record sped up much of this change more than people realize. Hospitals promoted the electronic medical record (EMR) as a big step forward. We were told it would improve communication, reduce mistakes, streamline work, and let doctors spend more time with patients. Now, that almost sounds like a joke. The EMR did not free doctors. It buried them.
When doctors spend more time serving systems, medicine changes. When physicians are afraid to speak honestly, medicine changes.