Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

How to respond to the despair from physicians

Starla Fitch, MD
Physician
May 7, 2014
Share
Tweet
Share

It seems that in the past few weeks, physicians across America have reached the breaking point.

Internist Daniela Drake wrote in the Daily Beast about how miserable it is to be a physician. She talked about the lack of respect, the lack of time to see patients due to increasing paperwork and the ever-present board certification processes.

Orthopedic surgeon Daniel Craviotto Jr. wrote “A Doctor’s Declaration of Independence” in the Wall Street Journal. In it, Dr. Craviotto states that, “In my 23 years as a practicing physician, I’ve learned that the only thing that matters is the doctor-patient relationship.” He goes on to explain that mandates for electronic health records (EHR), the burden of board recertification, and changes in Medicare and Medicaid have added to the burnout facing so many physicians today.

I don’t know about you, but I applaud these doctors for speaking out. What’s even more troubling than the degree of frustration reflected in these articles are the comments left by hundreds of non-physicians. Apparently, many people think that physicians are a wealthy, complaining, and unsympathetic bunch.

How can we respond to this overflow of despair from our fellow doctors and disdain from our patient population?

Some facts that you may want to share with your friends, family and patients:

  1. Of the total health care expenditures in the U.S., physician salaries and reimbursements account for 8.6%. This is the second lowest of the Western nations. The lowest is 8.5%.
  2. The average physician salary in the U.S. is $191,500. And the average amount of debt from medical training in the U.S. is over $150,000.
  3. There is a predicted shortage of 90,000 too few physicians by the year 2020 in the U.S.
  4. Nine out of ten physicians state that they would not recommend their profession.
  5. More than 300 doctors commit suicide every year.

There are no easy, simple answers. Connection — to each other, to our support system, and yes, to our patients — is part of the equation. I agree wholeheartedly that feeling connected to a disconnected system is, at the very least, unsettling.

Creative solutions are needed. Such as the one suggested by Art Gardner, an Atlanta patent attorney, currently running for U.S. Senate. He determined that part of the high cost of health care in the U.S. has to do with patented medicine. The price of Crestor, for example can range from $7.50 per pill in the U.S. to $1.78 in Canada. To make a profit, the drug company needs to charge $3 per pill. In America, because of the patent laws, it turns out that Americans are subsidizing artificially low prices throughout the civilized world. It makes sense to help out the impoverished in Africa, but not so much to be subsidizing the Germans, for example.

Thinking outside the box like this can provide answers to reduce medical costs that don’t add to the destruction of the doctor-patient relationship we all cherish.

As I recall, the Declaration of Independence endowed us with life, liberty and the pursuit of happiness.

Perhaps we all need to take a chapter from history and infuse a little modern day George Washington in our world to lead us across the health care divide.

Starla Fitch is an ophthalmologist, speaker and personal coach.  She blogs at Love Medicine Again and her upcoming book, Remedy for Burnout: 7 Prescriptions Doctors Use to Find Meaning in Medicine, will be available this summer. She can also be reached on Twitter @StarlaFitchMD.

Prev

Our broken medical malpractice system from a moral perspective

May 7, 2014 Kevin 9
…
Next

Is Googling patients the same as stalking them?

May 8, 2014 Kevin 4
…

ADVERTISEMENT

Tagged as: Primary Care

Post navigation

< Previous Post
Our broken medical malpractice system from a moral perspective
Next Post >
Is Googling patients the same as stalking them?

ADVERTISEMENT

More by Starla Fitch, MD

  • A cancer scare changed my life in 7 seconds

    Starla Fitch, MD
  • Doctors experience the world differently

    Starla Fitch, MD
  • No, doctors aren’t to blame for burnout

    Starla Fitch, MD

More in Physician

  • What burnout does to your executive function

    Seleipiri Akobo, MD, MPH, MBA
  • Dealing with physician negative feedback

    Jessie Mahoney, MD
  • Why CPT coding ambiguity harms doctors

    Muhamad Aly Rifai, MD
  • Moral injury, toxic shame, and the new DSM Z code

    Brian Lynch, MD
  • The problem with the 15-minute doctor appointment

    Mick Connors, MD
  • Honoring medical veterans and health care heroes

    Gene Uzawa Dorio, MD
  • Most Popular

  • Past Week

    • Rebuilding the backbone of health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why you should get your Lp(a) tested

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • The psychological trauma of polarization

      Farid Sabet-Sharghi, MD | Physician
    • Why CPT coding ambiguity harms doctors

      Muhamad Aly Rifai, MD | Physician
    • Why physicians must not suffer in silence [PODCAST]

      The Podcast by KevinMD | Podcast
    • What burnout does to your executive function

      Seleipiri Akobo, MD, MPH, MBA | Physician
  • Past 6 Months

    • Rebuilding the backbone of health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • The dangerous racial bias in dermatology AI

      Alex Siauw | Tech
    • When language barriers become a medical emergency

      Monzur Morshed, MD and Kaysan Morshed | Physician
    • The dismantling of public health infrastructure

      Ronald L. Lindsay, MD | Physician
    • A doctor’s letter from a federal prison

      L. Joseph Parker, MD | Physician
    • The high cost of PCSK9 inhibitors like Repatha

      Larry Kaskel, MD | Conditions
  • Recent Posts

    • What burnout does to your executive function

      Seleipiri Akobo, MD, MPH, MBA | Physician
    • The paradox of primary care and value-based reform

      Troyen A. Brennan, MD, MPH | Policy
    • Why physicians must lead the vetting of medical AI [PODCAST]

      The Podcast by KevinMD | Podcast
    • Dealing with physician negative feedback

      Jessie Mahoney, MD | Physician
    • Deaths in custody highlight crisis in Philly prisons

      Kendall Major, MD, Tommy Gautier, MD, Alyssa Lambrecht, DO, and Elle Saine, MD | Policy
    • Why CPT coding ambiguity harms doctors

      Muhamad Aly Rifai, MD | Physician

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 118 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Rebuilding the backbone of health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why you should get your Lp(a) tested

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • The psychological trauma of polarization

      Farid Sabet-Sharghi, MD | Physician
    • Why CPT coding ambiguity harms doctors

      Muhamad Aly Rifai, MD | Physician
    • Why physicians must not suffer in silence [PODCAST]

      The Podcast by KevinMD | Podcast
    • What burnout does to your executive function

      Seleipiri Akobo, MD, MPH, MBA | Physician
  • Past 6 Months

    • Rebuilding the backbone of health care [PODCAST]

      The Podcast by KevinMD | Podcast
    • The dangerous racial bias in dermatology AI

      Alex Siauw | Tech
    • When language barriers become a medical emergency

      Monzur Morshed, MD and Kaysan Morshed | Physician
    • The dismantling of public health infrastructure

      Ronald L. Lindsay, MD | Physician
    • A doctor’s letter from a federal prison

      L. Joseph Parker, MD | Physician
    • The high cost of PCSK9 inhibitors like Repatha

      Larry Kaskel, MD | Conditions
  • Recent Posts

    • What burnout does to your executive function

      Seleipiri Akobo, MD, MPH, MBA | Physician
    • The paradox of primary care and value-based reform

      Troyen A. Brennan, MD, MPH | Policy
    • Why physicians must lead the vetting of medical AI [PODCAST]

      The Podcast by KevinMD | Podcast
    • Dealing with physician negative feedback

      Jessie Mahoney, MD | Physician
    • Deaths in custody highlight crisis in Philly prisons

      Kendall Major, MD, Tommy Gautier, MD, Alyssa Lambrecht, DO, and Elle Saine, MD | Policy
    • Why CPT coding ambiguity harms doctors

      Muhamad Aly Rifai, MD | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

How to respond to the despair from physicians
118 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...