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

America’s civil war on doctors

Rebekah Bernard, MD
Physician
June 21, 2016
Share
Tweet
Share

I recently saw the movie, Captain America: Civil War.  If you haven’t seen it yet (no spoilers), the United Nations decides that because of civilian fatalities during previous Avenger battles, the world would be safer if all superheroes voluntarily subjugate themselves to the authority of an organized government body.

Sounds good to some of the Avengers; after all, innocent people have died, and maybe some form of supervision will minimize collateral loss.  Captain America, on the other hand, refuses, believing that his own conscience combined with his super-hero skills and training make him more qualified than any external force in deciding how to handle the “bad guys.”

As I watched our brave Avengers criticized and excoriated for the damage that they have ensued on society during their attempts to do good, I couldn’t help but find comparisons to the way that doctors are treated in our current health care system.

Read the headlines: Like the Avengers, doctors are shown wreaking havoc on society.  Medical errors (and therefore doctors), are the third leading cause of death in the United States.  Physicians are responsible for America’s opioid crisis.  And why even use doctors when nurses can provide the same or better care than doctors do with less training?

Everywhere you look, doctors have become society’s favorite whipping-boy.

Never mind the fact that physicians enter the profession with the best of intentions, sacrificing years of our lives to education, including an ongoing struggle to stay abreast of the latest scientific research, deferring family life and friends, and obligating ourselves to thousands of dollars of debt.

Never mind that doctors have had to fight harder as our enemy grows stronger with the epidemic of obesity, diabetes and the aging of the population.  Forget the good work that doctors have done, the lives that have been saved by both intervention and prevention of disease.

And never mind that doctors hurt and suffer along with our patients.  Because even when doctors are trying the best that we can, things go wrong.  We get tired.  We make mistakes.  And when we do, our hearts ache, we shed tears, and sometimes we feel so much guilt that we can’t go on.  Sometimes we even kill ourselves.

So how is society to reconcile the conflict that arises when despite doctors’ best efforts, people will suffer and die?

Up to this point, American’s reaction has been very similar to the UN solution to dealing with the Avengers:  Let’s form a large government body to supervise doctors, laying out thousands of pages of documents telling them what do to, and then criminalize physicians when they don’t follow the “rules.”

Let’s create burdensome systems to allow that government body to keep a medical scorecard, making up the rules as we go along.  Make doctors buy expensive computer systems, and then become typists and data entry clerks to make it easier on government reviewers.

Let’s keep doctors in their place by calling them providers and making them fight for every payment.  Don’t forget to subject them to a needlessly expensive and time-consuming process of certification in order to ply the trade that they have worked so hard to achieve.

News flash:  This abusive system isn’t working.  Doctors are burning out, quitting, retiring, and forgoing primary care specialties.  And the biggest loser of this decrease in physician morale are Americans, every single one of us, as the best and brightest in health care quietly slip away.

ADVERTISEMENT

We need to change the paradigm.  Stop this civil war in medicine, and let doctors get back to what we truly do best: caring for our patients.  Let us police ourselves with our own medical boards, and help us to cut out the administrative burdens that affect our time with patients.

Please believe that physicians have more training and skills than any group of MBA graduates and career politicians.  And like the Avengers, know the vast majority of doctors will follow their conscience to always do what is right.

Rebekah Bernard is a family physician and the author of How to Be a Rock Star Doctor:  The Complete Guide to Taking Back Control of Your Life and Your Profession.  She can be reached at How to Be a Rock Star Doctor.

Image credit: Sarunyu L / Shutterstock.com

Prev

The MACRA rule: Not what Congress ordered

June 21, 2016 Kevin 9
…
Next

Addressing racial bias in the treatment of pain

June 21, 2016 Kevin 1
…

Tagged as: Primary Care

Post navigation

< Previous Post
The MACRA rule: Not what Congress ordered
Next Post >
Addressing racial bias in the treatment of pain

ADVERTISEMENT

More by Rebekah Bernard, MD

  • Examining the changing definition of medicine in health care

    Rebekah Bernard, MD
  • Adding more team members is the wrong answer to decreasing physician burnout

    Rebekah Bernard, MD
  • “My doctor made me cry”: Headlines that are examples of victim-blaming

    Rebekah Bernard, MD

Related Posts

  • America trains enough doctors: Redefining medical supply and demand

    Rushi Nagalla
  • A physician awakens to racism in America

    Jennifer Shaer, MD
  • Why do doctors who hate being doctors still practice?

    Kristin Puhl, MD
  • Doctors: It’s time to unionize

    Thomas D. Guastavino, MD
  • Doctors die. But the good ones leave a legacy.

    Jaime B. Gerber, MD
  • Lawmakers don’t care for our patients. Doctors do.

    Joanna Bisgrove, MD

More in Physician

  • Physician grief and patient loss: Navigating the emotional toll of medicine

    Francisco M. Torres, MD
  • Is primary care becoming a triage station?

    J. Leonard Lichtenfeld, MD
  • Violence against physicians and the role of empathy

    Dr. R.N. Supreeth
  • Finding meaning in medicine through the lens of Scarlet Begonias

    Arthur Lazarus, MD, MBA
  • Profit vs. patients in the U.S. health care system

    Banu Symington, MD
  • Why medicine needs military-style leadership and reconnaissance

    Ronald L. Lindsay, MD
  • Most Popular

  • Past Week

    • Psychiatrists are physicians: a key distinction

      Farid Sabet-Sharghi, MD | Physician
    • The loss of community pharmacy expertise

      Muhammad Abdullah Khan | Conditions
    • Is primary care becoming a triage station?

      J. Leonard Lichtenfeld, MD | Physician
    • Sibling advice for surviving the medical school marathon [PODCAST]

      The Podcast by KevinMD | Podcast
    • What is a loving organization?

      Apurv Gupta, MD, MPH & Kim Downey, PT & Michael Mantell, PhD | Conditions
    • What is vulnerability in leadership?

      Paul B. Hofmann, DrPH, MPH | Conditions
  • Past 6 Months

    • Direct primary care in low-income markets

      Dana Y. Lujan, MBA | Policy
    • Psychiatrists are physicians: a key distinction

      Farid Sabet-Sharghi, MD | Physician
    • Patient modesty in health care matters

      Misty Roberts | Conditions
    • The U.S. gastroenterologist shortage explained

      Brian Hudes, MD | Physician
    • The Silicon Valley primary care doctor shortage

      George F. Smith, MD | Physician
    • California’s opioid policy hypocrisy

      Kayvan Haddadan, MD | Conditions
  • Recent Posts

    • Leadership buy-in is the key to preventing burnout [PODCAST]

      The Podcast by KevinMD | Podcast
    • A daughter’s reflection on life, death, and pancreatic cancer

      Debbie Moore-Black, RN | Conditions
    • What to do if your lab results are borderline

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • Direct primary care limitations for complex patients

      Zoe M. Crawford, LCSW | Conditions
    • Understanding the unseen role of back-to-school diagnostics [PODCAST]

      The Podcast by KevinMD | Podcast
    • Public violence as a health system failure and mental health signal

      Gerald Kuo | Conditions

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 23 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

    • Psychiatrists are physicians: a key distinction

      Farid Sabet-Sharghi, MD | Physician
    • The loss of community pharmacy expertise

      Muhammad Abdullah Khan | Conditions
    • Is primary care becoming a triage station?

      J. Leonard Lichtenfeld, MD | Physician
    • Sibling advice for surviving the medical school marathon [PODCAST]

      The Podcast by KevinMD | Podcast
    • What is a loving organization?

      Apurv Gupta, MD, MPH & Kim Downey, PT & Michael Mantell, PhD | Conditions
    • What is vulnerability in leadership?

      Paul B. Hofmann, DrPH, MPH | Conditions
  • Past 6 Months

    • Direct primary care in low-income markets

      Dana Y. Lujan, MBA | Policy
    • Psychiatrists are physicians: a key distinction

      Farid Sabet-Sharghi, MD | Physician
    • Patient modesty in health care matters

      Misty Roberts | Conditions
    • The U.S. gastroenterologist shortage explained

      Brian Hudes, MD | Physician
    • The Silicon Valley primary care doctor shortage

      George F. Smith, MD | Physician
    • California’s opioid policy hypocrisy

      Kayvan Haddadan, MD | Conditions
  • Recent Posts

    • Leadership buy-in is the key to preventing burnout [PODCAST]

      The Podcast by KevinMD | Podcast
    • A daughter’s reflection on life, death, and pancreatic cancer

      Debbie Moore-Black, RN | Conditions
    • What to do if your lab results are borderline

      Monzur Morshed, MD and Kaysan Morshed | Conditions
    • Direct primary care limitations for complex patients

      Zoe M. Crawford, LCSW | Conditions
    • Understanding the unseen role of back-to-school diagnostics [PODCAST]

      The Podcast by KevinMD | Podcast
    • Public violence as a health system failure and mental health signal

      Gerald Kuo | Conditions

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

America’s civil war on doctors
23 comments

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

Loading Comments...