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The health care workforce crisis we keep ignoring

Narinder Singh Parhar, MD
Health Policy
June 15, 2026
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American health care faces many challenges: rising costs, workforce shortages, an aging population, increasing chronic disease burden, and growing administrative complexity. Yet one of the most important health care crises receives far less attention than it deserves: the declining physical and emotional well-being of the health care workforce itself.

Physicians, nurses, respiratory therapists, pharmacists, physical therapists, and countless other health care professionals devote their careers to caring for others. Yet many increasingly find themselves working within systems that leave little time to care for themselves.

The problem is substantial and measurable. Recent studies have reported physician burnout rates approaching 45 to 50 percent. Nurses report similarly high levels of emotional exhaustion, workplace stress, and intention to leave practice. Physicians also experience significantly higher rates of suicide than the general population, while health care workers as a whole face elevated risks of sleep disruption, musculoskeletal injury, depression, and psychological distress.

These statistics are concerning, but they tell only part of the story.

During nearly four decades in medicine, I repeatedly observed a quieter reality. Many health care professionals entered medicine with idealism, purpose, and a deep desire to serve. Over time, increasing administrative demands, productivity pressures, documentation requirements, staffing shortages, and fragmented systems gradually eroded that sense of purpose.

One colleague jokingly remarked in a hospital hallway, “Maybe I should have bought a lottery ticket instead.” The comment generated laughter. It also generated silence. Most of us understood exactly what he meant.

The issue was not a lack of professional competence. Nor was it a lack of dedication. The issue was exhaustion.

Health care professionals are often expected to function as though they are immune to the biological realities affecting every other human being. Yet physicians and nurses remain vulnerable to sleep deprivation, chronic stress, musculoskeletal decline, emotional fatigue, burnout, and illness.

Doctors are humans first. Nurses are humans first. Before we can consistently heal others, we must preserve the well-being of those providing care.

This is not merely a workforce issue. It is a patient-care issue.

Exhausted clinicians are more likely to leave practice. Workforce shortages increase. Remaining staff shoulder greater burdens. Continuity of care suffers. Recruitment becomes more difficult. Health care costs rise. The cycle perpetuates itself.

Perhaps it is time to broaden our understanding of health care quality. We routinely measure hospital readmissions, mortality, patient satisfaction, and financial performance. Yet the long-term health, resilience, and sustainability of the health care workforce deserve equal attention.

Health care systems should actively invest in preserving the physical and emotional health of their employees. Programs that promote movement, sleep health, stress reduction, musculoskeletal preservation, social connection, professional autonomy, and workplace well-being should not be viewed as optional benefits. They should be recognized as essential infrastructure.

The future of health care depends not only on new drugs, devices, and technologies. It also depends on preserving the health of the people who deliver care.

Healing the healers may be one of the most important health care interventions of all.

Narinder Singh Parhar is a physician with more than three decades of experience in internal medicine, hospital medicine, and intensive care medicine. Over the course of his career, he cared for a broad spectrum of medically complex and critically ill patients while developing a growing interest in health care systems improvement, prevention, biomechanics, and population health.

Dr. Parhar previously served as an associate clinical professor affiliated with the University of California, Davis, and on the executive board of Sutter Independent Physicians IPA in California. His professional experience spans outpatient medicine, inpatient care, intensive care medicine, and health care leadership, including past affiliations with Sutter Health and Sutter Roseville in California.

Throughout his career, he became increasingly concerned about several structural challenges within the current health care model, including affordability, accessibility, polypharmacy, health care fragmentation, microbial resistance, physician burnout, and the progressive underemphasis of prevention and functional preservation. These observations led him to develop the Health Enhancement Organization (HEO) Framework, a prevention-oriented and biomechanics-aware health care enhancement model designed to complement scientific medicine through earlier biological support, movement preservation, patient empowerment, and health care team well-being.

Dr. Parhar’s current work focuses on health care course correction, scalable prevention strategies, biomechanics education, healthier aging, and improving long-term population health resilience in practical, affordable, and biologically grounded ways. He is the founder of Jeeva Health Systems, and his research includes “Impact of a Novel Plant-Based Treatment Option in Improving Pulmonary Function Markers,” published in Alternative and Integrative Medicine.

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