Toby Terwilliger, MD
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Latest articles
Health policy

"Have you seen The Pitt?" This question has become commonplace; patients want to know if it is realistic, colleagues want to compare reactions, and many of us find ourselves dissecting the commentary on an imperfect health care system captured in…
“Have you seen The Pitt?”
This question has become commonplace; patients want to know if it is realistic, colleagues want to compare reactions, and many of us find ourselves dissecting the commentary on an imperfect health care system captured in weekly, one-hour installments that mirror physicians’ everyday reality.
The show does many things well: It is medically accurate, faithfully depicts interdisciplinary teamwork, and reveals the humanity and vulnerability of health care …
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Physician moral injury, not burnout, is the real wound
Health policy

"We do not have the money! You took it all!" Startled, I moved the phone away from my ear to dampen the screaming voice on the other end. I had just explained to my patient's son that his 95-year-old mother…
“We do not have the money! You took it all!”
Startled, I moved the phone away from my ear to dampen the screaming voice on the other end. I had just explained to my patient’s son that his 95-year-old mother could walk again; she just needed surgery to repair her hip fracture. This was good news, or so I thought. His mother had insurance, “good” insurance, and needed a fairly routine …
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Why doctors must fight for a just health care system
Health policy

Georgia was ranked 5th worst place to practice in a recent Medscape article (“Best and Worst Places to Practice 2024”), using five criteria: physician compensation, cost of living, malpractice premiums, the health of the state’s residents, and physician burnout levels.…
Georgia was ranked 5th worst place to practice in a recent Medscape article (“Best and Worst Places to Practice 2024”), using five criteria: physician compensation, cost of living, malpractice premiums, the health of the state’s residents, and physician burnout levels. As current and future physicians and health advocates, this column will add context by detailing our experiences practicing in Georgia.
The article identified challenges that Georgia physicians encounter. Particularly concerning is …
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Full Medicaid expansion needed to retain Georgia’s physicians
Physician voices

In May 2018, I stood in disbelief as I learned that two of my colleagues took their own lives in a single week. I had only recently come to accept my own struggle with mental illness, and I understood how…
In May 2018, I stood in disbelief as I learned that two of my colleagues took their own lives in a single week. I had only recently come to accept my own struggle with mental illness, and I understood how isolating the battle could be. I grieved for them, for their families. But I also wondered at how a culture of concealing mental health disorders among medical trainees may have …
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A medical trainee’s experience with mental health
Health policy

With the news that nearly 6 million Americans have lost their employer-sponsored health due to COVID, it is finally time to ask ourselves: is the “American Model” of health care working? The “American Model” is a system of fragmentation: one…
With the news that nearly 6 million Americans have lost their employer-sponsored health due to COVID, it is finally time to ask ourselves: is the “American Model” of health care working?
The “American Model” is a system of fragmentation: one in which changing jobs can mean lapses in insurance, moving to a new state can mean losing Medicaid eligibility, and getting a raise can mean financial ruin …
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Is now the time for single payer?
Physician voices

April 2020 was to be a month of personal milestones. I would be traveling to Mexico with sixty closest friends and family to marry the woman of my dreams. Twelve days later, I would celebrate my thirtieth birthday. Suffice it…
April 2020 was to be a month of personal milestones. I would be traveling to Mexico with sixty closest friends and family to marry the woman of my dreams. Twelve days later, I would celebrate my thirtieth birthday. Suffice it to say, I was looking forward to April with the excited anticipation of a child on Christmas Eve.
But that was before COVID. Before all eyes were focused on the novel …
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A physician wedding in the age of COVID
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