June 15, 2023 Practicing medicine these days can present some significant hurdles to the practitioner and patient. Today I finished my reading of the news and came across this article ( https://www.nytimes.com/2023/06/15/magazine/doctors-moral-crises.html ). The author describes how practitioners may suffer moral injury when working in the corporate health care system environment. The work environment pays a salary with incentives to the practitioner who gives up their autonomy in providing health care. Emphasis is placed on keeping appointment to a usual 10 to 15 minute time, prescribing medications and other care that are on the approved list unless alternative approaches to care are indicated. In those cases, the staff and practitioner or often the patient must interface with a gatekeeper screener who are sometimes very difficult to reach to get approval for this alternative care. The practitioner may work in unsafe conditions for themselves and their patients as occurred duri
