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"Many physicians are now finding it difficult to quash the suspicion that our institutions, and much of our work inside them, primarily serve a moneymaking machine," writes Eric Reinhart. nytimes.com/2023/02/05/opi…

For the last three years, report after report has documented rampant dysfunction, corruption, inequality, racism, exploitation, profiteering, and deadly systems-wide failures in US healthcare. Despite this, policymakers and healthcare administrators 1/ nytimes.com/2023/02/05/opi…

Thinking of all the heroes saving lives right now in Syria and Turkey. Families, first responders, medical workers. May they do good work and have time and support to recover.

It costs hospitals $250,000 to $1 million to replace one physician (who quits for burnout, lack of compensation, better opportunity, etc.) Why hospitals rather spend this $ on recruitment than on making their own employed physicians happy is beyond me.

Important learning for those of us in healthcare spaces. What does it mean to remove agency over treatment? Does current treatment support or destroy our patients humanity? What would it look like to truly care for pts and their SDoH? #MedTwitter #sdoh

I know there are a lot of unmatched EM spots this year. It’s a problem. Here’s what I AM happy about - the ones that matched EM today - they TRULY want to be EM docs and have a passion for it in spite of what they’ve “heard” and that means our future profession is in great hands.

Feel like mental health has pretty safely hit the “breast cancer zone,” where literally everyone is now aware of it but awareness campaigns are all we are ever gonna get when what we really need is free universal healthcare

Disappointed in Harvard University today. Lacking transparency, support for victims, accountability for whoever made the call (likely internal), recognition that this is potentially fatal violence against students in your care. Make it right. Harvard Alumni Association

If you can only train doctors by exploiting them, you’re doing it wrong.

Awesome new work! Race harms recruitment and retention through specific and identifiable mechanisms. Congrats to Jessica Faiz, MD, MS. So excited to keep building the pipeline together!

Here’s the dirty secret of emergency medicine: We don’t have to do prior auth. Like ever. We just order what the patient needs, and the patient gets it done in the ED. But here’s why we care about prior auth anyways: B/c not a shift goes by where a patient doesn’t land in the

very difficult to stomach the 24 hour live coverage of a tourist submarine visiting the graves of those lost on the titanic when just a few days ago more than 500 people sank in actual titanic-like catastrophe in the mediterranean and I saw that on the news exactly twice.

At the end of the day, the Titanic Missing Billionaire Submarine story is a perfect distillation of 21st Century capitalism: A small group of very rich people assume a clearly irresponsible risk. It goes predictably wrong. Scores more in public resources are used to save them...

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Y'all are gonna bring that same energy to end legacy admissions at universities, too... Right?

Q: Why are waits at emergency rooms so long? A: Because the rest of the healthcare system is failing. The patient did everything right, but the healthcare system did them so so so wrong. 🧵… They call their PCP, but can’t get an appointment. So they turn to the ER. They

“I don’t do politics” Well baby, politics is going to do you, regardless.

I’ve been a hospital chaplain now for eight years at hundreds of deathbeds. I want to tell you something I’ve witnessed. Most people, at the end, realize they’ve spent a lot of their life hiding. Sometimes by choice, or because they could not safely choose to be themselves. ➡️

The residents & fellows at Boston Medical Center in Boston are rallying TODAY for a fair contract with a living wage and crucial benefits. When frontline health workers are well, patients are better taken care of. #FairContractBMC #BMCForEveryone bostonglobe.com/2023/07/20/met…