Imagine that you are a doctor and you suddenly learn that you’ll see twenty patients on a Friday afternoon instead of twenty-five, while getting paid the same. Would you respond by spending more time with each patient? Or would you simply leave at six-thirty instead of seven-thirty and have dinner with your kids?

Your doctor, and the entire system they work within, directly and unequivocably benefits from your continued suffering, symptoms, and sickness. Your doctor also likely doesn’t understand the role they play in this medical billing industrial complex. Or the economic and political puppet strings controlling their educational curriculum, the research literature around nutrition, and their decision-making.

We've been wrong about what our job is in medicine. We think our job is to ensure health and survival. But really it is larger than that. It is to enable well-being. And well-being is about the reasons one wishes to be alive.

Every institution that impacts your health makes more money when you are sick and less when you are healthy — from hospitals to pharma to medical schools, and even insurance companies.

We are used to thinking of doctoring as a solitary, intellectual task. But making medicine go right is less often like making a difficult diagnosis than like making sure everyone washes their hands.

It is generally accepted that harm from doctors — not including risks from hospital germs — accounts for more deaths than any single cancer.

I deeply respect doctors, but I want to be very clear on something: at every hospital in the United States, many doctors are doing the wrong things, pushing pills and interventions when an ultra-aggressive stance on diet and behavior would do far more for the patient in front of them. Suicide and burnout rates are astronomical in health care, with approximately four hundred doctors per year killing themselves. (That’s equivalent to about four medical school graduating classes just dropping dead every year by their own hand.) Doctors have twice the rate of suicide as the general population. Based on my own experience with depression as a young surgeon, I think a contributor to this phenomenon is an insidious spiritual crisis about the efficacy of our work and a sense of being trapped in a system

We’ve been wrong about what our job is in medicine. We think our job is to ensure health and survival. But really it is larger than that. It is to enable well-being.

It is unsettling to find how little it takes to defeat success in medicine. You come as a professional equipped with expertise and technology. You do not imagine that a mere matter of etiquette could foil you. But the social dimension turns out to be as essential as the scientific — matters of how casual you should be, how formal, how reticent, how forthright. Also: how apologetic, how self-confident, how money-minded. In this work against sickness, we begin not with genetic or cellular interactions, but with human ones. They are what make medicine so complex and fascinating. How each interaction is negotiated can determine whether a doctor is trusted, whether a patient is heard, whether the right diagnosis is made, the right treatment given. But in this realm there are no perfect formulas.

Doctors have twice the rate of suicide as the general population. Based on my own experience with depression as a young surgeon, I think a contributor to this phenomenon is an insidious spiritual crisis about the efficacy of our work and a sense of being trapped in a system that is not working but seems too big to change or escape.

My business is not prognosis, but diagnosis. I am not engaged in therapeutics, but in pathology.

I hate doctors! They'll do anything — anything to keep you coming to them. They'll sell their souls! What's worse, they'll sell yours, and you never know it till one day you find yourself in hell!

Patients are not consumers, but sick, scared, vulnerable. Doctors and nurses are practicing a calling, a vocation, a craft and an art.

A doctor is advertised by the bodies he cures. My business is advertised by the minds I stimulate. And let me tell you that the book business is different from other trades. People don't know they want books. I can see just by looking at you that your mind is ill for lack of books but you are blissfully unaware of it!