'You have no idea what a tide of idealism enters medical school, and what a shambling army of heart-broken zombies is left by "mid-career." Are you me and my M

'You have no idea what a tide of idealism enters medical school, and what a shambling army of heart-broken zombies is left by "mid-career." Are you me and my MD friends? I'd add, from the clinic setting, that the amount of micromanaging of care and the amount of cost shifting back onto the patient by insurers is appalling. Want to prescribe an inhaler? good luck trying to figure out which one the patient's insurance will cover, and once you do they'll change it to a different one in 6 months without warning you or the patient. Want your patient to take insulin? good luck trying to find anything for less than $100/month, often much more. I hear about "copays" of $3-400/month for patients for insulin. This is with insurance. Its a joke. And yet the insurers, and my employer, would like to grade me on the % of patients with diabetes under 'good control'. I fantasize about various alternate careers on my commute home.