There are more physicians per capital now than were in 1980. The population is older now, but it’s also now far more common to see a midlevel practitioner than

There are more physicians per capital now than were in 1980. The population is older now, but it’s also now far more common to see a midlevel practitioner than it was in 1980. What has changed is most physicians no longer work for themselves or for physician owned groups. Working for private equity will burn anyone out. Physicians also spend more time overseeing cheaper midlevel practitioners. That itself could be a source of increased burnout (got into the job to treat patients not manage midlevels), but the second order effect is that their direct care patient mix has shifted higher acuity (potentially more stressful to handle) patients.