Thread by @secularcitizen2

When first finishing the academic portion of medicine and transitioning into the practical, hands-on part of the training, the physicians we trail all mock us for our enthusiastic nativity about the passion interns have toward making a difference.

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Not for me, we all say. We're in this to save lives and make an impact on patients' lives. Both myself and so many others are reaching the stage of cynicism. It is disempowering to figure out that the patients you are passionate about work against you.

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Whether it's physicians paying for patient's prescriptions, working long hours without pay to fight insurance companies, or searching for solutions and treatment providers willing to help patients, it's exhaustive work that takes us away from our personal lives.

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It's bad enough that patients rarely follow our advice, but when we advocate for our patients, going above and beyond, and an opportunity presents itself for patients to do a little bit to help us help them, it's like stabbing a knife in our backs.

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When we point out the contemptuous disregard shown to our profession and patients with schemes like Obamacare, people tell us that we don't understand how things work or accused of being unwilling to compromise. Our input is "divisive."

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Many physicians put their careers and face potential criminal charges for billing fraud as we fuddle with diagnostic codes that your insurance will approve. Instead of practicing medicine, we endure a bureaucratic system that is toxic to our whole being.

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If you were to add up all the insurance claims that physicians don't bother to process because the time to do would result in a net loss or the uncompensated time spent navigating through the bureaucracy, many physicians would fare better working at Walmart.

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The suicide rate among medical professionals goes unnoticed, as does the depression and burnout it causes. Then there is the epidemic public crisis where the shortage of physicians in the country continues to skyrocket.

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Medicine isn't supposed to be political or partisan, but this exactly what it has become. I don't expect any help from the conservative side, but to see such a deficit of support, concern, and empathy from Democrats is too much to bear.

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If the fact that physicians, nurses, and experts on health care policy are rallying behind #BernieSanders and his Medicare For All plan still aren't enough to get you to support him, fine. But don't ask us to go above & beyond; it's too soul-killing & exhaustive.

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Nothing has depressed me more than fighting a cause from an informed position only to be dismissed by people who likely haven't read one word of the candidate's policy. Helping people who refuse to help themselves isn't sustainable.

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