As has been much discussed in the last few years, our health care system is in crisis. We spend $3 trillion a year on Medicare. MRIs bill out at $5,000. My recent bilateral mastectomy totaled $33,000 with $800 of that actually going to my surgeon. I left my role as an employed physician in the traditional insurance-based fee-for-service structure because I spent 80 or more hours a week typing, collecting data, ...

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I could wallpaper a rather large wall with my diplomas, certificates, awards, and licenses.  Each gilded slip of paper demarcates a moment in the last 20 years when I finished, graduated, certified or did any one of many steps required to become a board certified physician. Yet, after all of the sleepless nights, deferred self-care and catastrophic debt -- after all this -- 3 years ago I sat at my ...

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