How doctors can reclaim control in a corporate system

Palliative care physician and certified physician development coach Christie Mulholland discusses her article, "Reclaiming physician agency in a broken system." She shares her personal story of leaving a prestigious academic position after realizing that "being a good doctor" was impossible within the constraints of corporate health care. Christie explains how for-profit entities now control seventy-eight percent of hospices, leading to worse patient care and deep moral injury for clinicians. The discussion explores the four paths physicians can take to reclaim agency: working within the system with boundaries, building alternatives like direct primary care, organizing through unions, or planning a strategic exit. Christie emphasizes that while the system is broken, physicians still have the power to make conscious choices about how they engage with it. Learn how to move from passive demoralization to active, values-driven leadership in your medical career.

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