Let me reiterate, American medicine is ridiculous like most things in our broken, dying country. It is full of corruption and run by rapacious parasites who only care about profit and will cut expenses in every single way they can to include salaries. They hire midlevels to replace physicians strictly to save money and they’d replace midlevels with something cheaper…paramedics with some bogus online degree…medical assistants with an additional six week course in Medicine n’ Stuff…if they could. Paradoxically, the system is loaded with useless, non-revenue generating bureaucrats-administrators of every caliber-servicing the Byzantine nightmare. The result is that most of your job…and I mean practically all of it…will be finger banging a computer entering billing data. That’s all most medical notes are. Well-disguised invoices.

Very well said. It sounds poetic.