10/20/2026
What happens when the business of medicine begins to interfere with the practice of medicine?
Physicians experiencing exhaustion, frustration, and disillusionment are often handed a familiar prescription: build resilience. Practice mindfulness. Take better care of yourself.
But what if the physician isn’t the problem?
What if a perfectly reasonable human being is having a perfectly reasonable response to a healthcare system that increasingly puts financial incentives, productivity demands, and organizational priorities at odds with good patient care?
In this episode of Medical Money Matters, I sit down with Dr. MaryAnn Wilbur, a physician, public health strategist, author, researcher, and advocate who is working to change the systems in which physicians and patients find themselves.
MaryAnn trained and practiced as a gynecologic oncologist before stepping away from clinical practice in 2022. Her experience led her to examine a much bigger question: Why are physicians leaving medicine, and what does their departure tell us about the health of the healthcare system itself?
MaryAnn is co-author of The Doctor Is No Longer In: Conversations with U.S. Physicians, Director and CEO of Health Equity Consulting, and an executive producer of Suck It Up, Buttercup, a documentary examining systemic problems in American healthcare. She is also involved with Medicine Forward and the Clinician Burnout Foundation.
One of the questions at the heart of this episode is one I suspect many physicians have quietly asked themselves:
“Is it me—or is there something fundamentally wrong with the system I'm working in?”
That question deserves more than a wellness seminar.
It deserves an examination of the systems, incentives, economics, and power structures shaping modern medicine.
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