KevinMD January 15, 2026
Most physicians sense it, even if they struggle to name it.
Something fundamental has changed in medicine. Not the science. Not the patients. Not even, at root, the doctors themselves. What has changed is the status of medicine as a profession, and with it, the psychological footing that once made the work bearable.
For much of the last century, medicine functioned as a profession in the classical sense. That meant more than prestige. It meant trust. Society entrusted physicians with judgment in situations where rules alone were never enough. Doctors were expected to think, to decide, and to carry moral responsibility. In return, they were granted authority, discretion, and a degree of protection from raw market forces.
This arrangement was...
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