PPP’s Rebekah Bernard, MD, is featured in Medical Economics.

“So, you want to be a doctor?” my pre-med preceptor asked, cocking an eyebrow. “My advice, kid? Don’t do it. Go to business school instead. Anything else.” But I was eighteen, and like most teenagers, I knew better. “He’s just jaded,” I thought. “It won’t be like that for me.”

Thirty years and a global pandemic later, I find myself reflecting more than ever on that conversation. I feel privileged to be a physician, and I love my relationships with my patients (most of the time), but the daily aggravations often feel like ‘death by a thousand paper cuts.’ And even though I’ve escaped much of the reimbursement rat race by converting to direct primary care, I still find myself frustrated daily by nonsensical demands like prior authorizations for generic medications and prolonged peer-to-peer phone calls to get necessary tests approved.

You might also be interested in...

  • Our critical appraisal of Cochrane’s “Substitute of Nurses for Physicians in Hospital Settings” is published in Missouri Medicine

    October 1, 2026

  • North Carolina Legal Challenge Threatens Vital Physician-Led Patient Safeguards

    September 25, 2026

  • Why Physician-Led Care and Credential Transparency Are Non-Negotiable Safeguards

    September 17, 2026

  • Profit Over Expertise: NP’s and PA’s Fuel Over-Prescribing Risks. Pharmaceutical Companies Profit & Patients Can be Harmed.

    August 24, 2026