In this episode, the we sit down with Dr. Maryanne Wilbur — GYN oncologist, public health strategist, author, and CEO of Health Equity Consulting Inc. — to talk about physician burnout, moral injury, and what it would actually take to fix US healthcare.
Dr. Wilbur's own path through burnout and moral injury, and what led her to write The Doctor Is No Longer InHer qualitative research project: anonymous interviews with US physicians who have left or are planning to leave medicineThe five core themes that emerged: loss of control, burnout, dehumanization, moral injury, and betrayal (including gaslighting)The concept of "enmeshment" — losing your sense of self outside your professional identity — and why it's tied to suicidal ideation among physiciansWhy "you are not the problem" is a message every physician needs to hearThe making of the documentary Suck It Up, Buttercup, and how it aims to bring these issues to the general publicA rapid history of how US healthcare got here: Geraldine Cruz (1934), WWII wage caps and the birth of employer-based insurance, Medicare/Medicaid (1965), the 1972 amendment letting insurers negotiate prices, Friedman-era shareholder economics, vertical integration, and Citizens United (2010)Why administrative bloat — not physician pay — drives the $5.3 trillion US healthcare billWhat it would take to change course: 10 million educated voters and campaign finance reformUpcoming projects: Dr. Wilbur's TED Talk, the Docflucon appearance, and The Whole Physician's retreat at Bodhi Tree Yoga Retreat in Costa Rica (early November)Book: The Doctor Is No Longer In — thedoctorisnolongerin.comDocumentary: Suck It Up, Buttercup — www.siubfilm.comContact Dr. Wilbur: [email protected]Referenced article: "Money Is the Mission," The Lancet, November 2025Referenced book: If I Betray These Words by Wendy Dean MaryAnn Wilbur, MD, MPH, MHS
https://www.linkedin.com/in/maryann-wilbur-md-mph-mhs-5ab008230/Â