This is a medical world I don’t recognize. How did we get here? We stopped caring about interviews and admitted people on their test scores. We demanded community service instead of academics. We forced electronic medical records which depersonalize the human interaction physician to patient. We used DEI to choose candidates. We devalued the children who grew up in a physician household and witnessed the old ways of practicing medicine where patients were comforted and not just plugged in. We made it about money over quality of care while spouting slogans about quality. We made it impossible for physicians to spend time with patients by making the “system” complex, expensive and electronic— but without real quality of care. We claimed charity while making charity impossible. And today’s physicians reflect the moral compass of the nation. We can’t reform the system. The answer is to walk out of the system.