Picture this: a physician takes a position in a doctor’s office within an economically struggling community because she believes that everyone should have access to high quality healthcare and a physician who can provide it. For this decision, she accepts a lower salary and more challenging working conditions.
Years go by and she has created a strong rapport with her patients, working with them to find medications for the lowest price possible and doing a lot of work out of her own pocket. It’s work that is both heartbreaking and rewarding: she changes lives, makes them more livable, and probably even extends them.
The doctor’s patients, however, die earlier in their lives than those who have more money and more resources, and the government has decided that mortality rates will be used to evaluate her performance as a doctor, her salary, and whether or not her office will remain open.