I have to admit I am making headway on a moral dilemma that seemed intractable. How do you wrap your head around the daily challenge of really hating the industry you had been a part of for a few decades? To clarify, it wasn’t like I hated it. It was more like I thought we all had the same goal. Wasn’t improving health and patient outcomes a noble effort? It was until the slow drum beat of profits over patients grew louder and louder. Drive past your local hospital complex. The construction and expansion is a monument to feeding a system without checks and balances. There is no off-ramp. No plan for allowing GDP to decline or hold steady because our healthcare economy is shrinking due to a healthier population.