Doctors are at the very top of my list of people who don’t care. Not necessarily that they got into the field not wanting to care, but that in practice they quickly get to the point of caring largely about getting through their day — maybe a few select patients stir them out of their bizarrely intense waking slumber where they go from patient to patient and immediately prescribe nearly the first thing that comes to mind for nearly the first diagnosis that comes to mind. Given the volumes of patients they are expected to churn through though it’s not surprising that they become desensitized and divorced from the ramifications of shoddy work with minimal research — for many (especially nonspecialists) it’s effectively impossible to do thoughtful work for every patient. I think overwork desensitizes many/most and few actually have the time or energy to do more research or think deeply about an individual patient, but ultimately decisions which consume minimal resources from them drastically affect the lives of patients.

Healthcare professionals know this to be true. This is why when their own loved ones are the patients they have such a strong tendency to become very actively involved —- it’s not necessarily that the person attending to their loved one is incompetent, but chances are that their loved ones will similarly be just another face that occupies another physician’s mind for a few minutes.

Artificially high barriers of entry in the field may lead to massive compensations but also to a huge ratio of patients to physicians — this takes a toll.