Health-care professionals are increasingly demoralized by the pressure to prioritize their employers' financial goals over patients' needs and professional norms. The space for good work in a bad system is narrowing. This statement from an October 2025 Lancet article spoke directly to my experience. By all quantifiable metrics, I was successful. I had just been promoted to Associate Professor in the #1-ranked department in the country for my specialty. I held a rewarding lead