[bkjelden]

I have no doubt that MDs are leaving as well - but, at least from my perspective, in any large healthcare system, there is a drastic difference between the way middle management treats MDs and the way they treat everyone else. The latter is completely expendable, whereas the MDs do have a fair amount of negotiating leverage around their working conditions.

[UnpossibleJim]

Oh, don't get me wrong. The way nurses are treated is horrible. I wasn't arguing that and I hope it didn't come across that way.

[bkjelden]

Not at all!

I'm just sharing what I've seen - middle management treats MDs drastically different than NPs and PAs, even in states where the latter have almost the same scope of practice.

This is not to say that MDs don't have their own reasons to be mad at the system - insurance, changes in patient attitudes, etc.