You are a metric grab
An easy lab
You are a number
Reductionist slumber
You are a doctor’s fail
A patient’s unexplored travail
But can be improved upon
If parks there and fresh food anon
You are a constant reminder
Med access could be kinder
Pandemic fear
Your loss of control clear
You are fault, can’t you just get it
Together?
You are disparity met with no
Tether
You are a constant reminder
Primary care spending could be
Kinder
Insulin pen patents
Libre far from free
But you just continue applied in
Judgement
No place complexity
You are part of a doctor’s bonus
Aggregated at us
Humans those points of data
Maybe other things matter
Support inter professionals
And community connections too
Other kinds of metrics
May give the real clus
You’re carried by hemoglobin
And by real people’s lives
You’ve become a shamer wedge
Good yet inapplicable evidence
Arrives
Unjust remedy applications
You are a constant reminder
Can’t you just get it together?
Healthcare can be kinder
This ode has changed structure
The space between us, patients
And communities can too?
You are a constant reminder
Those structures could be kinder
About the Author
Frank Cacace MD FACP
Retired • Internal Medicine
PGY34, now retired teaching internist, from Long Island NY. Served at one institution as an Associate Program Director of a large internal medicine residency, and as an Associate Chief for Education of a large DGIM. Did all my post residency work as an ambulatory primary care doc, with inter professional teams, and alongside extensive student and resident learners. Now beside my pups, my piano and my reading (and maybe more attempts to write? We’ll see ..), I am most dedicated to advocacy for primary care’s future in this crazy misaligned healthcare system of ours.
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