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Physician powerlessness, executive control, and 15 minute visits

April 2, 2026Brittani James, MD

Brittani James argues physicians lack real control over how medicine is practiced, blaming executive decision-making and financial metrics, and says clinicians widely hate 15-minute visits.

I think the average person would be shocked to know how much power physicians DON’T have over how we practice medicine.
Every physician I know absolutely despises 15-minute visits.
Two things killed American Healthcare
the overwhelming majority of decision-making power being in the hands of Executives without clinical training.
Success metrics that are financial and operational but not clinical
how much power physicians DON’T have over how we practice medicine
Brittani James, MD
physician autonomyadministrationvisit length

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