Emergency Medicine,Physician The Effect of Violence on Healthcare: Reasons Behind the Departure of Doctors and Nurses from the Field

The Effect of Violence on Healthcare: Reasons Behind the Departure of Doctors and Nurses from the Field

The Effect of Violence on Healthcare: Reasons Behind the Departure of Doctors and Nurses from the Field


# The Changing Challenges Encountered by Physicians and Health Care in 2024 and Beyond

As we enter 2024, the hurdles confronting physicians and the overall health care system are at a crucial turning point. Rising instances of workplace violence, escalating public discontent, and a workforce crisis are coming together to generate extraordinary complications. Tackling these issues is vital not only for health care professionals but also for the millions of patients who depend on prompt and effective medical treatment.

## Workplace Violence: A Disturbing Trend

Health care has now become [America’s most perilous occupation](https://www.forbes.com/sites/heidilynnekurter/2019/11/24/healthcare-remains-americas-most-dangerous-profession–due-to-workplace-violence-yet-hr-1309-bill-doesnt-stand-a-chance/), with medical staff increasingly being targeted. Physicians, nurses, and other frontline personnel are [five times more likely](https://www.pbs.org/newshour/show/whats-behind-an-alarming-rise-in-violent-incidents-in-health-care-facilities) to face assault at work than those in other fields. This situation not only jeopardizes individual practitioners but also undermines the stability and effectiveness of the entire health care system.

## Rising Consumer Discontent

In addition to workplace violence, a deeper systemic crisis is developing. Patients are growing more unhappy with an expensive yet underperforming health care system. The United States boasts the [highest health care expenses](https://www.theatlantic.com/health/archive/2014/06/us-healthcare-most-expensive-and-worst-performing/372828/) worldwide but continues to fall short in patient outcomes. Medical debt is the [primary reason](https://www.sawinlaw.com/blog/top-reasons-for-bankruptcy/) for personal bankruptcy in America, and public trust in doctors has [plummeted](https://www.msn.com/en-us/news/other/how-much-do-americans-really-trust-their-doctors/ar-AA1qkkug#:~:text=Trust%2520in%2520doctors%2520continues%2520to%2520decline.%2520A%25202025,in%25202023%2520and%2520over%252080%2525%2520in%2520the%25201970s.).

This decline in trust has resulted in rising public animosity—evidenced by increasing sympathies for individuals who carry out violent acts against the health care sector. The situation involving an alleged [shooter](https://www.nbcnews.com/investigations/insurance-executives-murder-sparks-online-praise-hate-rcna183017) who targeted a health insurance executive has even received sympathy, with many interpreting it as an expression of frustration toward a failing system.

## A Workforce in Turmoil

Escalating pressures have caused a considerable departure of health care workers. Heightened violence, overwhelming workloads, and limited input in systemic decisions are compelling doctors and nurses to seek safer, more manageable career paths. This is further intensified by a consistent decrease in [young individuals pursuing health care professions](https://www.advisory.com/daily-briefing/2023/11/09/medical-students) owing to the increasingly hostile working conditions.

Compounding the workforce crisis, numerous physicians [lack authority](https://www.medpagetoday.com/publichealthpolicy/generalprofessionalissues/111035?trw=no) over the regulations that frustrate patients. As health care professionals are relegated to employee status within extensive bureaucratic frameworks, they find themselves excluded from crucial discussions regarding improvements in access, affordability, and patient care.

## Systemic Collapse is a Tangible Danger

With fewer professionals in the field and escalating patient discontent towards the system, access to timely treatment is being increasingly jeopardized. Emergency departments and clinics are grappling with shortages, leading to extended wait times and delayed lifesaving procedures. Health care facilities are shutting down at an alarming pace, with [hospital closures](https://www.acepnow.com/article/more-hospitals-are-closing-why/) becoming a growing concern for both rural and urban areas.

All of these challenges suggest that we are nearing a critical tipping point. If these issues remain unaddressed, the U.S. health care system risks complete breakdown, leaving millions without access to essential medical services.

## The Way Ahead

In spite of these grave challenges, solutions exist. Changes should concentrate on:

1. **Enforcing Workplace Protections:** Stronger security protocols and legislation to safeguard doctors and nurses from violence.
2. **Restoring Physician Authority:** Empowering medical providers with a larger role in shaping health care policies.
3. **Enhancing Affordability and Access:** Lowering exorbitant costs and improving coverage to mend trust between patients and health care professionals.
4. **Attracting and Retaining