Anna Maria Izquierdo-Porrera MD PhD describes below how it is she is able to continue to practice in and build ideal medical practices supporting vulnerable populations in Maryland.
I was at a triple aim meeting last month and Don Berwick used a metaphor that resonated tremendously with me. Let me share it.
He and his wife a building a house in the forests of the Northeast that will ran with 2000 watts (the equivalent of a hair drier). They are very committed to the endeavor. They have people around them giving advice and designs but they are faced with tough decisions at every turn. They are investing time, money, energy and personal interest. At the end though they will have a model, they will have learned how to build a 2000 watt house and when the time is good and the political and social climate changes making a 2000 watt house the acceptable option he will be there to teach us how to build it.
This is what we are doing. We are learning how to build a 2000 watt house of medicine. We are learning how to provide spectacularly good care. We have choices before us but if we manage, when the political and social climate changes we will be there to teach them how to do it. We will be the proof it can be done.
Me, personally... I sleep very well at night knowing I am doing the right thing. It may not be very economically sound but in my book a good night sleep is priceless.
Never give up, never surrender!
Anna Maria
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