This is the reason your ER doctors are leaving: You don’t have a family doctor, and you can’t get an admission bed. So you end up waiting and waiting in the ER for a physician

TL; DR:

ER doctors are leaving because we can no longer do what we trained to do; we can no longer help people — our raison d’être — to the standard they deserve. In short, continual moral injury is breaking your ER doctors.