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There are many different takes we can all have on this Tweet and article, obviously.
However, I would argue a significant proportion of our issues stem from the fact that we're so obscure and (relatively) tiny. We can't take care of ourselves, and are so puffed up about our own importance we don't see the forest for the trees.
We're essentially an abscess within a 5mm teratoma, lodged in the retroperitoneum, not growing in 30 years, not doing anything really except making our own little 5mm environment very complex while the rest of the world moves on without us. The government taking note of how much "excess" money we generated in the decade after IMRT was released is basically the same as the abscessed teratoma being incidentally discovered on a CT abdomen/pelvis ordered for an unrelated indication. But, once we were seen, we had to be worked up. There have been repeated drainage/excision attempts, but it appears we're being taken care of by a world-famous academic chair, so the PGY2 is actually performing the procedure and doesn't have a lot of experience yet.
Thank God we're not being drained by one of those grubby community doctors, though. We probably would have been excised on the first attempt.