The answer is there’s already a doctor shortage, and the US simply does not have the capacity to effectively 2x the doctor-patient ratio.
Doctors are also unlikely to want a 50% pay cut in exchange for shorter hours. They aren’t directly exposed to the risk caused by fatigue since they will have malpractice insurance. Therefore the safer method of care would be simply too expensive, and doctors wouldn’t see an upside.
Part of the shortage is a result of artificially constrained supply as there aren’t enough med school seats to keep up with demand.
Doctors do not get along and that’s too many Drs. Each patient often has multiple speciality Drs visiting them and reviewing their case up to 3 or 4 sometimes already. Imagine being on consult and trying to figure out which guy on a team of 4 you should talk to about such and such.
Here's an anecdote that might help answer. When my wife was pregnant with our first doctor, she started hemorrhaging spontaneously ten weeks before her due date. We rushed to the ER.
1. Shortly after, a doctor A came in, asked some questions, looked at the chart, and told us she was having the baby tonight. Holy shit our life is about to get crazy and we're going to be parents 2+ months early! He leaves.
2. Several hours later doctor B comes in. We ask about delivery. "Oh, no. You're not going to have the baby now. But you will have to be on bed rest until the due date." Jesus, my wife is going to have to quit her job.
4. Even more hours later, now the next morning, doctor C arrives. "OK, you're free to go home. No bed rest needed. Just let us know if anything else happens."
My general experience with doctors is that you get as many unique opinions as there are doctors in the room. This is not an indictment of the profession. Human bodies are insanely complex, there is way more variation between them than most people realize, and doctors are operating under very very limited time and information.
Having overlapping doctors would likely cause even more patient confusion and increase the risk conflicting treatments. Also, it would obviously double the cost of care.
(My wife and baby were fine. Partial abruption. Very scary and my daughter was born five weeks early, but no other significant problems.)
Many industries have solved this issue already. Use a pilot/copilot model. First doctor drives, second one mostly observes and makes sure the first one doesn’t make mistakes.
Criminals push the rules really hard too. It's just that they're only labeled criminals by society if they're caught, prosecuted, and punished.
People who "push the rules" (I call this cheating, if I was playing a tabletop game with someone who did this, I would say they were cheating too) have an unfair advantage over the people who do follow the rules.
It's like sociopaths: smart sociopaths become successful businesspeople and politicians, while stupid sociopaths end up in prison.
People who are good at pushing the rules and have some kind of knack for knowing which rules to push and how far, end up succeeding over the rule-followers, while the people who lack this talent and push the wrong rules, or push too far, end up failing somehow (and maybe in prison).
The following are all based on assumptions I'm making.
The type of people who are likely to make analogies for how much the internet might weigh are almost certainly not physicists. They're probably smart, and they're probably used to doing math (programmers), but they might miss details that career physicists would think are obvious.
I have sacrificed my relationships with my friends and family for two decades and it hasn't helped advance my career beyond a normal, lowly IC.
I don't want to manage people. I would be the exact kind of manager that destroys my own will to live. A senior role would be nice, but because I don't have any social skills (all that time I spent learning all of the technical knowledge I have now had unforeseen consequences, specifically, my social skills and emotional restraint are significantly stunted.)
Stop using the argument that people need to make sacrifices. It's not true.
Well that’s just assuming alternative paths would have been much better than current situation. Looking at how life played out for many of my classmates even my lowly IC job looks quite good.
An employee not knowing what's happening at the company above them is a fault of the manager.
There are some things that need to be kept secret, but if it's not one of those things, secrets are not a good thing.
It’s not that straight forward. It’s not the ICs job to know everything that is happening nor is it their job to make decisions based on pass through data, especially not a junior/mid career engineer.
Transparency and keeping people informed, yes. Sharing a bunch of info and letting every IC make their own strategy and prioritization decisions, no.
12:00am - 6:00am: Doctor 1 and Doctor 4 are doing everything together.
6:00am - 12:00pm: Doctor 1 and Doctor 2 are doing everything together.
12:00pm - 6:00pm: Doctor 2 and Doctor 3 are doing everything together.
6:00pm - 12:00am: Doctor 3 and Doctor 4 are doing everything together.
This way, all 4 doctors only do 12 hour shifts, and the patient's state is maintained continuously through all 24 hours.