The following article discusses the prevalence of burnout, depression, and suicide among physicians, who have faced increasing clerical burden in the past decade. The author compares this prevalence to the stressful experiences of test pilots and astronauts, who likewise faced high risk and high reward. Like pilots, medical professionals believe that having eyes and ears on the patient is far more important than mastering a computer system or billing code. Physicians need the opportunity to dictate their own moves and make the kind of difference for patients that generates personal challenge and growth.