We do not produce anything worthwhile in medicine today. So it raises the interesting question, how does productivity measures relate to being a physician or a patient in 2018?? I do not think they relate to anything worthwhile in any circumstance. This meme was created by consultants from the business world that hospitals have used to usurp power from physicians. It is an apples to oranges comparison. Physicians work with individuals to diagnosis, prevent, treat, and hopefully improve both longevity and quality of life.