This manuscript dismantles the romanticized ideal of caregiving, contending that empathy—though noble—is unsustainable when it becomes the sole foundation of care. It exposes the profound physiological, emotional, and cognitive tolls borne by healthcare providers, showing how circadian disruption, emotional labor, and moral injury steadily erode their well-being. At its core lies the asymmetry of caregiving: compassion as both a vital strength and a perilous liability. The work warns that systems built on unrelenting human sacrifice are destined to collapse. Yet rather than stripping compassion from medicine, it calls for structural reform—safeguards that honor caregivers, protect their humanity, and ensure care remains both sustainable and humane.
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