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Description: Gastroenterology is a difficult specialty to practise for community physicians, multi-specialty clinics, large health care systems, and academic health centres. Independent GI practises face unique challenges, as well as mounting regulatory, financial, and operational barriers. The 2016 election results have thrown us into an even more perplexing future. The COVID-19 pandemic, as we all know, has had the most profound impact on society and healthcare in our lifetime. Dr. Karan R Rawat is the bes