When policy-makers say that someone has fallen through the cracks, we attempt to explain a situation as something that we cannot control. As an elected representative, it is my responsibility to identify those cracks, and propose responsible solutions to repair those cracks and ensure that they do not splinter again.
For me, medicine is a double-edged word; while it hurls such obscure images of cold-bloodedness towards my face, it also motivates me to grow, to observe, and to learn so that I may be able to positively contribute--even if to an infinitesimal extent--toward overcoming this wrongdoing someway, somehow, someday.
You might also want to make a list of the most expensive medications that your family seems to be taking throughout the year and find a cheaper alternative. On the other hand, you just might want to choose a health insurance that covers the medication you need and the pharmacy of your choice during the next open enrollment period, thus, creating better odds than Vegas!
It is time for action to treat and prevent physician burnout, rather than continue to run simple studies like this to pad your bibliography. Sheesh. I wish the academics would do the hard work of measuring effectiveness of prevention efforts with the same vigor as they complete these simple survey studies.