About Factory Rounds

Factory Rounds is a publication by Julian Galt, MD, a board-certified physician in emergency and internal medicine. I write from the heart of the collapsing medical-industrial machine.

This is where medicine meets machinery—where doctors are reduced to throughput and patients become units of service. Through essays, commentary, and on-the-ground analysis, I dissect how the system is breaking, why it was built this way, and what it means for the future of care in America.

Whether you’re in medicine, on the receiving end of it, or just trying to understand why healthcare feels so inhuman, this space is for you.