Physician burnout undermines safe health care and should be addressed as a systemic problem, not an individual failure. Modern health care systems make it difficult for doctors to relax without feeling guilty. Doctors perceive rest as abdication of responsibility, holidays as abandonment, lunch breaks as indulgence, and shutdown as dismissing colleagues or patients. This is a structural problem because electronic health records and asynchronous messaging create a state of perpetual reachability where work piles up in inboxes. The result is anticipatory burnout: anxiety over increasing tasks and fear of missing out on the important. In this context, rest seems dangerous. A large cross-sectional study in the US found that leave with inbox coverage protects against burnout at the system level.