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I don't have any experience with US healthcare but I know this depends a lot on the country. Large part of this is that much of US healthcare is in the busines
by lmilcin 5y ago
I don't have any experience with US healthcare but I know this depends a lot on the country.
Large part of this is that much of US healthcare is in the business of earning money or optimizing costs, the care being only side effect. As long as incentives are not right, there exists no practical way to fix the system, only prop it up here and there to eliminate worst offenses.
As to salaries, I just can't imagine how it is even legal for nurses to do same job but being paid more because they just joined. I can sort of understand that you can be paid more if you do same job but have more experience. You get paid for loyalty and for the added value of your knowledge/experience that makes your work potentially higher quality. But being paid less is shady af because it exploits the nurses which have high incentive to stay at one place if only to keep the commute to the hospital. If you have family you can't just move to somewhere else every 2-3 years just to keep your salary competitive.
As to verbal treatment, I understand that the problem is that if you are a good surgeon, you will be hired no matter how mean you are toward your coworkers.
In large companies I have worked for (mainly financial) this is not tolerated (as much). You can be great senior developer or tech lead, but if you are mean to junior developers you are likely going to be reprimanded and then dismissed if you continue.
- mfer 5y ago> Large part of this is that much of US healthcare is in the business of earning money or optimizing costs, the care being only side effect. ICUs are not optimized. Hospitals in general are not optimized in the US. A lot of the cost issue is in inefficiency. Many ICU patients cause a hospital to loose money. > As to salaries, I just can't imagine how it is even legal for nurses to do same job but being paid more because they just joined... Salary is what ever a company decides to pay a person. There are all kinds of ups and downs. If you're running financially inefficiently, as most US hospitals are, then you need to limit when you pay people more. When US hospitals have seen a majority of their patients as COVID patients the loss they were talking about lead to bankruptcy speculations. While the predictions weren't right (in terms of timing) there is a lot of good context in https://claytonchristensen.com/books/the-innovators-prescription/ https://claytonchristensen.com/books/the-innovators-prescrip...