4 ms·
Brilliant description of cerner. You are eloquent. But why do you dismiss it? is it that unbelievable to call it a fake? Im speculating and asking you to expl
by brianhorakh 4y ago
Brilliant description of cerner. You are eloquent.
But why do you dismiss it?
is it that unbelievable to call it a fake? Im speculating and asking you to explain to me why I am wrong.
So that an offshore tech co in Chennai is charging $9 per helpdesk ticket cannot adequately solve any of these issues. The co is basically just collecting money for punting and rewarded for delivering unhelpful appeasement answers, closing tickets early to meet revenue quotas! Then after the cio quit the beancounter "had enough" and fired chennai co after some incident where it took 12 tickets to install a printer driver for the ceo (and it still doesn't work).
The person who made the decision ultimately is Fed up with everything, and now is just going to scratch the match, to hell with the consequences, in an impossible situation.
The head it person is living paycheck to paycheck, everything is an IT problem, they are too busy doing iso27001 & hippa compliance meetings, but they also have a mortgage and are interviewing someplace else and just hoping to get out before it burns (without realizing or caring about the criminal consequences, like people dying).
We can't underestimate hpw Americans are exceptional at relying on Hopes and prayers, divine intervention, believing it will be fine.
Im a us expat living in Australia. Formerly engaged to a Us nurse (pre covid). Imho Us healthcare is so royally screwed and this is predictably exactly what happens when ends can't be met.
No competent IT person during the modern antiwork movement is going to voluntary sign up to work in that cerner environment you described! so what else is the small understaffed hospital to do as the system breaks and melts down? Hospital administration is a clusterf*ck, they really don't care about anything because a us hospital is a business and each hospital must solve their own problems in an increasingly complex it situations.
The us healthcare system patient outcomes are already worst in the world for 1st world economies. Stories like this are indicators, and generally my opinion is that the us policies are unsustainable and is near a tipping point that could end in collapse.
My point is that this story doesn't seem improbable, especially in a poor state.
- exabrial 4y ago> that the us policies are unsustainable I speak only to Cerner's development which is "unsustainable", but... like a zombie that keeps coming back to life... here it is. > that the us policies are unsustainable When everyone in a country, take Sweden or your small EU country, has a national identify and culture, it's very easy to put together national services like a functioning health care system. As your culture becomes diverse, and people do not have a strong national identity, or identify primarily on racial lines, political lines, running any services seems to lead to one group thinking another group is getting favored unfairly by another group. I don't have an answer other than what works in European countries will likely not work here :/ We're kind of on our own to figure it out.