Live data from Hacker News

Report: 90% of nurses considering leaving the profession in the next year

healthcareitnews.com

331–340 of 1001 posts

Re: Report: 90% of nurses considering leaving the profession in the next year

#333
I have a nurse friend that was fired because she did not want to take the vaccine. She had covid before, and strongly believes in bodily autonomy. She did not want to be forced to put something in her body against her will. She's started a business cleaning houses now, and says is making same money. Except now she isn't pressured to be rushing from patient to patient like crazy. She's choosing her hours, works during the day at her pace and doesn't bring home the emotional stress of dying people. She worked as a nurse for 7 years and in that time she had thousands of patients. She said in all that time she only discharged 3 patients after chemo therapy. She's kind of convinced both are billion dollar scams by medical industry.

Re: Report: 90% of nurses considering leaving the profession in the next year

#334
A couple changes I've heard from nurses would be helpful:

1. Safe mandated staffing ratios. California is one that does this and many nurses seem happy with the ratios.

2. Safe harbor laws. If the nurse feels they are pushed into a risky situation, they should have a right to notify management which will take on liability if they do not resolve it. A few states have this but hospitals bully nurses not to invoking it.

3. Better pay for the liability they take. Unlike management, they could go to prison for mistakes they make. There was a recent case nurses were outraged about.

4. Unions are beneficial. In California the nurses union is pretty strong to negotiate better terms and conditions.

Re: Report: 90% of nurses considering leaving the profession in the next year

#335

Here's my naive understanding of the situation: It sounds like they're just being overworked. So, just have the nurses take a 20 minute break every 2 hours, to go out and take a walk. The hospital can require it if it comes to that but why wouldn't they just want to do it? and if the hospital doesn't want to do it, then the nurses should insist on it and walk off the job if not given their breaks. I would imagine the…

Well, at least you're aware that it's a naive understanding...

Re: Report: 90% of nurses considering leaving the profession in the next year

#337
What I've seen: health insurance companies and large medical companies were able to get everything they wanted. The result was Obamacare. It's been down hill from there.

I have family members in medicine, and they see the same thing. There was a really good opportunity at that time to address some glaring issues with healthcare, and we ended up with this thing that did not address those issues and created a lot more issues.

Re: Report: 90% of nurses considering leaving the profession in the next year

#338
post #17

While it's anecdote, every single peer in bedside medical care I know without exception has either left the field, or has immediate plans to as soon as student loan debt is repaid. The few older medical professionals in my family are simply sticking out the last few years until they can retire early. This was generally the case prior to pandemic due to how poor the work environment has become, but the pandemic seems…

Insurance companies. Everything is controlled by insurance companies. You can’t do anything unless it’s exactly how insurance wants and only for what insurance will pay. It limits everything, including how every profession can be compensated simply because you can’t easily hire somebody for more than what insurance will pay for their services. You can, but the funds have to come from somewhere.

Why doesn’t the American Medical Association start its own insurance company?

Re: Report: 90% of nurses considering leaving the profession in the next year

#339
post #85

Earlier quoted context omitted.

Insurance companies. Everything is controlled by insurance companies. You can’t do anything unless it’s exactly how insurance wants and only for what insurance will pay. It limits everything, including how every profession can be compensated simply because you can’t easily hire somebody for more than what insurance will pay for their services. You can, but the funds have to come from somewhere.

Insurance is the only industry where they agree to pay for something (in this case, "medical care"), but then after service has been rendered can decide to pay less, or not pay at all, or stop paying that provider altogether, etc. This combined with hospitals being run by non-physicians*, and people thinking being able to Google and read WebMD qualifies them to argue with their doctor about treatment plans**, healthc…

> people thinking being able to Google and read WebMD qualifies them to argue with their doctor about treatment plans

In my experience, I have had:

1. Doctors that know nothing about a really basic ailment and not have any meaningful guidance or treatment to suggest

2. Doctors that Google something literally in front of me, things that I have already Googled myself, and draw the wrong conclusion because they're looking at results at a glance - when I had searched myself earlier and dug deeper though, it was clear to me the result he was looking at was just plain wrong

3. Doctors that provide very little to no guidance about a wide selection of medications available to treat a problem, leaving me to essentially guess which option of a dozen or more I should go with

4. Doctors that force me to advocate for myself and my condition before they agree to help treat it - so much so that I had to visit 4 different doctors to find one that would, wasting nearly a thousand dollars of office visits with nothing to show for it.

It's no wonder people do their own research and dare to advocate for themselves. Most doctors are fucking worthless.

Re: Report: 90% of nurses considering leaving the profession in the next year

#340
post #229
post #85

Earlier quoted context omitted.

Insurance is the only industry where they agree to pay for something (in this case, "medical care"), but then after service has been rendered can decide to pay less, or not pay at all, or stop paying that provider altogether, etc. This combined with hospitals being run by non-physicians*, and people thinking being able to Google and read WebMD qualifies them to argue with their doctor about treatment plans**, healthc…

> Medical decisions need to be made outside of cost considerations. A common attitude which may cause: Health care is extremely costly in the United States. Although the rate of growth in spending has attenuated in recent years, per capita spending on health care is estimated to be 50 to 200 percent greater in the United States than in other economically developed countries. Despite leading the world in costs, howeve…

Looking at the levels of obesity in the U.S., I consider the 26th place a true miracle of American medicine. If it can prevent people who devastate their bodies with junk food for decades from dying at 50 ...

On the other hand, imagine the world where Coca-Cola makes billions on healthy drinks, people are slim and fit until they die, and half of the money spent on treatment of chronic diseases of excess can be used for something else.

Post reply on HN