501–510 of 1001 posts
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The healthcare system in the US clearly has nothing to do with free markets considering how unbelievably opaque and regulated everything is.
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Can I hire my friend who is a medical student to perform surgery on me legally? No?
I've spent a fair amount of time talking with nurses about the problems. I'm related to a bunch of people who are nurses across disciplines (ER, ICU, med/surg, etc). It's been enlightening hearing them talk about the problems... 1. Many new nurses make the same or more and long time nurses. It's frustrating when the nurse in charge with the most experience is making less than new nurses. Some hospitals are even tryin…
preface: my parents are retired nurses and a big chunk of my family works in healthcare. It sounds like the issues nurses face are global and do not significantly change across different systems (the system in my country is completely different from USA) It probably comes down to the fact that this is a human problem and to solve it we must radically change the expectations around care and primarily being taken care…
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Agree with all of this, and just to add one thing: liability. Look at the RaDonda Vaught case or the Michelle Heughins case; terrifying to be looking at jail time for a med error. Many nurses are watching these cases more closely and deciding that since staffing isn't getting any better and they won't be protected, it's not worth the risk.
That case goes far beyond med error and I don't understand why people keep bringing it up as an example. She pulled the wrong med, and then injected it and walked out of the room rather than observing for effects. Also the med she pulled had warnings on all sides of the bottle and on the top saying very clearly that it's fatal to administer without ventilation. This went beyond a mistake to negligence.
With staff shortages nurses dont have the time for that.
Hire 2x more nurses - so there is 2x more time for each patient.
I've spent a fair amount of time talking with nurses about the problems. I'm related to a bunch of people who are nurses across disciplines (ER, ICU, med/surg, etc). It's been enlightening hearing them talk about the problems... 1. Many new nurses make the same or more and long time nurses. It's frustrating when the nurse in charge with the most experience is making less than new nurses. Some hospitals are even tryin…
I've spent a fair amount of time talking with nurses about the problems. I'm related to a bunch of people who are nurses across disciplines (ER, ICU, med/surg, etc). It's been enlightening hearing them talk about the problems... 1. Many new nurses make the same or more and long time nurses. It's frustrating when the nurse in charge with the most experience is making less than new nurses. Some hospitals are even tryin…
> This one is big for product designers. You're right that there are definitely opportunities for improvement here. As a Product person that has worked in EMR/Healthcare IT systems, I can tell you the biggest challenge is most of the decisions are driven by legally-required compliance. In many cases, you literally cannot make it better because the brokenness is /by design/ to comply with the law. Nearly across the bo…
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And, alas, found guilty: https://www.npr.org/sections/health-shots/2022/03/25/1088902...
Jfc that is terrible.
This was driven purely by the state prosecutor.
I've spent a fair amount of time talking with nurses about the problems. I'm related to a bunch of people who are nurses across disciplines (ER, ICU, med/surg, etc). It's been enlightening hearing them talk about the problems... 1. Many new nurses make the same or more and long time nurses. It's frustrating when the nurse in charge with the most experience is making less than new nurses. Some hospitals are even tryin…
The one I think you are missing is that nurses are and have been overworked for a WHILE now. (that's what I get from /r/nursing) Hospitals have made sure they hire JUST ENOUGH nurses to cover shifts and no more. With covid hitting, this blew out the number of nurses needed resulting in a lot of "I know you've already worked 60 hours, but can you do another 20? we are short!". Rather than hiring permanent people or up…
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The one I think you are missing is that nurses are and have been overworked for a WHILE now. (that's what I get from /r/nursing) Hospitals have made sure they hire JUST ENOUGH nurses to cover shifts and no more. With covid hitting, this blew out the number of nurses needed resulting in a lot of "I know you've already worked 60 hours, but can you do another 20? we are short!". Rather than hiring permanent people or up…
From a Canadian stand point you American nurses are already highly paid. My brother works in the US and was recently thinking of coming back to work closer to where he grew up. The best deal he could get here was $20usd less then what he makes there. So on top of making $20 more then a nurse here he is also making it in USD. He is making huge amounts of cash as a nurse down there. How much more do nurses need?
I work in tech with no college degree and about 9 years of programming experience. I make mid 100,000's per year. My S/O has 6 years of Emergency Department experience and a bachelors degree and she made about 65k at our local hospital. I think pay is an enormous factor in this. Her local hospital has nurses with less than 1 year of experience being preceptors to new grads.
When you say "mid 100,000's" do you mean ~150k or ~500K?
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It's possible we have too much democracy. A lot of stuff got changed because we thought the previous configuration didn't make sense but it may have been that way for a reason.
Which things do you thing should change back and what should they change back into?
Campaign finance restrictions.
Referenda that can't be overriden by legislature should require 50% of eligible voter population to support, not 50% of voters in that particular election.
No special elections.