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The hit film about overworked nurses that's causing alarm across Europe

theguardian.com

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Re: The hit film about overworked nurses that's causing alarm across Europe

#61

Earlier quoted context omitted.

So after every industry is fully automated and everyone has lost all their jobs, do we all just hold hands and walk into the sea together or...?

The way I see it, you have three choices, the government, corporations, or billionaires. It's an oversimplification of power in this world today, but those are your choices. Which one of those do you pick to clothe and feed and house you, after the singularity happens?

Another potential alternative is healthy capitalism, where a large number healthcare providers are in competition with each other to provide the best service at the lowest cost. In this model a hospital, for example, would be forbidden to buy another hospital down the road, in the same way a doctor’s office would be forbidden to buy a second doctor’s office, because both cases reduce competition.

Re: The hit film about overworked nurses that's causing alarm across Europe

#62

If I could change one thing about healthcare, it would be how we handle end of life care. Sadly, hospitals are full of 80-90+ year old people who cannot walk or talk for years, advanced dementia plus many other serious comorbidities, with severe malnutrition and recurrent aspiration pneumonia, with large non-healing sacral ulcers, who shit and piss themselves, and the family continues to insist we "do everything" to…

I suspect this happens in the UK too, although doctors (in my very limited experience of this) do tell families the truth about what they can do.

I think there is a cultural problem about facing up to death, because people do not talk about it. It is a taboo subject to many, and people use euphemisms a lot (which is always a sign of a topic people do not want to talk about).

We need much better end of life care. Hospices seem to do a great job (no experience from the patient and family end, but I knew someone who used to work in one) but there are not enough of them.

Re: The hit film about overworked nurses that's causing alarm across Europe

#63

If I could change one thing about healthcare, it would be how we handle end of life care. Sadly, hospitals are full of 80-90+ year old people who cannot walk or talk for years, advanced dementia plus many other serious comorbidities, with severe malnutrition and recurrent aspiration pneumonia, with large non-healing sacral ulcers, who shit and piss themselves, and the family continues to insist we "do everything" to…

I read a comment on here a while back that highlighted EoL care as the main way The Machine has to sap resources between generations, and it makes a lot more sense when looked at through that lens. I don't see it going away any time soon since its a guaranteed process for every person that moves wealth away from the lower/middle classes into the industry at a grand scale.

Re: The hit film about overworked nurses that's causing alarm across Europe

#64

Earlier quoted context omitted.

In most places is it even possible to give these people mercy and opt them out of life if they and/or the family wanted to?

At least in the US, in general we talk to the family about code status "Do you want your loved one to receive CPR if their heart stops?". We can make them DNR/DNI. Then next discussion would be hospice. They would have a hospital bed sent to their home, be discharged with a weekly nurse visit and doctor available by phone/text, and get minimal medications focused on minimizing suffering.

DNR: Do Not Resuscitate DNI: Do No Intubate

Re: The hit film about overworked nurses that's causing alarm across Europe

#65

Earlier quoted context omitted.

I have thought that we should make entering the medical professions much easier. In order to become a nurse, you usually need a 4 year degree. This has two issues: 1. This is way to much time in the classroom. Much of that coursework simply isn't necessary. 2. You have people that would be good nurses piking other programs because they can't get passing marks in classes that are irrelevant to day to day nursing. Bind…

So are you hoping to be treated by nurses who are worse academically than the ones we have now? Or are you hoping that "others" will be treated by them while increased supply depresses wages for the good ones that you think will treat you? Also being a nurse is a very hard job, most people wouldn't last a year as an ER nurse in the US.

how much worse were nurses when it was a 2 years occupational program or associates degree?

Re: The hit film about overworked nurses that's causing alarm across Europe

#66

If I could change one thing about healthcare, it would be how we handle end of life care. Sadly, hospitals are full of 80-90+ year old people who cannot walk or talk for years, advanced dementia plus many other serious comorbidities, with severe malnutrition and recurrent aspiration pneumonia, with large non-healing sacral ulcers, who shit and piss themselves, and the family continues to insist we "do everything" to…

I read a comment on here a while back that highlighted EoL care as the main way The Machine has to sap resources between generations, and it makes a lot more sense when looked at through that lens. I don't see it going away any time soon since its a guaranteed process for every person that moves wealth away from the lower/middle classes into the industry at a grand scale.

How much of that is The Machine, and how much of that is kids & grandkids not wanting grandma to pass away?

For what it's worth, when my grandma was in the hospital with congestive heart failure, the surgeon was very clear with her and with us that "do nothing, and die" was very much an option, and a choice that she and she alone could make.

Re: The hit film about overworked nurses that's causing alarm across Europe

#67

Much of the west is getting older and getting sicker. How unsurprising. What even is the solution? Expand the already massive healthcare sector further? Where does the money for that come from?

Solution: preventive health care, promoting a healthy lifestyle from an early age, and healthy eating

too late for most of the burden

Re: The hit film about overworked nurses that's causing alarm across Europe

#68
"Nurses should be at the very top of our social hierarchy but we live in a world where it’s just the opposite," she says. "This film is a love letter to the profession."

I moved furniture for 3 years in the early 2000s to support my shareware business. Something like 500 moves, sometimes 9+ hours per day, occasionally 6 days per week. It made me who I am today, but also broke me in countless ways.

I witnessed single mothers giving us $20 tips each (around $40 today) while wealthy people didn't even offer us water. I saw the best and worst of the human condition, sexist pay policies, how workers are exploited by not being provided a schedule for the next few days so they have to call in each morning, how truck fuel costs more than workers' pay, how Right to Work states allow businesses to throw employees away on a whim, how tax brackets at the bottom create the impression that any additional pay gets skimmed by the man, among a great many other injustices, and how all of those conspire to keep the working class down so that a handful of individuals can become fabulously wealthy.

With every improvement in tech, I see the gulf widening. We can talk about how poor people now have cell phones and flatscreen TVs, while conveniently ignoring how people with a net worth over $10 million who couldn't spend that money in a lifetime are now buying politicians to shred the social safety net, among other dubious endeavors.

I say with complete confidence that the arrival of AGI will bring about ultimate wealth inequality. I foresee a world where 10 billion people work performatively to survive long after robots can do the work better, while less than 1 million people live like gods, free even of senescence. Assuming that we stay on this timeline and don't shift to a more equitable one.

I went into computers in the late 1980s to eventually build an android like Data. I didn't know that Turing test-passing AI would arrive 20 years early, or that I would spend the first quarter of the 21st century hustling to make rent due to unfortunate geopolitical realities driven by unmitigated greed and regulatory capture.

Now I'm not so sure that I even want to stay in tech anymore. It has been anything but kind to me. Every time I level up, so does the world, and expectations upon me just grow for the same pay. My people-pleasing has cost me my health on a number of fronts. I know that someday, I'll have to choose computers or my life.

After all of that, one might think that I'm all doom and gloom. But I'm not. I've come to treasure my time at the warehouse as a teaching tool after a great deal of shadow work. I admire my foreman for being the provider that I can only hope to be someday. I look in awe upon the borderline homeless vets, deadbeat dads and ex-cons who showed me what it is to give without expectation of reward. I see them in all of us, even the people I disagree with, and that gives me hope that maybe we can come together and avoid the iceberg that's about to sink this ship.

I'm reminded of this scene from Jaws which always stuck with me:

https://www.youtube.com/watch?v=-xQQIqAiTYA

And I just watched Mountainhead, here's the trailer:

https://www.youtube.com/watch?v=27cN2_k0JF0

I see a world divided into two camps: one that does much for little, and one that does little for much.

It makes me wonder where we all sit in relation to this. What kind of impact we could have on the future, and how that might help everyone to self-actualize.

I don't pretend to have the answers. Some of my best years happened when things were at their worst, and vice versa.

But I do know that everything is upside-down right now, and always has been, since the dawn of civilization. I feel that tech won't really be tech until it addresses and undoes that injustice.

That's why I write this malarky when I should be working. For all the other working people who don't have time to say what needs to be said.

Re: The hit film about overworked nurses that's causing alarm across Europe

#70
post #5
post #3

Earlier quoted context omitted.

I am not surprised. Healthcare costs have been rising faster than inflation for several years. It's a difficult sell to increase budgets, so we have to resort to these "invisible" cost cutting measures to try and stay afloat.

> rising faster than inflation for several years Over here in Canada healthcare spending has been rising faster than general inflation more or less continuously since the 1960s. Seems to be generally true of many wealthy countries. More tech and therapies. And an ageing population. And probably other factors. https://commons.m.wikimedia.org/wiki/File:Health_care_cost_r...

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