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U.S. workers have gotten less productive – no one is sure why

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701–710 of 751 posts

Re: U.S. workers have gotten less productive – no one is sure why

#701

Earlier quoted context omitted.

Dictating while the patient is there is brilliant, because it double-checks both the doctor and the patient's understanding of what happened.

Forms give you validation errors or warnings instantly tho

Huh?

What form would give validation error or warning that a note the Dr is making either raises a new question by the patient or is in conflict with something the patient knows?

(& yes, from what I could see, there were also fields for patient data, date, etc, that are presumably validation-checked)

Re: U.S. workers have gotten less productive – no one is sure why

#702

I've read that doctors now spend as much as 50% of their time documenting their work. Companies such as Epic, which provide the software that hospitals use to build databases of patient data, have been big winners in the new world of hospitals-depending-on-software. But did the doctors become more productive? By almost any measure, they became less productive. People in tech keep thinking more tech will solve problem…

Capitalism is trying to move to a model where everyone is atomically isolated, an independent contractor making anonymous sales in a marketplace. That means lawyers, contracts, and rigid rules and documentation. The more pure a market is, the more lawyers and rules you need to make it work. The goal is to eliminate the kind of fluid high trust social networks that characterized work life in the past. Partly because if everything is more rigid, it's easier to exert control, partly to prevent things like unions from forming. They want a perfectly abstracted workforce, free from the messy details that force you to treat your workforce as made up of people. Notice that we went from "personnel" to "human resources" to "human capital management". That's the Ayn Rand utopian dream made real. The idea is to turn people into units of production to be bought and sold, and you can't have a market for a commodity unless they are all the same. So, you must be made identical, so that the price of labor means something. Every criticism leveled against systems of control in the book "Seeing Like a State" apply to capitalism too. When people talk about a free market, remember that they're talking about a free market for labor more than anything else. You are the product in this scenario, not the customer.

But even here, the purity of the labor market is hampered by rules designed to protect the laborer- osha rules, overtime rules, rules about how much a person can be controlled, and so forth. If you eliminate all those, and focus only on the making labor freely able to be bought and sold, you can begin to see what a completely pure free market for abstracted, commodity labor would look like.

It is this: The most pure example of a free market for labor is a slave auction.

Re: U.S. workers have gotten less productive – no one is sure why

#703

Earlier quoted context omitted.

The least capable doctor's time is worth $300/hr. The scribe is paid what, $25/hr? This is so much like hearing of engineers that will not hire a $20/hr maid due to egalitarian reasons so they squat in filth or waste all their free hours cleaning, all while capable and willing cleaners starve. Insane.

I live below the poverty level. I receive Section 8 funds for housing. The Section 8 inspections and quality standards are so important to me that I hire a cleaning service about 6 times a year to make sure everything in here is spotless, because I'm really not that psychologically or physically capable of cleaning everything, even if I had limitless free time to do it. The maids cost about $130 a visit and they're w…

Section 8 inspects your house to make sure you're cleaning your room? that seems... strange

Re: U.S. workers have gotten less productive – no one is sure why

#704

Earlier quoted context omitted.

It doesn't increase GDP if they get less productive.

Many things increase GDP without being good. For instance Oil spills increase GDP as suddenly a bunch more (cleanup) work is being done and paid for.

see https://en.wikipedia.org/wiki/Parable_of_the_broken_window

Re: U.S. workers have gotten less productive – no one is sure why

#705

Earlier quoted context omitted.

I don’t think productivity was ever the goal of this software. It was to have a record that is standard, digital, transferable, etc. Doctors fought it as long as they could because they knew what it meant for them. I remember pretty early demos in early/mid 2000s when I was doing some clinical grunt work in college. I had written some software to make my department’s life easier so I was offered up as the hospital’s…

At Uni as a summer job I worked processing Corporate Actions for a large custodial bank. We used exactly the same kind of system where every action was 4 characters. I can still remember some of them despite it being 10 years since I did that job. Even more importantly, the screens were trivially scriptable so lots of the grunt work could be handled by writing export scripts, pulling a bunch of data into excel, proce…

You could provide a terminal UI from within the GUI (it's not unheard of and can work quite well)

Re: U.S. workers have gotten less productive – no one is sure why

#706

Earlier quoted context omitted.

> I've read that doctors now spend as much as 50% of their time documenting their work. Companies such as Epic, which provide the software that hospitals use to build databases of patient data, have been big winners in the new world of hospitals-depending-on-software. But did the doctors become more productive? By almost any measure, they became less productive. It’s less the software, and more the users, site-specif…

> Another study found US clinicians write 4x longer notes I wasn't aware of this, but as the spouse of a medical provider I know that most US providers are burdened with an ever-present worry about malpractice.

Gotta write as much disparaging stuff as you can on the patient to instruct future doctors not to provide medical care!

Re: U.S. workers have gotten less productive – no one is sure why

#707

Earlier quoted context omitted.

sounds like washington state lol. one of the reasons we moved from there. now at my kids preschool, if a kid gets sick they stay home, if they are better the next day they come back. no PCR tests, no missing 2 weeks if any member of the family was sick, its great

Would you be willing to share the preschool? I would like to avoid sending my kids to a preschool that pretends asymptomatic spread of diseases doesn't exist.

[deleted]

Re: U.S. workers have gotten less productive – no one is sure why

#708
post #397
post #362

US Worker productivity is 0.7 standard deviations below its average over the last 3 years. It is 3.6% below all time high. It is higher now than at any point before July of 2020. YOY Productivity growth has dipped negative and then went back to positive 20 times in the past 22 years. To be concerned about the current level of productivity requires either the attention span or the intelligence of a goldfish. https://t…

It's just the corporation friendly mass media trying to combat calls for better worker treatment/compensation. This is just the next single from the album that brought us "quiet quitting", "the great resignation", "millennials are lazy", etc. It's important for the backers of these media outlets to float these stories out there, lest anyone become sympathetic to workers in light of the facts that minimum wage hasn't…

> that the fed is intentionally raising rates to wrest back some power from workers

The fed is increasing interest rates to keep dollars attractive as a world currency and allows the US governments to keep increase national debt whithout sending interest rate of through the roof.

It may seem counter-intuitive, but letting inflation going out of control would have a major negative impact on demand of debt issued in dollar or, to make it short, US government debt.

The only alternative would be to fund government spending with government revenues. Which means, increase taxes for categories of revenues which amount the most in national revenues.

Re: U.S. workers have gotten less productive – no one is sure why

#709

Earlier quoted context omitted.

At Uni as a summer job I worked processing Corporate Actions for a large custodial bank. We used exactly the same kind of system where every action was 4 characters. I can still remember some of them despite it being 10 years since I did that job. Even more importantly, the screens were trivially scriptable so lots of the grunt work could be handled by writing export scripts, pulling a bunch of data into excel, proce…

You could provide a terminal UI from within the GUI (it's not unheard of and can work quite well)

Alas, most modern software doesn't come with the option of a GUI. It's a HTML document pressed into service as a GUI with a greater or lesser degree of success.

Re: U.S. workers have gotten less productive – no one is sure why

#710
post #523

Earlier quoted context omitted.

> I've read that doctors now spend as much as 50% of their time documenting their work. Companies such as Epic, which provide the software that hospitals use to build databases of patient data, have been big winners in the new world of hospitals-depending-on-software. My daughter works at Epic, and she explained that one (though not the only one) of the big reasons health care is so expensive is because Drs have so m…

Americans aren't actually don't sure that often, a topic addressed in The Myth of the Litigious Society by David Engel [c.f. https://blogs.lse.ac.uk/lsereviewofbooks/2017/02/01/book-rev... ].

It's the ease with which one can sue, and the damage it does even if it's baseless, that poses a continuous threat.
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