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» Wtf is going on with healthcare employment in the US?
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post 1687183483 07-25-2023, 04:37 PM
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Wtf is going on with healthcare employment in the US?

brb everywhere chronically short staffed
brb toxic BS everywhere
brb all new people joining are quitting
brb 2 nurses for 41 patients with 2 CNA's doing all the care

wtf?

And no, it's not because "kids don't want to work today."
post 1687183633 07-25-2023, 04:39 PM
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healthcare is a business model. just like any business model, owners want to maximize profits.
post 1687183713 07-25-2023, 04:41 PM
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It’s going to get a LOT worse. Best thing you can do is try to be as healthy as possible so you don’t need it.
post 1687183733 07-25-2023, 04:42 PM
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Originally Posted By AdvancedDreamer
healthcare is a business model. just like any business model, owners want to maximize profits.
At the cost of declining quality of care? Have we all become complacent and lost it?

brb reducing staff to 1/4 of what its supposed to be, resulting in 1/4 of the care that was promised to the payer, and increasing prices...

People just accept it?

When family members complain, they say "we're short staffed" and all of a sudden, the family members are understanding? WTF?

I work in this field and "we're short staffed" is NOT an excuse. I strongly suspect that it's cheaper to run with a skeleton crew + bring on new hirees who will burn out quickly and quit, as opposed to hiring a full crew 24/7.
post 1687183763 07-25-2023, 04:43 PM
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it over
post 1687184043 07-25-2023, 04:48 PM
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Originally Posted By RainingBlood
I strongly suspect that it's cheaper to run with a skeleton crew + bring on new hirees who will burn out quickly and quit, as opposed to hiring a full crew 24/7.
You've answered your own question mate
post 1687184183 07-25-2023, 04:51 PM
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I remember in the past reading articles saying many nurses were leaving due to COVID vaccine mandates.
post 1687184473 07-25-2023, 04:55 PM
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Originally Posted By RainingBlood
I work in this field and "we're short staffed" is NOT an excuse. I strongly suspect that it's cheaper to run with a skeleton crew + bring on new hirees who will burn out quickly and quit, as opposed to hiring a full crew 24/7.
Yep. I was once contracted to build an "efficiency model" for a healthcare conglomerate and the goal was to determine the absolute minimum amount of staff and pay it would take to keep the doors open and profits churning.

So they followed the legal minimum staffing level allowed by law, imported as many people from the Philippines as they could, laid off all the older workers, got rid of BSN's, etc. The end result was an Army of 3rd world CNA's who did most of the care, nurses were just there for med pass, and each doctor had hundreds of patients (14 minute appointments, max).

They saved millions of dollars per quarter, and guess where it all went?
post 1687184483 07-25-2023, 04:55 PM
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  1. RainingBlood
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Originally Posted By BalognaNbeans
You've answered your own question mate
I refuse to believe my opinion is fact.
Originally Posted By ParsleyTea
I remember in the past reading articles saying many nurses were leaving due to COVID vaccine mandates.
I don't think very many nurses were anti-vax in the first place.
post 1687184683 07-25-2023, 04:59 PM
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Originally Posted By ErnieMccracken
Yep. I was once contracted to build an "efficiency model" for a healthcare conglomerate and the goal was to determine the absolute minimum amount of staff and pay it would take to keep the doors open and profits churning.

So they followed the absolute legal minimum staffing level allowed by law, imported as many people from the Philippines as they could, laid off all the older workers, got rid of BSN's, etc. The end result was an Army of 3rd world CNA's who did most of the care, nurses were just there for med pass, and each doctor had hundreds of patients (14 minute appointments, max).

They saved millions of dollars per quarter, and guess where it all went?
I sincerely hope the people who support this model ultimately becomes victims of this model.

My state, along with most, doesn't have any bare minimum staffing ratio laws. Theoretically, it could be 1 nurse, 0 CNA/tech's, and 42 patients, and that's legal.

The area I currently reside in (small city in a rural area) has a ton of LTC facilities. They are so short on CNA's that they are hiring them, paying for their 2 week CNA course (~$800,) paying them at $20/hr for each hour they're in class (~80 hours here,) and then training them on the job for a month at $22/hr before moving them up to $25 or even $30.

Certainly, this can't be profitable... Most of our CNA's don't make it past 3 months. Dropping this amount of money on them and having the majority quit can't be that profitable, unless it is...
post 1687185423 07-25-2023, 05:13 PM
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Originally Posted By RainingBlood
I sincerely hope the people who support this model ultimately becomes victims of this model.

My state, along with most, doesn't have any bare minimum staffing ratio laws. Theoretically, it could be 1 nurse, 0 CNA/tech's, and 42 patients, and that's legal.

The area I currently reside in (small city in a rural area) has a ton of LTC facilities. They are so short on CNA's that they are hiring them, paying for their 2 week CNA course (~$800,) paying them at $20/hr for each hour they're in class (~80 hours here,) and then training them on the job for a month at $22/hr before moving them up to $25 or even $30.

Certainly, this can't be profitable... Most of our CNA's don't make it past 3 months. Dropping this amount of money on them and having the majority quit can't be that profitable, unless it is...
No staffing laws is just asking for Mr. Shekelstein to really screw the patients. Even bare minimum resulted in nurses crying and literally daily incident reports.

Yeah this place was often so short, they had to pay agency CNA's @ $150/hr just to not close entire wings of a hospital lol. Same story, it took a few months to even make back their investment on CNA's.

My recommendation was that they open their own CNA program (they hired multiple thousand every year) and run it on-site since they were burning through so many.
post 1687187483 07-25-2023, 05:54 PM
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Yea my grandfather at 90 years old suddenly had a major blockage in his intestines caused by hernia he has had for years.

In order to prevent him from going septic and dying they stuck a tube down to his stomach through his nose and into a waste thing so they could suck all the chit out of him. Couldn't drink or eat.

This was last thursday. He didn't have the operation friday because it got pushed. Then it got pushed two more times into saturday. Then it got cancelled saturday. Sunday they don't do surgeries. So he was supposed to have it done monday, but it got pushed back 3 times, and the surgeon himself was saying there was no way he was leaving without doing the surgery, and then 3 major trauma patients came in and my grandpa had to wait another day until TODAY to have a hernia surgery to save his life so he doesn't go septic and die. They were chronically understaffed, and we're guessing because of my grandfather's age they kept pushing him off.

My grandpa on sunday said "Nurse take this tube out of my nose. Give me water. You guys are trying to kill me, I know it."

Imagine telling a 90 year old active man that he can't have any water or food until the surgery because it could kill him because of his blockage that NEEDS surgery, but then pushing the surgery every day from wednesday night last week until today.

The system is fukked.
post 1687187673 07-25-2023, 05:58 PM
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kids don't want to be nurses, doctors, firefighters, paramedics anymore.

the juice aint worth the squeeze no more

hospitals are corrupt money making business a lot of the times.
post 1687187763 07-25-2023, 05:59 PM
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  1. ErnieMccracken
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Originally Posted By DeadlyStriker
The system is fukked.
At least it's the most expensive in the world, by a lot.

post 1687187773 07-25-2023, 05:59 PM
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Welcome back little fegget.
post 1687188063 07-25-2023, 06:03 PM
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Watch this video to see why medical system is fuked straight from a doctors mouth


https://youtu.be/KOM985HKtFE
Too Big, Too Strong, Too Fast, Too Good!
post 1687189913 07-25-2023, 06:34 PM
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Originally Posted By pakmansc300
Watch this video to see why medical system is fuked straight from a doctors mouth


https://youtu.be/KOM985HKtFE
extremely based and telling interview.
post 1687190083 07-25-2023, 06:37 PM
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earliest doctors appointment I could get was 3 months away

hope it's not a tumor I guess.
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post 1687190113 07-25-2023, 06:37 PM
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And the insurance companies apparently aren't even looking at your claims or coverage requests lol

post 1687190233 07-25-2023, 06:38 PM
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IT: It begins to slowly dawn on OP that he lives in a society in steady decline and there are consequences for that
post 1687190243 07-25-2023, 06:39 PM
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Baby boomers are both leaving the workforce and requiring lots of healthcare. It's going to be a big mess for a few years.

Covid caused a lot of people to retire or take buyouts. Same reason airlines are a mess, everyone retired during Covid, so now that traffic has picked back up they can't actually staff the increase.
post 1687190703 07-25-2023, 06:47 PM
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Private Equity realized (starting around 2010 and never stopped) there was plenty of money to squeeze out of the system. They started buying up everything they could, stripping staffing levels to the minimum and cutting costs/consolidating wherever they could. Whatever clerical work could be offshored, was. This is only going to get worse as they knock down every sector they can: hospitals, fast care clinics, family practices, dentists, retirement/assisted living facilities, rehab centers, physical therapy, eye doctors, etc. To the detriment of patients, there is very little competition in healthcare. Where the else are you going for that broke arm? Mexico?
Originally Posted By ErnieMccracken
Yep. I was once contracted to build an "efficiency model" for a healthcare conglomerate and the goal was to determine the absolute minimum amount of staff and pay it would take to keep the doors open and profits churning.

So they followed the legal minimum staffing level allowed by law, imported as many people from the Philippines as they could, laid off all the older workers, got rid of BSN's, etc. The end result was an Army of 3rd world CNA's who did most of the care, nurses were just there for med pass, and each doctor had hundreds of patients (14 minute appointments, max).

They saved millions of dollars per quarter, and guess where it all went?
Were you hired by a consulting firm or a medical network? Sounds interesting.
post 1687191203 07-25-2023, 06:54 PM
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Originally Posted By Doctor*******
Were you hired by a consulting firm or a medical network? Sounds interesting.
A large medical conglomerate. I did a few different modeling projects, interesting but also soul devouring.
post 1687199613 07-25-2023, 09:24 PM
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Can't find workers
People don't want to work
post 1687200793 07-25-2023, 09:59 PM
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More this than anything. The incentives need to work all along the chain, or people will turn down long term profits to not let Peter Hotez buckbreak them.
post 1687201023 07-25-2023, 10:06 PM
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Originally Posted By ErnieMccracken
At least it's the most expensive in the world, by a lot.

Yea that's why I don't use the medical system. I have no health insurance, haven't gone to the doctor in 10 years, and don't put myself in unnecessary risk for major physical trauma. I take care of my own health and have actually learned a ton of medical stuff. I cured my h. pylori and stomach/duodenal ulcers naturally in 2020 in 2-3 weeks without taking antibiotics and PPI's and destroying my health completely based on doctor's current protocols. It's insane how retarded the medical system is now.
post 1687203823 07-25-2023, 11:49 PM
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Why work so much when the government takes 40% of your income?
Nurse have always been short staffed, it gets better then it gets worse, it's the nature of the job.
post 1687205173 07-26-2023, 12:35 AM
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Originally Posted By RainingBlood
brb everywhere chronically short staffed
brb toxic BS everywhere
brb all new people joining are quitting
brb 2 nurses for 41 patients with 2 CNA's doing all the care

wtf?

And no, it's not because "kids don't want to work today."
LoL, i was posting about this like a year ago. America's Healthcare system was collapsing. It's actually a little better now but that wont last. The Boomers will retire and there are not nearly enough younger people to replace them. The system will probably collapse in the coming years and be socialized. All i can say is you better not get sick when thqt happens..
post 1687205223 07-26-2023, 12:38 AM
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nursing means sitting through college and studying.... and this generation and the generation before that hates studying .. and tbh.. nursing is a sh!t job.... its the only kind of job were i think immigrants would do us great if they work in that field
Cherish your life. Live to tell your story
post 1687205273 07-26-2023, 12:41 AM
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Originally Posted By MEDITATE
nursing means sitting through college and studying.... and this generation and the generation before that hates studying .. and tbh.. nursing is a sh!t job.... its the only kind of job were i think immigrants would do us great if they work in that field
thats not the case


women dont want to whipe old peoples asses when they can make 5k/week on onlyfans and tiktok. or some betamale will pay them through sugar baby, or marriage divorce settlements
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