• 3 Posts
  • 51 Comments
Joined 2 years ago
cake
Cake day: June 13th, 2023

help-circle
  • I once worked at a hospital in the ER where the department director was a union-busting bastard, but the CEO was pretty reasonable. After I left, one of the other ER techs went to the CEO about our pay being messed up and got everyone $5-6/hour raises to actual market rate. Also, there were a few weeks when we were really understaffed that the hospital encouraged admin folks to volunteer as “candystripers” in the ER to do stuff like help clean/turn over rooms, and answer patient call lights for water, blankets, etc. And the CEO was down in the ER for a couple hours every evening helping out most of that time period. It was encouraging to see the CEO of the hospital putting on some gloves and helping us with basic stuff like cleaning and stocking.


  • I think in this case it is more apt to realize that the artist painted this on the wall of his dining room in his house where he never had any visitors. The definition of “happiness” in this context would have to be a tad…malleable though.

    Although he initially decorated the rooms of the house with more inspiring images, in time he painted over them all with the intensely haunting pictures known today as the Black Paintings. Created without commission for private display, these paintings may reflect the artist’s state of mind late in a life that witnessed the violence of war and terror stoked by the Spanish Inquisition.

    https://en.wikipedia.org/wiki/Saturn_Devouring_His_Son









  • You are correct. This problem is caused by administrators and managers. If you got rid of all the unnecessary middle management and paid the executives reasonable wages instead of the grossly inflated pay they have now, healthcare would be a heck of a lot cheaper. The health insurance companies and the medical supply companies/pharmaceutical companies aren’t helping either. There are literally life-saving drugs that can cost up to $100k for one dose.


  • I agree with this idea quite vehemently. Honestly, all ISPs should be seized as public utilities and all necessary utilities should be state or locally run with federal oversight. That includes water, power, gas, garbage/recycling, internet, and potentially even cell phone service. There could be room to argue for premium versions being available should people want to pay for them, but regular access to water, power, high speed internet, and cell connectivity are basic necessities these days. For example, the government run version will get you up to 500mbps reliably, but you have the option to pay a private company for fiber gigabit if you really want to.





  • I’ve worked in ERs before, and there is more to this story that the article sidestepped quite neatly. Most ERs these days are filled to capacity with dangerously low staffing ratios, and the general public’s definition of an “emergency medical condition” and the medical definition of an “emergency medical condition” are very different. Some nights I’ve worked, we had people with chest pain and a cardiac history wait in the lobby for 5+ hours because there were no beds available and their EKG was mostly okay for the time being. A big contributor to this problem is a lack of mental health resources which results in ERs losing beds for up to weeks or even months at a time to hold psych patients that have nowhere to go. It is heartbreaking when we had to turn away people who mostly needed a social work consult…but when there’s two doctors and twelve nurses for a 40 bed ER and 2 out of 3 resuscitation bays are in use for active codes, there just isn’t anyone or any resources available to help someone who isn’t actively dying.

    The inpatient side isn’t a lot better. Skilled nursing facilities and rehab centers are increasingly rare and increasingly expensive, and the hospital can’t keep a patient forever if they don’t meet criteria for hospitalization. The nice thing about inpatient is that they get to enforce their staffing ratios so that each nurse only has so many patients to handle. In the ER with EMTALA, it doesn’t matter that a nurse is caring for 6 patients (3 of which are waiting for an inpatient hospital bed, and 1 is waiting for an ICU bed…), that nurse will have to take on another critically ill patient that is stuck on a bed in the hallway if that’s all that’s available. The inpatient problem exacerbates the ER problem, and then you have people stuck in the lobby for 12+ hours before there’s a physical space for someone to see them, that provider’s capacity to take on another patient notwithstanding. It’s a true crisis and it’s only going to get worse until the full healthcare system (i.e. all the non-ER parts) are as accessible and available as needed.