Kate Collins67
Active Member
168 messages
joined Apr 2010
Browsing through various threads on different forums, I’m noticing a pattern: there is a massive amount of general dissatisfaction with the US healthcare system among the general population (the ones actually online—and honestly, it terrifies me to think what the people who *don't* know how to use the internet are thinking). Usually, this frustration gets boiled down to just bashing the medical staff—which, let’s be real, is sometimes justified and sometimes isn't.
Here are a few points that people really ought to understand, assuming anyone here is actually interested in a deeper discussion...
1. Medical school in the States, much like the rest of our education system, doesn't provide an adequate foundation in my opinion (I've experienced this firsthand—it takes way too long and provides far too little).
2. Physician working hours—though not necessarily the hours for other medical staff, based on what I see around me—violate numerous labor laws (if I’m interpreting them correctly). For example: we're looking at roughly 60 to 80 hours of paid overtime every single month due to those 24-hour shifts that stretch into 25 hours minimum, every month of the year. Last year, I spent about 100 days pulling 25-hour stretches at the hospital; last month alone, I had 88 overtime hours, plus another 8 that nobody even bothers to record anywhere.
Let me be clear: we don't have a choice whether we pull these shifts or not. Anyone who hasn't spent 24 straight hours on the job should probably hold their tongue before commenting.
When you're in a state of exhaustion like this, it’s absolutely insane to expect a smile, warmth, or a good mood—even though I still try my best to provide that, I'm finding myself giving in more and more and becoming just like the people who make you so angry in the first place.
3. Primary care has completely failed (I don't know the exact reasons, but I see the results): it's likely a mix of administrative headaches and a total lack of oversight regarding "home visits" during those final hour and a half of the workday (have you noticed your primary doctor finishes up around 1:00 or 1:30 PM, even if their shift goes until 3:00 or 4:00 depending on whether they start at 7:00 or 8:00?). Then there's all this maneuvering regarding leasing offices versus running actual private practices. The bottom line? Very little actual MEDICINE is being practiced in general practitioner clinics.
4. In field EMS services across the country, with a few exceptions, the jobs are being filled by people who aren't quite up to the task—mostly young grads fresh out of med school with zero days of actual work experience. Of course, you shouldn't blame the individuals who are just trying to earn a living; you have to look at the Ministry for that. We might see some change in 5 to 10 years when the first true emergency medicine specialists finally emerge (from what I understand, specialists in urgent medicine already exist in places like Mexico—so much for our progress compared to our neighbors).
5. At hospital ERs, it’s usually residents or brand-new specialists on duty—again, not through any fault of their own (you notice the pattern: in the places where experience is most critical, you get people without it). In some hospitals, they have decent supervision from senior colleagues, but in others, they're basically flying solo because proper supervision isn't provided. Don't get me wrong, I personally believe supervision is ESSENTIAL; ultimately, it should be legally mandated, because residents are still in training and shouldn't be working without oversight. (That’s just my personal take.)
6. Here comes a crucial point that most people either don't grasp or simply choose to ignore, and it concerns the patients themselves.
Anyone using the ER for every little thing (and there are a huge number of such patients) is directly endangering patients who are in real, life-threatening situations. We urgently need to implement a system of sanctions—whether financial or otherwise—that can be applied to patients who abuse emergency services and hospital ERs.
7. We can go further if there's interest... in the hope that "tomorrow" we might actually have a functional healthcare system.