ER blues: How giant health conglomerates are putting our emergency rooms on life-support
I'm a big fan of Gray's Anatomy,
The Resident, The Good Doctor and all those other exciting television
shows involving emergency-room drama -- but what really does go on in our
emergency rooms these days? It's not at all like what is being portrayed
on TV. I just chatted with an ER doctor about what really goes on in
America's emergency rooms -- and apparently it's far more about greedy
conglomerates, mountains of paperwork, lack of supplies, overworked staff and
overcrowded conditions than it is about drama.
"Sure, doctors are paid well,"
the ER doctor told me. "I'm not complaining about that because
basically I'm not in this profession for the money but rather to be able to
save lives and help sick people get well. But our workload has gone
through the roof lately -- yet we don’t get the extra help or resources we need
to do all this extra work."
And of course the hospital administrators
get pay raise after pay raise, right? "That goes without
saying," replied the doc. "Plus we go to school and train for
30 years first -- but almost anyone with a BA and a SmartPhone can handle an
administrator's job."
This doctor truly loves helping
people. "But that's not my job any more. My job right
now? To practice medicine the way the insurance companies and the drug
industry want us to. And more and more
laws keep getting passed that, while well-intentioned, result in our spending
much of our time at the computer instead of at the bedside."
"Then you don't mind treating broken bones, sick babies and gunshot
wounds?"
"No. That's what we're here
for. We're doctors. We signed on for that. But that's not
what we do any more. Now we are just one more set of rubber stamps
for our ER's true product -- administrative paperwork. Patients line the
walls of the waiting rooms, waiting for hours and hours. We don't have
the facilities to accommodate them any more because we are being swamped.
And actual hospital ERs are closing, consolidating, being replaced by so-called
'Urgent Care' clinics staffed by people with little or no training in emergency
medicine." Oh dear.
Plus I bet that no one in Hollywood is ever gonna want to make a television series called "Urgent Care".
Plus I bet that no one in Hollywood is ever gonna want to make a television series called "Urgent Care".
"It's all about money, no longer
about health. And because we are expected to care for anyone who comes to
us we have become the final safety net for everything that is falling apart in
the health care system. Dealing with so many non-emergency issues is delaying our ability
to care for the patients who have actual medical emergencies. This is the
big crisis. It's not about money. I don’t care about my
salary. And not about the shift to nurse-practitioners for primary care
either. I welcome that." But?
"As more and more hospitals and ERs close,
there are fewer and fewer places that are trying to deal with the constantly
increasing need for emergency services, the continually more complex health
issues we face, an aging population with health issues unique to themselves and
the higher percentage of sick people among us. The increasing poverty and
homelessness. The increasing number of people addicted to drugs and alcohol.
The increasing number of people with mental illness who have no way to care for
themselves. We need more help, not more work. http://time.com/2888403/u-s-health-care-ranked-worst-in-the-developed-world/
"And the response of health
care organizations here in California is to reduce resources, close hospitals
and reduce staffing -- all in an effort to turn a profit and maintain the
salary of the administrators. And the response of our legislators is just
to shift more and more extraneous work onto the nurses and doctors already
battling to provide the needed care."
Sounds like a matter of life and death. "Yeah." Our
lives, our deaths.
Slowly the healthcare conglomerate giants
are downsizing our American emergency rooms. Will they eventually be
reduced to the point where all you're gonna get when you go to one in the
future will be a band-aid and a kiss on your boo-boo from your mom?
What to do about this extreme medical
crisis in our ERs? We have two basic choices here. Either we get
angry, very angry, and demand better healthcare -- or else just plan to never
get sick at night or on weekends.
And what is causing even more
problems here is a new law that California just passed wherein anyone who is
homeless can just show up at any emergency room statewide and demand food and
help with housing. It's basically a good idea to help the homeless, but
this law has not been carefully thought out.
"This new bill mandates us to
distribute food, clothing and housing assistance, which homeless people are now
becoming aware of and we've started to have a huge influx of people without any
medical problems coming in merely to get a hot meal and a change of clothes,
which we have no resources to provide to them." Yikes!
"And how will ERs ever be able to
handle all that when we don't have the personnel or the space for this extra
burden? When we don't even have the time or space to do what they are
asking us to do now," wondered this overwhelmed doctor -- who already had
dark circles under his eyes. "And when, exactly, are we supposed to
do our actual jobs of taking care of the sick?"
And then he clarified his fears
even further. "The main thing I am upset about is that much of what
is wrong with the fabric of our society is now falling upon the ERs to deal
with: homelessness, drug abuse, mental health issues, lack of access to medical
care. The ongoing response of well-meaning legislators is to mandate that
the ER staff do more and more things that society itself should be taking care
of, such as screening for domestic violence, offering meals, clothing and
assistance with housing placement to all homeless patients and testing for
hepatitis C and HIV -- yet with no accompanying funding or resources."
I'd probably end up having nightmares if
forced to cope with all this. Sucks to be an ER doctor these days.
"But what good does it do to screen
for domestic abuse when I can’t offer them safety? How and why is an ER
doctor supposed to counsel people about HIV or hepatitis C? What are we
supposed to do with all the mentally ill patients who come in, sometimes several
times a day, when we have nowhere to send them for help unless they are sick
enough to need hospitalization?"
Perhaps we Americans need to reconsider
our priorities here. We can either ask -- force -- our government to put
our tax monies toward promoting decent emergency-room care (so we don't have to
die in the street) or we can continue to let our government spend our tax money
on promoting endless "war" and making weapon-makers rich beyond
belief as they gleefully murder millions of strangers abroad in far away places
like Syria, Congo and Afghanistan -- and thus by default help murder millions
of Americans here at home too.
Plus we Americans also need to put our big-boy
pants on and demand that giant healthcare corporations put a cap on how much
they can gouge us for when we are too weak and desperate to resist.
Which one of these options
would you chose if you were sick?
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Stop Wall Street and War Street from destroying our world. And while you're at it, please buy my books. https://www.amazon.com/Jane-Stillwater/e/B00IW6O1RM
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