Vascular access, especially complicated emergent cases, is a passion. Unfortunately, I had to let my licensing lapse today. The demands have become too much on top of all the other things I'm expected to do for what I'm paid. For me, Atlas is Shrugging. It feels so good to drop another heavy part of my load. Sadly, the only thing I lose from doing this is extra work and immense amounts of stress. That's a major incentive problem. US healthcare (emergency medicine at least) is largely fueled by guilt and self-sacrifice masked as duty. No more for me. 🫡
GM.
Replies (10)
Congrats.
Thank you.
It isn't just emergency medicine. I know a few nurses scattered in various fields and it is all the same thing. More management sucking up all the money taking resources away from front line caregivers counting on them killing themselves because they are face to face with patients they care about.
Our stock still isn't rising fast enough, let's add another group of managers to figure out how to improve efficiency. Brilliant idea, cut front line staffing ratios. Rinse, repeat.
It also isn't just medicine. My Atlas Shrugging story is here.
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Yeah, I'm well beyond my teenage years of thinking I'm the only one experiencing anything lol I know this is a broad issue. It's sad though. Fiat society, in my opinion, simply hasn't delivered what I was told it would if I worked and studied hard. It just hasn't. All I've ever gotten was more work and stress. In fact, the only time I have been rewarded is when it's something I control (buying Bitcoin early, freelance work, etc). If I work on anything, it'll absolutely be a passion project or another business. Fiat probably ruins most careers. And I do think this is a fiat problem. My health system switched from merit pay to standardized pay across the board because eQuItY. I've heard other people say they've given up on doing extra too. There's just no point anymore.
There are certainly other issues. But at the lower levels, incentives don't exist anymore. The bare minimum is paid the same (or more of they've been around longer) than people like me. The average rating on the review from a manager I hardly ever see was the final straw. I'll be average and won't lose anything lol
More energy for family and myself.
Disincentive if anything. From 30k government handouts start to go away and you go backwards financially until well over 100k household income.
That drives everyone in that financial range, where most people are, into one of 2 patterns of thinking. Republican, I don't get anything so they shouldn't either spite. Unsustainable because we're all being robbed blind by inflation. Democrats, they get free shit so I should too. Unsustainable because it means more inflation to pay for it.
I was homeless and turning down work because it would make my unemployment go down more than it paid 20 years ago and it has only gotten worse since then.
It's warped incentives and unintended consequences all the way down to the rotten core.
Bingo.
Maybe a passion project or side hustle once I feel I've recovered from the burnout and abuse.
Absolutely
