Asystole RN

Why would we as professionals, subject matter experts, rely upon a lay person to determine the best healthcare system? As healthcare professionals we should be able to articulate clear and actionable goals to improve the healthcare system.

I agree we need to identify better solutions. I think those discussions can start with us. It is easy to identify a problem, much harder to identify specific actionable solutions. Personally, I think the first step is understanding why U.S. heal...

I agree. I am a little torn on what the best policy is to control drug prices in the United States. In the UK the government regulates profits to be a max of just under 30% for a drug. This is problematic in controlling since most of the drug compani...

Are you under the impression that if the pharmaceutical company saved money on advertising they would pass those savings onto the patient? Maybe, somehow I bet profits and bonuses would just be larger than normal.

If the money on advertising was wasted, drug companies would not do it. Advertising to lay people appears to drive sales by encouraging people to ask about various treatments. Orphan drugs are another matter however. The motivation to develop t...

I may be reading between the lines here but I am coming to understand your basic stance is improve basic levels of care, rationalize care, and eliminate healthcare related profits? Is that fair to say?

I do not disagree with you that medical devices contribute to unsustainable health costs but that is sort of contrary to Spiker's position that patients in the U.S. are denied the latest implants. New things cost more than old things. You control cos...

If anyone really wants to know why healthcare is the way it is today in the United States these publications are a good place to start. We are not where we are by accident. The American healthcare system was overhauled starting in the 1980's with PPS...

The assumption you make is that in other markets, like lets say Europe or Canada, that their patients are receiving that better implant, repair method, fixation method, etc. I think the difference here in the U.S. is that the more expensive options a...

You are correct, I miswrote my comment but by the context you were able to decipher my meaning. My comment was not entirely directed to you but extended to the rest of the thread in general.

Will this limit your career? No.

That and normalizing the wage to the cost of living. I have seen threads where people state they make $100k or more but their cost of living was +120%.

Couple things to keep in mind; This might burn bridges but if you have no need to return to this facility anytime soon, that might be OK. You can quit on not burn bridges but this will take careful communication. There is absolutely no n...

Access and affordability, preventative care, etc. are more related to overall system/political issues which encompass things like education, income per capita, etc. I am speaking about specific hospital to hospital metrics, you know things that a sp...

Since the dawn of mankind every single generation has been whining about the preceding generation. Every older generation was perfect and did everything better, every younger generation was the demise of the species. I am convinced some old washe...

CLABSI. We are #1 in CLABSI (and pretty much every other alphabet metric). CLABSI/CRBSI/CABSI is something that is a very specific, global, and directly related to the care provided in acute healthcare. Tell me, what foreign owned and managed stan...

Well lets take something specific we can measure like CLABSI (or any of the other alphabet health metrics). Up until about 2 years ago we were the only country in the world that mandated CLABSI reporting and publicly published those rates. The o...

Adequate staffing according to who? Of course not the nurses. If the hospital leadership, in particular the CFO, thought there was a scarcity of nurses they would increase the overall compensation package for nurses to increase recruiting and ret...

Personal seizure of power has very little to do with scarcity other than power is an output of scarcity. When something is scarce it can demand power. Power and compensation are nearly the same thing, different elements of the overall benefits of bei...

I 100% agree with you that they have been underpaying nurses for decades and overworking them. This is a reflection of a supply of nurses that meets or exceeds demand. As someone who travels the world assessing healthcare professionally I would p...

@toomuchbaloney Think about this thought exercise/economics exercise. Why are physicians paid more than nurses? You might think it is because physicians have more education. If education was the driving factor then why is the national average sala...

You are kind of making the argument from both sides and have now flip flopped. If there is a nursing shortage that means there is a lack of nurses for the demand. If nurses are not valued then there is a lack of demand, hence no shortage. Uni...

My metrics are not based upon opinions, case studies, and patient interviews. My logic is very simple. A core fundamental principle of economics is that where there is scarcity, price increases. If there is a scarcity of nurses where are all of the r...

Thats good! I would bet money though that your compensation is probably still not where it should be. When I was in nursing school I was given a 1-year paid externship and offered a sign-on bonus. In my market though the pay is still the same as it w...

I agree with you that there should be different board exams. I disagree about the shortage however. I think there is a potential shortage in the future but I have not seen great evidence for an existing shortage. Proponents of the shortage ci...