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AN ANALOGY!! I went to a gas station and paid for gas. This is what you get at a gas station. I pre paid. I filled my tank. My car broke down about a 1/2 mile down the road. My tank was full of water.
One would expect that a gas station that advertises gas, has always had gas in the pumps and collects your money in exchange for gas would only have gas in their pumps. This is how it has always been..we consumers have never been conditioned to ask or question. 2/
Yet, somehow, a paradigm shift occurred. The gas station and the corporate owner decided that they could make more money if they mixed their gas with water. Most cars wouldn't be impacted and most consumers wouldn't know the difference 3/
Physicians are among the most resilient people I know.
We don’t need more resiliency training.
This is a system problem.
We need to fix the system.
We don’t need more resiliency training.
This is a system problem.
We need to fix the system.
The system is set up to maximize “efficiency” (ie profit), even as returns are diminishing. But cost (ie outcomes, complaints, burnout) is borne by individuals.
This is a system problem. This is why I’m thankful I work for an independent group with AGENCY to balance trade offs.
This is a system problem. This is why I’m thankful I work for an independent group with AGENCY to balance trade offs.
When you don’t work on the front line or pay the cost of your mandate, regulation, prior auth requirement or other directive, it’s easy and free to ask physicians to do just one more thing or make another compromise.
nytimes.com/2019/06/08/opi…
nytimes.com/2019/06/08/opi…
