SolitaryMarmot t1_j0svlcy wrote
Hospitals in New York run as legal monopolies/duopolies (except in Manhattan where you have 3 main health systems to choose from.) They have been extorting 12-15% annual increases from insurance company payors for years now. At the same time they make every nurse do the job of 1 1/2 to 2 nurses every day. And while the C suite admins (who make millions) were running off to Florida during the height of Covid in early 2020...the nurses that stuck around to save lives are being asked to take cuts to their health care plans.
NYC RNs deserve at least a 10% raise or they should walk the hell out.
AdministrativeNews39 t1_j0tetqe wrote
12.5% raise at least. No backing down.
Rshahnyc t1_j0ufnk2 wrote
Our Hospitalist group hasn’t received a raise in 5 years. NYP Allen. Our leadership is among those that have received hundreds of thousands in bonus’. We have been working at nearly 20% over capacity for the past 2 years.
SolitaryMarmot t1_j0ugfph wrote
The worst part is NYP is essentially a Hedge Fund with a patient care arm. They have like $6 billion in assets in an endowment. Half of it is in the Bahamas or someplace. They have more money than God and they sending their patients to collection and cheating their employees.
anonyuser415 t1_j0utahe wrote
> hasn’t received a raise in 5 years
Which is AKA they've taken a massive pay cut, because inflation is outrageous.
ChornWork2 t1_j0v0ck9 wrote
> Our Hospitalist group hasn’t received a raise in 5 years
Doesn't the contract have raise scale based on seniority?
Rshahnyc t1_j0v1f3g wrote
No. Everyone that has the instructor title gets paid the same regardless of how many years. Also no built in CoL increase. Also no revenue share. Also no proper staffing.
Rakonas t1_j0uc4gc wrote
10% is inflation.
Nurses need lessened workloads and huge raises to attract more nurses. Otherwise things will just get worse.
SolitaryMarmot t1_j0ud76g wrote
Totally agree. the hospitals agreed to staffing levels with all their employees...not just the nurses and not just the Union ones. They sent those stating plans to the state Dept of Health and now are totally ignoring them.
The state should make it so the hospitals have to pay that payroll no matter what. Either they hire more nurses or they pay it to the current ones. If they are gonna make nurses do the work of 1.5 or 2 of them...they should also get twice the pay.
Designer-Election-94 t1_j0ui3e3 wrote
Been saying this for years. Also, California fines hospitals 15k if a unit is short staffed. It’s time to enact either or both of these policies.
SolitaryMarmot t1_j0v20ov wrote
Yes California has the model...they recently raised it to 30k. The regulators there are very hands on (unlike in New York which pretty much leaves the hospital association to regulate itself.)
Another thing NY could do is to amend the tort law to consider lack of staffing not in compliance with state staffing plans as a direct cause for malpractice. Then the state doesn't even have to enfore the law a bunch of ambulence chasing lawyers will do it for them. Most of these hospitals are self insured, let them pay for all the injuries they cause patients who fall on the way to the bathroom because a nurse had 3 tele patients AND 3 med surg patients that day.
Rakonas t1_j0uk02p wrote
Love the "your payroll must be paid to the remaining staff if you are understaffed" concept.
Never even crossed my mind as an option but fixes pretty much everything.
Pool_Shark t1_j0usex7 wrote
The healthcare system is fucked nationwide and this is another symptom of this disease.
tommmyboy7785 t1_j0yt363 wrote
A few points I wanted to make here. I hate unions. I was in the ICU for several days this year. Nurses have the skills of doctors, but the ego is replaced with compassion. Nothing was more comforting than my latin nurse getting me when I came out of a coma and saying hey baby, I'm XYZ, this is what happened. Relax and we'll take great care of you. Doctors dont do that.
No one is making anyone do 2 jobs. Nurses wouldn't just walk out on their patients, however. The insane workload was only possible because the union management was also I n FL or too dumb to capitalize on a once in a lifetime opportunity to fundamentally change change the structure of nurse compensation nationally.
This never should have even been raised by union members to get their paid representation to advocate for them. Unions are huge government supporters but the nurses union was too dumb to lobby for a heroes 500b fund for future raises?
The union should refund all dues collected during COVID because that money wasn't earned. If all NYC nursing unions gave all hospitals a list of demands + 72 hours notice to not harm patients, I could confidently resolve this from bed in under an hour. Regardless of what you believe you deserve, you won't get it unless you ask for it. I'd ask for x% raise effective 1/1/23; annual raise equal to COLA adjustment as determined by SS + x% of annual insurance reimbursement increase + complete health benefit restoration + zero cost dental for everyone because they pissed me off
JerseyDawg_MD t1_j12wlwd wrote
Not to take anything away from your story, but nurses don’t have the skills of doctors. They are an important part of the healthcare team, but have completely different training and responsibilities than doctors. And while nurses are usually there at bedside most of the time, it because that’s literally their job. Doctors can’s spend too much time with a single patient, since they have so many patients to see. In the end, all of the care decisions are made by doctors, not nurses.
tommmyboy7785 t1_j12zz2t wrote
I was joking and have great respect and general reference for medical providers. At the end of the day, the best general can't win a war without the individual and collective effort of the soldiers. If you needed to be tubed or have a line inserted in an emergency, you'd want a nurse rather than a doc to do it. The way you write makes clear you're proud to be a doctor (as you should be), but aren't the type to say on a date "I hold peoples' lives in my hands every day" 🤣.
MyPiedaterre t1_j111xbh wrote
Didn’t read all that but I feel you in that ego thing. People really underestimate the importance of receiving healthcare from someone who treats you like a human being. Have a feeling it does have huge impacts in outcome.
Not sure it’s a doc vs nurse thing though, just a human character thing. Not sure what we could do to preserve and encourage it. I don’t think higher pay is automatically the answer but maybe better staffing ratios
Viewing a single comment thread. View all comments