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amoebashephard t1_jaaf1n9 wrote

Maybe if the hospitals invested in doctors instead of administrative staff it'd be a different story.

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contrary-contrarian t1_jaag4w3 wrote

And if Vermont kept up with national wages. And if the US fixed it's broken healthcare system that pays billions to health insurance companies to act as useless middlemen that stand between patients and their providers for no reason other than a cash grab.

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pachucatruth t1_jaaluof wrote

And if the government invested more into social programs so that results-based reimbursement was more effective in places like VT.

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xxxDog_Fucker_69xxx t1_jacdo8j wrote

The issue when you conflate health care with business. The UVM buyouts we’re disastrous and accomplished nothing but make a practical monopoly for 150 miles.

Admins are great at business, but when it comes to healthcare my supervisors have absolutely no fucking idea what my coworkers and I even do.

They asked me what I do when actively responding to emergency situations (I carry a pager for work) they then audited my time sheet when they saw I was clocked in for 14 hours straight. Had to get a note from medical staff saying how long we were in the room.

Even more shocking is the admins have known were chronically short staffed in many fields of surgery and chose to continue paying significantly under market rate and continue to badger staff not to take raises or even ask for them. Ultimately this created a mass exodus and many became Travelers. Some teams are over 89% travelers and have had less than desirable outcomes when it comes to healthcare and general day to day operations.

The disconnect is so extreme I could talk about it for hours. I’m so glad UVM is buckling under the weight of its own financial incompetence. And to every travel nurse that comes in and makes $50k more than full time staff, I salute you and hope you take every penny from this morally bankrupt hospital.

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HappilyhiketheHump t1_jaci9id wrote

Your legislators are mostly responsible for this debacle. While the hospital administrators have clearly had a hand in screwing this up, they did so at the direction and mandate of our legislature.

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Dire88 t1_jaaq2ql wrote

What doctors?

People don't realize how bad it is right now. Vacancies for specialists at rural hospitals can take over 4 years to recruit for in good times.

In the post-COVID market? Even if you could find them, you'll pay double the pre-COVID rates. How sustainable is it for a dinky rural hospital to pay $400-$500/hr for a Gastroenterologist?

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