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by phil21 601 days ago
Every doctor I personally know is double booked at least a substantial portion of every single day. They count on last minute cancellations and no shows just like airlines do in order to maintain their schedules.

Making friends with folks in the medical field is eye opening to say the least. The system is operating redlined and has been since before Covid. Covid just caused the fractures to finally start showing to the average person.

The real thing coming for us is that every doctor I know other than some specialists are simply counting down the days until they can leave the field of direct patient care entirely. Whether this be early retirement, paying off student debt and bouncing, or making a lateral move to research or a tech firm. The field has gotten to be untenable for many, typically the ones who actually care. The profession as a whole has lost its personal agency to the administrative class. It’s not idle talk either - plenty have actually already executed on these plans.

2 comments

>The profession as a whole has lost its personal agency to the administrative class.

This has happened all across the American economy, in every business, every industry, every company.

My father was a grocery store manager for decades. He retired and went to be a contractor for a decade. The grocery chain recently tempted him back, by offering him top position (over other candidates, who kinda deserved the position, but that's just how much this company loved my dad, he was literally legendary in the company) in their "show off store" which they had purchased to scoop up the location from a competitor that they want to keep out of the market (yay capitalism) and spent millions to completely re-roof, rebuild, redesign as their premier location, to be used exclusively to lose money in a busy market, to show off for the C-Suite, and to shoot commercials in. My father was clearly super excited to get back to the company, to get back to management which he is very good at, and to get stable health insurance.

He gave up after a few months. Everything is that kind of awful "automated" that any software developer could immediately recognize, with KPIs and useless metrics created by someone inexplicably above you who has zero familiarity with what those KPIs even measure.

No more agency for lower management. Just shut up and follow the whims of the useless nepo-baby who runs your division as it continuously fails to do anything.

Definitely not the case in my area, my wife enjoys being a provider.