re: USA will have Socialized Medicine in 20 Years - It's Inevitable

No one has mentioned the racket that is JCAHO.They are doing their part to increase healthcare costs and force socialized medicine.They were constantly coming up with “standards” nurses had to meet to stay in compliance.Ex- when I started ICU when admitting pts.there were 3 forms-assessment,history,and list of medications to fill out.When I retired there was 18.
When JCAHO instituted the pain control standards,(pain as the 5’th vital sign),the hospital had a clipboard nurse just to go around making sure pt’s pain was being addressed.That was in addition to the other clipboard nurse that went around making sure other JCAHO standards were being met.
I am convinced JCAHO was being bribed by Purdue to push opioids.

A friend was promoted to supervise 7 non medical departments in the hospital,when he took over none of the departments were in compliance with JCHO,he busted his butt to get them all in compliance.Then JCAHO hired a new guy for those sections who immediately rewrote all the the standards so the 7 departments were no longer in compliance.
So the guy quits JCAHO and starts working as a consultant to help hospitals meet the new standards.Charged something Ike $100,000 to come in and get hospital in compliance with the standards he wrote.

I could write for hours all the bs standards added by JCAHO during my years.

Addressing the VA model of healthcare.A good friend is a NP at VA.In an 8 hour day she sees 14 patients and she has 2 RN assistants.
My wife works for a Cardiologist,on clinic days they see avg 50 patients together ,the Dr. has 1 RN and a scribe,wife has neither.
Days the Dr.is in cath lab she sees 15-16 pts a day with basically no assistance.

If we go to VA model it would probably take a year or longer to get an appointment.




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