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Comments (17)

Apr 8, 2021 - 10:03am

Buddy of mine is in med school and has ranted to me about there actually being a nurse cabal. There's a growing anti-doctor/pro-nurse community growing in the field apparently. Allegedly nurses are starting to claim more and more duties and try to shut out doctors from certain roles because they're "not needed" and stuff like that. Idk why that sentiment is growing, but there's a disconnect in the team dynamic.

It's funny to think about a nurse cabal, but kind of scary if they push out specialized fields in medicine due to over-inflated sense of importance/skill.

Apr 8, 2021 - 1:07pm

I have experience looking at heathcare deals, this has a lot less to do with power grabs from conspiring nursing cabals and a lot more to do with doctors being far more expensive. If I'm a hospital and can pay a CRNA $120k-$150k to do most of what I'd pay an anesthesiologist $500k to do, that's a lot better for everyone economically.

You typically still need the physician for more specialized work (this is the first I've seen of going all nurses), but it usually lets you cut down the total number of docs you need. This hospital may just have low need for the specialized skillset and just end up using locums when they need it. 

This is all increasingly relevant as we move from fee-for-service care to value-based payments. They can't pass the cost along? Then they cut the cost

Apr 8, 2021 - 1:15pm

You may be right, I'm not an expert on it. It's probably a little of column A and column B.

He did say though that whenever they do rotations or whatever that the nurses are extremely rude and actively make their lives miserable. Maybe it's just anecdotal, but they're part of a very well respected med program.

Apr 9, 2021 - 12:32pm

Not a fan of that argument. I might be biased as I have an anesthesiologist in my family, but they are incredibly important from a liability perspective. I would much prefer shelling out more for a top of the line expert especially in a very delicate area of medicine where one miscalculation can lead to death, injury and as a result a major lawsuit. Nurses do not go through the same level of rigorous training and a lot get by with merely an associates from community college. I think anesthesiologist tend to be smarter and significantly more skilled at their discipline which justifies their work.

  • Associate 2 in IB-M&A
Apr 8, 2021 - 2:21pm

Good, as long as the quality of care stays about the same, then these measures are needed to lower HC costs. And honestly, fuck the new crop of doctors. All those pre-med kids in undergrad were the most cutthroat, brown nosing, anti-social dopes imaginable who made prestige hungry bankers look like saints, so job cuts and hopefully pay decreases couldn't happen to a better group of people.

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Apr 8, 2021 - 2:40pm

did a premed fuck your girlfriend


Look at all these wannabe richies hating on an expensive salad.
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  • VP in IB - Ind
Apr 9, 2021 - 10:52am

Have many doctors in the family - older ones are happy to be retiring as mid levels get more megalomaniacal, younger ones are pissed about what's going on.

People will eventually die due to straight negligence because nursing has nowhere near the training (12+ years immersed in hard science) or barriers to entry (gpa, ECs, MCAT, admissions to top undergrad/med, match to residency/fellowship/internship) as does clinical medicine. You can get your nursing degree online for fucks sake

Hospitals are corporations and their focus on the bottom line is what caused the Covid crisis in nursing homes in the first place - non-clinical people with no understanding of basic science (or common sense... who tf sends a sick patient with a confirmed contagious disease into a building filled with other old sick people) should not be in charge of discharge planning during a pandemic imo. Most of them are broke as fuck right now because of Covid so this is probably to cover their budgets.

People will definitely die from this. Immediate family member is an anesthesiologist and he is smart and neurotic as fuck and is exhausted after surgery days because you need to be on top of your shit so the person who is under doesn't die on your watch. People will definitely die because of this shit

  • Intern in PE - Other
Apr 9, 2021 - 8:31pm

Hilarious the HC PE shills are out here talking about the hospital cutting costs. Like dude, that's why the public hates PE. It's healthcare, not an off-brand toothbrush that you skimp on cheap materials to produce. It'll be like the McKinsey opioid shit because some HC banker already put the increase in deaths/lawsuits into the costs in their models.

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