Beyond Burnout Docs Decry Moral Injuries From Financial Pressures Of Healthcare


How to Heal a Moral Injury – Healing Healthcare Workers in the Aftermath of Coronavirus

Video taken from the channel: The Doctor’s Kitchen


What is the Cause of Moral Distress in Healthcare Professionals? | Cynda Rushton

Video taken from the channel: Oxford Academic (Oxford University Press)


Moral Injury In Healthcare: Time To Fight Back

Video taken from the channel: ZDoggMD


Moral Injury of Healthcare—It’s NOT burnout

Video taken from the channel: Austin Dean


Moral Injury In Healthcare

Video taken from the channel: WBUR CitySpace


It’s Not Burnout, It’s Moral Injury | Dr. Zubin Damania on Physician “Burnout”

Video taken from the channel: ZDoggMD


Burned out doctors or broken system? | The Stream

Video taken from the channel: Al Jazeera English

Dean grew interested in moral injury from personal experience: After a decade of treating patients as a psychiatrist, she stopped because of financial pressures. She said she wanted to treat her. Dean grew interested in moral injury from personal experience: After a decade of treating patients as a psychiatrist, she stopped because of financial pressures. She said she wanted to treat her.

Dean grew interested in moral injury from personal experience: After a decade of treating patients as a psychiatrist, she stopped because of financial pressures. She said she wanted to treat her. ‘Moral injury’ is the root cause of physician burnout, and it occurs when clinicians are blocked from doing so by systemic barriers related to the business.

Beyond burnout: Doctors decry ‘moral injury’ from financial pressures of health care. Melissa BaileyKaiser Health News Wednesday Feb 5, 2020 at 3:27 PM Feb 5, 2020 at 3:27 PM. Dean grew interested in moral injury from personal experience: After a decade of treating patients as a psychiatrist, she stopped because of financial pressures. She said she wanted to treat her. Dean grew interested in moral injury from personal experience: After a decade of treating patients as a psychiatrist, she stopped because of financial pressures. She said she wanted to treat her patients in longer visits, offering both psychotherapy and medication management.

Dean grew interested in moral injury from personal experience: After a decade of treating patients as a psychiatrist, she stopped because of financial pressures. She said she wanted to treat her patients in longer visits, offering both psychotherapy and medication management, but that became more difficult. Dean grew interested in moral injury from personal experience: After a decade of treating patients as a psychiatrist, she stopped because of financial pressures. Drs. Wendy Dean and Simon Talbot, a psychiatrist and a surgeon, were the first to apply the term to health care.

Both wrestled with symptoms of burnout themselves. They concluded that “moral injury” better described the root cause of their anguish: They knew how best to care for their patients but were blocked from doing so by systemic barriers related to the business side of health care.

List of related literature:

According to Maslach (2003) anyone who works with needy people, and particularly healthcare workers, is at risk of burnout.

“Psychology for Health Professionals” by Patricia Barkway
from Psychology for Health Professionals
by Patricia Barkway
Elsevier Health Sciences, 2009

Moral distress and its contribution to the development of burnout syndrome among critical care providers.

“Oxford Textbook of Palliative Nursing” by Betty Rolling Ferrell, Judith A. Paice
from Oxford Textbook of Palliative Nursing
by Betty Rolling Ferrell, Judith A. Paice
Oxford University Press, 2019

People who have worked in health or social care for some time may be vulnerable to a condition called ‘burnout’ (Maslach et al. 2001).

“Psychology for Nurses and the Caring Professions” by Jan Walker
from Psychology for Nurses and the Caring Professions
by Jan Walker
McGraw-Hill/Open University Press, 2012

In a leading ethics journal, Eric Meslin characterized the strike as a double failure for the profession: it lost its case; and having reneged on a moral duty to provide health care, it lost sympathy and credibility.

“History of Medicine: A Scandalously Short Introduction” by Jacalyn Duffin
from History of Medicine: A Scandalously Short Introduction
by Jacalyn Duffin
University of Toronto Press, 1999

Sadly, health care professionals have reported substantially higher degrees of burnout than managers not employed in the health care industry (Golembiewski & Boudreau, 1991).

“Organizational Behavior in Health Care” by Nancy Borkowski
from Organizational Behavior in Health Care
by Nancy Borkowski
Jones & Bartlett Learning, 2016

As discussed above, burnout is associated with patient dissatisfaction, medical errors, and lower quality of care, all of which in turn are associated with malpractice claims.

“Physician Mental Health and Well-Being: Research and Practice” by Kirk J. Brower, Michelle B. Riba
from Physician Mental Health and Well-Being: Research and Practice
by Kirk J. Brower, Michelle B. Riba
Springer International Publishing, 2017

Relieve public and private charities of financial drains resulting from uncompensated work-related injuries and illnesses.

“Fordney’s Medical Insurance E-Book” by Linda Smith
from Fordney’s Medical Insurance E-Book
by Linda Smith
Elsevier Health Sciences, 2019

Professional burnout is a significant problem with staff who provide medical care to terminally ill children.

“Encyclopedia of Special Education: A Reference for the Education of Children, Adolescents, and Adults with Disabilities and Other Exceptional Individuals” by Cecil R. Reynolds, Elaine Fletcher-Janzen
from Encyclopedia of Special Education: A Reference for the Education of Children, Adolescents, and Adults with Disabilities and Other Exceptional Individuals
by Cecil R. Reynolds, Elaine Fletcher-Janzen
Wiley, 2007

Burnout syndrome among critical care healthcare workers.

“Essentials of Hospital Infection Control” by S Apruba Sastry, R Deepashree
from Essentials of Hospital Infection Control
by S Apruba Sastry, R Deepashree
Jaypee Brothers Medical Publishers Pvt. Limited, 2019

Today nobody has ajob for life; and nobodycan rely on a secure pension, anymore than theycanbe confidentabout getting a decenteducation for theirchildrenin state schools orprompt and efficient medical treatment through the NHS (Toynbee, Walker 2001).

“MMR and Autism: What Parents Need to Know” by Michael Fitzpatrick
from MMR and Autism: What Parents Need to Know
by Michael Fitzpatrick
Taylor & Francis, 2004

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Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

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  • also these kinds of profesions atract psychopaths who like to think of themselves as better then everyone else just like polotics!

  • The chronic pain community are rejecting surgeries because of bad treatment and lack of compassion when dealing with the post op pain that has become prevalent in our society. Hit them in their pocket to wake them up. Thats the only thing they understand, MONEY

  • Very interesting. I’m a patient who.always worries about her doctors and nurses. I don’t know how any of you do what you do.

    Reading the comments below, that speaking up solo just gets you punishment, can anyone tell me, have doctors organized? Do MDs or NPs have unions?
    I would much rather be seen by someone who has a good work/life balance, not for my own sake, but because that is my provider’s right.

  • The same happens to police and we are abused not only by the system but the public.
    We care but are treated like criminals even with the highest of performance and compassion

  • I’m glad I hung with this. At first I thought, call it whatever you want, I’m exhausted, antsy, and irritated with what I have to face every day. But he spins the experience to point back to the nameless, faceless, giant monster of a system we still don’t have much hope of controlling. So, Yes let’s please let us take back our power to do what we were trained to do! But how? There’s always someone to replace us who has yet to become exhausted, cynical and morally injured. And our employers know it.

  • There are over 300 hundred million people in the US if 100 million people donate $1 each 5 days a week 52 weeks per year then it will be possible to make medicine affordable for all the less fortunate

  • @ZDoggMD my Dad passed away on Oct. 9th from a PE. At 88 years and the situation looking grave. I told the doctors he was a DNR and with that the decision was made not to vent if things got worse. With that I signed the permit for a chest tube and requested a BiPAP and Comfort Care meds if needed. When the needle was inserted in preparation for the chest tube my Dad went into full respiratory failure. He slipped away peacefully.

    When Dr. Winters a fan of yours pronounced my Dad’s time of death. I looked at the doctors and nurses at his bedside. I told them, don’t look at my Dad’s passing as a failure. By questioning their training of the what, if, would or should they had done differently. But to walk away with peace knowing they did everything right from my knowledge of the situation. My gratitude was knowing everyone in that room had done their best. Most of all they afforded my Dad the right to transition with dignity.

    ZDoggMD as a longtime caregiver to both of my parents until the bitter end. I want to thank you for helping me to understand the difference between letting go and making demands of doctors to continue to torture my love ones. In a futile effort, at the very best, may have only delayed the final outcome.

  • doctors are drug dealers and killers! also doctors who are unhealthy themselves and yet people still look to these people to fix them lol the whole western medicine system is a fraud no wonder theyre killing themselves! if you want to fix people go out to the jungles and grab some herbs

  • Solving burnout involves bringing back the third shift of a twenty four hour period. These shifts would run:
    7am-3pm, 3pm-11pm, 11pm-7a this encompasses 24hrs from 7am to 7am the next day where the same cycle begins again.

    These three shifts allow for three crews. In the hospital saves money because you’re only paying people out on straight time instead of overtime.

    This overtime happened when the third shift of 11 PM to 7 AM was eliminated to save the hospital Money.

    It does not save money and cost people resources Because there’s no money to be able to buy the appropriate supplies.

    The two standard 12 hour shifts is what’s causing your burn out or moral injury because too many healthcare workers are away from their families their love ones and never get the appropriate amount of time downtime Needed to stay 20 years in a business like this one.

    This cuts down on pension plans because no one sticking around long enough to get them.

    ZzDog I hope this information helps you sir

  • I can relate Z-Dogg! I see this daily as a therapist at the agency I work for. I think we need to get rid of bad administrators & supervisors too.

  • may be it is because the Zionist criminal Big parma pay them to finish med school and they can’t tell people the truth, they have to push bad drugs or even worse about the truth about vaccines.

  • 0:28 Thank you!
    One problem, tho:
    Many people are talking about “Moral Injury” as if it is the same as character flaw.
    So, same problem.
    Make sure we are getting the meaning straight, not just using words who’s definitions keep getting revised according to the agenda of The System.

  • Be serious! Good doctors have to work side by side with bad doctors every day. They deal with peers who care about nothing but money, and there’s nothing they can do about it without causing problems for themselves.

    One thing has always been true: a lot of doctors just aren’t very good at what they do. A lot of plumbers aren’t very good, either, most of the time nobody dies because of it, but failures to perform well can make life unbearable for the people they serve.

    Now doctors are working for the government. Government jobs are notorious for causing burnout. That’s what happens when politicians and businessmen are making medical decisions.

  • Dr Z I resigned after 13 years in social work (healthcare) for this reason yesterday. I Never thought it would happen to me bc I was so ethical and passionate and motivated but that’s what did me in

  • We must take care of those that take care of us doctors are extremely important we need a lot of doctors and nurses because without them we will be in tremendous trouble as a former law enforcement people could even deal and survive without law enforcement but without doctor Humanity does not have a chance

  • I’m a Special Education Teacher and I can relate. I’ve realized that I’ve blamed myself for the dysfunction of the education system and my own areas of inadequacy to implement a cohesive lesson plan. I’ve slowly started to heal, but it’s only been in the past few months. I had turned in my resignation at the beginning of the year because I wasn’t getting the appropriate training from the school District. And when I did the Principal gave me the excuse that his wife has her master’s and said that my case load was typical and wasn’t over whelming. And I wanted to say, “Really?! Have you looked up the turnover rate for teachers in general?!”

  • a general physician makes 700k-1.2mil a year in Canada. it almost doubles and triples for surgeons. It’s higher in the US. who said the profession and that kind of money is going to be a walk in the park? it takes 10 years for the most mortals to earn that kind of income

  • Those doctors who suicided they would nt be monotists they would be whether ethists or non GOD believers. It could call a Modern physcalgical catastrophic alergiya? If the doctors are like these what would conditions of patients. Please return to One Natural GOD and ONE natural CREED. So, medleast like countries especially Muslims countries suicide rate very small like finger counting.?

  • It is possible to be resilient to burnout.

    # Individual resilience to burnout

    It is possible to design environments where burnout if far less likely to happen.

    Assertiveness, ensuring people around you understand you situation, having a good network of friends and family, carefully unpacking the events that happen to you can all help deal with burnout.

    # Moral injury, PTED, PTSD

    I think PTSD and moral injury should be though of as distinct. PTSD tends to be more about fear / emotional arousal

    My theoretical for moral injury / post traumatic embitterment disorder, PTSD and burnout would be a little different.

    * I think conventional burnout is more like a form of “social / group ptsd” being kept in an environment where there are unreasonable / unfair expectations of you and you lack control.
    * Moral injury (which I think is the same as post traumatic embitterment disorder though this is perhaps controversial) is more about a society a society that is immoral and you can’t trust
    * PTSD tends to be about safety.

    There is some overlap between moral injury and burnout, but burnout can be more localised.

    # How to treat moral injury

    Your proposed treatment is preventing the system from causing moral injury. This works. There are alternatives treatments for moral injury / PTED.
    Linden focuses on “wisdom therapy” which involves placing situations in context.
    Some of the treatments for soldiers focus on things like: having a community accept what they have done / gone through or strong involvement in a community.

    My suspicion (following Jordan Peterson somewhat) is that another modality would look at concepts like:

    * Assertiveness to misuse of power / realising what agency you have
    * Limits of personal responsibility for the misuse of power

  • In California, the governor just signed a Nursing Whistleblower Protection Bill. I think physicians need the same thing. Front line providers need to be able to report anonymously willful harm. My daughter was killed in a hospital and I’ve been reading the medical records. I’m so horrified. My non-terminally ill daughter enter the hospital for gastric distress and ended up being euthanized against her will not just my opinion either it is also the opinion of the depty attorney general who prosecuted the nurses who were caught red handed in the act of grinding 12 hour time release morphine into my sleeping daughter’s freshly placed feeding tube (no pain charted all day). this isn’t the only act that killed my daughter 14 hours later, to make sure she died one of the grinding nurses then just started escalating fentanyl until she stopped breathing another nurse escalated Propofol and in her blood stream at death was an overdose of another when drug as well. The reason why I mention this story here is because there was another nurse a day before who honored my daughter’s refusal to NOT take the TAB Morphine, and she also didn’t start the fentanyl when it was ordered either because blood pressure was too low. This nurse was thrown under the bus by the hospital after I filed complaints about the perps. I asked the nursing board why this other nurse was being charged with anything and they said the hospital gets first shot to review complaints and can add others to it and the hospital added the nurse that refused to harm my daughter. So I clearly see what the hospital staff is up against. If you do not participate in scheduled harm, then you will be prosecuted, and you will not even be able to actually save the patient from this fate. I see it and me this graceless traumatized, grief-stricken, horrified, mother who failed to save her daughter no matter how I tried even I see you guys as yet another level of victim not the lst victim and not the 2nd but probably the 3rd level. But only YOU GUYS CAN STOP THIS GREED FUELD DEATH SPIRAL OF PATIENTS AND MORALITY AND LIBERTY, PURUSIT OF HAPPINESS, CIVIL RIGHTES, ETC…. YOU HAVE TO GET BRAVER AND GROUP TOGETHER. FIGHT FOR WHISTLEBLOWER PROTECTION AND ALSO SINGLE PAYER HEALTHCARE that pulls all the data together under the possible real time scrutiny of a government run healthcare instead of a profit seeking entity with some government oversight made up of people who plan to cycle back into a lucrative industry job on the provider side for a big bag of money. Hopefully, government will become once again FOR THE PEOPLE and be trust worthy of this responsibility but I KNOW corporatocracy cannot be trust worthy of this kind of BLIND FAITH. I watched Dirty Dancing for the first time lately not even sure why I think I couldn’t sleep and thought a boring teen love story would knock me out but instead I found a gem of hope. In the first scene the book The Fountainhead is mentioned as a guide to learn about which people matter and which dont; but at the beginning of the 3rd Act Johnny says “baby taught him that there are some people in the world that are willing to stand up for others even if it costs them something.” We have to again learn to feel grateful about the opportunity to really stand up for something and somebody, anybody who has been stripped of their voice and life. we will all lose something standing up for the vulnerable, but maybe we will learn it’s worth it. if you want all the documents to prove the above story let me know it’s way worse than I’ve described. Alternatively, you can also google NBC investigates Kaiser death 2017 TERRY PANEPINTO this woman should NOT be dead. Like my daughter she entered same bank of east bay hospitals with gastric distress only Terry was brain dead in less that 12 hours. I was told after my daughter’s death by both a guy from the BOARD OF DIRECTORS AT THE HOSPITALS and also the Dept of Public Health that a bunch of safety measures were now in place so that no other patient would die by nurses overdosing them with sedation while IGNORING VITALS SIGNS but then Terry dies and it hits the news…so it’s clear to me this is going on A LOT and didn’t slow down one bit after those “safety measures” were put in place. Plus the hospital did NOT report these drugs “errors” to the DOPH and was NOT fined for this in either case, and the DOPH did NOT fine IMMEDIATE JEOPARDY VIOLATIONS on either death as well…it’s just ridiculous. PLEASE FIND A WAY TO STOP THIS. I watched my daughter beg for her life while being drowned by fluid overload prior to the final overdose it was so terrible she was so beautiful and sweet and kind and wise and generous and had many many friends who miss her still, like me. today is her birthday: (

  • Sir, if you want to impart change to a broken system please encourage your colleagues to name names. What hospital systems, doctors, and insurance companies are doing this. Document it, share it, and run the “bottom line” folks out of the industry. Keeping the specifics out of the public eye only perpetuates the problem.

    Great videos, by the way!!

  • I got written up for productivity. The reason I was low on productivity? I was asked by the manager to help out at another location and then was asked to switch my days off to see a certain patient. But I had scheduled a dr appointment for my son for my day off so I said ok I’ll work around it. Of course that took a hit to my productivity and I got written up. I was told I can always say no. So now when I’m asked to help I say no. Of course, now I’m not a team player. If I didn’t need the health insurance I’d quit.

  • Greed and monopoly is ruining live from patients to doctor who are box in to fit a mold that the system required to generate more profits.

  • Time to bale out, it’s about control over the medical profession it’s between the insurance & pharmaceutical companies, profit over the masses

  • THE ” VA ” I(N ARIZONA and probably the country are forced to care for way too many patients and in only 30 mint. apts, the system at THE VA is broken bad, ask the vets, not the administrators!! my primary “Nurse Practitioner has over 1000.patient assigned to her!! YES!! I SAID ( 1000) THE$ “P.A.C.T. ” system that they dreamed up for the patients makes no sense, again ask the vets, not the people that will blow smoke up your “,,,,”!! I wish I knew one of your reporters, I could show him where he can find a story that he can see for himself!

  • Wow…thank you! RIP Dr. Elizabeth Gallup…died due to moral injury…for caring too much and the system winning. You were the best doctor I ever worked with.

  • I can totally relate to this. I am a doctor too. I have worked as emergency physician for 3 years. I got so frustrated with extensive duty hours, no leaves, no holidays and assaults by patient’s relatives that i left practice and took up teaching in medical college

  • This is capitalism at its finest. Talk about a government issue but where the hell are they. This is not politics this is bull shit. If we as humans can actually sit back and take this crap. I am Canadian and free healthcare is nice. But when human life is based on money give me a break. The US and Capitalism DRUGS and Patient care what is wrong with you. Some of the best countries in the world have free healthcare. I think the US government should go out and spend another 600 Billion Dollars on Defense and to hell with people that cant afford healthcare. Doctors are the best professionals in the world and when some invest banker makes more then a Doctor does there is really really something wrong. The US citizen should get their heads out of their ass and demand change. Insurance companies the biggest crooks in the world. AIG did the US citizen bill these assholes out in 2008. What a JOKE

  • Now we are talking. Together we can change the system. Alone we will continue bear the consequences of it and so will the population. Even worse, we contribute to it and sustain its existence. Heal people, let the over concentrated business of healthcare expire.

  • This is not surprising, I as a patient am also frustrated as well with the lack of care.
    I want to leave the country to seek out care but apparently the us has pushed its fake opioid war into other countries too. I can’t move in the US to get better care of leave the country. I found one Dr that will care for me after months of suffering & searching for a doctor that will treat my pain. The exact same pain I’ve had since 1998 when I was in the accident. My doctors nurses and people I’ve met along the way have done nothing but suffered from this.
    Put it out there directly, removing pain medication from people that need it is wrong. Giving people ipads after surgery for pain relief in Colorado is not medical practice but pure ignorance. Killing patients to save addicts is wrong & has only killed thousands more people that have no drug addiction, only benefiting insurance agencies & fueling the illicit drug markets & sending good people in the alleys in search of Dr’s care. This all includes the men & women that are willing to give their lives to protect our country, our vets.
    The science & facts show our government is lying & refuses to stop its propaganda & imprisonment of Dr’s doing there jobs helping people. It is the most disgraceful thing I’ve ever seen happen in my 55 years.
    I hope media will stop ignoring this & fight for patients rights so that Dr’s will be free to do their jobs again without knowingly harming people.
    How many Dr’s & patients must die before this insanity ends.

  • I’ve just quit a 30 year nursing career due to the cruel and unreasonable treatment I was expected to give to a terminally ill MS patient. I knew what they were doing was wrong and harmful and I ended up having a mental breakdown after a year of struggling. I was a good nurse. I loved my job. Nursing is nothing more than an arse covering exercise now. I’m out for good. Care homes are glorified concentration camps.

  • There is some nebula of qualities that follows the air around Dr. Dingdong that you feel as a patient the moment they step into the room.

  • I’m not even a doctor and these words resonated with me so hard. I left another industry due to moral injury. I knew people who put everything on the line for their dreams and some were suicidal. That was a red flag before the moral injuries took their role on me. Lost all my passion and motivation for a long time period. I thought one day it was probable if things didn’t go well I’d end my life peacefully. Struggled with feeling lost and disillusioned. It’s a problem when older professionals check out. The younger ones, their heads filled with illusion, that is really their only motivation outside of social likability… I’ve seen so many people go into spirituality for pure escapism from the real world and feeling powerless. I’m very spiritual but I like that you called me out! Burn out is bullshit. We don’t need to be meditative vegetables and hide from the world! We need to refocuses our passion into it’s new inspirationcorrecting the problem. Thank you.

  • This is why a public health system is better for everyone, If they don’t like the system,moved to another country with a public system. Health is better than Wealth any day.

  • I just spoke to a nurse coworker who used the term “burnout” about how she was dodging bullets and fights in the ER and made her think about being a nurse any more or in health care for that matter. She came to my hospital and thinks that it isnt happening here but the truth is it’s on it’s way to being that. Less staff and more patients, demanding we stay late to finish cases that the administration knew would be longer than our set day. I told her that it’s not called burn out but rather what was said here “moral injury.” There is true brainwashing going on in health care to gotchya new younger nurses and staff in to believing that this system of caring is ok.

  • The whole “go fuck yourself” ‘movement’ or whatever you call it appears to be working. Every time they say the word burnout I remember to tell them that, it’s what I learned on here.

    A few execs have cried here and there but overall it’s been a pleasant experience.. well for me at least.

  • I live in Canada ����, so I don’t think Doctor’s here suffer the same because we have universal health care. So Doctor’s can prescribe medicine and patients are cared for. Prescriptions are not covered by the universal health care, but if someone in Canada can not afford their medication the government steps in to ensure medical needs are always met. I can’t imagine living in a society where my life depends on co-pays and what a insurance brokers says what treatments I’m allowed. My friend had Cancer and she was admitted to the hospital for all her needs, no payments after, or the stress of being denied for anything. Sure we pay higher taxes here, but my belief is, all humans deserve health care, without the burden of bills, or lack of treatment. Tell your Doctors to move here so they can feel good about themselves again!!

  • Here’s one of these dudes thats suppose to be a doctor… I don’t see how this guy is thiinkiing about patients healthcare, but his own student debt of 1m+


  • I’m so sad.. I’m a neuro-telemetry monitor watched a chest tube removed, no report of extra sedation, ICP went over 35, EEG went flat.. herniation.. I was 1500 mi away too far

  • The job is no longer rewarding when you see a decline in health of your patients. Due to the control of insurance and dx protocol.

  • well…we already got bounces of people who don’t “give a shit” and they are our politicians.
    and have you noted that they never suffer from burnout!

  • I suffer from moral distress when I’m forced to hand out opioids (aka legalized heroin) like candy to patients who don’t need it because it’s been pushed by the pharmaceutical agenda.

  • Insightful to learn the American medical system does not treat its medical professionals well. It certainly does not treat patients well. Then who does it serve??
    Medical care lost its heart and sole when it allied itself with Insurance. Now it is squarely under the thumb of Insurance governance. Your medical managers are only implementing orders from the top. Patients are victims too!

  • Dearest brothers and sisters. I stand beside you. While we witness the death of a beautiful callingthe desire to care for our fellow man. We do this at a time in their lives when they are at their most vulnerable. When they need us the most. And YET;
    Daily and sometimes hourly we are separated from the ill, our charges, the very ones we swore to advocate for.
    Over the last 10 years of my nursing experiences, I have been berated for not pushing through admissions (in a For Profit hospice) even though the family didn’t even realize their loved one was being referred for hospice! These lashings occurred every day at 5p during a meeting in which the CEO of the company came in for our ‘pep talk’.
    I’ve come in to receive report to learn that there was no report on 4-5 poor souls because the nurse had not even SEEN them during her 12 hour shift! Because the acuity of her 26 patient load was too high to manage. Some who admitted this did so with tears in their eyes and hearts breaking. Others who had the same case load were cavalier, stone faced and blamed others. Accepting no moral obligation.
    I’ve watched the nurses that care move from position to position praying they can break a whole through the ever tightening fabric of apathy. The others stay and become interlacing fibers strengthening the moral decay. Before nursing some 30 years ago I was in the military X7 yrs. This was good preparation for the war at hand. This is going to be a difficult road. But I believe one thing. They’ve underestimated their opponents. You and I. Fight well.
    My apologies for the wordiness of this rant. I blame it on the Good Doctor.

  • The US is a warmongering lawless rogue state. It is founded on genocide, slavery and wars. By the time the Indian wars ended in the late 19th century, the original 500 Indian tribes and two million natives have been reduced to a few tribes with the few thousand survivors incarcerated in reservations or concentration camps. 14 million African slaves were kidnapped to the Americas. Wars with Mexico and Spain expanded the American empire.

    Trump is a low life pathological liar and a little Adolf Hitler while Pence from the fascist Christian Right is  a little Joseph Goebbels.

    Check out Chris Hedges, Joseph Stiglitz, Kishore Mahbubani and Jeffrey Sachs videos on YouTube.

    Read the following books:
    America the farewell tour, by Chris Hedges.
    ‘How Fascism Works’ by Jason Stanley.
    ‘Giants The Global Power Elite’ by Peter Phillips.
    ‘Moving beyond fear: Upending the security tales in Capitalism, Fascism and Democracy’ by Charles Derber, Yale R Magrass.
    ‘The Management of Savagery’ by Max Blumenthal.
    The Great Reversal: How America Gave Up on Free Markets by Thomas Phillipon.
    A People’s History of the United States by Howard Zinn.
    A New Foreign Policy: Beyond American Exceptionalism by Jeffrey Sachs.
    War with Russia? By Stephen F Cohen.
    Has the West lost it? by Kishore Mahbubani.
    The Age of Illusions, by Andrew Bagevich

  • Try being a nurse�� you get bullets shot at you from every direction, and on top of that no respect or appreciation. The list goes on…….

  • I finally walked out in Nov. 2012. It took me years to be able to talk again. I was a recluse for four years. It has become a horrible profession. I feel so sorry for the doctors on the frontline of Covid19. The for-profit medical-industrial complex is killing millions.

  • Doctors are usually calm and have less stress compared to nurses who are more stressed due to high nurse patients ratio and also because of stress in advocating for the patient. I hope they can truly see this.

  • This massage sums up EVERYTHING I’m feeling. And as a nurse I know the system must be changed. Do you have any suggestions on how exactly I can help this change happen?!

  • Another IT guy here with moral injury who is in the process of bailing into another career. I’ve walked away from something that used to not be this way. Being the on call specialist 24/7/365 for a bunch of ingrates will take its toll on all of us. We all are embedded in a dysfunctional rentier run system that expects us to help people yet impedes our ability to accomplish the mission by micromanaging and expecting perfection without wanting the spend the monies require to achieve it. The system is at fault and never again will I used the term burnout. Every healthcare worker I personally know is in the same place with all of you.

    Thanks for helping me Dr. Z!!!!

  • Not bad. Nice and wordy. Lots of semantic juggling. I’d stray away from millenial words like “resonate” though. They are pretty obvious.

  • I’m from Italy, we have OSS, a figure that helps us with the patients’basic needs like bath and cleaning feces and urine. Guess what, we nurses often do that too, so they don’t really do the “bad” part for us, they just help a little..some of them even can’t think of take temperature again of a patient had high fever, and we nurses have all the responsabilities. The OSS are paid 100 euro less than us nurses, don’t have to register anything, don’t have responsabilities and can really stay near the patient.

  • doing one task for long time can cause you to burn out, ruins your health and Become completely exhausted through overwork, here is my poor advice to authorities, doctors should be given more off day then other normal people, and this enables them to spend much time to their friends, not for being (bookworm)

  • We need the right tools to fight back. I don’t want an MBA, but increasingly I’m feeling that it might be what I need to successfully and meaningfully advocate for my patients.

  • I’m currently assigned to a “Family Practice’ by my health care corporation. However, very predictably, every two years, my current doctor will quit or ‘leave’ the practice with little notice. A few years ago I had a wonderful doctor, a doctor who saved my life. Due to lousy record keeping practices I was given the wrong test results by office staff. This doctor asked me on our first visit, why I hadn’t followed up on the scary test results & was horrified to learn I never received the correct results. They orchestrated a plan that had me in an extremely capable surgeon’s hands that day for a consult, which is the only reason I’m alive today. They were fired a year later because they spent TOO much on their patients. They were the kind of doctor that bothered to remembered things about me & my family that didn’t necessarily pertain to physical issues but definitely affected our overall health. They’d often have printed materials ready that pertained to us & were extremely helpful. We are a complicated family & for them to remember the salient details that were casually mentioned in previous visits meant we were being listened to & treated holistically, in terms of treating us as a whole person, not in terms of naturopathic medicine, although they were open to that, as well. That is the golden ticket health care pIan! I was so sad when they told me it was our last visit that I actually hugged my physician & wished them luck. I’m not a higher. When’s the last time you felt comfortable enough with your doctor to spontaneously hug them?!? I tried to follow them to their next practice but insurance prevented that. It was heartbreaking. The practice I had to go to due to insurance cared more about moving us, the sheep, thru quickly than being thorough about our health. I should have died in my situation. I have young children. I would’ve became a statistic due to chronic lazy & incompetent record keeping if my doctor hadn’t bothered to study my chart before our 1st visit (BTWthe person at fault retired a few years later, reputation intact). A doctor who cared about their patients was fired for giving excellent health care.. I owe this doctor my life & I’m sure I’m not the only one. Factory Family Medicine is hard on doctors, nurses & the people who keep them employed, the patients. Insurance companies are just practicing legalized gambling so I want to know how & why they get to decide what a patient needs or should be allowed to seek help for. Obviously, their lobbyists are strong but when are physicians, en masse, going to stand up, lift their weary heads & remind their managers that they took an oath to do no harm but the insurance companies didn’t & exploit that makes their job harder & results in shoddy medical care. What can be done with this dicotomy of health practitioners & profit based health management companies? Take the profit outlet’s see what happens then.

  • Our healthcare model is centered around a for profit health insurance and prescription drug industry. Until we have a universal healthcare system, all these issues you’re talking about are just going to get worse.

  • Been a nurse for 10 years. I don’t know how doctors experience their work but for a nurse it’s a low self esteem job. Would love to try a different type of industry but it’s not easy. I’m 46 years old. The older you get the harder it gets to switch to a different industry. And then when you do you are starting at the bottom of the career ladder and there are not that many productive years left. I think low self esteem has been the biggest problem in this industry. “Too stupid to hack medical school”.

  • Zdogg…please do an educator version of this video. Talk to educators. Talk to me or contact NAfME or the NEA or MSTA and work with them to do a education version of this. It is in line with what they deal with also…..almost 100%