Oh I don’t disagree. I have run into a fair amount of comp shortsightedness. Developmental pediatrics is just one example. Sometimes organizations are slow to understand that some care is not going to to generate great revenue itself but in an era that sees the organization taking more cap at risk contracts have good returns over time. A specialist whose codes don’t get paid great can sometimes (not always) provide needed care better and more efficiently, freeing up the primary provider to do more of what they are better at, and avoiding later problems (with their cost). Or having to send out of system to a tertiary site which will cost more without better care.
I have a Facebook friend who is an RN in Winnipeg, and her posts mirror other things I’ve heard from American nurses.
Several years ago, she left ICU nursing, which she loved, and now works as a clinic nurse. She had to have a knee replaced, and she’s not even 50 years old.
More on the UK perspective from the Guardian this morning: