Recent comments in /f/philadelphia

A_Wild_Nudibranch t1_j91gtio wrote

Reply to Best CSA in the city? by Lolotopo

Lancaster Farm Fresh has pick up at MOM's on 11th and Market.

I work with LFFC and their stuff is consistently really good. Even better when pick up is before a holiday weekend and in the burbs no one picks up their box, so we get the goods after 3 days...

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k0mm13 t1_j91g3g6 wrote

Reply to comment by aguafiestas in Penn Medicine residents and fellows want a union, citing grueling workloads and 80-hour workweeks by nankles

Agreed - that was my point but you summarized it well!

I wanted to let others know that residents can’t just “pick up” and find another job like any other employee. There is a huge power imbalance between hospitals and the trainee doctors who work there. There are also essentially no market forces to dictate better conditions since medical students do not directly choose their residency program.

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tablesawsally t1_j917md2 wrote

Reply to comment by DippyMagee555 in Penn Medicine residents and fellows want a union, citing grueling workloads and 80-hour workweeks by nankles

Honestly (I work in healthcare finance in a large health system) the issue isn't lack of funds or staffing but ridiculous misappropriation of funds and staff.

A decent example is Hospitals everywhere regularly burn through admin staff (patient schedulers, coordinators, etc) refusing to give them a livable wage, so they leave. In the departments I have worked for it's uncommon to find someone in these roles who has been there for more than 3 years. These people are the backbone of hospitals (just like residents and fellows) They ask for a raise and get told no, so they leave. This seems like a random side note but the MDs in these departments are earning 10-15x the salary, a salary they earn 100% because of the efforts of the admin staff. When the a MDs admin leaves, their productivity dives, they have to work extra hours to meet quota and they become miserable. But... When budget season comes around the MDs gladly take their 5% raise and 10% bonus without a word about the admin folks that hold them up. Do the math, 5% of a 10x salary is half the admin salary... That's just the raise for inflation!

Every provider should be in support of paying everyone else more, we all are on the same team and need each other. Too many MDs and MBAs (nearly all hospital leadership are MD or MBA) say they want to fix things but don't actually put the ink to paper.

I could give 50 more examples of gross waste, from materials to art for the lobbies, but it just deviates from the point- hospitals can afford to pay these residents and fellows, it wouldn't break the system, it would just require the hospital to pay the people who are actually doing the work for their hours.

The argument is that in a few years the residents and fellows will get their big pay checks but at whose expense ... The patients!

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