One thing that I hear all of the time from patients and even fellow heath care workers is how the US health care system is broken because it is expensive, yet my fellow workers all say that we are underpaid for what we do.
Medical care is a finite resource. Therefore, you cannot give everyone all of the care that they desire or need. There has to be a way to ration care. In the US, we do that through cost. If you want more or better care, you pay more for it. In many other countries, the oes with so-called “free care,” they ration it by allowing government officials to decide who gets care when. That’s how a woman in the UK with a mass on her ovaries is forced to wait 9 months to have it removed, only to discover that it has become cancerous, which results in a complete hysterectomy and a long course of chemotherapy.
Heath care isn’t cheap, especially when you demand that the people performing it have to be flawless in its execution. Everyone involved in the delivery of care from the janitor, to the nurse, the technicians, and the doctor have to have high levels of training. That raises costs. Starting nurses are making $75k a year in my area, and yet there is still a shortage. With 5 or more years’ experience, nurses in certain specialties are making more than $100k. Florida has pushed a lot of people to go to nursing school and even subsidized people in attending school, yet all this has accomplished is to increase the failure rate of the nursing exam.
Pay is set by market forces- employers pay for good employees. When demand is higher than supply, market forces cause a bidding war for the product- in this case, nurses and other highly skilled workers, which causes pay to rise. We are seeing that here in Florida, and have been since COVID. Nurse pay is rapidly increasing. My employer recently announced a 20% increase in shift differentials and a 5% raise in base pay for nurses.
Your only other choices are:
- Lower standards. This will allow you to pay less, and also allow the hiring of more workers, albeit at a lower skill level. The cost is more accidents and medical mistakes.
- Ration care through waiting lists. This is the path that many nations like Canada and the UK have followed. The cost here is people dying while on the waiting list.
There is no such thing as a free lunch. There is a bill to be paid, the only question is how it will be paid. No matter what, someone is going to pay these workers. The patient can pay for healthcare at the point of sale, or everyone can pay for it when it is deducted from your paycheck, but we are going to pay for it regardless.