No. You are actually wrong.
You will see the bad folks weeded out. And there are a lot of bad, incompetent and lazy folks working in hospitals. It WAS the 21 century version of a “civil service” job.
Because insurance paid for whatever they were sent, the costs went up. Now, the personnel will have to actually do their job, stay clean, and prevent re-admissions.
We (the taxpayers) are paying for this. It is the first time in ages that I think they finally got something correct. I hate the insurance part of the ACA, but the little bit that actually had to do with medical care will help and conservatives should be embracing it.
It is pay for performance. Think of how the school teachers would be bitching about this if the same thing happened to schools; you are hearing from the union nurses about this stuff.
As an ER nurse and nursing educator, I could not possibly find your comments more ill-informed. Clearly you know absolutely nothing about which you write. Allow me to educate you.
Speaking from my position of expertise, I applaud the withholding of compensation for patient recidivism (that means be re-admitted within 72 hours after being discharged from a hospital for the same diagnosis). There is no excuse for sloppy treatment or procedure- ever.
Meanwhile, nurse leaders, educators, and staff will continue to push for the improvement of patient safety and healthcare delivery- just as we have been for the last 50 years through research, education, political action, and literature.
I work at a hospital that has spent millions upon millions of dollars improving everything from informatics to medication preparation to food service to even how staff communicate with each other. As a result, our hospital's annual error rate has been reduced from 23 to 3. And that's the total from all units.
And the taxpayer did NOT pay for that. We, a privately-funded hospital, did it on our own with hospital staff and administration working together for 5 years to make the improvements. And that, sir, is not reflective of the intellectually-lazy, sloppy, bad, dirty, incompetent "civil servant" attitude that you have ascribed to us.
So in conclusion, and as a response to your ill-considered and uninformed condemnation of my colleagues and myself, I cordially invite you (and anyone else here who thinks was you do) to kiss my ass. If you think you can do my job better than I can, step right on up.