sanjosespotlight.com
I mean the first amendment gives us the right to free speech and with that we can protest (aka strike). This is more for show than anything else IMO. Good it got some press. Keep 💩 in on USACS they deserve it. Literally the worst group/company to work for.
They basically aren't striking as much as they are protesting. A strike is when you walk out. There is no way they are leaving the ED unstaffed. Those that are off that day are gathering to protest, and those that are scheduled are still showing up to work.
Ethical responsibility is real and beyond that they know they can be replaced tomorrow. USACS can bring in their firefighters aka the equivalent of scabs.
If docs left an ER unstaffed, do you think the public will sympathize with us or be extremely critical that we let patients suffer and die? It doesn't matter if the only patient in the ER was a stubbed toe, the news media will say that ER docs left dying patients to fend for themselves. Most states would probably have their AG's look for possible criminal charges against the physicians for doing this if they were scheduled (and thus had a duty to act).
There are two separate issues.
It’s one of the reasons we keep getting abused. Totally agree. If you ever worked for a cmg that needed staffing this is their go to.
Funny you mentioned air traffic controllers…what ended up happening to them when they went on strike?
Employed physicians are able to unionize and strike. Private practice physicians are not.
Any time I see physicians standing up for themselves and playing hardball, I applaud it. Playing Mr. Nice Guy has done nothing but led to physicians ceding control of their profession to people that don't have their best interest in mind and who are happy to abuse, disvalue, ignore, and treat them like discardable, hourly help. Until physicians are willing to play smash-mouth, down-in-the-dirt hardball to improve their working conditions, they'll continue to lose more and more job satisfaction. Why is burnout sky high among physicians? Because physicians take abuse, complain, take more abuse, complain, repeat cycle.The contract was recently acquired by USACS last year after they took over the VEP hospitals.
San Jose emergency physicians to walk off job due to understaffing
Emergency workers at the Santa Clara County Valley Medical Center are staging a walkout to protest staffing shortages and unsafe working conditions.
In WV they absolutely did to get tort reform and it worked.
Refusing to bill = not getting yourself paid.
Considering those residents wont be able to practice until July and would still need time to get on-boarded and credentialed, they're an irrelevant factor in the discussion for now.
As @bravotwozero alluded to, people very much care when ATCs strike. In '81, the national organization for air traffic controllers organized a strike. 13k ATCs went on strike. Regan ordered them to get back to work within 48 hours or he'd fire them all. ~1000 did. The other 12k assumed he was bluffing. He wasn't. He fired all 12k of them and banned them from working for the federal govt in any capacity for life. Took a long time to get staffing back up to normal.
Good counterexample for me to recall next time someone tries to argue "This is America, you can't force people to do things here."
Emergency credentials
No one has to work in the Ed. Like nurses call off docs can call off too. We don’t. But doc a says I got the covid. No one else picks it up. It can happen. It won’t but it can’t. Could bring down the system to its knees. Tons of options. Don’t chart for a month. Hospitals will get the message. So will your employer. They may withhold pay depending on your contract but likely they won’t especially if it’s well organized. Imagine 0 envision charts being completed for a month. Their cash flow would be screwed.
I'm not arguing for equivalency between Air Traffic and the ED. Perhaps we don't understand each other?
So umm what is the point of a union if they cannot strike effectively?
Differing labor dynamics for ATCs because it is both a monopoly (one provider) and a Monopsony (one employer). That means that one employer can say F U and fire everyone, and the only one that gets hurt are the consumers.
The issue that sometimes can come into play is that once a patient-physician relationship is established, it generally cannot be immediately ended by the physician. Depending on the state, this generally requires a certified letter and an agreement to provide 30 days of emergency care. This is independent of any contractual relationship between the physician and an employer.
Dang, y'all should get a security deposit from new patients.
Coeur d'Alene Idaho?
Not really a fair comparison given how pre-COVID y'all were averaging 4X or more per hour than nurses.
This only holds true when there is a balance. Reality is there are tons of docs and many places are already using inferior mlps to do the job of a physician.
Also remember no one goes to my Ed to see ectopic. The real harm frankly goes to the reputation of the hospital. Patients don’t know usacs envision teamhealth. They 100% tie their Ed experience to that of the hospital.
He is in Texas. My guess is austin.
In other news the ACEP prez has cum out to defend usacs. Maybe it’s cause they have 2 ACEP board members? Seems odd. People wonder why (not on this board) there is a concern about ACEP taking cmg money since cmgs can’t be members. It’s clear ACEP can be bought. (Again we already knew).The contract was recently acquired by USACS last year after they took over the VEP hospitals.
San Jose emergency physicians to walk off job due to understaffing
Emergency workers at the Santa Clara County Valley Medical Center are staging a walkout to protest staffing shortages and unsafe working conditions.
Link?
West Virginia physicians went on "strike" over medical malpractice reform. However, as someone interviewed in the article was clear to point out, it was simply "taking annual leave."
www.cbsnews.com
Yeah that was just… really gross of her. Also just a dumb thing to do. Obviously she and ACEP leadership are in cahoots with Usucks, just like in national politics us plebs will never know the extent or nature of their relationship barring some leak, but to just come out swinging for them on a public forum is shameless.
Dildo move. No shock.
