I see my boss more as a corporate robot than a human being. It's not his fault. The **** starts at the top and rolls downhill. He does what the regional manager tells him to do. And that dude does what the area manager tells him to do. And it's set up to be cutthroat that high up the ladder. I can't blame the humans in the system, I blame the system. And the system values shareholders over all else. Literally by law, they have a fiduciary duty to maximize shareholder value.
That said, I really don't hate my job. I don't mind it at all, in fact. It's a great way to make a decent living.
I do admit that the stupid corporate propaganda parts of the job get tiring. Like take PCQ calls. Thankfully, I don't do them due to the nature of my position, but the day shift people have to. But they are starting to send out a metric with health outcomes. "Lives saved," "heart attacks prevented," "stokes prevented." And so forth. It somehow calculates how many theoretical lives we saved by making phone calls all weekend. It's pretty ridiculous.
They actually think we are stupid enough not to realize that they came up with these metrics to guilt us into being more enthusiastic about the phone calls. They do the phone calls because it both sells more prescriptions as well as being something that Aetna/Caremark can offer as a means towards saving money and selling health plans.
Insulting my intelligence is really just needless. Just tell me you want me to make the phone calls because you are trying to maximize value and profit to the shareholders. That's fine. I get it. We all do. I don't need you to justify things to me. You sign my paycheck. If you want me to sit on a stool and make phone calls in between checking scripts, whatever. You're the boss.
Just say that. I don't need my feelings coddled.
If you really want to save money, lay off the propagandists that come up with ways to "frame" new initiatives with employees.
I love this answer because it shows that you understand reality. You also don't take things personally and let external circumstances paralyze you from fulfilling responsibility to your employer.
You're right that we really are all pawns for a higher agenda. That's the engine that makes money so we can have a purpose.
The reality of PCQ calls is that not all calls are true adherence opportunities. The majority of them are pointless meds like fluticasone or montelukast that really should be inactivated or scheduled once a year until the patient needs them. But that's also why the goal isn't 100%, but 30%.
My team literally tracked all the PCQ opportunities with screenshots and handwritten notes for my store for 1 year. We originally did it to get ammunition to fight back with. If our scores were ever low, we'd be able to say, "Well half of those were stupid meds the patient didn't need."
What we found was that about 1/3 of those medicines were maintenance medicine that the patient needed to be on. Granted, some of those were also false outreach where the patient had extra medicine from vacation or was no longer taking.
The point is that it's up to us to use the system to determine what is important and what isn't. I have 25,000 patients at my pharmacy. How am I supposed to remember every patient or make sure everyone is adherent?
I can't and I don't. I let the system help me ensure that NO ONE is left behind. If I have to call 50 people every week to find the one elderly patient who genuinely forgot why she needs her lisinopril, so be it.
Everything else is all about the dollars like you said. But those dollars also fund my payroll budget. Every cent I make over what the company thinks I will make is spent on extra payroll so I can deliver on all the other long-term priorities i.e. service, healthcare outcomes, breaks for me and my team.
We have to spend money to make money. "No margin, no mission." If more leaders gave their pharmacy managers full autonomy to make these decisions, retail pharmacy culture would change.
When you work for a leader that sees the bigger picture, it's easier to balance the purpose and financials.