"Most employees in a bureaucracy want to decrease the number of tasks they are required to perform. Like all of us, they want more for less. Adding a step is not in their self-interest.
On the other hand, it is in the self-interest of their supervisor. Now we come to another law of bureaucracy, an extension of Parkinson’s famous law: “Work expands so as to fill the time allotted for its completion.” Professor Parkinson had another law, less known but more rigorous: promotions take place when a bureaucrat increases the number of employees subordinate to him. Parkinson worked out the numbers in the 1950s. It was no joke. There is a large body of academic articles devoted to this rule."
Think of the above quote in the terms of a medical bureaucracy and you will get exactly why we are being treated like cattle. "Most employees (medical workers) in a (medical) bureaucracy want to decrease the number of tasks they are required to perform." So if these medical workers can sidestep patient care, explanations, any type of human contact with the patient it makes their job easier. Eliminate true "informed" consent. Say whatever is necessary to avoid any prolonged discussion with a patient. As many CRNA's at least have mentioned, if they use lots of Versed, they can cut down on the narcotics. Narcotics are notorious for side effects and the patient would have to be monitored more closely. My contention is that these medical servants also use Versed so that their monitoring job is easier, along with the ease of having zero interaction with patients.
"Like most of us, they want more for less." I can't tell you how many articles I have read with sniveling CRNA's moaning and crying that they aren't paid as much as Doctors for (in their opinion) doing the same job. They want more money, 6 figure salaries aren't enough for being a nurse, they want more and more for doing next to nothing toward actual patient CARE. Their idea of hard work is forcing patients to accept Versed, so that they can get back to their hospital gossip. IN MY OPINION! "Adding an extra step (human interaction with the patient) is not in their self interest."
"On the other hand, it is in the self-interest of their supervisor." Supervisors in this case would be the actual Doctors who are allegedly "supervising" the CRNA's so that they can bill for more money. They probably skim a lot of money off the top because there is NO DIFFERENCE in the anesthesia bill whether you have a fake anesthesiologist (CRNA) or a real Dr. So it IS in the "supervisors" best interest to have lots of do nothing stuff as long as it can be billed.
“Work expands so as to fill the time allotted for its completion.” All manner of dawdling, narrowly defined duties, and excessive medical personnel doing the "minor variations of the same job" all adds to the cost of a bureaucracy. This fits in with both of the above. The "supervisor" had more minions to "supervise" and the minor players have less to do. Versed helps this along. We have to have CRNA's or other expensive nurses to inject the poison, some phony "monitoring" instead of simply treating each patient as a human being, and omitting the Versed "therapy." Phony "supervision" of the anesthesia nurses. Perfect.
"Professor Parkinson had another law, less known but more rigorous: promotions take place when a bureaucrat increases the number of employees subordinate to him. Parkinson worked out the numbers in the 1950s. It was no joke. There is a large body of academic articles devoted to this rule." Is this why it took at least 18 separate medical workers for a 70 minute out patient surgery? The more people you can have working under you, the more "promotions" (money) you can have (and for less work)? Is this why we have all of this? Floor nurses, nursing assistants, CRNA's, supervisory Doctors (really?) nursing supervisors, patient relation nurses, scrub nurses, physician assistants, circulating nurses, LPN's, RN's, NP's etc, each going up the chain of command in the hospital hierarchy!
There you have it, my take on hospital bureaucracies! Now for where this quote came from;
TSA Tyranny » TSA Tyranny: Starting and Ending with Money The "other" bureaucracy that sends out petty tyrants to impose their will on a hapless public. TSA wants you to do exactly as they say "or else." There is an $11,000 dollar fine for refusing. Pretty much the cost of a "minor" surgery with Versed... "If you set foot in an airport you are giving up all of your rights" so says TSA. Exactly what the patient relations person told me about going inside a medical treatment facility! TSA "security specialists" want to see you naked! Hospitals want you naked. TSA "screeners" want to fondle your genitals! Medical centers want handle your genitals and stick tubes up your crotch whether you need it or not. It's "for your own good" says TSA. Hmmm, now where have I heard this before? So far TSA hasn't suggested a Versed injection in order that their passengers are "relaxed." YET! The police have it for "unruly" people, so why not TSA? It's so fun living in America with all our freedoms and rights isn't it? (rhetorical question, heavy sarcasm)
PS I got a kidney infection, totally preventable, from dirty gloves or hands at the medical center where I went. The TSA screeners wear gloves for their own protection and do not change them or clean them each time they stick their hands down somebodies pants. We are going to get STD's from the "enhanced" groping in the airport line. It's only a matter of time. Apparently even HIV can be spread in this manner along with all the curable STD's. Crabs and other external parasites can and will be spread by the sham that is TSA "screening." Our health is at risk at the airports now, just as much as at hospitals.
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