So, I happened across a quote from Dr. Steven Nessen while watching the film Escape Fire: The Fight to Rescue American Healthcare. “When medicine became a business then we lost our moral compass.”(1)
It had a large amount that wasn’t really all that completely believable, including some leanings toward
witchcraft voodoo alternative medicine. That aside, in regards to the current system of reimbursement, I think he hit the nail on the head. And I think that private for profit EMS is one of the best examples of being guilty of it. That is one of those things that I wish we could find a way to change. But so long as private EMS exists, and is reimbursed only for transporting, they puppy mills medic schools will keep churning them out by the dozen and we’ll keep just following the dictate of “You call, we haul” rather than actually providing good medicine.
Maybe someday we’ll be allowed to adequately care for our patients by having the right education, experience, leadership, resources and payments. Just maybe….
(1) Escape Fire: The Fight to Rescue American Healthcare. Dir. Susan Froemke and Matthew Heineman. Perf. Dr. Steven Nessen. 2012. Online. Amazon.com. Web.