Harbinger of health care distribution?

I went to the local USPS office to ship out some shoes yesterday. I rarely use USPS, but since my mom and pop pack and ship went under a few weeks ago I had to look elsewhere. Typically the mom and pop place would get my occasional USPS parcel done in 2 minutes…out the door.

I walk in and see 6 counter slots and 1 US Postal worker at around 3pm. I then counted back in line and I was #18. Fortunately I had a neat old guy to chat with, WWII Vet and a super interesting old salt. 41 minutes later I was placing the box on the counter. Not one time in that entire 41 minutes did I see this clown try and pick up the pace…never looked up at anyone…and not a single other Postal Worker showed their face.

Having not been to a USPS facility in probably 20 years I have to ask…is this par for the course with USPS? I wonder if this kind of efficiency will creep it’s way into our Dr.'s offices?

Yep…

I have found the bigger the town/city the worse the service.

Hey isn’t there a name for the practice or growing your fingernails extra long? The Postal Worker had fingernails about 3" long…so much so it was difficult for him to handle things like money, tap the computer screen etc. It was freaking disgusting, but at that point I was just ready to be out of there b/c it was freaking hot too…little tiny room with 18 people. When I left the line had extended out the door so the a/c couldn’t keep up…must have been 30 people at that point.

That seems to be a symptom of “you-can’t-fire-me-itis.”

I’m a physician; while the health care debate was raging, I thought that I wouldn’t mind being a government employee.

  1. Defined benefits, early retirement.
  2. No malpractice.
  3. No customer service surveys. (medical necessity drives 50% of my decision making, 2 and 3 the other 50%)
  4. Reduced documentation.
  5. No need to defend un-ordered tests as being unnecessary, instead just blame the government, “that’s not paid for.”

I actually think that it would be extremely liberating, as a doctor, to practice without these considerations. However, I can see how it could evolve into the post office/IRS in terms of service.

That seems to be a symptom of “you-can’t-fire-me-itis.”

I’m a physician; while the health care debate was raging, I thought that I wouldn’t mind being a government employee.

  1. Defined benefits, early retirement.
  2. No malpractice.
  3. No customer service surveys. (medical necessity drives 50% of my decision making, 2 and 3 the other 50%)
  4. Reduced documentation.
  5. No need to defend un-ordered tests as being unnecessary, instead just blame the government, “that’s not paid for.”

I actually think that it would be extremely liberating, as a doctor, to practice without these considerations. However, I can see how it could evolve into the post office/IRS in terms of service.

Funny that you mention that because some doctors have moved a private practice to work in a prison for many of those same reasons.
http://money.cnn.com/2009/12/23/news/economy/healthcare_doctors_in_prison/index.htm

Great article. How can you argue with working less and making more, while having less BS to deal with?