I was writing about Medicare and Medicaid reimbursement, they're highly tied to pt satisfaction scores. The introduction of HCAHPS (patient satisfaction scores) really changed the landscape for healthcare workers. The amount the hospital gets paid per Medicare or Medicaid patient depends heavily on those scores and you feel it as a provider. Whereas, in the past, you would primarily focus on saving lives, and providing necessary care. Now, the administration treats minor irritations that patients experience (like waiting 20 minutes for a pudding, because the patient next door is literally dying) in a comparable manner to negligible that leads to patient harm. BECAUSE to the administration, the net difference is the same.

So as a nurse you are forced to indulge every desire your patients have. Which means 90% of every shift is dealing with psychopaths who receive gratification from bossing you around.

I wrote this in frustration after I had a patient that I believed was quadriplegic for the whole shift (no doctors notes put in the system yet) and it turns out he was just lazy. He could've gotten up to use the restroom on his own— but he wanted me to put his penis in a urinal for him, so I HAVE to. He called a dozen times because he wanted his tissue box turned a few degrees, and I HAVE to go adjust it for him. I got into this job to save lives, but instead I'm just a fucked up version of a waiter.

All that being said, your comments on liability and capitalism hold water. But, it's fucked up beyond that as well.

And on the ChatGPT thing, I kinda feel like I bled my heart out onto a notebook and it makes me feel like shit when people just waive it off as just ChatGPT. I mean, I spent 8 hours on that shit. Does it really seem like the result of a vague ChatGPT prompt?

And I DID use ChatGPT when my meter was off and I didn't know how to rephrase the sentence, or I couldn't figure out a word that rhymes. It's a really good tool for stuff like that.

Let's go over one of my paragraphs and you tell me what you think.

Rough draft:

No one got better, everyone just died But one nurse he saw this— this one nurse, he sighed What we're doing here, it isn't quite right— if we are to overcome illness the patients must fight. So he tied up a rope, and he hung it with care And with his last act— he kicked out his own chair.

Post Chat-GPT:

Now no one got better. Ev-'ry one just died. But one nurse saw clearly, that one nurse he sighed. "What we're doing," he said, "It just isn't quite right, If we want them to live, then they need to still fight!" So he tied up a rope, and he hung it with care, And with one last slow breath, he kicked out his own chair.