How Minnesota Treated


Opinion editor’s note: Star Tribune Opinion publishes articles combining national and local Commentary Every day, online and in print.Click to contribute here.

•••

Well, it was fast.

During the pandemic — remember the pandemic? — our political leaders and non-profit hospitals were stumbling in praise of nursing.

As COVID-19 rages on, Governor Tim Waltz, the Mayo Clinic, and the Minnesota Hospital Association all urged us to prioritize the sacrifice of these frontline workers.

As a health reporter covering those harrowing press conferences, I remember being unmoved by the suggestion to add another Valentine to the pile of articles celebrating RN.

Wasn’t their great performance self-evident?

It’s been two years and since then all of the above companies have given back to their bedside service providers by taking us to the underside of the motorcoach, so to speak.

To understand this reversal, we must first consider the dual personality of the state’s largest and most beloved private employer, the benevolent being who functions as Good Mayo in our imaginations.

Its reputation is ahead.

But one of the more notable subplots of the now-completed Notable Congress was the emergence of a destabilizing Bad Mayo after a decade of hibernation.

Rarely seen as an alter-ego of Good Mayo in folklore and hagiography, Bad Mayo seeks to preserve Good Mayo’s image while weaponizing its vast economic resources to pursue personal ends. and

Last seen calling for decades of state-funded infrastructure upgrades in exchange for continuing to invest in its southern Minnesota hub, which has provided a stable workforce base for a century, in 2013 Bad Mayo twisted the Capitol at its worst in exchange for building something good.

This time, Bud Mayo has led Congress to heel to derail good.

Specifically, it served to thwart voters’ explicit wishes for delegates to address the growing instability and lack of affordability of a hospital system masquerading as a non-profit.

Faced with a years-delayed request from a doctor who was supposed to be a credible nursing hero, Mayo told lawmakers that unless hospitals were granted an exemption from the Nurse Residents Act, the medical centers would be secretive. said he would take a huge construction project out of state. . Enough other hospitals need to qualify as well, they argued, to render the bill moot.

While the bill has been under consideration for years without comment from Rochester, the bill would make it easier for nurses to work with nurses in staffing decisions that affect their ability to envision and provide care each day. Advocating a clearly untenable notion that consultation should be done.

According to Mayo lobbyist Kate Johansen’s email first published by Minnesota Reform, “For Mayo to proceed with its investment…” for providers that meet high standards and have special staffing “to full waivers.” The way to do so must be included in the bill.” software.

Because if there’s one thing we can all agree on, it’s that special software always does what it says it will do.

Hospital administration stalwarts can and certainly will half the staffing board, but having just 35% of its members in the form of direct-care nurses is too much for America’s number one hospital. It was a long bridge.

The heavily armed nurses must have caused brief spasms of dissonance in the Goodmayo side of the brain. Bringing nurses to the table blends seamlessly with the familiar GoodMayo story that the clinic has cultivated over the years as a place of clinical excellence, teamwork and group practice, with only the patient’s needs in mind.

Even so. Enjoying hundreds of millions of dollars in surplus revenue — Mayo Clinic last week reported operating income of $150 million in the first quarter — Budd Mayo says nurses are more likely to be on the team when it comes to staffing. Didn’t want to be involved in the approach.

The company’s ideas are working. The state of Mayo also experienced the same trend towards managerialism that industrialized health care services across an overbilling and underperforming health care industry.

That doctors stare at screens more than you because of administrative bloat, and that your interactions with the system make you feel like a set of risk factors for downregulation rather than a beneficiary of disease or early treatment. This is why there are so many . death.

It may come as no surprise that such an automated system would not comprehend the “outdated and harmful” commissions necessary to prevent nurses from escaping the profession, whether in Rochester or elsewhere.

Mayo has fallen under the spell of technocratic utopias and TED talk-esque visionaries of so-called platform care. The Apostles of Progress have arrived in Rochester with the Gospel of Thinking Machines to improve human observation.

AI has replaced the enthusiasm we once had for biopharmaceuticals and replaced our unbridled faith in medical devices. It looks like precision medicine and genomics have been swallowed up as the new big thing.

Lawmakers throwing a lifeline to a burnt-out profession were instructed to believe the claim that special software was designed to anticipate Mr. Phillips’ needs in the 16th century.

Attempts to address runaway hospital price hikes were deemed “extremely problematic” for Rochester-based white-gloved health care providers, as if our problem’s existence wasn’t really their problem. It was as if

Mayo’s Johansen said in an email that his opposition to the legislation was aimed solely at “avoiding harm to Minnesotans,” and that if Bad Mayo’s ultimatum was not followed, it would ” We cannot proceed with the process seeking approval to invest in Minnesota.”

It is inconsistent to oppose a bill that you think will hurt Minnesotans, and to threaten to hurt Minnesotans if you don’t get your way. Either you are concerned about harming Minnesotans or you are not. But lobbyists have to earn a salary there.

DFL House Speaker Melissa Hortman, when asked about the bill’s withdrawal, told the news station: “Mayo is different… There is no other hospital in the state where a King or a Prince would fly in for treatment.” rice field.

This would probably only make Good Mayo writhe.

“Our position is with patients,” the clinic said in a letter shared by local news. “This is about our staff and our community. Whether and where the Mayo Clinic can treat and connect patients everywhere and push the boundaries of innovation to transform healthcare. It depends.”

of course.

Paul John Scott is a writer living in Rochester.



Source link

Leave a Reply

Your email address will not be published. Required fields are marked *