Fund me. Fund me. Fund me.

It’s all about the funding baby. Don’t blame us for poor management and inefficiency. Just give us more money taken by force from other people.

This is the view of the medical experts. You know, the people with no expertise in budgeting or management and who have no interest in trade-offs. Just give them more funding and the world will be better.

Reported in the Daily Terrorgraph:

Liverpool Hospital Medical Staff Council chair, associate professor Miriam Levy, told the inquiry she feared young doctors in local hospitals across southwest Sydney were so overworked they were “committing suicide at much higher rates”.

Does it get any more disgraceful or disgusting than that? Using the suicide of young doctors to get more resources and power for oneself.

#YoungDoctorsLivesMatter.

Does it get any more pathetic that a doctor demands policy change based on her “fears”  Perhaps she provide, you know, some evidence to support her very strong and emotional claims. Does Professor Levy conduct surgery based on her fears or based on, you know, evidence?

But why provide evidence.  The headline is what matters. This has nothing to do with young doctors. This is about other people’s money.  So says Professor Miriam Levy:

Junior doctors are “forced to treat 25 patients at a time, spread out over several wards because there aren’t enough beds”,”

TAFKAS is not so special to be a Professor or a medical doctor, but 25 patients at a time. OMG. If this was AT THE SAME TIME, maybe an issue.

And that the patients are spread over several wards, that sounds like a management (or poor management) issue rather than a funding issue.

But never get between a public servant and other people’s money. So further says Professor Levy:

patients and doctors were “being screwed” by a lack of government funding, resulting in clinicians being forced to “ration services” including lifesaving Kidney Dialysis.

So how are the doctors being screwed? Go on. Tell us please.

But never letter unsubstantiated emotion get in the way of energy policy, sorry health policy.

Well. Professor Levy. The Government does not fund procedures. It funds hospitals. How the hospital management, which includes doctors such as yourself, chooses to manage that funding is a matter for the hospital and the hospital management team. For example, how many patients did not get treated because you took the day off to parade before the NSW Parliament?

And as part of the funding that the NSW Government provides, salaries get paid, salaries such as Professor Levy’s. Has Professor Levy, or for that matter any of her well paid colleague who have been “screwed” proposed a reduction in their salary to provide funding?  Or is her only solution to reduce the salary of other people, lower paid people than Professors.

Maybe there is a funding problem in the hospitals, maybe there isn’t. But before demanding more funding, perhaps the hospital industrial complex first look at how they spend the funding they currently receive and their practices to improve productivity.

If anyone has been to a hospital recently and does not think there are productivity improvements to be made, then TAFKAS is running an initial coin offering for a tokenized Bridge and Opera House security.

Leaning on the deaths of young doctors to support a money grab is as pathetic as it is disingenuous.

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22 Responses to Fund me. Fund me. Fund me.

  1. cuckoo

    “Fund me or the young doctor gets it!”

  2. She heard about a new thing at coffee where the Reserve Bank just prints more money.

    Must have missed the bit where she has to pay higher taxes to un-print it.

  3. Suburban Boy

    Overworking junior doctors is a feature, not a bug, of health systems – and it has been for generations.

    I find it bizarre and cruel, but it has nothing to do with funding and everything to do with a weird culture that insists on exploiting new medical graduates.

  4. H B Bear

    Health and education are both black holes where hundreds of millions disappear without any noticeable change in the quality of output.

  5. Roger W

    That an individual is unethical or immoral enough to demand more for themselves is despicable but not unusual. After all, we do live in an imperfect world.
    What is of greater concern is that these sorts of people are no longer held to account. Their claims are now accepted unquestioned by the MSM and it seems all politicians, as well as the vast majority of the public.
    Any chance to virtue signal. Maybe we should all have a 5 minute clap for her?

  6. JohnJJJ

    This emotionalism and hysteria becoming fact is the feminisation of the scientific method. It has only just started. Wait for the affirmative tsunami to reach all positions of power.

  7. min

    Granddaughter is a resident and works up to 90 hours a week on some shifts . Day shifts csn be up to 15 hours a day . Hospital need more young doctors who cost money . One resident working with her lefy through stress.

  8. John snowy Bowyer

    Health and education are both black holes where hundreds of millions disappear without any noticeable change in the quality of output.
    HB Bear get your facts right! I thought it has been proved year after year that the education sector was failing our young people by getting worse! Of course I cannot criticise the money grabbing, useless medico’s as that would lead to much approbation!
    Some peanut professor (Do you get them from the back of Cornflake packets now?) suggested we now need to eliminate the Chinese virus? That will result in even more harm to the few people who actually work for a living.

  9. H B Bear

    Having spent 9 months in a major Perth tertiary hospital following a stroke last year I have seen this bit of the health system first hand as a patient. The first thing that strikes you is the sheer scale of the place – they are enormous, the main lift bank had 4 lifts and there was 2 other banks and two other major buildings. At times I was wheeled past the kitchen which went on for ages.

    There is a lot of waiting around. Got CAT scans, X rays and ultrasounds. That said all machines are fully used at all times. And if doctors requested a test it was done within a day or two.

    There was some noticeable areas of demarcation. Some time was spent hanging around waiting for a pool orderly to take you for a treatment because a nurse was not permitted to do the job.

    All in all they run relatively well for a place trying to coordinate dozens of complex processes that don’t run to an exact timetable. I cannot comment on smaller or regional hospitals or on the duplication that occurs in the broader health system. If you are waiting on elective procedures your experience may vary but for emergency cases in major metropolitan areas my experience of the public hospital system was OK.

  10. Terry

    ‘Hospital need more young doctors who cost money’

    Perhaps we might close down a few “gender studies” faculties and send the resources to train more Doctors.

    It isn’t like there is a shortage of capable candidates falling over themselves to get into medicine.

    Maybe two Doctors working 45 hours a week each could be better deployed to manage “peaks and troughs”, not to mention the impact of fatigue-related mistakes.

    Airlines are limited by duty-time rosters for pilots to prevent fatigued flight crews from killing their passengers.

    I would have thought fatigue is no less of an issue for Doctors treating patients.

  11. Michael Kerrigan

    As a 60 yr old grumpy old country GP. I have memories of the Qld hospital system long ago. As a junior doctor you would have thought all your christmases had come at once if your unit only had 30 patients . 40 + was the norm, 80 hrs weeks likewise. No overtime was ever paid, you just did what you were told. If your junior staff are committing suicide, you should asking yourself, what am I doing wrong, not putting your hand out for more money. Why do they feel so stressed and unsupported? That is the question.

  12. MACK

    Thomas Sowell definiti0n: “Economics is the study of the use of scarce resources which have alternative uses.” Nowhere is this more pertinent than in health economics. Miriam could usefully jot down a list of all the things in health prevention and treatment which would benefit from more money in Australia. She would need to include everything from hospital funding to dental care to road maintenance to the PBS. Then she could prioritise them, based on cost-effectiveness. At some stage in the process, she may have an awakening.

  13. NoFixedAddress

    tsk, tsk, TAFKAS.

    Your continuing obstinance refusing to get with ‘the program’ is having a negative impact on our glorious economy brought to you by the essential, overworked Public Servants of our Australian Public Service Governments ™ and what we need is obvious to those of us who care.

    We need a 17% GST which is in line with our glorious comrades of the CCP.

    With that increase we could increase the number of major hospitals forthwith and not have our over stretched State Public Service Governments ™ critically short of money to spend.

    You know its the right thing to do because “We’re All In This Together” ™.

  14. Vagabond

    I was a junior hospital intern/resident for a couple of years at a very busy major city hospital in the early 1980s. We were told on the first day that we were the lowest of the low in the pecking order and to not even think of asking for a roster change or any other special favours. The iconic book “The House of God” describes that time very well. The hours were terrible – when your unit was “receiving” you worked a 60 hour shift at the end of which you were a sleep deprived zombie. There were no overtime payments. Having said that, the aim of hospital residency is to pack as much experience as possible into those few valuable years and I certainly relished it. It was a very enjoyable time. Lessons learnt and friends made as a resident were invaluable for the rest of my career.

  15. tgs

    Suburban Boy
    #3513563, posted on July 15, 2020 at 9:19 am
    Overworking junior doctors is a feature, not a bug, of health systems – and it has been for generations.

    I find it bizarre and cruel, but it has nothing to do with funding and everything to do with a weird culture that insists on exploiting new medical graduates.

    Spot on.

  16. Me mom had a hip replacement late last year. Spent one week at the hospital and another 4 weeks at a related extended care centre.
    Just about everyone involved were terrific. Professional and genuinely caring.
    Ours is just one anecdote but I got a good perception of health care.
    The poor buggers do work their arses off. I imagine they hit the plonk often enough to relieve the stress.

    There was however, overkill in the home care once we got home. A myriad professionals would visit (almost all of them gentle young ladies) and each one would recommend another professional for one thing or another.
    It got to a stage where mom was so sick of people visiting she rejected all other recommendations, and then Wuhan Flu hit.
    We still get 2 visits per week from home help ladies (almost all of them of Indian heritage) provided by the local council, who charge us about $2.30 per visit which lasts half an hour for a shower and hair brushing etc.
    They even got us toilet paper during the panic buying (apparently the council stocked up. Good forward thinking) and they’ll do the shopping if we need, which we don’t.

    This is why the whole response to the Wu Flu was so stupid. All local councils know who the needy oldies are and have well operated systems to look after them. They should have been quarantined away (like I did my mom way back in the 3rd week of January) and the rest of us should have gone about our businesses building herd immunity.
    Dick heads.

  17. Tim Neilson

    My friends in the medical world would all corroborate what min, vagabond and Michael Kerrigan have said.

    I don’t know whether it’s still the case but apparently the first year doctors at the hospitals used to get paid less per hour than the cleaners. That’s not uncommon in “apprenticeship” type jobs of course. When I started in the law the articled clerk’s wage was (quite rightly) not much more than the minimum wage.

    But friends in health care generally say that the HSU is very good at protecting its members. OK, that’s their job, but one wonders whether they’re perhaps too good at it for the overall efficiency and cost-effectiveness of the system (cf HB Bear having to wait for a pool orderly cuz demarcation/wukka’s rights/scabs).

  18. Rex Anger

    @ Tim Neilson-

    HB Bear very likely was treated at the hospital I once worked in. It was very new and fancy and late-running and overbudget at its opening in 2015. Its upper management was and is staffed almost exclusively by bureaucratic incompetents and dilettantes.

    This hospital, from about 2016/17 up to at least the end of last year when I resigned, routinely scored the lowest staff engagement rate in the entire WA Health Department. Everyone other than the aforementioned bureaucratic incompetents and dilettantes reported they were very stressed, had no confidence in their managers or executive leadership, did not feel safe to report bullying (or expect to see appropriate action taken if they did), and did not feel confident or supported in their professional futures.

    Conversely, they would go out of their way to help and serve their patients. It was very rare to receive negative patient feedback.

    It was universally known that the Service did not have anyone’s back, in any discipline or at any level. Staff tended to respond to this by voting with their feet. Pouring everything you have into the people in your care is sustainable for only so long.

  19. hzhousewife

    All the above comments are relevant.
    I am an ex-medical professional of sorts, worked here and UK.
    Then I became a Pubic Servant briefly.
    After that I became a small business owner.
    Drawing on all my experience, may I say that the most effective thing that any corporate, medium or small business enterprise, government or for profit, can do, is ROSTER CAREFULLY.
    A good roster fulfills the work to be done, AND keeps staff happy. Happy staff STAY. This helps.
    Unions are the condom on the penis of progress in this regard, local conditions should allow local flexibility.

  20. PB

    “Drawing on all my experience, may I say that the most effective thing that any corporate, medium or small business enterprise, government or for profit, can do, is ROSTER CAREFULLY.”

    This would appear to be a radical, off-the-wall solution in the minds of health bureaucrats. I’ve never actually seen it done after years working in Health.

  21. PB

    “This emotionalism and hysteria becoming fact is the feminisation of the scientific method. It has only just started. Wait for the affirmative tsunami to reach all positions of power.”

    Absolutely. Already happening.

  22. Tim Neilson

    bureaucratic incompetents and dilettantes

    Yes. A friend of mine works in an admin department at a public hospital. She got an email from the manager saying she wasn’t meeting the “targets” (set by the manager) whereas most others were, so she’d better lift her performance.
    My friend talked to all the other staff and found that every one of them had received the same email.

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