“The people that built america are dead and the dregs are too stupid to run the show.”
That is NOT TRUE!
Here is how the best hospital in the country continues to reinvent itself and serve the community. Stanford Hospital is the gold standard by which all medical care facilities should be judged. And it’s far, far from just the physical plant. There isn’t one person who works there who isn’t committed to service to the patients. Ask anyone who has had to avail themselves of Stanford’s unparalleled services.
http://www.sumcrenewal.org/projects/project-overview/stanford-hospital/
"Should be" and "are" are two different things.
The multi-headed beast that is the Dept. of Veterans Affairs needs a scorched-earth reset from the office of Da Preezy on down to the charge nurse at the ward.
Stanford may be as you say, but Stanford sets the bar High for itself and tends to take of the best of the best..there by reducing the compentency pool for the rest of America(which I don’t mean as a criticism). There are islands of light but the general drift in America has been a loss of generally competent folks who keep the clocks working, the lightbulbs changed, the plants watered, the toilet paper in public bathrooms stocked, those hidden corners in elevators swept(I noted a cigarette butt in such a corner once that that was there for 5 years and is probably still there!)
Hospitals are insisting on basic higher degrees for their nurses beyond ADN or 3 year diplomas. Now one would think that is a good thing until you realize that the BSN’s stay at the bedside for about a year or 2, then move to get administrative jobs or go on to NP or nurse anesthetist school! Hospitals lose 30 per cent of such nurses over 3-4 year cycles and the pool of wise bedside nurses who are 10 to 20 years experienced is rapidly shrinking or being forced out because of their age(top salary scale, considered too expensive despite that they may have good health and some 10 to 15 years to go before retirement) or lack of artificial credentials. Thus, we see a growing younger population of nurses ill equipped and not experienced enough to weather the sudden weird twists and turns that can happen with patients. We are also seeing as well much learned helplessness and lack of strong self reliance in the newly arrived millenials. They quickly get tired of the drudgery having no strong root in themselves and they soon leave for perceived easier jobs with promised higher salaries and benefits! Thus we see large average churn rates in bedside RN’s with almost 75 per cent turn overs averaged over 6 years...which means as a new or experienced RN, there is a 75 percent chance you’ll have gone on to different pastures by the end of 5 years!
Citing an exception doesn’t make the point. As civilization recedes by way of moslem perpetual violence, fewer are around to maintain the level of tech competence which we see as normal.