[MR_Bulldops]

> Yeah, okay.

What's with the attitude? Do you think it's ED staff that created those training documents?

Do you think ER physicians who spent years jumping through hoops to get accepted into medical school, then spent 4 years in medical school followed by 4 years working 100 hour weeks for minimum wage as a resident do all of that so they can gouge patients for money?

Do you think RNs who jump through years of hoops and school, who sign up to help people during the worst times of those people's lives get off by upselling them on treatment?

There is a massive amount of misplaced vitriol toward medical providers that should instead go towards hospital admins and their profiteering ways.

[kixiQu]

Why should it matter whether they feel bad about it, whether they "get off by" it? The reporting here is very clear: the possibly-illegal profit-seeking of purportedly nonprofit health care facilities isn't something "hospital admins" do on their own, it's something that those patient-facing staff are out there consciously enacting every single day. And anyone there could have decided they find that unacceptable and moved to work for other institutions. Definitionally, the ones still there did not. Everybody is complicit. And I say this as someone who is conflicted about my own job, who has all sympathy for individuals trying to figure out their own moral responsibility in shitty situations, so I'm not directing vitriol as those workers at all – that is, when they're not publishing op-eds framing their workplace as the last bulwark of social ethics where they help the helpless and do what others won't and people should be looking to them for guidance and don't ask about how many patients they send to collections please and thank you.