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[eustacia_vye28]

I find this a wee bit amusing, in a shadenfreude kind of way. Last December, the hospital administration decided they were going to eliminate cashing out ETO starting this year. I get 300 hours for the year, tho I just was reminded that having worked here five years, I should get 310. Days off when the clinic is closed apparently subtracts from my

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[eustacia_vye28]

Pretty much. When I first arrived, some of my patients have had five different doctors in six years. I've been here five. I get pissy because it's very clear that administrators don't know or value what I do. They just look at the bottom line and blame it all on the doctors for not doing enough. Yet they don't bother looking at the fact that over 50% of the patient base right now is on medical assistance, and that pays for shit. They get whatever meds I want to prescribe, as opposed to commercial insurance; it was the opposite way around four years ago before more of the ACA asshattery kicked in. But MA pays less than 35% of what they're charged, IIRC, because commercial insurance pays out 35% and wants to match MA. And administrators act like it's our fault, when we're not the one bargaining for the payment contracts.

Yeah, I don't toe that party line. Every time financial meetings come up and they talk about being behind budget, I point out that payment disparity. Because I am over the estimated capacity every week yet still come out behind in payments, and I refuse to take the blame for that.

[vikingprincess]

Just gotta keep on keeping on... but consider working for a university hospital once Maddy's around 10th grade. Do it only at a university that will pay for part of your kids' college no matter where they go, though! (mua ha ha, game the damned system)

Bed soon. Comments for you this weekend!

[eustacia_vye28]

It might be an option. University positions typically pay less than private hospitals, but the benefits are usually awesome. I say this as a former state employee. :D

Good night!