Physician and Nurse burn-out – Part IV Vagina penalty

“Le plus scandaleux du scandale c’est de s’y habituer” Simone de Beauvoir

One of the more irritating and at the same time pressing issues that we have to quickly correct in most of our health care delivery systems – not only to stop the “hemorrhage” of so many disillusioned professionals into early retirement that we just cannot afford to continue unabated, but also to promote the recruitment of younger cadres as well – is the thorny issue of Gender Inequality in pay scales and benefits. And let us make a point very clear from the start. It not only affects our women colleagues but, us men, too. We cannot expect to have a congenial workplace if whomever is daily working shoulder to shoulder with us is being paid less than we are for an otherwise totally similar task.

On what grounds does this scandalous state of affairs stand?

A teeny-weeny detail: she is a woman. She is being fined with the vagina penalty.

In our new book Emotional Frustration – the hushed plague we have extensively discussed the various forms of financial and economic discrimination that our dear women are being subjected to, even in our supposedly much more egalitarian times. We will discuss this issue many more times in this series but today we are showing you what we wrote about the inequality in the British National Health Service (NHS)

“In May 2018 the United Kingdom’s Department of Health and Social Care did a study on gender equality in the NHS [i], led by Professor Dame Jane Acre; it used data from 10 years of electronic records of 16,000 general practitioners and 96,000 trust physicians. They found that the gender gap was 17% based on total pay, which contributes to the overall 23% NHS pay gap. “Male doctors are earning 1.17 pounds for every pound earned by female doctors in the NHS, and new data reveals that women are still not represented in equal proportions in senior medical grades, with nearly 32,000 male consultants to just 18,000 females. The General Practice gender gap is 33%, which is far higher than the average in medicine.” [ii]

Even though half of the physicians in training were female, only a third of the most coveted positions were held by women—18,000 women in a total of 32,000 consultants. They were disproportionately present in lower-paying specialties like Dermatology, compared to the higher number of men in higher-paying ones like Surgery. The same study showed that the demands of motherhood and the burden of irregular working hours seriously harmed their career advancement. [iii]

If this abject pay scale disparity for men and women can occur in a supposedly modern society that had recognized the societal value of equitable access for Health Care, what can we expect of other less enlightened ones?  We, the XY-healers, know that our female peers often work much harder than we do. Noblesse oblige.”

What do you think? Please tell us.

Don’t leave me alone.

[i] https://www.gov.uk/govenment/organisations/department-of-health-and-social-care

[ii] Laura Butler, “Male doctors earn 1,17 pounds for every pound earned by female doctors”, Press release, March 29, 2019. https://www.surrey.ac.uk/news/male-doctors-earn-ps117-every-ps1-earned-female-doctors

[iii] Denis Campbell, “Male NHS doctors earn 17% more than their female peers”, The Guardian, March 28, 2019.

https://www.theguardian.com/society/2019/mar/29/male-nhs-doctoors-earn-17-more-than-their-female-peers

Physician and Nurse burn-out – part II Jockeying games

One of the more insulting and disgusting maneuvers that most physicians and nurses have to contend with in our tough professional careers is the sickening, absurd re-positioning of our roles in a care team by the hospital and clinic administrators. Feverishly eager to find a “better edge” to supposedly deliver a much more “efficient care”—a not so subtle euphemism to mask their perennial quest to save a buck—they usually sit down in their plush air-conditioned offices to concoct all kind of specious changes to our work schedules and organigrams–effectively treating  us as inter-changeable peons in the big chessboard of their institutional structure. And, being usually totally ignorant of how a particular health care delivery team really works, they almost never fail to pick a humble nurse who, being very professional and committed, seemingly does not make much ado at her critical role in the team. She just soldiers on. Their maladroit tampering will trigger a chain reaction with unforeseen consequences.

The jockeying games.

Abusing an equine metaphor, we could say that they treat us as just a bunch of race horses—highly trained but docile animals all the same—whose standing they must continually re-arrange in the start line to get the best performance in the race track; infused with a self-serving objectification of their subalterns,  they “candidly” believe they can make do without any consideration whatsoever for our thoughts, desires, personal issues—let alone our feelings and aspirations. After all, horses do not feel. Or do they?

We have been far too meek to confront them in order to at least voice our concerns. Unfortunately, this perverse maneuvering affects our nursing colleagues the most. Career nurses have taken a long, long time to acquire the skills and expertise to fill critical positions in a specialized care team, something that cannot be replicated “on demand” by the bureaucrats manipulating their schedules and labor requirements.

Moreover, the same difficult and exhausting learning process involves all the other members of a particular care team, which endows them with their precious value. If a careless bureaucrat decides one day, out of the blue, to take one of these highly skilled nurses from that habitat and force-land her in a completely different team altogether, often great misery ensues for all, including the sacrosanct “bottom line.” Even the humblest of nurses is usually much more important than all the physicians combined in order to secure the smooth functioning of a specialized care team. What would happen to the daily surgical schedule of a major hospital if the nurse that does the final check-up at 6 AM is being replaced by a novice graduate in the OR suites?

Worse of all, these committed and expert women have painstakingly accommodated their family obligations to the draconian demands of their career obligations, which is no easy feat. The daily schedules of these devoted wives, mothers and daughters have been methodically calibrated to the latest minute in order to achieve their utmost efficiency for good outcomes for their loved ones. How can they suddenly switch gears and find the alternate arrangements for their partners, children, elderly parents, pets, etc., in that gratuitously provoked (often manly) mess in their agendas?

The institutional mandarins should stop playing around with our personal lives.

What do you think? Please tell us.

Don’t leave me alone.