Its Time to Get Out

Found this video in my Youtube suggested viewing feed of Daniel Mackler who was a US based psychotherapist explaining why he quit being a therapist. I highly recommend you watching at least the first few minutes, it may awaken you – as a patient – to the realities of what it is like to be a regulated health care practitioner and to the effects that these realities have on the health care you are provided.

Think about this…

This therapist who seems to have his moral compass pointed towards True North, who seems to have a high set of ethical standards, who seems to place his patients needs far above his own needs (including his own financial and personal needs to have a career that compensates him appropriately)… and this is a therapist who has removed themselves from the field of psychotherapy.

Which begs the question…

What sort of health practitioners are left in the system when you have therapists such as Daniel Mackler pulling out?

Now you may say that health care here in Canada is different.  As a regulated health professional I can assure you it is not.  In the past couple of decades the shift towards managing by spreadsheet has taken over… and revenues, profits, utilization rates, Rx per patient, everything is being managed in our health care system as if we were manufacturing widgets where the goal is optimize optimize optimize until the system is streamlined to the max.

Works when you are making widgets. This optimization does not work when you are dealing with human beings, because there are no two humans – even two humans with the same diagnosis – who are identical. There is a line between optimization operations when dealing with things, and when dealing with people… and in health care that line was crossed long ago.

This is why top health care practitioners are finding themselves unable to practice within the regulations, standards, and guidelines of the health care systems: because the demands of the system in many ways are now in complete conflict with the needs of patients.

Its not apparent at the top where decisions are made (e.g. by politicians, by Ministers of Health, by administrators of health care facilities or arms of the Ministry), but on the front lines it is… and that is where actual health care is delivered.  As much as politicians may want to believe that the government delivers health care it doesn’t… health care is not delivered on the level of a population, but on the level of the individual.. and that is what has been forgotten.