This is the inevitable fact of aging… we are going to need health care. It does not matter how many squats you do or how much broccoli you eat, it you live long enough you will need to access the healthcare system. I have worked in healthcare my entire adult career and I have seen enormous changes over the years. An appendectomy used to require an incision, and a five day stay at the hospital. Now it is done with a scope, and you go home the same day. Advances in healthcare have been amazing and will continue to benefit us. On the other hand, healthcare has also declined – often referred to as a broken system.

Put on your best old geezer voice and say, “well… it wasn’t like that back in the old days.”

My recent rub with a broken system

A few weeks ago, I needed to go to urgent care for a minor issue. I checked in with the friendly clerk who was having trouble with the computer system. I knew I was in for a long haul when I looked around the waiting room and realized I would be about the 9th person to be seen.

You see a very raw cross section of humanity in emergency and urgent care waiting rooms. After all, everyone seeks healthcare at some point. We often insulate ourselves in our little world of friends and family – people who have similar values and lifestyles as us. But a waiting room throws all of humanity together, when they are not feeling their best, in a little enclosed box.

Two people were in masks and coughing. Then in walks an older woman with matted hair, coughing and hacking. She was clearly ill. When asked to wear a mask, she waived it off. The clerk firmly told her she needed to if she wanted to be seen, so the woman held a mask up loosely over her face while germs spewed out the sides. I am not here to debate COVID or requiring people to wear masks. I will leave that for people with tougher skin than me. I am just suggesting that we respect other human beings and try not to spread our germs.

After a two hour wait, I was seen by a competent nurse practitioner (NP) who was clearly overloaded. My visit was quick once I was finally seen and I was grateful to get out of there without catching something else. I recovered and then about a week later, I sadly found myself back in an ER waiting room.

My 2nd rub with a broken system

Shortly after my experience at the quick care, I received that dreaded late night phone call. My sister was on the other end of the line and said dad was headed to the E.R. I have written about my dad several times: Tucked Away up North, Heading to the Hills, The Great Columbia River Gorge, and Two Words to Maintain Your Health. He is one of the good ones.

He was the rock of my childhood and has been our entire families’ example of how to live life with integrity, wisdom, commitment, faith and a little humor sprinkled in. While my dad is 98 years old, he has been very healthy. Until recently, when the very thing he dreaded happened… he fell and broke his hip.

It was a Friday evening and the E.R. was buzzing. Patients were left on gurneys in the hallways because the beds were full. Hospital staff stopped by briefly but most whizzed past us to care for more urgent patients or were glued to their computers at the nurse’s station. As you know, it is heart breaking to see someone you love in pain, especially when you can’t do anything about it.

Like any profession, there are some excellent health care providers and some that are just there to get their paycheck. Most are friendly and competent… and all appear to be overworked. When you are ill and at your most vulnerable, you are thrown into this overstressed healthcare system. You are at the mercy of overworked healthcare providers who are trying to do their best but are spread too thin.

Once admitted to the hospital, you may have a surgeon, a hospitalist, NP or PA, and perhaps a specialist. You also have an RN, several CNAs that move in and out, a team that turns patients, one that starts the IVs, respiratory and physical therapists that tend to those specific body functions, a transport team that moves patients between units, and still another person that does the discharge planning. We were never clear on who had the overall picture. It felt like a very disjointed mix of care. And this is coming from someone who has a pretty good understanding of healthcare.

Why the system broke

People that go into healthcare do so because they want to make a difference in people’s lives. I know that was the catalyst for me. Sadly, as with most things in life, money has become the driving force in healthcare. There are too many people that are uninsured and those that are do not have much control. The insurance companies and Medicare determine which providers you can see (in network), what tests are allowed (i.e. what they will cover), how long a patient can stay in the hospital, and ultimately the number of staff a hospital can afford. Litigation has also driven up costs, which includes not just the process itself, but the costs behind the scenes to monitor and prevent it, as well as the common practice of defensive medicine.

Many competent people left the healthcare professions during COVID, deciding it was not worth the heartache and risk. Those that stayed were then short staffed. This increases workplace stress, medical errors and burnout. The main reason people leave the healthcare profession is not because they suddenly do not like their chosen profession, but because they cannot provide the kind of care that was the very reason they went into the profession to start with. It is a broken system that affects all of us.

Healing

The healthcare system is very complicated with thousands of moving parts. The upside is that technological advances continue to improve it. But more importantly, the broken system is made up of many wonderful healthcare providers who are doing their best. Healing comes from competent people who truly care about their patients. My dad’s surgery went well, and he is in the slow process of healing, thanks to some very skilled providers.

On a happier note, March madness is in full swing. My team fell out in the second round of the Big Dance, so now I am rooting for Arizona. Go Wildcats! I am still hopeful that my bracket will stay strong in the family bracket competition so I can get some of that money back from my kids that I put into braces, sports camps and college tuition. 😊

And… I think spring might finally be on the way. The days are getting longer, and the daffodils are getting ready to bloom. Hope rises.