I had a meeting with some suits a few days ago. Pretty boys from corporate with their perfectly coifed hair and shiny shoes.
Never trust a man with perfectly coifed hair and shiny shoes, particularly if they are traveling in groups…
I listened to an hour long presentation about how I need to refer within the system more often. How I need to change diagnosis codes to make my patients look sicker. How they will be providing me with more data about how I am doing with preventive care and blood pressure and diabetes and congestive heart failure for certain insurance payers.
Look, I don’t even look at the crap you are already sending me and I am performing at the top the system. Save yourself the trouble. I am not going to treat one patient differently than all the rest just because they have a different health insurance.
Then I was told that I have to earn a certain number of “points” by logging into their website once a month, attending pod meetings, reading articles that they determine and answering quizzes so I can prove that I am “engaged” and make “bonuses”.
Why do I get so angry? Why do I let it get to me?
When I am around my family, I am hypersensitive. I am just waiting for someone to do something offensive. And if they do not do anything offensive, I am offended. I WANT to be angry at them, damn it!
I WANT to be angry with the suits. It makes me scowl during their presentations. It makes me open my mouth and say things that they scribble in their notebooks and will take back to corporate so I can be put on a list of those who are not “on board”, marked if you will.
We need to get rid of her…
Words I used with them: dishonest, unethical, etc. I told them it was shameful to treat employees the way they are, limiting the referral base so much that I cannot get them into a psychiatrist for crying out loud. And they are recruiting more companies to particate in this restricted insurance plan. I told them that my primary responsibility was to the patient, not to the system, that I will not refer to a specialist simply because they were part of the system.
Why can’t I just keep my mouth shut?!??!?
Jealousy: They are making so much money with just an MBA to sit at a desk with no liability.
Defensiveness: They are telling me what to do. Who are YOU to tell me how to do my job?
Survival: Every time someone up there comes up with a brilliant new idea, they do not realize or care how much more difficult they are making my job.
Moral Superiority: Monopolies make me uneasy. This is what they want. A monopoly. They are selecting for sheep. Automatons who no longer question, no longer think. Follow a protocol. Do as you’re told.
My mouth, though, this anger and my subsequent inability to play the game… I am afraid it is going to keep me from ever affecting change. It makes me want to skip these meetings, avoiding them all completely. It makes me want to disengage.