Source: https://www.reddit.com/r/medicine/comments/p4kcwi/we_cannot_stretch_anymore_hospital_leaders_on/
It's interesting to see r/medicine and some of the other medical subreddits start to radicalise against antivaxxers. Moral injury and secondary-exposure PTSD are already huge killers in the field. The normal moral context behind normal cases in an ER or ICU really does a number on staff, and now they've got a very strong ethical dilemma. Their sickest patients are either lemming terrorists who were fine with murdering everyone to disprove germ theory or they're the victims of those terrorists. While dying of a virus they don't believe in, those terrorists will still push their bullshit and expect sympathy from someone who has spent a year in a plague warzone watching people die.
The professional subreddits are slowly but surely beginning to turn hard against COVID deniers. Mods ban them if they post, commenters are more vocal about the situation and now understand "do no harm" with moral nuance similar to a medic's "do no harm, do know harm". As further variants and waves batter a wounded field full of wounded people who have already began striking against their hospitals, it's going to be a fascinating time to keep an eye on the medical community
Expect even more NPs, although the costs of those programs has also increased over the last 5 years, so less people are applying. Student loan debt is causing many to stay at the RN or even CNA level.
We’ve already hired some docs who were previously rural GPs, but closed their practice and moved due to their communities not following quarantine / vaccinating. When your patients won’t listen to you, there’s not really a point in staying.
We’re preparing for at least another year.
The hate for midlevels in r/medicine is an interesting dynamic. Docs there see NPs like we see scabs. Correctly so but the increase in quickstream licenses like NP/PA/LPN will probably undermine a lot of the status and benefits of MDs/RNs. They might get the scarcity benefit that post-plague serfs did or they might be increasingly replaced by midlevels with expanded privileges. I know the NP association is pushing hard for a GP-like scope of practice. Even that LPN is a five digit investment to enter an industry where the workers are striking outside the hospital and the work will kill them faster than a trade for less pay.
Losing rural practitioners and expanding the hinterlands will be catastrophic long-term. At least a fair amount of alternative woo is sought out because they have no access to real or good medicine. Without a positive relationship to that system, which they have lots of reasons to think is trying to fuck them over, antivax conspiracies are an extension of the real and imagined conspiracies of the masonic temple they can't enter. When those same people genuinely have no access, facebook will have answers. They'll be even worse next time.