The lightning move by Republicans in Congress to prepare to repeal the Affordable Care Act (ACA) or Obamacare—before Donald Trump even took office, with only the vaguest idea of what is to replace it, and with full knowledge that a large majority of Americans oppose the repeal of its most important provisions—gave a sign of how far the new single-party government intends to roll the clock back, with dizzying speed.
Working in healthcare has been transformed in a very alienating way. The workplace is drowning in fancy hi-tech machines. Cadres of bureaucrats spend their working hours promoting the product of healthcare with marketing campaigns. The rank and file hear daily admonitions to smile more and are told, “Just be glad you have a job.” Bureaucrats preach “customers come first,” while cutting service and staffing. Hospital and HMO executives are in a race to eliminate labor as much as possible in their “product.”
Contract bargaining has begun between the California Nurses Association and Kaiser Permanente. CNA has steadfastly rejected management’s demand to hold negotiations in closed sessions.
Healthcare reform took cost-control ideology to a whole new level. The Affordable Care Act (ACA) has been transformed into its opposite by the HMO industry which sacrifices the lives of patients and workers alike for the sake of fiduciary health.
The war against birth control is a war against the idea that women are actually human beings who have a right to control their fertility and plan when and if to have a child.
Reliance on metrics in healthcare has become a new Taylorism, or management by time study. Everything in the hospital workplace is now tracked by sophisticated computer programs, down to every last pill, gauze and penny, and down to every last motion. This vast pool of information becomes Big Data.
On Jan. 6, RNs from the California Nurses Association (CNA) picketed a new state-of-the-art facility at Kaiser Oakland to protest increasing restrictions on access to care while decreasing frontline care staff. The opening was timed to coincide with the implementation of the Affordable Care Act (ACA).