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Centrist vs Local Social Systems

Gross, Ronald Ronald.Gross at baystatehealth.org
Sun Jul 26 23:44:34 BST 2009


" Whether you're "productive" or not, whatever that may mean, has had nothing to do with getting paid"

C'mon, Rob!  That is the crux of the matter!  What ever happened to the concept of an honest day's work begets an honest day's pay?  As to productivity whatever that means, well I suggest that it means whatever the boss says it means.  In our case - and in the case of most professions - we should (and should is the operative word here) be our own hardest bosses aka task masters.  Knowing you and guys like McSwain, Mattox and the vast majority on this list, that is a given, and we would work as hard as we could because we love what we do - and we have the moral integrity to make sure that we have earned every penny we didn't get paid.

Now, look at the rest of the labor force - yeah, the very same folks that we provide health care to - and tell me how many of those that demand and expect health care as a God given right have earned their paychecks, and have earned the right to the same quality care that you and I pay for.  Sorry to sound so damn cynical, but therein lay the basic problem that has rotted the infrastructure of our society as we know it today.  I am tired of looking at the elephant in the room and calling it a God-Damned mouse!

OK - fire away.

Ron
-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org] On Behalf Of Robert Smith
Sent: Sunday, July 26, 2009 6:09 PM
To: Trauma-List [TRAUMA.ORG]
Subject: Re: Centrist vs Local Social Systems

Puhleeeeze. I've worked my entire career at a public hospital, as I  
assume Dr. McSwain has. I've been paid a salary. Some people there  
could just show up and some people tried to be excellent every day.  
Whether you're "productive" or not, whatever that may mean, has had  
nothing to do with getting paid.

I believe the people on this list that everyone respects would work as  
hard as they possibly could whether they were getting paid a lot or  
not so much for the privilege of being able to do what they do.

Rob Smith


On Jul 26, 2009, at 5:56 PM, Gross, Ronald wrote:

> "who believes in being required to be productive in order to get paid"
>
> WOW!!!  What a concept!!  I wonder if it will ever catch on in the  
> US.....................again.
>
> Things that make you go Hmmmmmmmmmm......
> ________________________________
> From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org 
> ] On Behalf Of McSwain, Norman E Jr.
> Sent: Sunday, July 26, 2009 5:36 PM
> To: Trauma-List [TRAUMA.ORG]
> Subject: RE: Centrist vs Local Social Systems
>
> Sorry to disagree but I think it is the system that has failed or  
> has allowed the entity to fail. There are many other well known  
> similar systems that failed when they have become 'federalized' .  
> One of these is well known medical system and the other one is a  
> travel agency. Both of these systems started off with very good  
> intentions until the members lost the incentive to be productive and  
> were just looking for a place to remain protected and get their  
> paycheck. More interested in the paycheck than the service that they  
> were supposed to provide to the public. But of course that is a  
> person opinion from one who is capitalist who believes in being  
> required to be productive in order to get paid.
>
> Norman
>
> Norman McSwain MD
> Trauma Director, Charity Hospital
> Professor of Surgery, Tulane University
> New Orleans LA
> 504 988 5111
> norman.mcswain at tulane.edu<mailto:norman.mcswain at tulane.edu>
>
> ________________________________
> From: trauma-list-bounces at trauma.org on behalf of Doc Holiday
> Sent: Sun 7/26/2009 2:24 PM
> To: .Trauma List
> Subject: RE: Centrist vs Local Social Systems
>
>
> From: nmcswai at tulane.edu
>
>
>> left out the other 'wonderful' social system...US postal service...
>
> ==> When it comes to nationally sponsored bodies he may have also  
> left out the US Military and the judicial system, not only the  
> USPS... There are success stories and failures, be they among  
> capitalist entities or "socialised" ones or "federalised" ones;  
> likely therefore that it is the entities which are at fault, not the  
> sysem within which they live. The UK postal office is not held up as  
> an example of success either.
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