@Capt. Zapp
Sounds like the places my GF worked in CdA.
Sandpoint, actually. But here's a true CdA story: elder bro-in-law damn near died of ill-health issues in a CdA hospital. He was transferred to and recovered in a Post Falls intensive care facility separate from the hospital. When it came time to bring him to a Sandpoint facility, they put him in a wheelchair, strapped the wheelchair to the floor of a transport van, and traveled the 50 miles from Post Falls over the two-lane goat path with him rocking and bouncing in his wheel chair.
When we arrived that evening he was complaining of being in pain, half beat to death from the ride. I raised hell with the Post Falls staff, asking why he couldn't ride in one of the more comfortable, padded van seats with proper seat belting. The answer confirmed what is so wrong with our dysfunctional _system_ of health care.
Naturally, the Post Falls administrator went into full-out all-stations defensive mode. A big meeting of facility personnel was called to meet with wife & I in a conference room.
The long & short story is: the driver of the van was not allowed by regulation to 'touch' the patient; there was no ambulance authorized to transport; there was no procedure that allowed 'authorized' personnel to 'load' Benny, or 'unload' Benny _apart_ from his wheelchair. So the only _legal_ option was to strap the wheelchair and its contents down for a 50-mile transport over rough roads.
Insane? Hell, yes! Ever try arguing _sane & sensible_ with a room full of health care professional whose every movement is dictated by reams and volumes of regulations, most of which are totally unknown to the rest of us? Good luck!
Benny survived. He gets three-times a week dialysis courtesy of you, me, and everyone reading this.
Which is another story: compared to the US dialysis system, the European model of daily _at-home_ dialysis has roughly twice the survival rate. But ours is mandated by regulation, insurance policies, and other restraints. And until Medicare and Medicaid came along, only the wealthy could afford it and there were very few facilities to administer it. Now, thanks to Fed$ubsidy $$, every town has at least one dialysis center. Here in Whoville on Misty Isle, one just opened up. To serve an island of 60,000 people. A full-time dialysis center! It's part of a huge franchise, as all of them are.
When does the word "dysfunctional" cease to adequately describe an on-going situation?