Here's a non exhaustive list of what makes public health care services scary for people who would like to be a part of it. This list is made considering my personnal experience as a physiotherapist in this system.
First of all students are not payed at all during their entire traineeship. Schools and hospitals doesn't even pay back the gas you will consume and they don't feed you. But the customers you will treat would pay their appointment as if you would be a graduated worker.
As a former "student representative", I tried to make my school realise this was slavery but I was threatened of "unexpected failure" if I would dare to talk over this subject with other students. Also they made up an answer like "no way we could pay you, would be too hard in admninistrative work".As an independant physiotherapist you are forced to let doctors choose numbers, frequences and duration of your work. Also doctors are choosing the treatment you should apply, but most of them don't know about new methods in physiotherapy so they would just write down unconsistent "therapy lead"
Taxation is so heavy, starting as an independant is almost impossible. Moreover there is a "minimum taxation" you can't avoid disregard you could pay it or not. I was once struggling with it and tried to make the cost drop down a bit. The answer : "Mister, you're anti-system. You pay or you give up on your job".
The health care system still works with typewriters. The governement provide every year 800€/physiotherapist as a bounty for an app-provider (Microsoft Excell work mainly ...) that just print on certificate through an electronic typewriter.
Understanding and spending time with all these obsolete partners will be considered as volunteering.Schools and university never proposed any practical improvement in administration when they have slaves that works for them. But they use their student-slaves for producing unconsistent theoretical works.
any massagist will get paid better than a physiotherapist.
I endossed the role of therapist to help the people and I end up giving up on my work because I wasn't "productive enough".
Now I think I'm just going to transmit every therapeutical tools I developped through my practice with youtube and drop them on steemit.
Don't hesitate to upvote, react or whatev's
Have a nice day
Interesting, I'm a PTA on home health, and I've seen some of the same issues here in the states, depending on what system you're in.
In a SNF setting, the "productivity" standards are ridiculous. As a PTA I was expected to have at least 92%. Meaning that 92% of my clock time, I was expected to have a patient in a billable activity. That's doable, but stressful. PTs are expected 90%. With all of the paperwork required, that's damned near impossible.
Now that I'm in home health, it's a MUCH better fit for me. My productivity is based on "units" per week. I'm expected to get 32. That's a combination of patient visits, driving miles, and required meetings.
We have the same clinical system in school. 12 weeks of unpaid work for me, and I believe that as much as 20 for PT.
Depending on which state you're in, the pay varies wildly. When I lived in St. Louis, the ceiling for my pay was about $24/hr, now that I moved to Texas, I can make up to $40/hr. Full PTs make significantly more.
It appears that PTs here have a bit more freedom on their treatments. Orders usually come through as "Evaluate and Treat As Indicated"
Anyway, good luck to you! I enjoyed the post.
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Interesting ! I had never heard anything about PTA out of Europe before your comment, thanks ! Probably some other posts about health incoming. I'd like to elaborate simple advices to make the dialogue between Hospitals employees and their customers easier.
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Greetings @legiah, good to make your aquaintance!
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