"Not for profit" (ha!) system, CEO is getting more than a 20% pay increase this year. No actual medical training.
The max anyone who does any kind of direct care is eligible for is 3%, and that's sliding based on merit, which is curved... so a max of 1/4 of people will get the max, which is still less than half of inflation.
When does the revolution come?
Any advice for a mid-50s, mid to later career doc who's just fried but can't retire yet, for other kinds of work away from health care?
Patients either enrage or bore me increasingly. The system of care is so corporatized it makes me want to vomit and scream. I am not built for private practice, and need a gig with benefits.
I'm so angry and tired that I'm not having much success with my cognitive flexibility to brainstorm my way out of this.
One of the people up in our system is super sold on the maha train and wants us on board. Do I think there's room for a careful and nuanced look at how and when psych meds are prescribed? Of course. But without first ensuring the alternative of enough psychotherapy is available, or that the admin isn't anti harm reduction or anti housing first; that they aren't criminalizing mental illness and wanting to return to mass institutionalization; that they aren't drawing erroneous links between mental illness or ssri use and violence or likening using ssris as akin to using street heroin... and until they acknowledge that a bulk of ssri prescribing comes from pcps...
I am not buying a ticket for that train. But I also need my job. I don't think there's a route where we're going to be allowed to stay quiet, either. I think there's going to be a point where it's full throated buy in or nothing. Usually it is with stuff like this.
Maybe this is just a vent. Though advice or commiseration welcome.