

urban areas yielding better returns limiting access to the quantity and quality of medical care for rural patients
In the US at least, there’s also a disparity between doctors in the inner city (that’ll take your insurance) who treat a high volume of the urban poor, and doctors in the suburbs whose patients are whiter and wealthier.
One’s way less likely to listen anything you say, and more likely to be infantilising.


I’ve often wondered why that is. There is a general effect in the medical industry that tends to make people numb/calloused, but I assume the magnitude varies. I think management is able to more effectively weaponize the empathy of admin staff against them, just like nurses and EMTs (who in the US are not paid a living wage). The most fucked up combo has to be being paid peanuts and being constantly made to feel responsible for life or death outcomes, while not actually having any decision-making power.
On top of that, advancement in medical administration seems to depend on being able to act like a sociopath. So you eventually either burn out horribly with nothing to show for it, or you become a monster and make the big bucks.