this post was submitted on 20 Apr 2026
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Climate Crisis, Biosphere & Societal Collapse

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Among 18 rich countries, satisfaction with healthcare quality fell sharply after Covid hit and remains well below pre-pandemic levels. It is typically thought that domestic policy determines the challenges of healthcare but the article points out that, despite healthcare funding being the highest it has ever been, outside Covid productivity has stalled.

The Australian workforce has grown by 20% since 2019 but elective surgeries have flatlined and people are waiting longer to be seen. France, Canada, Germany, the US and the UK are similarly ailing.

But the bit of the report that caught my attention was something that has been right under my nose.

We know that Covid caused a mass exodus of nurses and doctors who resigned or retired early.

But the ones who stayed often reduced (note: not stopped) their “discretionary effort” such as staying back, teaching, mentoring or doing the myriad things that help the profession thrive. Medicine has become more transactional for everyone, not just patients.

...

The problem is that administrators still think that stress, burnout and “quiet quitting” are individual issues to be expunged even when the evidence shows that they are systemic and affect patient care.

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