Restoring professionalism in health care: How 8-hour shifts and direct payments could make a difference

Yes, America’s health insurance mess requires repair. Meanwhile, there’s an even more crushing burden on America’s patients and health professionals—the replacement of professionalism by greed, the replacement of genuine professional leaders with pliable greedy ones.

For a long time before the 1980s, nearly all hospital nurses worked 8-hour shifts, getting sign-off before and giving it after, the same for hospital respiratory therapists, custodians, and pharmacists. Then, in the …

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