{"id":10406,"date":"2014-01-16T19:37:35","date_gmt":"2014-01-16T19:37:35","guid":{"rendered":""},"modified":"2014-01-16T19:37:35","modified_gmt":"2014-01-16T19:37:35","slug":"the_make_nurses_doctors_movement","status":"publish","type":"post","link":"https:\/\/admin.rushlimbaugh.com\/daily\/2014\/01\/16\/the_make_nurses_doctors_movement\/","title":{"rendered":"The “Make Nurses Doctors” Movement"},"content":{"rendered":"

\"Listen<\/a><\/p>\n

RUSH: Basin, Wyoming, next. Josh, great to have you on the Rush Limbaugh program. Thank you for waiting, sir. Hello.<\/p>\n

CALLER: Thank you, Rush. The reason I called is because earlier in your show you said that lateral movement is one of the biggest problems in our country right now, and I wanted to add to that and say that I think health care is actually one of the worst fields for allowing people to move laterally. When you have a nurse working in a long-term care facility for 30 years performing treatments, passing out medications, those people are capable of moving into the role of a geriatric doctor and competing against those people and driving down costs. But unless those people want to pay another hundred thousand, $200,000 into the Guild so they can say that they do have that knowledge and that experience, they can\u2019t move into that role and compete against, you know, their peers.<\/p>\n

RUSH: Wait. I don\u2019t think… I haven\u2019t used the word “lateral” on the program today. Are you listening to this program today?<\/p>\n

<\/p>\n

CALLER: Oh, yeah. Well, I thought earlier you were talking about people being able to move up in their career paths.<\/p>\n

RUSH: Right.<\/p>\n

CALLER: Like as in lateral movement, right?<\/p>\n

RUSH: Well, no movement. Some people can\u2019t move.<\/p>\n

CALLER: Yeah, that\u2019s what I\u2019m saying.<\/p>\n

RUSH: Some people are either losing jobs or they\u2019re losing ground, but the amount of upward mobility in the middle class is what I was talking about. What I said was that in any economy, good or bad, when things didn\u2019t go great, somebody gets hurt. When things are going poor, somebody\u2019s doing well, and there are always going to be a few entrepreneurs that are always gonna triumph no matter what just because some people are inclined that way. <\/p>\n

But the great thing about America and capitalism, was that the middle class in this country always had upward mobility. They always had the ability. If they did want to work hard, if they want to educate themselves, if they wanted to use all their ambition, they could increase their standard of living. That was almost a guarantee in America. That\u2019s gone now, because the pie is shrinking. The private sector\u2019s getting smaller as the government\u2019s usurping it.<\/p>\n

CALLER: I totally agree.<\/p>\n

RUSH: You heard me say that. Now, you\u2019re talking about a specific where some nurses are not allowed to become doctors, I think, right?<\/p>\n

CALLER: Well, not just specifically that. I mean, CNAs should be able to move into the role of nursing. Nurses should be able to move up into the role of doctors, as they gain more experience and more knowledge, because that\u2019s just stagnating people into —<\/p>\n

RUSH: No, no, no. Wait a minute.<\/p>\n

CALLER: — jobs as dumb as their degree says they are.<\/p>\n

RUSH: Wait a second. Why should a nurse, with only job experience, be able to become a doctor?<\/p>\n

CALLER: In long-term care facilities, you usually have like 80 or 90 patients in a building, and you have the nurses 40 hours a week doing all the treatment, doing all the medication, and maybe once a month you actually have the doctor come in and visit a handful of these 80- or 90-patient buildings, and they\u2019re making more money than the nurses who are doing all of the work and all of the labor, and they don\u2019t get any credit for gaining more knowledge and more experience. They don\u2019t get to make more money as they gain more knowledge and experience unless they want to go back to school and pay for it.<\/p>\n

RUSH: There you go. You don\u2019t become a doctor by becoming a nurse first. It\u2019s never happened, unless the nurse quits and goes to medical school.<\/p>\n

CALLER: Yeah.<\/p>\n

RUSH: And spends seven or eight years there.<\/p>\n

<\/p>\n

CALLER: Yeah. I mean, I know nurses that have been in health care for 30 years that, in my opinion, are even more competent than some of the newer doctors being released out into this field, and yet they\u2019re making more money because that nurse can\u2019t claim that she has more knowledge. She can\u2019t claim that they aren\u2019t competent or capable.<\/p>\n

RUSH: It\u2019s not just that. She\u2019s not accredited. She hasn\u2019t been educated to be a doctor. She hasn\u2019t gone to school. She hasn\u2019t passed the Hippocratic oath test or whatever the heck it is. I know what we\u2019re getting at here is, it isn\u2019t fair, and what we\u2019re getting at are these doctors. Look, isn\u2019t this typical? “These guys are making all the money and they don\u2019t do any work. They\u2019re out there playing golf. <\/p>\n

“They\u2019re making so much money, they don\u2019t even know how to count it all. They can\u2019t keep their finances straight. These guys show up once, they do their rounds, they don\u2019t even care if the patient dies. Whenever the patient codes, is it the doctor? No, it\u2019s the nurse. To hell with the doctor!” I get it. I really do, and it just isn\u2019t fair. I know nurses are mostly women, and it just isn\u2019t fair, \u2019cause after being 30 years as a nurse you probably know more than most doctors anyway \u2019cause you\u2019ve been doing all the work.<\/p>\n

The doctors, they\u2019re not really doctors.<\/p>\n

They didn\u2019t really do that. <\/p>\n

The nurses do it all.<\/p>\n

I know. (interruption) That\u2019s exactly right. It is inequality. It is unfairness. It is discrimination. It is bias, it\u2019s prejudice. I\u2019m sure there\u2019s nobody who can fix it. (interruption) No, Obama can\u2019t fix this. Only the nurses can fix it. (interruption) No. There\u2019s no executive order that will qualify. (interruption) Well, no. There\u2019s no executive order that would make a nurse a doctor after, you know, so many bedpan changes or whatever the qualifications are. <\/p>\n

It\u2019s not gonna happen.<\/p>\n

BREAK TRANSCRIPT<\/p>\n

RUSH: I guess I need to apologize, because I caught hell when that call from Josh ended. I\u2019m convinced, by the way, that Josh is an SEIU union rep. Because just in the short break there, I did a little looking up, \u2019cause I caught hell. My own staff said, “You didn\u2019t understand what he was saying! He wasn\u2019t saying (unintelligible griping)! It\u2019s still not fair!” I was descended upon here by my own staff. <\/p>\n

“He\u2019s right! He\u2019s right. At these long-care facilities the doctors only show up one or two times and the nurses do all the work! You don\u2019t know what you\u2019re talking about!” My own staff was saying this to me. So I\u2019m sitting here thinking there is something happening out there, not often, but this has really happened. This zoomed right by me. I did not know. I just looked it up and I found out that it does exist, and I\u2019m begging your forgiveness. I did not know that there was a movement on to qualify nurses as doctors. <\/p>\n

\"original\"The SEIU is pushing for this, for nurses to become doctors, precisely on the basis of Josh\u2019s call: It isn\u2019t fair. The nurses are doing all of the work and the doctors are not showing up much. One of the arguments is, “Look, even if you don\u2019t make \u2019em doctors, at least pay \u2019em a little more! They\u2019re doing all the work. It isn\u2019t fair, it isn\u2019t fair!” There\u2019s apparently a massive movement going on. <\/line><\/p>\n

Well, I don\u2019t know about “massive,” but it is being spearheaded by the SEIU.<\/p>\n

There are also nurses. By the way, I have no dog in this fight, folks. Do not infer a tone in my voice here. There are nurses who want to consider their educations to be the equivalent of doctorates, and they want to be called doctors. Dr. Nurse Jones, Dr. Nurse Hilda, or what have you. So that is something that\u2019s happening out there. But it is clear that there is a pretty high degree of resentment for doctors who are not doing very much and farming a lot of the day-to-day care off on the nurses.<\/p>\n

The nurses are saying, “We need to be paid more. We\u2019re the ones doing all the work, and they\u2019re getting all the money,” and this is a union-led movement from what I\u2019ve been able to find, again, just in a short period of research during the break. I mean, even as we speak, ladies and gentlemen, the one hospital in New York City that is not completely unionized is voting on signing up with the Service Employees International Union. <\/p>\n

That hospital is Elmhurst Hospital in Queens. This is one reason why the SEIU has backed Obamacare so strongly. They\u2019ve been trying to sign up as many members as they can by unionizing hospitals. Now, that may be a separate movement from what everybody is thinking is a fairness and an inequality issue. So that\u2019s as much as I\u2019ve been able to learn about this in the break.<\/p>\n

As H.R. pointed out to me, this same kind of contretemps has occurred in the legal community with paralegals. After a while, they start thinking they\u2019re the real thing, and the lawyers start farming more and more out to \u2019em, but they\u2019re just para\u2019s, and they\u2019re thinking it\u2019s a screwball arrangement. “We\u2019re called ‘para\u2019 so you don\u2019t have to pay us anything.” It\u2019s sort of like miniature interns. “We\u2019re not para-anything. We end up doing all the work, and these guys are at the club or whatever it is they\u2019re doing. <\/p>\n

“We\u2019re the ones turning in the billable hours, and they\u2019re not doing anything.” Yeah, that\u2019s called “partnership,” and the thing is they used to do that when they were young. They might not have been paralegals. One of the problems here, I think, is human nature. This has been around a long time. You know, most people, history is their life. There is no other history. Nothing has ever happened of any consequence if it didn\u2019t happen when they were alive. <\/p>\n

\"original\"So there are a lot of people who look at those at the pinnacle of their success and think they\u2019ve always been there, and have a deep resentment for it, and do not realize that those the people at one time in their lives were schlubs and they were on the low rungs of the ladder, and they were working hard and putting in all the hours, and they were climbing, and they did what it took to get where they are. <\/line><\/p>\n

But if you never saw somebody engage in what it took to get there, it might be easily assumable that they didn\u2019t do that work. They just lucked out, and you hear the president say, “You didn\u2019t build that! You didn\u2019t get there on your own. You couldn\u2019ta done it without somebody else,” and you easily create an alternative reality where the successful are chosen. <\/p>\n

And if you\u2019re not chosen, you\u2019re not gonna be successful; you\u2019re just gonna be used and exploited. The thing is, everybody that becomes a nurse, I would think, knows what the job is. Everybody who becomes a teacher knows what the job is. This is where I\u2019m the mayor of Realville. I admit, this is where it would be easy for you some of you to say, “Rush, you\u2019re out of touch,” but I\u2019m not. I am so in touch, you can\u2019t believe it. But just to illustrate my point. When I was young I was making $12,000 year living in Kansas City in a shack. But I saw the neighborhoods where successful people lived, and I would drive through \u2019em and say, “What do these people do?” <\/p>\n

And I\u2019ll tell you one thing I knew they didn\u2019t do. I knew there weren\u2019t any nurses in there, and I knew there weren\u2019t any teachers. I knew what they made. I said, “Well, who are they?” Okay, you figure some doctors and lawyers, but what else is in there? If earning a lot of money is what you want, who are they and how did they do it? Sometimes I felt like knocking on the door and just asking. I never did it, but I was curious about it, \u2019cause, remember, I wasn\u2019t going to school. I wasn\u2019t following any proscription. I wasn\u2019t following any approved route: go to college, get an education, be a schlub for a while, be a junior partner. I wasn\u2019t doing any of that. So I was just curious. And I had no role models, in that sense. I mean, I did, but not in a direct sense. <\/p>\n

I was following the route for radio. No question I paid my dues. I did. But at the time I was going through the neighborhoods I was out of radio, I had quit. I was working for the baseball team. I was in corporate America. How do you do it here? I figured out, whatever it takes here, I don\u2019t want to do it. So after five years I left. Nothing wrong with it. It wasn\u2019t for me. But my point is, when you go to nursing school, you know you\u2019re the one that\u2019s gonna be seeing the patient much more often than the doctor is. Because you\u2019ve been a patient and you know you\u2019ve seen the nurse much more often than you\u2019ve seen the doctor. The doctor, once a day, maybe. And if you\u2019re really not sick, maybe once a week. So you know. <\/p>\n

If you join a union, you know what you\u2019re getting into. You should. You know you\u2019re sacrificing your individuality and you\u2019re gonna be paid exactly what everybody else in the group\u2019s getting paid, and that\u2019s gonna be according to whatever the contract is negotiated to be. And it isn\u2019t gonna have anything to do with how well or how poorly you do your job, \u2019cause you\u2019re not paid on that basis. You\u2019re paid on the basis of what your negotiator can score from the company, terms of the contract, and your only option to earn more is overtime or quit and do something else. <\/p>\n

So that\u2019s why I have a little bit — not a problem. Didn\u2019t say problem. It\u2019s not a lack of sympathy. It\u2019s just, well, wait a minute, you knew when you chose this profession what it was. And so now 10 years later, all of a sudden you\u2019re being exploited and used, and it\u2019s unfair. I remember, folks, this is human nature. My first two years working at the little radio station in my hometown, every one of us thought the owner was the biggest blithering idiot on the face of the planet. We\u2019d all get together and talk about what a dummkopf he was and how we would be running it better if we were in charge and how we\u2019d be doing this different and we\u2019d be doing that better and we wouldn\u2019t be as cheap.<\/p>\n

And one day I got home late, and my dad said, “What have you been doing, son?” <\/p>\n

I said, “Well, I was with some of the guys at the station.” <\/p>\n

“What were you doing?” <\/p>\n

“Ah, you know, we\u2019re complaining about the owner,” and he just lit into me. “You were what?” <\/p>\n

And I said, “Yeah, we\u2019re talking about what an idiot the guy is and how he ought to be doing this and that,” and my dad lit into me. <\/p>\n

“You don\u2019t have the slightest idea what you\u2019re talking about. You don\u2019t know who that man is. You don\u2019t know what he\u2019s done to get there. Who in the hell are you to say? You\u2019re two years doing this and you think you\u2019ve got all the answers?” <\/p>\n

He just lit into me like you can\u2019t believe, said he\u2019d be embarrassed. And I said, “Well, how many times have I heard you say that the judge didn\u2019t know what he was talking about?” <\/p>\n

He said, “Shut up, don\u2019t be a smart aleck.” (laughing)<\/p>\n","protected":false},"excerpt":{"rendered":"

RUSH: Basin, Wyoming, next. Josh, great to have you on the Rush Limbaugh program. Thank you for waiting, sir. Hello. CALLER: Thank you, Rush. 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