All the time.

One of the things that has really stuck out to me is the chapter in Sears and Cairns about time.  I think about time a lot, in particular the way our perception of time affects other aspects of society and the world around us.  Sears and Cairns are not wrong; time seems to be speeding up around us and it has profound implications in the way we interact with others.One example of this is fast food.  In theory, you get in, you order, you get out, you gobble down your food and you go on your merry way.  The problem comes when we start to generalize this concept of fast, cheap, and easy to every other aspect of our world.  I work in a retail pharmacy and I have noticed that people have a tendency to apply this concept to their healthcare.  The industry standard wait time to have a prescription filled is 15 to 20 minutes on average.  This covers the time it takes for a person to talk to you and review your file, type your prescription, have a pharmacist check that the typed information is correct, submit the prescription to your insurance, fill the prescription, check that the medication is correct, and counsel you on the medication.  When you spell it all out, it is a lot.  But, when people hear that the wait time is 15 to 20 minutes, they lose their minds.  “Why is it going to take so long? All you have to do is count a couple pills out of a bottle and label them!”  It takes this long to complete a prescription for a simple reason: if we don’t get it right, you could become more seriously ill or even die.So, if one’s personal health is at stake, why are patients so intent on this fast food type service?  I’m sure there are many reasons, but the most obvious one to me is that retail corporations are fostering the image of pharmacy as fast food in consumers.  Starting with the $4 dollar prescription “value meal” and ending with the convenient drive-thru service, corporations have realized that they can make an enormous amount of money just by being the fastest and along the way, quality is misplaced.

This is not only applicable to pharmacies, but also to hospitals.  A few months ago, I read an article talking about changes made in hospital operations based off changes made by the ObamaCare programs.  The main point of the article was that in the past, doctors were pressured to get people in and out fast in order to keep making money.  If there were complications due to rushing, that was fine, bring them back in and make more money off of another visit.  Now, insurance companies are trying to cut back on how many times a person visits a doctor, it is in their financial best interest to do things right the first time because they will not receive more money for subsequent visits.  So, hospitals have started forcing personnel to slow down and use check lists to make sure things are done right the first time.  Slowing down is not always a bad thing.

I guess what I’m trying to get at is that what is the point in all this rush that people engage in?  All they are doing is rushing towards mistakes and time “wasted” fixing mistakes they made in that rush.