I can tell you what's wrong with the healthcare system and even some ways to fix the problems. I can explain why our current system is flawed and why being a therapist is not all glory and fame even when patients succeed and are released back to home. And I will try one more time to provide therapists with a different point of view about how much authority they really have within the healthcare sector.
If a facility holds productivity over our heads to stay employed, then therapists should not work for that company, ever. When a company realizes the therapy community could essentially shut the place down if no therapists show up for work, they will back off. Therapists essentially hold within their grasp thousands of dollars a day for the patients they see. When unscrupulous companies understand the power therapists have in making money for a facility and that we should be worshipped every day we come into work, then we'll get the results we want from the company. Imagine if all the therapists in a company decide not to get the ultra-high RUG level in a week, imagine the power we have, imagine the changes we can demand, imagine if we actually did it.
If a company asks you to do anything you perceive to be unethical, they need to be turned in and the authorities can sort it out. If an employer tries to bribe you to work longer than you want, they need to be turned in to human resources without question. Then a strategic call to the Office of Inspector General for good measure to show them we don't play around with our professional licenses. A quick note to the Better Business Bureau can also get results and if enough people complain, changes will occur.
Unfortunately there are therapists out there who will do anything for a buck. They have no ethical dilemma about seeing a comatose patient for 90 minutes a day, six days a week. I've seen therapists kowtow to large corporations that couldn't care less about them as individuals but cared a whole lot about how much money their licenses could make for the company. Maybe it's time for a change; however, I doubt enough therapists are willing to stand up and be sufficiently vocal to make change happen, voicing their opposition to corrupt businesses that take advantage of them at every level. Fortunately, I'm pleased with who I work with (not for) and would recommend them over the competition in any region.