Mergers and afflictions: Can wellness soothe the healthcare beast?

Every US healthcare worker practices in the belly of the medical golem, a trillion-dollar beast out to gobble up market share and relative value units. Employees toil away in their hospitals and medical centres, which once seemed large but are now engulfed by ever-swelling and transmogrifying healthcare systems. The beast is handled from a distance by fortune-seeking enterprises or, in the non-profit sector, by seemingly no one at all. Caught between unpredictable human bodies and incomprehensible organisation charts, healthcare is not a field for those who require a firm sense of control over their job. Laboratory workers shoulder unique responsibilities within this environment. For one thing, they are perceived as a flawless 'gold standard'. What the lab says goes; and when it goes wrong, the lab is to blame. For another, they do not set the pace of their own work. Busier clinicians make for busier laboratorians - yet the appropriate staffing and budget do not always follow.