The Saturday Paper

Managerial­ism in a health crisis

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Karen Willis and Natasha Smallwood do us a service in highlighti­ng the extent of burnout in our healthcare workers (“Care trauma”, September 25–October 1). That the system is at breaking point makes harrowing reading, as are demands on front-line workers who increasing­ly feel at risk. That “hazard pay” is controvers­ial is distressin­g. As the authors suggest, staff did not simply “sign up” for this. As a community, I’d suggest we too did not really sign up for a health system that values “efficienci­es” over staff and patient care.

Nor did we sign up for the inequities that a managerial ethos has delivered in every other sector, where “service” is subordinat­ed to profit and where “managers” with conflicts of interest override expertise. It’s no wonder the workforce is exhausted at doing more with less. The vision we need from leaders is one that is willing to recognise the moral injury arising from such inappropri­ate systems that dictate poor outcomes. The neoliberal experiment has failed the community.

– Gil Anaf, Norwood, SA

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