The Inpatient
Nursing Care
Iceberg

July 9, 2013 --

I am a nurse. Nursing is a major cost at hospitals, yet it's invisible.

Most nursing is not billed. Rather, nursing is in your hospital's room rate, as maid service is in your hotel's. Your hospital bill shows only the tip of the healthcare services iceberg.

This is dramatically evident when you look at what you're charged for an aspirin. Drugstores charge pennies, but hospitals charge dollars. Crazy!

Or is it? Much of that aspirin's cost is hidden: the pharmacy that stocks it, the cart that delivers it, the bar-code scanner that confirms the dosage and, especially, the nurse who gives it to you, but only after making sure that this med at this time makes sense in his or her highly-trained clinical judgment, with an explanation and maybe even a smile.

Nursing is invisible but essential. On your bill, that overpriced aspirin looks crazy. But look again. You got a lot more than just an aspirin. And thank a nurse!

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