this post was submitted on 10 Jul 2024
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Around here (Brazil), psychologists come to mind. The degree alone is worth jack shit, healthcare plans will usually pay lunch money per 1h session 3 months after said session, advertising psy services super regulated, patients have a significant chance of ghosting you, the federal council is great at fucking up graduates and workers, rather than protecting them, and most people would rather do any sort of trendy stupid holistic shit like familiar constellation, NLP, reiki and whatnot.
Source: had a gf with said degree and a postgrad in neuropsychology. Of her graduating class of 8, only 1 found "success" so to speak.
That's an interesting one. As a psychotherapist from Germany I can say we're definitely not low paid, but it is much less than other academic professions, and especially in relation to the time it takes to get qualified (roughly 10 years) and the cost of approbation itself (varies from 30k-160k, and that's in a country where education usually is free) it's really not a good fit for someone who is very financially motivated. (Ironically because of the high upfront cost the job tends to attract people from well endowed backgrounds though.)
I think like in many helping professions we have a majority of very idealistic people who don't negotiate very well. Employers get away with way too much because refusal at our side at first only ever hurts the patients, so we kinda keep up with it. Maybe something similar is happening in the professions that are in my mind actually the most underpaid for their time, and that's nursing and care work of all sorts.
Maybe that's exactly what we need: A training course for helping professions that teaches them to ruthlessly negotiate fair terms against capitalists.
Ironically, behind all this is a misconception that we're actually constantly working on with our patients. The truth is that the clinics would function better and we could offer better therapy if, for example, we weren't so overworked and enough staff were employed. But in order to achieve this, we would have to make decisions again and again in specific cases, which are less pleasant for patients in the short term. Specifically: saying no to our employers more often, strikes, and in the worst case resignation. Sensible in the long term, unpleasant in the short term. For our patients. And that's the crux of it.
Unfortunately it is always easier to discover those mistakes in the thinking of others. I have met dozens of colleagues who avoid fighting for better working conditions for precisely these reasons (while advising their patients to avoid this error in particular). And clinics of course know this and take advantage of it.
So better negotiation skills are really only party of the solution (although also very important). I think in the long term we need better education and more focus on socialist ideas, specifically on how and why employee rights (and the ability to self-care) are such an integral requirement to a job well done.
Fantastic thought-provoking points here. You're right, that's something I had kinda forgotten about when I wrote before:
Helping-professionals are (ideally) in those professions to help people, so their employers essentially hold patients/clients/students up as shields.
You're right, to change things would require a cultural shift that sees providers as "people" rather than "services." But generally it would be an extremely difficult PR war to sell to the people who require such services.
The soulless bosses are basically comic book villains: They know heroes will put themselves at considerable risk for the greater good, but won't risk the harming of innocents...
...so the greedy ownership class hides behind those innocents and, what's worse, trains them to accept such a low standard that any action that would drop that standard would turn the peoples' anger against the heroes who already sacrifice so much to help them.
I hate not knowing what to do past understanding what's so wrong. :(