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vergess · 3 years

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@autismserenity said: Your tags are the most American thing I’ve ever read, we are truly so screwed here

May I interest you in a more complete, and more excruciating, explanation of what I spent the last 18 months doing?

It is, I need to emphasize, fucking nasty. Don’t feel obligated, especiallly if you’ve already had A Day(tm).

There’s a lot of disease, a lot of worker abuse including sexual and racial abuse, a fine portion of letting people die for not being white enough for real medical care, all leading to homelessness.

For NDA reasons, because my former employer was just as vile as any tech company has ever been, I cannot be super specific about who I worked for. However, I can say that we handled the records and patient contact for all COVID testing for several states, as well as 2 of the 5 largest metros in the US, and several dozen smaller ones ranging from the approximate population of San Francisco, down to little towns, as well as the testing for several public school systems and at least two government agencies that I am not at liberty to disclose.

I tell you this for a sense of scale. When I say shit like, “my boss was more than happy to let thousands or hundreds of thousands die” I am not exagerrating for effect. We handled hundreds of thousands of tests a week.

Again, I need to emphasize, government agencies. Ones you would know if I named them. Ones everyone in the country knows.

And we were in charge of getting their test results from the already over swamped labs back to the patients, who often were not allowed to quarantine while awaiting results.

The fastest we got our turnaround time to on any consistent basis was about 30 hours. Often it ballooned well into weeks.

There were a number of factors for this, but the big one was always understaffing.

The staff we did have were treated like trash. One of the big selling points of this company is how “trans friendly” it is to work there. That is a lie. Every trans employee on payroll had their dead name displayed to all other staff, and until I personally changed the system setup on my arrival, patient facing trans people’s dead names were displayed to patients.

Remember that thing about “hundreds of thousands of tests a week”?

I was able to change the way patient-facing names were displayed. I was not allowed or able to alter the way internal systems displayed trans people’s names. But I was assured that it’s fine, because once you get a legal name change, you’ll be given new system accounts with your new name!

Your old accounts with your dead name would still be displayed and associated with the new ones though.

This is the “trans friendly” working environment. We were allowed to be out of the closet, as long as we were willing to put up with that. And any attempts to get it altered were the result of those nasty little transgender ingrates not being thankful enough.

Meaning that by asking to use our own fucking names we were already in the disciplinary shitter.

Another big selling point is the ~racial diversity~. The CEO was a man of colour, and so were like four other people on staff!! Wow!!!!!!!

This, too, was laughable.

Once numbers started coming in about the care gap for COVID between English and Spanish speakers, and our Southwestern US service area began to have a separate and brutal backlog just of Spanish speaking patients, my employer encouraged me to interview potential hires who speak spanish.

Fair enough! We all wanted to do our part to help close the already massive mortality gap.

So, I found candidates, did interviews, hired them, trained them, etc. But I don’t speak Spanish. As a result, I appointed 2 assistant managers who do speak Spanish to assist me in managing, you know, like the job name.

So when my super contacted them directly, completely skipping me on the chain of command, and told them to stop all of our Spanish speakers from translating helpful simple messages to send to patients, and instead start translating medical and legal documents, they very reasonably assumed I was in the know and went ahead with it.

TO BE CLEAR, that could have ended my life, theirs, basically everyone involved. Everyone in the company would have been completely fucked. At that point, my subordinates, the people for whom I am wholly responsible, were doing everything from practicing medicine without licenses, to encouraging spanish speaking patients to enter contracts that no one on the fucking executive tier could even read.

The moment I found that out, I and the A.M.s immediately started trying to get actual medical translation services to do our documents. We collected them in a neat folder. We queried translation services. We got quotes. We contacted my super and the CEO, about this over and over again for months. In the late autumn, we received approval for one of the translation services.

The CEO decided at the last minute that having people with no medical or legal training draft medical and legal forms was fine and good actually, and refused to sign the contract or send the documents for translation.

The excuse I received was that the COVID emergency HIPAA relaxations would protect us.

That’s not how that works.

Throughout all of this, Spanish speaking employees were told to either keep doing medical and legal translation work, or lose their jobs.

Oh, did I mention everyone was working between 30 and 80 hours a week, and all of us were marked as “contractors” so the employer could tax evade? Don’t worry, we filed complaints with the labour bureau.

So the entire department was let go, and “rehired” as temps through a temp agency, which because it was a temp agency could keep them marked as contractors regardless of the facts.

This change was presented to all of us, myself included, as the company getting a new accountant to handle payroll.

So if you’re keeping score, we’ve covered racism, queerphobia, medical negligence, fraud, and a frankly uncountable number of deaths.

Let’s talk about the sheer negligence towards employees ourselves. If you’ve worked in near-death medical care before, or any number of emergency services really, you know that the standard benefit suite includes either a dedicated therapist for your staff, or access to peer support groups with other emergency and medical servants through your employer’s benefits program.

Do you know what our mental health benefits were for this company?

The CEO got on a fucking zoom call with us all one (1) time, and said that if we were feeling suicidal or traumatized by the work, to talk to him about it, and he would be our therapist.

Do you know how many people per fucking day we had to contact only to be told they had already died because our understaffing delays killed them? He doesn’t. He never listened when we told him.

But let me put the cherry on the “Oh baby, you can talk to me, oooh” sundae.

Anyone who “looked” or “sounded” female, regardless of actual or assigned gender, was subject to constant flirtations and slimy, overly personal compliments about our appearances. Fortunately, at 3 levels removed from the CEO (Executives > Department heads > Managers > Employees), most of the people under my management had relatively little contact with him.

I was not nearly so lucky.

The CEO of this company has a watersports (urination) fetish. I know this, because he told me so and attempted to get me to join him in it. I have no idea how many other people in the company he did this to. I mean, what the fuck was I supposed to do, risk losing my job to find out? I have a fucking family to support, people.

Not that it mattered.

Eventually, all of these abuses became too much for my subordinates. Productivity fell off a cliff. Delays were getting worse and worse. In a medical emergency like this, delays=deaths.

So, like a fucking idiot, when the department heads reached out to me to ask what they could do to improve productivity, I shot down their frankly insulting suggestion of raffling a $20 amazon gift card to patient facing employees, and instead suggested a very simple, “enroll us with a peer support group, every single person in this department has PTSD from working in this pandemic.”

They were confused by my assertion of PTSD. I was asked to compile a document of complaints, concerns, and weaknesses in our patient facing services.

I and the A.M.s did so. It was roughly 40 pages long, with each page given a known problem, the reasons why it was a problem, and some potential solutions that might inspire further solutions or be able to be implemented. We submitted it. There was no response.

A week passed.

I had been working 80 hour weeks for most of a year. I hadn’t even been able to take weekends. I took my first sick day, in a company with “unlimited vacation days.”

I received a call at 3PM.

I had been fired for “differences in communitcation.” If you’ve ever seen that “Problem Women of Color in the workplace” chart? Yeah.

So had most of my department, including every transgender member of the department, and several of our extremely limited in supply Spanish speakers, who were presumed to be “on my side.”

Some of them, I barely even knew beyond the formalities of the job, and they were punished anyway.

I lost my insurance, and as a result I lost access to my medications.

But the real problem? I lost my house. And not due to lack of payment.

I lost my house, because when I got the job we waited 6 months for stability’s sake, and then readied to move out of the area. I got a mortgage on the basis of my employer’s written guarantee to the bank that I would continue to be employed for the next year at a minimum.

With the mortgage approval in hand, we entered a sales contract on our existing home.

We got and accepted an offer just days before I was fired. To keep our house meant paying a 25,000 dollar broken contract fine. We didn’t have that. We had a 10% down payment for a modest fucking place in a cheaper area, which is less than half that.

But without a job, my mortgage approval was also voided, meaning we couldn’t buy a house either.

All of a sudden, we were homeless during the plague, because my employer wrote and signed a letter to a bank guaranteeing my future employ, and then changed his mind when too many people died due to his own negligence.

Oh yeah, one last thing: the job paid less than Pandemic unemployment Assistance.

...After that, well, it’s homelessness until just last month. I... if you’ve never been homeless it’s.

It blurs. Everything is happening constantly, except for all the ways in which you are endlessly, mind breakingly bored. Bored, overloaded, and always uncomfortable.

Obviously my health would have declined regardless. Malnutrition, stress, everything.

But I was also unmedicated.

It was hell. I was in hell. I don’t know if I can recover from it, to be honest.

I bounced back from being homeless as a child. Children are as resilient as they are stupid, and the monstrosity of homelessness was little more than a vaguely remembered loathing and a panicky fear that it would ever happen again.

A child who is dying is worthy of sympathy, even if it is meaningless coos from passers by. If they have family, they may be able to rely on them too.

An adult with the indignity to die homeless and crippled, according to the average passer by, is worthy only of disgust and perhaps even punishment for being such a worthless waste.

My reward for nearly killing myself in a desperate bid to help stem the tide of COVID was the destruction of not only my life, not only my entire family’s lives, but the lives of every single family of every single employee who worked with me.

And you know what’s worse?

Each one of us still did more to limit the lethal impact of COVID than the entire united states government.

It breaks something in you, going through that.

It makes you realize that hope is a fool’s game.

But, I have ever been a fool, and so, I continue to play.

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