
Written by: Nicole Harris-Armstrong
Last updated: February 27, 2025
Let the healthcare games begin! At least that is how I felt in my dealings with the largest hospital chain in America. In America, healthcare has become one of the greatest tragedies of our time. In modern healthcare, business models treat healthcare more like a sport they are trying to win, rather than holding high ethical standards of genuinely caring about other people. I have researched why healthcare has changed so much over the years, and it basically comes down to money. Healthcare has become a business that makes a lot of money. The healthcare financial systems are dysfunctional, and that dysfunction trickles down to all parts of healthcare. There is a fine line between healthcare being good by holding high ethical standards in putting people first, and bad by holding low ethical standards in putting money first. When money is put first over people, healthcare becomes sick rather than healthy. As healthcare focuses on being the biggest moneymaker for their stakeholders, healthcare costs become unaffordable for many people, and those costs are not transparent for people that must pay for them. Healthcare has become very unsafe for patients, and also for healthcare workers. There are firsthand experiences I have had within healthcare over the last several years, which helped me determine that healthcare has become one of the greatest tragedies of our time.
A Family Experience Where Healthcare Has Become One of the Greatest Tragedies of Our Time
One of the greatest firsthand experiences where healthcare has become one of the greatest tragedies of our time was with my dad. My dad was particularly good about staying on top of his health conditions, was generally in good health, never had any major surgeries, and would get his physical done with his primary care doctor. His primary care doctor ordered him to have a CT of his brain due to loss of memory, and an ultrasound of his abdomen. My dad’s CT of the brain showed atrophy, and his ultrasound incidentally found an abdominal aortic aneurism. Rather than being encouraged by his doctor to see a specialist to evaluate his brain in which he was experiencing symptoms, he was encouraged to see a cardiologist for the incidental abdominal aortic aneurism finding in which he had no symptoms. He went to the cardiologist, and after meeting the surgeon for the first time, he determined right away that my dad was at risk for an abdominal aortic aneurism rupture and needed to have an abdominal aortic aneurism repair. My dad’s blood pressure was under control with medications, did not have any abdominal aortic aneurism symptoms such as a pulsating mass in his abdomen at or above the umbilicus, tenderness, abdominal or lower back pain, or any signs that the aneurism would rupture. Even though my dad did not have any conservative monitoring over time through ultrasounds to determine whether the aneurism was growing in size, the surgeon made my mom and dad feel that the surgery was necessary as my dad would be at risk of a rupture if he didn’t have the elective procedure done. My parents trusted the surgeon’s opinion and decided to move forward with the surgery. The surgeon knew of my father’s changes in mental status, memory loss, and dementia, but no further testing of my dad’s brain was ordered prior to the procedure.
My dad’s surgery was scheduled by the hospital and surgeon on October 9, 2019, at one of the hospitals within the greatest hospital chain in America. A few hours after the procedure, my dad had a sudden mental status change with a decreased level of consciousness which progressed to unresponsiveness. My dad went into a coma within hours of the surgery being done due to a brain hemorrhage with a grim prognosis of a Glasgow coma score of 4. The cardiologist who did the procedure did not call, but the neurologist called both my sister and me. On the call, the neurologist told my sister that the doctor missed the signs when they gave my father heparin. Later to find when we pulled the medical records that the doctor did not monitor my dad’s ACT (Activated Clotting Time) labs frequently during the procedure, and an ACT was not done just prior to giving the second dose of heparin to make sure my dad was not bleeding. After giving the second dose of heparin, my dad’s ACT was high, he went from needing 2 liters of oxygen to needing 10 liters of oxygen. At that time, his respiratory rate went from 8 to 16 as well. He was given Protamine (reverses anticoagulant effect of Heparin) after the second dose of Heparin, but that did not reverse the damage that was done to him by their lack of monitoring him. Why was my dad not monitored properly during his procedure at the hospital and why has healthcare become so unsafe? There could be many reasons why. Maybe the hospital short staffed the unit, as healthcare business models do not staff well when they are trying to save money. Maybe someone called in sick, as healthcare workers are overworked, underpaid, undervalued for what they have to endure, and burn out easily because of high stress and demands due to the nature of the job. Or maybe the business models decided their education departments were no longer valuable, so they did away with them to save money. Whatever the reason why, the doctors and staff were not considerate, and did not carefully monitor my dad during his procedure which was very unsafe. We were told that the hospital could provide comfort care and that my dad was going to die. We asked if there could be more done for him, and the neurologist told us that there was no surgical or medical treatment to resolve the hemorrhage to the left side of his brain that was causing a left to right midline shift, that he was posturing, and if he were to survive he would live in a vegetative state for the rest of his life in a nursing home.
Our entire family was distraught, and were in shock of what had happened in what we thought was a minor procedure. The cardiologist that performed the surgery told my family that it was gods will that my dad was in a coma after the surgery he performed, that he was going to go on vacation, and that he was not going to be around for the rest of the weekend. To me, God’s will is to have a healthcare system that is not just about making money, but a healthcare system that cares about and loves people and embraces the doctors Hippocratic oath of do no harm. The God my family knew which is love, and the God this surgeon knew which is money were two different Gods. Who knew that there could be such a healthcare system that was so cold and heartless? My dad died three days later in the hospital bed while the cardiac surgeon went on his vacation with his family. My dad and my family were not treated with respect, consideration, and dignity. I could not believe this was the healthcare that we were receiving in America, as it felt like we were no longer living in the same country that I once knew.
I guess to the doctor and hospital my dad was a nobody that just carried a number that would pay for vacations, but to us my father was the biggest somebody, as he was the love and light of our lives. There was no better man than my dad. Everyone that knew my father loved him, as he was a good man. He had good intent and was not bad. He was the best man I ever knew who made everyone feel safe and loved around him. He was a good father, husband, and was one of a kind. They really do not make men like him these days. My mom married him when she was 16 years old, was married to him for over 50 years, and loved him dearly. He was the love of her life, she wanted to have many more years with him, but those years were taken away from her. Also, my dad was there to help my mom as they worked as a team throughout their lives, so his death has been a great loss for her. My father was talented, hardworking, loyal, caring, honest, and was the best husband/dad that a family could ever ask for. I miss his smile, good nature, spirit, sense of humor, voice, and love. I wish I could hear his voice and talk to him again, but I can’t. I wish I could eat his yummy bean soup and muffins with him again, but I can’t. I wish he could make me laugh with his sense of humor again, but he can’t. I wish I could bring him back, but I can’t. I wish he never had that surgery that took his life. I wish many things that occurred to our family never happened, but they did. Sadly, we cannot do anything about what happened to him but try to pick up the pieces after the great loss our family suffered. My father’s memory will live on and on in my heart, mind, soul, as he will forever be missed. That is who was taken away from our family, the most selfless and best man we ever knew.
The doctors, hospital, and corporation that took my dad’s life were not caring and compassionate but rather were cruel and malicious. Rather than providing ethical care such as beneficence, nonmaleficence, and justice, they provided unethical care and injustice. My sister wrote to the hospital, health boards, senators, put reviews on social media and on their websites that were taken down. After this, the surgeon wrote an amendment four months after the procedure on to my dad’s medical records on 2/6/2020. In his amendment, he stated that the last eight lines were found confusing within the operative procedure notes that were written four months prior on 10/9/2019. He said in the amendment that the patient’s name dictated does not match dictated/input MRN/encounter. In the amendment, he stated that he monitored my dad’s ACT’s more than the original documentation stated that he or the hospital did. There were discrepancies within the amendment regarding the ACT, as it did not align with the original documentation four months prior. There were so many red flags, and we tried to find a lawyer to help us. The lawyers we contacted told us that it would take too much work and would be too hard for them to prove my dad’s case in court. I have found that many lawyers look to get ahead in their own careers and oftentimes will not stand up for people that they don’t think will help them get ahead in their careers. Standing up for what is right is hard and there are few that will do it unless they feel there is a monetary reward for their efforts. Therefore, injustice continues to happen because they are afraid to stand up to the big bully and giant corporation. In the end, our justice system did not hold the hospital or doctor accountable for what they did. Human rights continue to be violated, and dignity is not preserved in this nation. In this example, healthcare has become one of the greatest tragedies of our time.
A Work Experience Where Healthcare Has Become One of the Greatest Tragedies of Our Time
In another example of how healthcare has become one of the greatest tragedies of our time was my employment within healthcare. The pandemic was declared by our government in March 2020. I was going through a divorce and was told by our public schools that all learning would be online. My kids were young, so if they weren’t going to elementary school while I needed to go into the hospital to work, they would need to be in daycare to do online learning. I feel that our government leaders at the time did not think of the impact that the pandemic would have on frontline healthcare workers that still needed to go in to work face to face while they got to do all their work at home sitting in the laps of luxury. At the time of the pandemic, people that worked at home came off as privileged, as workers like me that physically needed to go into work during the pandemic had to grit and bear the misgivings of what the pandemic brought to healthcare workers. At the time, I knew that my family and I were exposed to COVID 19 because my kids needed to go to daycare rather than elementary school due to elementary school’s being closed at the time, and I needed to physically go into the hospital. We did not have the privilege of staying at home during the pandemic like many other people had, and there was not much I could do about it due to the situation I was in. There were not enough masks provided to healthcare workers, and we needed to reuse them. If you were to tell me that healthcare would become that unsanitary and unsafe 25 years ago, I would never have believed you. The standards went down big time, and mostly due to business models within healthcare, and our leadership being unprepared financially as well as practically. So many people died during the pandemic, especially the elderly in nursing homes which was incredibly sad. I felt that they could have done better and could have been more prepared.
After the pandemic I was fortunate (or so I thought at the time), to move into a different position within the largest healthcare chain in America. I was told by the corporate division that my first day working for them would begin on October 9, 2022. Ironically (or not ironically as they play a lot of games with people), it was the same date the surgery was scheduled for my dad 3 years prior, but I did not put two and two together until the last few months. At the time, I was so happy to move into a new position due to everything I had been through during the pandemic and thought that it would be good for me. Little did I know that they had different plans for me, as they did not want me to be successful within their organization. Rather than recognizing the good I did, they decided to offer me more tragedy and hardship by placing me in unsafe working conditions. They chose to play dirty tricks and games, rather than choosing to do the right thing to make healthcare better. They do not honor safety acts, bill of rights, or show respect to those that care and work so hard. They are not caring and compassionate, even though verbally they say they are. Actions speak louder than phony words. There are some owners of healthcare corporations that financially benefit from the healthcare dysfunction, and it is sad. I can see who they are, and when you know better you do better. People that are bullied should not stay silent and should speak up against the big bullies in the room. At least that is what we are taught by our teachers as early as preschool, right? To be brave, courageous, and stand up to the giant bully. Sometimes I wonder if that is even true in America anymore, as those that speak up are punished, while those that stay silent are rewarded. I guess that is the way of the world sadly, so nothing improves or gets better as those that advance are “yes” people. And that is how we got here, where healthcare has become one of the greatest tragedies of our time. Hey I get it, we need jobs because we need to make money to survive unless we are born rich, so we have to find a way to work within all of the dysfunction, stay silent even though we see evildoings, or speak up and get fired. Those are our choices, as we live in right-to-work states, and have a justice system that doesn’t work. We can get fired for any reason the corporation chooses, especially if we see who they are and speak up against gas lighters.
Man created money and man created games so he can make more money from those games. The casino who understands the game the most as it has played it the most generally wins games, and man rarely does. But good luck in trying I guess, right? Those with money create games and challenges for us to overcome, in which they take great pleasure in watching. It must be nice for them to be sitting on pedestals looking down on those they deem not as great as them. Even though money can be the root of all evil, it is a necessary evil to survive in the world that we live in. Which brings us to winning trophies. Some of us have ambivalent feelings about trophy’s, including me. We may feel like we have won internally, and don’t need external validation from others to say we have won. I have realized over time that the trophy is meaningful as it is validation from others that you have value and worth, even though in your heart you already know you have value and worth. In your heart the trophy is won, but without the trophy many people can be unkind and cruel to you as they do not see your true value and worth unless you are holding something shiny and bright. This is the way of the world, I guess. I do know though that some games are not meant to be won. There are some problems that cannot be fixed and can only be managed as they are unfixable. Therefore, in those instances no one wins. The things that can be taken away from life experiences are lessons. Lessons to speak up against those that have done harm to you, forgive them as forgiving them lets you move on from them, and to overcome impossible obstacles that were placed on your path towards your greater mission of victory.
My hope is by sharing some of the things that happened to me and my entire family regarding how healthcare has become one of the greatest tragedies of our time, I will help you get through some of the things you are going through. I hope our society will become fairer and more just, but I have realized for hope to become a reality I must speak up and not stay silent. I have realized that even though it is hard, the bully will continue to bully me and my family unless I speak up. So this is me, using my voice in this great nation and speaking up. My hope in writing this blog is to make America a better place to live, and more affordable again. I wrote related posts a few weeks ago titled The Opioid Epidemic: Shed Some Light in the Darkness of Despair and Get Through Great Loss and Worry in which I would encourage you to read, a Resource page to help people in need, as well as a Basic Bills Tracker and Budget Planner in which you can find directly on my blog Shop page and on Etsy.
There is a poem I wrote for my dad after his death in which I will keep dear to my heart. It is super long and probably would not fit on the paper provided online. However, I did write two more poems, one regarding A Nurses Heart, and the other Trampled Worker’s Rights in which I will include within the blog post.

