As a GP in Germany, I struggle with the claim that “people don’t want to work.”
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@feisty_lemming @ABScientist thx for your input guys! Personally I don't see that too often and don't hear that often from colleagues. Can you recommend a landmark paper on this topic?
A recent paper on the biological mechanisms:
"immune dysregulation, viral persistence, autonomic dysfunction, microvascular pathology"
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A recent paper on the biological mechanisms:
"immune dysregulation, viral persistence, autonomic dysfunction, microvascular pathology"
Long Covid can easily be confused with burnout, which also has severe fatigue, brain fog, inability to focus.
One is caused by a virus driving the brain's immune system in overdrive, the other by trying to do too much.
And they can interact. If you brain is mush from a virus, you can try and push through, and then push you over de edge.
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Long Covid can easily be confused with burnout, which also has severe fatigue, brain fog, inability to focus.
One is caused by a virus driving the brain's immune system in overdrive, the other by trying to do too much.
And they can interact. If you brain is mush from a virus, you can try and push through, and then push you over de edge.
The reason why it is likely to be lots of long Covid is not just the medical literature indicating that around 10% of infections lead to long term (> 3 months) symptoms.
It is because it is often young women who drop out from work. This is the demographic most at risk from long Covid due to combination of exposure (healthcare, teaching) and a stronger immune system (doing more damage to the body).
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As a GP in Germany, I struggle with the claim that “people don’t want to work.” In daily practice, I see the opposite: many patients push themselves to keep working, even when they should rest. They worry about burdening colleagues, unfinished tasks, or upcoming deadlines.
If we want to understand rising sick leave, we need to look at real factors: increasing workload, constant pressure, lack of recovery time, social isolation, and overall exhaustion. Reducing this to a question of “motivation” ignores both evidence and lived experience.
In my experience, people who genuinely try to avoid work are a tiny minority. Framing the issue this way feels similar to old narratives about unemployment—oversimplified, misleading, and disconnected from reality.
#MedMastodon #GeneralPractice #PrimaryCare #WorkStress #MentalHealth #SickLeave #HealthPolicy #Germany #Arbeitswelt #Burnout #PublicHealth #Reform #AU #Arbeitsunfähigkeit #Gesundheitsreform #gesundheitspolitik #gesundheitssystem
@hoppla Engel's had a term for it:
https://en.wikipedia.org/wiki/Social_murder
just because we're doing better in the mean, doesn't mean there isn't a long tail that still dips into similar conditions
an extreme enough meritocracy is ultimately about proving your right to live
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As a GP in Germany, I struggle with the claim that “people don’t want to work.” In daily practice, I see the opposite: many patients push themselves to keep working, even when they should rest. They worry about burdening colleagues, unfinished tasks, or upcoming deadlines.
If we want to understand rising sick leave, we need to look at real factors: increasing workload, constant pressure, lack of recovery time, social isolation, and overall exhaustion. Reducing this to a question of “motivation” ignores both evidence and lived experience.
In my experience, people who genuinely try to avoid work are a tiny minority. Framing the issue this way feels similar to old narratives about unemployment—oversimplified, misleading, and disconnected from reality.
#MedMastodon #GeneralPractice #PrimaryCare #WorkStress #MentalHealth #SickLeave #HealthPolicy #Germany #Arbeitswelt #Burnout #PublicHealth #Reform #AU #Arbeitsunfähigkeit #Gesundheitsreform #gesundheitspolitik #gesundheitssystem
You probably know this, but I am going to say it anyway:
"people don't want to work" is not worth struggling over.
It is an obvious piece of fascist propaganda.
A far-right myth of an undeserving people "mooching off our poor hard-working job-creators".
What a joke. It's so clumsy and obvious.
Throw it down and step on it.
If peopel are getting sick more: It's covid. It's car exhausts. It's hateful middle-aged men with power. All of that is enough to make a person sick.
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@hoppla Either the politicians who say these things have no idea what life is like for less privileged people... Or...
There's something my history teacher said: "They didn't say these things because they believed they were true, but because they had to be true to justify their plans." -
As a GP in Germany, I struggle with the claim that “people don’t want to work.” In daily practice, I see the opposite: many patients push themselves to keep working, even when they should rest. They worry about burdening colleagues, unfinished tasks, or upcoming deadlines.
If we want to understand rising sick leave, we need to look at real factors: increasing workload, constant pressure, lack of recovery time, social isolation, and overall exhaustion. Reducing this to a question of “motivation” ignores both evidence and lived experience.
In my experience, people who genuinely try to avoid work are a tiny minority. Framing the issue this way feels similar to old narratives about unemployment—oversimplified, misleading, and disconnected from reality.
#MedMastodon #GeneralPractice #PrimaryCare #WorkStress #MentalHealth #SickLeave #HealthPolicy #Germany #Arbeitswelt #Burnout #PublicHealth #Reform #AU #Arbeitsunfähigkeit #Gesundheitsreform #gesundheitspolitik #gesundheitssystem
@hoppla Those who don't want to work, what do they want to do?
I doubt anyone wants to sit and feel useless, and there are many ways to contribute to society that we don't think of as "work". -
As a GP in Germany, I struggle with the claim that “people don’t want to work.” In daily practice, I see the opposite: many patients push themselves to keep working, even when they should rest. They worry about burdening colleagues, unfinished tasks, or upcoming deadlines.
If we want to understand rising sick leave, we need to look at real factors: increasing workload, constant pressure, lack of recovery time, social isolation, and overall exhaustion. Reducing this to a question of “motivation” ignores both evidence and lived experience.
In my experience, people who genuinely try to avoid work are a tiny minority. Framing the issue this way feels similar to old narratives about unemployment—oversimplified, misleading, and disconnected from reality.
#MedMastodon #GeneralPractice #PrimaryCare #WorkStress #MentalHealth #SickLeave #HealthPolicy #Germany #Arbeitswelt #Burnout #PublicHealth #Reform #AU #Arbeitsunfähigkeit #Gesundheitsreform #gesundheitspolitik #gesundheitssystem
@hoppla IMO this (the problems and the demonisation of those suffering) is rooted in the inequality that is the main result of capitalism, which in turn is the seed of fascism time and again.
Until we can produce growth in a truly democratic system (where money does not relate to power), we are doomed to repeat the horrors of preceding centuries.
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As a GP in Germany, I struggle with the claim that “people don’t want to work.” In daily practice, I see the opposite: many patients push themselves to keep working, even when they should rest. They worry about burdening colleagues, unfinished tasks, or upcoming deadlines.
If we want to understand rising sick leave, we need to look at real factors: increasing workload, constant pressure, lack of recovery time, social isolation, and overall exhaustion. Reducing this to a question of “motivation” ignores both evidence and lived experience.
In my experience, people who genuinely try to avoid work are a tiny minority. Framing the issue this way feels similar to old narratives about unemployment—oversimplified, misleading, and disconnected from reality.
#MedMastodon #GeneralPractice #PrimaryCare #WorkStress #MentalHealth #SickLeave #HealthPolicy #Germany #Arbeitswelt #Burnout #PublicHealth #Reform #AU #Arbeitsunfähigkeit #Gesundheitsreform #gesundheitspolitik #gesundheitssystem
@hoppla precisely!
One rather sees bosses sending people home due to pushing themselves sick to work than anyone trying to "abuse" sick leave…
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As a GP in Germany, I struggle with the claim that “people don’t want to work.” In daily practice, I see the opposite: many patients push themselves to keep working, even when they should rest. They worry about burdening colleagues, unfinished tasks, or upcoming deadlines.
If we want to understand rising sick leave, we need to look at real factors: increasing workload, constant pressure, lack of recovery time, social isolation, and overall exhaustion. Reducing this to a question of “motivation” ignores both evidence and lived experience.
In my experience, people who genuinely try to avoid work are a tiny minority. Framing the issue this way feels similar to old narratives about unemployment—oversimplified, misleading, and disconnected from reality.
#MedMastodon #GeneralPractice #PrimaryCare #WorkStress #MentalHealth #SickLeave #HealthPolicy #Germany #Arbeitswelt #Burnout #PublicHealth #Reform #AU #Arbeitsunfähigkeit #Gesundheitsreform #gesundheitspolitik #gesundheitssystem
@hoppla we still are in a pandemic that most people are trying to memory hole instead of trying to protect themselves. of course people get sick a lot. this entire society is a bad joke.
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@ozeng @alicemcalicepants you're of course absolutely right. However, my post merely suggested arguments I hear from patients every single day. Other factors (career, keeping job, ...) lie deeper and are not as easily exposed in a standard consultation.
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@hoppla Those who don't want to work, what do they want to do?
I doubt anyone wants to sit and feel useless, and there are many ways to contribute to society that we don't think of as "work".@zash I can't applaud loud enough for this view. In a world shifted by AI we need a radical new understanding about what we want to call work. As far as I comphrend social sciences is working on it for decades already.
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Long Covid can easily be confused with burnout, which also has severe fatigue, brain fog, inability to focus.
One is caused by a virus driving the brain's immune system in overdrive, the other by trying to do too much.
And they can interact. If you brain is mush from a virus, you can try and push through, and then push you over de edge.
CC @frozette
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As a GP in Germany, I struggle with the claim that “people don’t want to work.” In daily practice, I see the opposite: many patients push themselves to keep working, even when they should rest. They worry about burdening colleagues, unfinished tasks, or upcoming deadlines.
If we want to understand rising sick leave, we need to look at real factors: increasing workload, constant pressure, lack of recovery time, social isolation, and overall exhaustion. Reducing this to a question of “motivation” ignores both evidence and lived experience.
In my experience, people who genuinely try to avoid work are a tiny minority. Framing the issue this way feels similar to old narratives about unemployment—oversimplified, misleading, and disconnected from reality.
#MedMastodon #GeneralPractice #PrimaryCare #WorkStress #MentalHealth #SickLeave #HealthPolicy #Germany #Arbeitswelt #Burnout #PublicHealth #Reform #AU #Arbeitsunfähigkeit #Gesundheitsreform #gesundheitspolitik #gesundheitssystem
@hoppla
When someone uses the phrase “people don’t want to work” it can mean that people don't want to work as hard and as cheap that someone wants.May that person may only work with non-yellow unions.
Edit: essentially you cannot not work in a pay-to-live system.
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As a GP in Germany, I struggle with the claim that “people don’t want to work.” In daily practice, I see the opposite: many patients push themselves to keep working, even when they should rest. They worry about burdening colleagues, unfinished tasks, or upcoming deadlines.
If we want to understand rising sick leave, we need to look at real factors: increasing workload, constant pressure, lack of recovery time, social isolation, and overall exhaustion. Reducing this to a question of “motivation” ignores both evidence and lived experience.
In my experience, people who genuinely try to avoid work are a tiny minority. Framing the issue this way feels similar to old narratives about unemployment—oversimplified, misleading, and disconnected from reality.
#MedMastodon #GeneralPractice #PrimaryCare #WorkStress #MentalHealth #SickLeave #HealthPolicy #Germany #Arbeitswelt #Burnout #PublicHealth #Reform #AU #Arbeitsunfähigkeit #Gesundheitsreform #gesundheitspolitik #gesundheitssystem
@hoppla it applies to training also - the psychology but back it up with data #preventative care #human factors engineering #bioinformatics
for certain patients tell them to pray and believe in placebo effect plus see what ai thinks - almost like unit testing, if it helps find that one outlier case could be worth the electricity usage #house ai #localagi -
As a GP in Germany, I struggle with the claim that “people don’t want to work.” In daily practice, I see the opposite: many patients push themselves to keep working, even when they should rest. They worry about burdening colleagues, unfinished tasks, or upcoming deadlines.
If we want to understand rising sick leave, we need to look at real factors: increasing workload, constant pressure, lack of recovery time, social isolation, and overall exhaustion. Reducing this to a question of “motivation” ignores both evidence and lived experience.
In my experience, people who genuinely try to avoid work are a tiny minority. Framing the issue this way feels similar to old narratives about unemployment—oversimplified, misleading, and disconnected from reality.
#MedMastodon #GeneralPractice #PrimaryCare #WorkStress #MentalHealth #SickLeave #HealthPolicy #Germany #Arbeitswelt #Burnout #PublicHealth #Reform #AU #Arbeitsunfähigkeit #Gesundheitsreform #gesundheitspolitik #gesundheitssystem
@hoppla @quixoticgeek I see the same framing in France and it’s dangerous.
I know that I had my GP angry at me for working with the flu, or when I took pills because work was awful. I’m glad he gave me the talk (even if… well… I continue working from home when I’m sick, like an idiot) -
@hoppla thank you for saying this as a GP. My wife has struggled with chronic pain and other serious medical issues all stemming from a workplace injury for which she never received long term compensation or support for. She has a deep work ethic and feels constant guilt and shame for not being able to work. She feels responsible for her own disability while at the same time feeling deep frustration with the systems and workplaces that have so obviously failed her.
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In my experience, people who genuinely try to avoid work are a tiny minority.
and that is why work should be optional, so the majority of people who do want to actively contribute to society can do that with agency and without all the stress, and the rest can live whatever life they want for themselves
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As a GP in Germany, I struggle with the claim that “people don’t want to work.” In daily practice, I see the opposite: many patients push themselves to keep working, even when they should rest. They worry about burdening colleagues, unfinished tasks, or upcoming deadlines.
If we want to understand rising sick leave, we need to look at real factors: increasing workload, constant pressure, lack of recovery time, social isolation, and overall exhaustion. Reducing this to a question of “motivation” ignores both evidence and lived experience.
In my experience, people who genuinely try to avoid work are a tiny minority. Framing the issue this way feels similar to old narratives about unemployment—oversimplified, misleading, and disconnected from reality.
#MedMastodon #GeneralPractice #PrimaryCare #WorkStress #MentalHealth #SickLeave #HealthPolicy #Germany #Arbeitswelt #Burnout #PublicHealth #Reform #AU #Arbeitsunfähigkeit #Gesundheitsreform #gesundheitspolitik #gesundheitssystem
@hoppla We complain about not having enough GPs, or about people overloading emergency rooms for peanuts. But suddenly it's perfectly OK to ask people who have a light flu and who know they just need 2-3 days rest, to consume medical ressources just to have that paper filled and stamped.
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@hoppla thank you for saying this as a GP. My wife has struggled with chronic pain and other serious medical issues all stemming from a workplace injury for which she never received long term compensation or support for. She has a deep work ethic and feels constant guilt and shame for not being able to work. She feels responsible for her own disability while at the same time feeling deep frustration with the systems and workplaces that have so obviously failed her.
@chris I'm so sorry. I can only try to imagine what it's like for your wife (living with pain, and maybe with the quieter ache of feeling unseen by the systems that were supposed to catch her). That loss of identity, of feeling needed in the ways she once was, sounds like its own kind of grief. I hope she finds moments, even small ones, where she feels like herself again, not because she's contributing, but just because she's here. 🫶
