Monday, July 23, 2018

When Nurses Receive Their Due

Most nurses will readily admit that they didn't choose nursing because of the astronomically high paychecks. Sure, nursing can be a relatively remunerative career, but there are plenty of other professions that are significantly more financially rewarding (and free of some of the challenges that nurses face on a daily basis). So, what if nurses were paid a whole lot more in exchange for saving ---and otherwise improving---the lives of a grateful public?

Photo by Thought Catalog on Unsplash

Multimillion Dollar Players

We all know that entertainers and athletes make a lot of money, whether it's deserved or not. NFL players sign multimillion dollar contracts in return for throwing and catching a ball (and, admittedly, running a lot), and singers and entertainers rake in millions in exchange for strumming their guitars, singing, dancing, and cavorting on stage and in music videos. Meanwhile, we all know that actors also make multimillions -- and let's not forget those lucrative product endorsements.

Don't get me wrong -- sports and the arts contribute greatly to the fabric of societies the world over, and there are many individuals who could honestly say that a song or movie saved their life (whether literally or figuratively). While I've never followed sports, many fans would likely share that the joy of watching a very exciting game allows them to forget their troubles for a few hours, transporting them to a blissful realm of communal celebration.

So, if those who entertain us and thrill us earn millions per year, why is it that those who are so-called "angels of mercy" or "lifesavers" frequently struggle to make ends meet, put food on the table, and repay their exorbitant student loans?

How Do We Measure Value?

Granted, we place a very high value on entertainment and sports, and I, like millions of others, flock to the movies, download music, and stream movies, and otherwise support the careers of artists, actors, musicians and others whom I admire. While I can't say that David Byrne's music has ever saved my life, his music is indeed a part of my personal soundtrack, and the value of that is difficult to measure.

Do nurses deserve to earn more? Absolutely. Can our healthcare infrastructure afford to offer multimillion dollar contracts to every nurse? We'd all likely agree that that would cripple the system overnight. Still, do we value certain services and professions enough to make sure that they are compensated appropriately? Probably not.

Cognitive Dissonance

This modest blog post is not written in the spirit of having any answers to the largely rhetorical questions that it raises, but the questions are well worth considering.

Of course, when millions of people buy the new Rolling Stones CD and pay several hundred dollars each to watch Mick Jagger strut his stuff live on stage in some massive arena, it follows that the Stones' individual and collective wealth will be mushrooming as the fans scream for more.

I don't begrudge Mick or his fellow bandmates their wealth, but I also wonder why an ER nurse who plunges her gloved hand into the gaping wound of a patient to stop a life-threatening hemorrhage and save a life doesn't earn more than $40 per hour (and in some cases much less than that). And if that nurse was saving the life of said Mr. Jagger, for instance, does that make her actions more valuable than if she were holding the severed femoral artery of a carpenter, hairdresser, or homeless person?

This is where I experience cognitive dissonance while still having no answer to the question of why that disparity of income truly exists ---mand what can be done about it, if anything.

I Have No Answers

Truly, I have no answers, but I certainly have many questions.

The communal experience of a Rolling Stones concert (which I've never had the pleasure to attend, mind you) could indeed give a concertgoer such transcendent pleasure that her emotional wounds of the day could very well be assuaged for a brief time as she falls under the Stones' well-rehearsed magical spell. The reverberations of that experience could also positively impact her well-being for days or weeks to come.

Now, if that same individual was in a car accident and a nurse or paramedic was able to reverse her flatline and bring her back from the brink of death, is that experience more important or life-changing than the Rolling Stones concert? I would imagine it probably is. Still, the earning potential of that nurse or paramedic would not generally be impacted by having saved that life, while the aforementioned Mick Jagger would settle into his limousine, stopping by the bank to deposit another check for $3 million. (Actually, I'm sure Mick hasn't set foot in a bank for decades.)

Can this playing field be leveled? I doubt it. Should it? Yes, indeed. But this is actually a societal issue in the largest sense of that notion, and the answers are obviously very elusive, at best.

An Endless Conundrum

Sure, nurses will never earn as much as brain surgeons, and that's okay since brain surgeons undergo a great deal more education and training while also carrying an astronomical liability for the work that they do.

Nurses will also never earn as much as Mick Jagger, and they certainly won't receive the adulation that good old Mick receives, even though they've held those severed arteries and saved lives galore.

This question of relative value and income is one worth considering, and readers' responses are welcome. Again, I have no answers -- only more questions -- but conversations about such issues are a valuable exercise in measuring and assessing our individual and collective values.

So, the next time a nurse saves your life or the life of a loved one, consider how much that means to you as compared to, say, watching Mike Jagger strut and crow like a rooster. A front row seat to see the Rolling Stones is exhilarating, but so is the sight of a nurse saving the life of the person you love the most.

What is value? What is valuable? And how do we measure relative value of those who touch our lives in one way or another? The conundrum remains unanswered.


Keith Carlson, RN, BSN, NC-BC, is the Board Certified Nurse Coach behind and the well-known nursing blog, Digital Doorway. Please visit his online platforms and reach out for his support when you need it most.

Keith is the host of The Nurse Keith Show, his solo podcast focused on career advice and inspiration for nurses. From 2012 until its sunset in 2017, Keith co-hosted RNFMRadio, a groundbreaking nursing podcast.

As of May of 2018, Keith is the host of Mastering Nursing, an interview-style podcast showcasing inspiring, forward-thinking nurse thought leaders and innovators. 

A widely published nurse writer, Keith is the author of Savvy Networking For Nurses: Getting Connected and Staying Connected in the 21st Century and Aspire to be Inspired: Creating a Nursing Career That Matters. He has contributed chapters to a number of books related to the  nursing profession. Keith has written for,, MultiBriefs News Service, LPNtoBSNOnline, StaffGarden, AusMed, American Sentinel University, the ANA blog,, American Nurse Today, Working Nurse Magazine, and other online and print publications.

Mr. Carlson brings a plethora of experience as a nurse thought leader, keynote speaker, online nurse personality, social media influencer, podcaster, holistic career coach, writer, and well-known nurse entrepreneur. He lives in Santa Fe, New Mexico with his lovely and talented wife, Mary Rives, and his adorable and remarkably intelligent cat, George.

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