Word: piecework
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...there are ways to fix what ails the docs - and repair the health-care system in the process. In the rolling hills of central Pennsylvania, the Geisinger Health System is trying something different. The 726 physicians and 257 residents and fellows who work there don't do piecework. They are paid a salary - benchmarked against the national average - plus potential bonuses based on how well their patients do under their care. One result is that Geisinger is able to hang on to its PCPs while other hospitals are losing theirs. Another is that Geisinger makes money...
...pediatric orthopedic team, which must successfully treat kids for, say, spinal curvature without being too quick with the knife for those who don't need surgery or too slow for those who do. "We keep cash compensation flexible and incentivized," Steele says. "That takes away some of the insane piecework...
...reality, though, is that the new-media and high-technology workplace today often more closely resembles a piecework-industry sweatshop than a pristine NASA laboratory. New Internet businesses, financially strapped and compelled to set up shop on pricey real estate in Manhattan's Silicon Alley or California's Silicon Valley, have to scrimp on the office space, using converted industrial lofts crammed with desks, T-1 lines and terminals. During the pre-initial public offering phase of a start-up, precious capital must be allocated to marketing and sales rather than rent and salaries, which contribute only to the burn...
...this pre-harvest work is done by the hour rather than by piecework, because every process builds on the other, and if one is messed up it's trouble," he says. "You can destroy a lot of things [really quickly] if you don't know what you're doing...
...What they often find, though, is hardship, privation, loneliness and exploitation. Although afforded some protection under American labor and civil rights laws, most illegals live in a shadow world of piecework and day jobs, just one step ahead of the INS and an unwanted ticket home. Whatever their country of origin, however, each illegal comes seeking the same thing: the good life in the good land...