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Nice article Rachel. This is pretty amusing to me, actually, because my experience in healthcare has been the exact opposite. In fact, I was fired repeatedly for asking to be paid for my hours worked, which you would think would be one of those "monitored" things.
I also saw a lot of "corrections" to records being made by administrative staff in order to justify additional billing or recoup higher base rates. Sometimes, it's put back on the clinician directly (after tons of email evidence), but other times it's.
The last time I brought that type of issue up in a job -- specifically that I was being asked to ignore state regulations governing the practice of physical therapy -- I was simply called into the office to get chewed out while a coworker got stuck with double the work. When I looked into it, the clinic couldn't have been punished for the violation, but the clinician would almost certainly lose their license for it in the unlikely case it got reported.
The idea that things are "so" monitored that everyone is doing things "the right way" might be the reality in investment banking, though I haven't seen it in healthcare. The "your workday is 8 hours and overtime must be approved" line when I was required to be physically present 9.5 hours daily (often more) eventually pushed me out of the industry.