A major medical staffing company just slashed benefits for doctors and nurses fighting coronavirus

Could there be a worse time to put profits over people?

Apr 2, 2020

April 2, 2020

Emergency room doctors and nurses many of whom are dealing with an onslaught of coronavirus patients and shortages of protective equipment — are now finding out that their compensation is getting cut.

Most ER providers in the U.S. work for staffing companies that have contracts with hospitals. Those staffing companies are losing revenue as hospitals postpone elective procedures and non-coronavirus patients avoid emergency rooms. Health insurers are processing claims more slowly as they adapt to a remote workforce.

“Despite the risks our providers are facing, and the great work being done by our teams, the economic challenges brought forth by COVID-19 have not spared our industry,” Steve Holtzclaw, the CEO of Alteon Health, one of the largest staffing companies, wrote in a memo to employees on Monday.

The memo announced that the company would be reducing hours for clinicians, cutting pay for administrative employees by 20%, and suspending 401(k) matches, bonuses and paid time off. Holtzclaw indicated that the measures were temporary but didn’t know how long they would last.

In a follow-up memo sent to salaried physicians on Tuesday night, Alteon said it would convert them to an hourly rate, implying that they would start earning less money since the company had already said it would reduce their hours. The memo asked employees to accept the change or else contact the human resources department within five days “to discuss alternatives,” without saying what those might be. The memo said Alteon was trying to avoid laying anyone off.

“It’s completely demoralizing,” said an Alteon clinician who spoke on the condition of anonymity. “At this time, of all times, we’re putting ourselves at risk but also putting our families at risk.

“Some co-workers are already taking on extra burdens such as living apart from their families to avoid the risk of infecting them, the clinician said. “A lot of sacrifices are being made on the front line that the administration is not seeing because they’re not stepping foot in a hospital,” she said. “I’ve completely lost trust with this company.”

Other employers will soon follow suit, Holtzclaw said, citing conversations with his counterparts across the industry. “You can be assured that similar measures are being contemplated within these organizations and will likely be implemented in the coming weeks,” he wrote.

However, another major staffing company for emergency rooms, TeamHealth, said its employees would not be affected. “We are not instituting any reduction in pay or benefits,” TeamHealth said in a statement to ProPublica. “This is despite incurring significant cost for staffing in anticipation of surging volumes, costs related to quarantined and sick physicians, and costs for PPE as we work hard to protect our clinicians from the virus.”

Alteon and its private-equity backers, Frazier Healthcare Partners and New Mountain Capital, didn’t immediately respond to requests for comment.

Private equity investors have increasingly acquired doctors’ practices in recent years, according to a study published in February in JAMA. TeamHealth was bought by Blackstone Group in 2016; another top staffing firm, Envision Healthcare, is owned by KKR. (The staffing companies have also been implicated in the controversy over “surprise billing.”)

Hospital operators have also announced cuts. Tenet Healthcare, a Dallas-based publicly traded company that runs 65 hospitals, said it would postpone 401(k) matches and tighten spending on contractors and vendors. Emergency room doctors at Boston’s Beth Israel Deaconess Medical Center have been told some of their accrued pay is being held back, according to The Boston Globe. More than 1,100 staffers at Atrius Health in Massachusetts are facing reduced paychecks or unpaid furloughs, and raises for medical staff at South Shore Health, another health system in Massachusetts, are being delayed. Several other hospitals have also announced furloughs.

“We all feel pretty crestfallen,” another ER doctor employed by Alteon said in a text message. “I did expect support from our administrators, and this certainly doesn’t feel like that.”

At Alteon, Holtzclaw wrote that the measures were necessary despite relief available from the $2 trillion stimulus that Congress passed last week. Those provisions include deferring payroll taxes, suspending reimbursement cuts and receiving advance Medicare payments.

Alteon’s pay cut doesn’t affect hourly rates for clinicians, but some of the people characterized as administrative employees are practicing doctors such as medical directors, according to one who spoke on the condition of anonymity. In his case, he said the cut amounts to about $20,000 a year.

“Every day I’m in county and federal emergency meetings. This is besides seeing patients. I’m doing more hands-on work right now than ever before,” he said. “I’m getting calls 24/7 from the hospital administration, the county management team. I have not had a day off in over two weeks. And I’m working all this for 20% less.”

The medical director said he understood the company has to cope with lost income, but he wished the leadership had let employees choose among a range of sacrifices that would best suit their individual circumstances.

“This decision is being made not by physicians but by people who are not on the front lines, who do not have to worry about whether I’m infecting my family or myself,” he said. “If a company cannot support physicians during the toughest times, to me there’s a significant question of integrity.”

Another Alteon physician said he had been planning to ask for time off to go help out in New York, where the coronavirus outbreak is the worst in the nation. Now he has no paid time off, and he thinks his employer won’t support him if he gets sick. He said if his pay drops he’ll have to look for a new job.

“I have a huge loan payment. I have rent. I have groceries. I’m not going to sacrifice my life for when I get sick and they’re going to say, ‘You were replaceable,’” the physician said. “I cannot believe they did that to us.”

Claire Perlman and Maryam Jameel contributed reporting.

Update, April 1, 2020: This article was updated to add details from a follow-up memo that was sent to Alteon employees after publication and to add the name of a second private-equity investor in Alteon, New Mountain Capital.

This article was produced by ProPublica. You can read the original version here.

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A dog rests on its owner's lap as they pet its head.

Health, Well-being

Why some health professionals are recommending pet ownership for better health

Pets may support healthier, less lonely lives.

Good Partner

4/29/2026

Christine Abdelmalek for Pink Papyrus

Research suggests that pet ownership is associated with higher life satisfaction, with some studies estimating its impact as comparable to that of a substantial increase in income. According to the paper The Value of Pets by Michael W. Gmeiner and Adelina Gschwandtner, this comparison reflects a modeled relationship between life satisfaction and income rather than a literal financial gain.

Beyond the obvious companionship and social benefits, having a dog (or any other pet) waiting for you at home can also improve your health. Studies show that just 10 minutes of petting a dog while making eye contact can significantly reduce stress levels.

The growing body of research is convincing enough that more U.S. health professionals are beginning to recommend pet ownership as part of treatment plans.

Pink Papyrus explores research on the health benefits of pet ownership and why some professionals recommend it.

Why Are Health Professionals ‘Prescribing’ Pets?

A recent Human Animal Bond Research Institute (HABRI) report found that 1 in 5 pet owners say a doctor or therapist has recommended pet ownership to support their health. This reflects patient-reported experiences rather than a direct measure of how widely health professionals recommend pets.

The Science Behind the Data

Petting a dog for five to 10 minutes triggers the release of oxytocin, also known as the love hormone. At the same time, cortisol (the primary stress hormone) levels drop, leaving you feeling calmer and happier.

The effect goes both ways: dogs also experience increased oxytocin levels during petting. And if you make eye contact with your pet while stroking their fur, the feeling of calm and general positivity can be even stronger.

A study meta-analysis by the American Heart Association also shows that dog owners have a 31% lower risk of mortality from cardiovascular disease compared to those who don’t own dogs. This is largely due to increased physical activity (walks, play, grooming) and lower autonomic stress.

Dog Walks Help Combat Loneliness

Dog walks are great for more than just getting your daily steps; they’re a natural way to meet other dog owners and spend time outside, surrounded by people. For anyone feeling a bit isolated, that alone can make a real difference.

Dog walking has quietly become a gateway into online communities, where people share routines, tips, and even creative spins on their daily outings.

One trend that’s gained traction among more style-conscious pet parents is coordinating outfits with their dogs using playful accessories. Some brands have helped fuel this movement, turning a simple walk into a form of self-expression and something people love to share and bond over online.

Emotional Support Animals

While any pet can be an emotional support animal, dogs are usually on the front lines. These are not service dogs, trained to perform specific activities; their job is to provide therapeutic benefit through their presence alone.

Due to our deep bond, dogs can act as a physiological regulator. Besides petting and mutual gazing, many owners practice deep pressure therapy, in which the dog lies across the owner’s lap or chest. This weight triggers the parasympathetic nervous system, helping to ground a person during a panic attack or high-anxiety episode.

Furthermore, the daily routine of feeding, walking, grooming, bathroom breaks, etc., is beneficial for people who struggle with depression or anxiety. If you don’t have the motivation to get out of bed in the morning, you will do it for your dog.

Seniors also feel that their pets provide a sense of purpose, which helps keep both mind and body engaged. Having a pet depend on you can provide a powerful sense of self-worth.

The $22B Answer

Further research from HABRI highlights another angle: the economic impact on the U.S. healthcare system. According to its latest report, pet ownership saves an estimated $22.7 billion annually in medical costs.

On average, pet owners visit the doctor less frequently. Dog owners, in particular, tend to be more physically active, contributing to lower rates of obesity and cardiovascular disease.

The benefits extend beyond physical health. Many seniors find meaningful companionship in their pets or use them as a bridge to connect with other pet owners, helping reduce the risks associated with social isolation. Veterans living with PTSD also benefit from emotional support animals, which can lower long-term treatment costs.

A Healthier, Less Lonely Future

Pets play a meaningful role in our well-being. As both companions and sources of emotional support, they deliver proven benefits for physical and mental health.

The data also points to a measurable impact on public health. That said, these benefits depend on responsible ownership. Health professionals must weigh the advantages against an individual’s ability to provide a stable home and consistent veterinary care.

This story was produced by Pink Papyrus and reviewed and distributed by Stacker.

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Photo credit: Riska/E+ via Getty Images – Using multiple digital devices at once can be highly distracting and overstimulating.

Health, Well-being

Why ‘unwinding’ with screens may be making us more stressed – here’s what to try instead

Real rest starts with fewer inputs.

Good Partner

4/27/2026
Robin Pickering

As Americans increasingly report feeling overwhelmed by daily life, many are using self-care to cope. Conversations and social media feeds are saturated with the language of “me time,” burnout, boundaries and nervous system regulation.

To meet this demand, the wellness industry has grown into a multitrillion-dollar global market. Myriad providers offer products, services and lifestyle prescriptions that promise calm, balance and restoration.

Paradoxically, though, even as interest in self-care continues to grow, Americans’ mental health is getting worse.

I am a professor of public health who studies health behaviors and the gap between intentions and outcomes. I became interested in this self-care paradox recently, after I suffered from a concussion. I was prescribed two months of strictly screen-free cognitive rest – no television, email, Zooming, social media, streaming or texting.

The benefits were almost immediate, and they surprised me. I slept better, had a longer attention span and had a newfound sense of mental quiet. These effects reflected a well-established principle in neuroscience: When cognitive and emotional stimuli decrease, the brain’s regulatory systems can recover from overload and chronic stress.

Obviously, most people can’t go 100% screen-free for days, much less months, but the underlying principle offers a powerful lesson for practicing effective self-care.

A nation under strain

Americans’ self-rated mental health is now at the lowest point since Gallup started tracking this issue in 2001. National surveys consistently detect high levels of stress and emotional strain.

Roughly one-third of U.S. adults report feeling overwhelmed most days. Sleep disruption, anxiety, poor concentration and emotional exhaustion are widespread, particularly among young adults and women.

Chronic disease patterns mirror this strain. When daily stress becomes chronic, it can trigger biological changes that increase the risk of long-term conditions like heart disease and diabetes. The Centers for Disease Control and Prevention reports that 6 in 10 U.S. adults live with at least one chronic condition, and 4 in 10 live with multiple chronic conditions.

How people try to cope

Many Americans say they actively practice self-care in everyday life. For example, they describe taking mental health days, protecting personal time, setting boundaries around work and prioritizing rest and leisure.

The problem lies in how they use that leisure time.

Over the past 22 years, the U.S. Bureau of Labor Statistics’ American Time Use Survey has consistently found that watching television is the most popular leisure activity for U.S. adults. Americans spend far more time watching TV than exercising, spending time with friends or practicing reflection through activities like yoga. Other common self-care activities include watching movies and gaming.

Modern leisure time increasingly includes smartphone use. Surveys suggest that mobile phones have become the dominant screen for many Americans, with adults spending several hours per day on their phones.

For many adults, checking social media or watching short videos has become a default relaxation behavior layered on top of traditional screen use. This practice is often referred to as second screening.

Although many people turn to screen-based activities to wind down, these activities may have the opposite effect biologically.

Why modern screen use feels different

Pre-internet forms of leisure often involved activities such as watching scheduled television programs, listening to radio broadcasts or reading books and magazines. For all of these pastimes, the content followed a predictable sequence with natural stopping points.

Today’s digital media environment looks very different. People routinely engage with multiple screens at once, respond to frequent notifications and switch rapidly between several streams of content. These environments continuously require users to split their attention, engage their emotions and make decisions.

This type of mental multitasking draws on the same neural systems people are often attempting to rest with leisure. The result is a far more fragmented and cognitively demanding environment than in the past.

Americans now spend approximately six to seven hours per day on screens across multiple devices. Splitting attention between more than one screen at a time, such as using the phone while watching television, is common. This juggling exposes peoples’ brains to multiple streams of sensory and emotional input simultaneously.

Survey data also suggests that Americans may check their phones roughly 200 times per day. In doing so, they repeatedly pull their attention back to screens during routine moments.

Modern digital platforms are designed to maximize engagement. Algorithms tend to prioritize emotionally arousing content, particularly anger, anxiety and outrage. These feelings drive clicks, sharing and time spent on platforms. Research has shown that this design is associated with higher stress, distraction and cognitive load.

When ‘rest’ doesn’t restore

Against the backdrop of daily hassles and competing demands, it can feel like relief to flip on the TV. Practices such as streaming or so-called bed-rotting – spending extended periods in bed while scrolling – often are framed as a form of radical rest or self-care.

Other common coping behaviors include leaving the television on as background noise, scrolling between tasks throughout the day or using phones during meals and conversations. These strategies can feel restful because they temporarily reduce external demands and decision-making.

However, pairing rest with screen use may undermine the very restoration that people are seeking. Digital media stimulate attention, emotion and sensory processing. Even while people are sitting or lying still, being onscreen can keep their nervous systems in a heightened state of arousal. It may look like downtime, but it doesn’t create the biological conditions for restoration.

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How to wind down

Evidence suggests that mental relief comes not from adding new coping strategies, but from reducing the number of demands placed on the brain.

Here are some evidence-based strategies that support genuine restoration:
- Reduce digital multitasking, such as using your phone while watching television. This lowers stress and cognitive strain.
- Limit task-switching and interruptions. This improves focus and reduces cognitive fatigue.
- Spend time in low-stimulation environments, including quiet spaces and outdoor settings. This supports mood and emotional well-being.
- Unwind with analog or low-novelty activities, such as reading print, journaling, gentle movement or device-free walking. These pastimes allow mental engagement without overload.
The goal is to intentionally reduce mental load, not to abandon all digital devices.

To improve well-being in our overstimulated society, it’s important to understand the difference between feeling as though you are unwinding and actually allowing your brain and body to recover. In my view, fewer screens, fewer inputs, fewer emotional demands and more protected time for genuine cognitive rest are important components of an effective wellness strategy.

This article originally appeared on The Conversation. You can read it here.
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Photo credit: wildpixel/iStock via Getty Images Plus – Scientists are fighting back against antibiotic resistance with new strategies and tools.

Health, Research

Antibiotic resistance could undo a century of medical progress – but four advances are changing the story

New tools are changing the fight.

Good Partner

4/27/2026

André O. Hudson

Imagine going to the hospital for a bacterial ear infection and hearing your doctor say, “We’re out of options.” It may sound dramatic, but antibiotic resistance is pushing that scenario closer to becoming reality for an increasing number of people. In 2016, a woman from Nevada died from a bacterial infection that was resistant to all 26 antibiotics that were available in the United States at that time.

The U.S. alone sees more than 2.8 million antibiotic-resistant illnesses each year. Globally, antimicrobial resistance is linked to nearly 5 million deaths annually.

Bacteria naturally evolve in ways that can make the drugs meant to kill them less effective. However, when antibiotics are overused or used improperly in medicine or agriculture, these pressures accelerate the process of resistance.

As resistant bacteria spread, lifesaving treatments face new complications – common infections become harder to treat, and routine surgeries become riskier. Slowing these threats to modern medicine requires not only responsible antibiotic use and good hygiene, but also awareness of how everyday actions influence resistance.

Since the inception of antibiotics in 1910 with the introduction of Salvarsan, a synthetic drug used to treat syphilis, scientists have been sounding the alarm about resistance. As a microbiologist and biochemist who studies antimicrobial resistance, I see four major trends that will shape how we as a society will confront antibiotic resistance in the coming decade.

1. Faster diagnostics are the new front line

For decades, treating bacterial infections has involved a lot of educated guesswork. When a very sick patient arrives at the hospital and clinicians don’t yet know the exact bacteria causing the illness, they often start with a broad-spectrum antibiotic. These drugs kill many different types of bacteria at once, which can be lifesaving — but they also expose a wide range of other bacteria in the body to antibiotics. While some bacteria are killed, the ones that remain continue to multiply and spread resistance genes between different bacterial species. That unnecessary exposure gives harmless or unrelated bacteria a chance to adapt and develop resistance.

In contrast, narrow-spectrum antibiotics target only a small group of bacteria. Clinicians typically prefer these types of antibiotics because they treat the infection without disturbing bacteria that are not involved in the infection. However, it can take several days to identify the exact bacteria causing the infection. During that waiting period, clinicians often feel they have no choice but to start broad-spectrum treatment – especially if the patient is seriously ill.

Amoxicillin is a commonly prescribed broad-spectrum antibiotic. TEK IMAGE/Science Photo Library via Getty Images

But new technology may fast-track identification of bacterial pathogens, allowing medical tests to be conducted right where the patient is instead of sending samples off-site and waiting a long time for answers. In addition, advances in genomic sequencing, microfluidics and artificial intelligence tools are making it possible to identify bacterial species and effective antibiotics to fight them in hours rather than days. Predictive tools can even anticipate resistance evolution.

For clinicians, better tests could help them make faster diagnoses and more effective treatment plans that won’t exacerbate resistance. For researchers, these tools point to an urgent need to integrate diagnostics with real-time surveillance networks capable of tracking resistance patterns as they emerge.

Diagnostics alone will not solve resistance, but they provide the precision, speed and early warning needed to stay ahead.

2. Expanding beyond traditional antibiotics

Antibiotics transformed medicine in the 20th century, but relying on them alone won’t carry humanity through the 21st. The pipeline of new antibiotics remains distressingly thin, and most drugs currently in development are structurally similar to existing antibiotics, potentially limiting their effectiveness.

To stay ahead, researchers are investing in nontraditional therapies, many of which work in fundamentally different ways than standard antibiotics.

One promising direction is bacteriophage therapy, which uses viruses that specifically infect and kill harmful bacteria. Others are exploring microbiome-based therapies that restore healthy bacterial communities to crowd out pathogens.

Researchers are also developing CRISPR-based antimicrobials, using gene-editing tools to precisely disable resistance genes. New compounds like antimicrobial peptides, which puncture the membranes of bacteria to kill them, show promise as next-generation drugs. Meanwhile, scientists are designing nanoparticle delivery systems to transport antimicrobials directly to infection sites with fewer side effects.

Beyond medicine, scientists are examining ecological interventions to reduce the movement of resistance genes through soil, wastewater and plastics, as well as through waterways and key environmental reservoirs.

Many of these options remain early-stage, and bacteria may eventually evolve around them. But these innovations reflect a powerful shift: Instead of betting on discovering a single antibiotic to address resistance, researchers are building a more diverse and resilient tool kit to fight antibiotic-resistant pathogenic bacteria.

3. Antimicrobial resistance outside hospitals

Antibiotic resistance doesn’t only spread in hospitals. It moves through people, wildlife, crops, wastewater, soil and global trade networks. This broader perspective that takes the principles of One Health into account is essential for understanding how resistance genes travel through ecosystems.

Researchers are increasingly recognizing environmental and agricultural factors as major drivers of resistance, on par with misuse of antibiotics in the clinic. These include how antibiotics used in animal agriculture can create resistant bacteria that spread to people; how resistance genes in wastewater can survive treatment systems and enter rivers and soil; and how farms, sewage plants and other environmental hot spots become hubs where resistance spreads quickly. Even global travel accelerates the movement of resistant bacteria across continents within hours.

Together, these forces show that antibiotic resistance isn’t just an issue for hospitals – it’s an ecological and societal problem. For researchers, this means designing solutions that cross disciplines, integrating microbiology, ecology, engineering, agriculture and public health.

4. Policies on what treatments exist in the future

Drug companies lose money developing new antibiotics. Because new antibiotics are used sparingly in order to preserve their effectiveness, companies often sell too few doses to recoup development costs even after the Food and Drug Administration approves the drugs. Several antibiotic companies have gone bankrupt for this reason.

To encourage antibiotic innovation, the U.S. is considering major policy changes like the PASTEUR Act. This bipartisan bill proposes creating a subscription-style payment model that would allow the federal government up to US$3 billion to pay drug manufacturers over five to 10 years for access to critical antibiotics instead of paying per pill.

Global health organizations, including Médecins Sans Frontières (Doctors Without Borders), caution that the bill should include stronger commitments to stewardship and equitable access.

Still, the bill represents one of the most significant policy proposals related to antimicrobial resistance in U.S. history and could determine what antibiotics exist in the future.

The future of antibiotic resistance

Antibiotic resistance is sometimes framed as an inevitable catastrophe. But I believe the reality is more hopeful: Society is entering an era of smarter diagnostics, innovative therapies, ecosystem-level strategies and policy reforms aimed at rebuilding the antibiotic pipeline in addition to addressing stewardship.

For the public, this means better tools and stronger systems of protection. For researchers and policymakers, it means collaborating in new ways.

The question now isn’t whether there are solutions to antibiotic resistance – it’s whether society will act fast enough to use them.

This article originally appeared on The Conversation. You can read it here.

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