This is a strange feature of hospitals that seems very much like we should know better, yet it’s pervasive. Hospital-acquired delirium is very common and awful, and is associated with bad outcomes after leaving the hospital—higher risk of death, and ongoing dementia-like problems.

We know sleep is so critically important to health, yet everything about most hospitals seems basically incompatible with proper sleep: beeping, lights, middle-of-the-night blood draws, shared rooms, no sense of day or night. Not dissimilar to how how we know that people make terrible decisions when they’re sleep deprived, but continue to have resident doctors work unreasonable hours, this is a status quo bias that harms people.

I have seen the same. Literally crazy, right?

The hospital reminds me of Walmart. Soulless as a bag of hammers but technically proficient and efficient. Carnivorous. Insectile.