My wife is a therapist. Her supervisors expect 80% efficiency (billable time) and her treatment to paperwork load is close to 1:1.<p>So literally her only option  is to document while also treating.<p>she comes home and tells me that a patient asked for water and that creates a dilemma for her: go get water and lose productivity while treating your patient like a human OR reject their request and keep productivity high and avoid being scolded.<p>The problem is, obviously, good care is therapy AND getting water for your patient. They&#x27;re humans not numbers. We&#x27;re forcing medical professionals to only work within the scope of &quot;billable&quot; activities and that ultimately hurts the patient.