this post was submitted on 19 Apr 2024
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There's so many things wrong with the Americans healthcare system, I don't know how to find the most absurd one.
But also the fact that you can advertise for medicin, and that the patient actually has a say in what they get at the doctor, is insane.
Why would you trust those guys, if the medicin they sell is sponsored?
Just wait for what's coming. The ACA set us up for monetization of healthcare on steroids, and it's just about to hit critical mass. I think anyone engaged with the healthcare system today can see the enshitification accelerating.
For just a sampling of what's to come, there is a projected shortage of up to 86,000 physicians by 2036. It seems like doctors aren't interested in joining the rest of us in working for slave wages to benefit Wall Street.
lack of residency spots by design and high student loans make becomming a primary care doctor a losing proposition. specialize to survive
Yep. If you look into how the USA produces doctors, it is over giant hazing ritual created by a person who loved cocaine.
Or go to work at an insurance company denying claims. It's better money and less hassle.
Residency is almost just a hazing ritual for gatekeeping . I honestly don't think it makes doctors better. However, residency is not new, but the building doctor shortage is. My primary care physician of 20 years just retired early because the corporation that bought out his office was pushing him to take so many patients for such little compensation that it just wasn't worth it.
Can we all agree that letting Wall St corps enshittify every aspect of our society so they can reap extreme profits at everyone else’s expense needs to end?
I might put it more violently, but.... Yes.
You can have insurance and still be expected to pay thousands of dollars of one out of network doctor sees you at your in network hospital.
With the joy of high deductible health plans you can pay thousands of dollars in network, because they can get away with it.
I wish the insurance companies encouraged better life styles.
I wish the insurance companies were regulated to benefit the people they SHOULD protect.
I don't
Advertising of prescription medicine is illegal in my country so it's crazy visiting the US and those are like half of the ads
The patient doesn't really get a say. Only the shitty doctors giving into their patients demanding medications they don't need. Which isn't to say it doesn't happen, but it's not standard.
Must be pretty widespread since there's so many ads for drugs and medicin.
Because the bad doctors, as I said, do give in to the pushing patient. That doesn't mean all do.
Even if it's a small percentage of doctors, that could be a big boost in sales for the pharmaceutical company.
This is a terrible take. Advertising medicine makes a ton of sense. People don't always know what symptoms are actually something that has a cure. They see an ad for a drug and think "oh shit, I have those symptoms, let me go the to doctor". Otherwise they just live with what they think is normal.
But further, DOCTORS don't even know what new drugs exist. Patients advocating for themselves is a HUGE benefit. So a patient might come in and ask for a drug that the doctor has never even heard of so never would have even considered prescribing it even if it was the right drug.
I think you have the terrible take. Untrained people shouldn't be self-diagnosing based on hearing a list of symptoms, the brain is too good at tricking itself and it is too easy to even give yourself symptoms you don't have.
And I don't expect any one doctor to know of every treatment that exists for every illness, because that's what collaborative knowledge bases are for. A carefully moderated medical Wikipedia that can be contributed to by doctors and researchers.
But all of this wouldn't make the pharmesutical companies as much money as peddling to hypochondriacs so instead we have ads.
At the end of the day the doctor is the one who does the research. A doctor may recommend something else instead if they don't think a drug is a good fit.
This is literally what everyone does. How else would it possibly even work? "Oh shit you mean my foot numbness is a symptom of diabetes?". Like, this is just how human interaction works.
What does this have to do with what we're talking about. Are you saying that the doctor should just input every symptom that every patient gives them to a medical Wikipedia? Because otherwise how would they know of new drugs? They may think they know exactly how to treat whatever symptom, but if they're not continually looking it up very single time, they'll miss new meds.
What you described is not even remotely a solution to the actual problem of 1. people not knowing their symptoms are potentially from a disease that has a treatment. and 2. doctors knowing that treatment exists