What Happened to Doctors?

[Anonymous]

Anonymous wrote:The entire healthcare system is screwed and US healthcare is the worst out of any industrialized country in the world. I've gotten far better care before in Thailand.

I haven't seen a real MD for primary care in like 20+ years because they're impossible to book or get into a practice with as a new patient. It's been NPs the entire time.

PCPs barley follow your health. I really have no idea if I have major health issues. I mean my blood work showed that my cholesterol as a little high and my blood pressure was slightly elevated, but my NP PCP didn't prescribe anything. I haven't gone in 2 years. Am I supposed to even go regularly? I dunno, the PCP doesn't follow up and barely knows my name.

Other times I've had to go to a specialist, and it's been the insurance company denying and denying. Or when I've gone I've gotten zero bills mailed to me the entire time only to find out years later I've been sent to collections for unpaid bills. Wut? How can I even pay a damn bill of you don't even send it to me?

US health scare is an absolute joke. It significantly reduces the quality of life in the country by a massive percentage. Insurance companies shouldn't even exist and they are in charge of determining your healthcare, not doctors. Insurance companies and litigation basically burnout doctors who spend more time with that crap than actually doing medicine.

And no, I refuse that concierge crap. That smacks of privilege, and we simply don't have thousands of dollars laying around to throw away on a country club model just to have access to appropriate healthcare. The whole system is sick.

It’s emblematic of the country in general. The problem starts with clinical staff slash nurses who are largely unhelpful to doctors due to an inferiority complex.

There needs to be a reset. Nurses provide zero medical direction and need to KNOW that. They should be great at patient care like cleaning wounds, wiping asses, and following specific directions by physicians. Make it easy for the actual doctors do their jobs.

[Anonymous]

Anonymous wrote:

Anonymous wrote:The entire healthcare system is screwed and US healthcare is the worst out of any industrialized country in the world. I've gotten far better care before in Thailand.

I haven't seen a real MD for primary care in like 20+ years because they're impossible to book or get into a practice with as a new patient. It's been NPs the entire time.

PCPs barley follow your health. I really have no idea if I have major health issues. I mean my blood work showed that my cholesterol as a little high and my blood pressure was slightly elevated, but my NP PCP didn't prescribe anything. I haven't gone in 2 years. Am I supposed to even go regularly? I dunno, the PCP doesn't follow up and barely knows my name.

Other times I've had to go to a specialist, and it's been the insurance company denying and denying. Or when I've gone I've gotten zero bills mailed to me the entire time only to find out years later I've been sent to collections for unpaid bills. Wut? How can I even pay a damn bill of you don't even send it to me?

US health scare is an absolute joke. It significantly reduces the quality of life in the country by a massive percentage. Insurance companies shouldn't even exist and they are in charge of determining your healthcare, not doctors. Insurance companies and litigation basically burnout doctors who spend more time with that crap than actually doing medicine.

And no, I refuse that concierge crap. That smacks of privilege, and we simply don't have thousands of dollars laying around to throw away on a country club model just to have access to appropriate healthcare. The whole system is sick.

It’s emblematic of the country in general. The problem starts with clinical staff slash nurses who are largely unhelpful to doctors due to an inferiority complex.

There needs to be a reset. Nurses provide zero medical direction and need to KNOW that. They should be great at patient care like cleaning wounds, wiping asses, and following specific directions by physicians. Make it easy for the actual doctors do their jobs.

If that were true, then maybe they shouldn't require nurses to get bachelor's degrees and masters degrees just to do grunt work.

[Anonymous]

Its amazing to me that majority of people dont understand. The more people covered, the worst the quality of care is. Something has to give in the equation to balance out and compensate for more people in the system and its quality of care.

[Anonymous]

What Happened to Doctors is...

Obamacare.

Great narrative, but a horrible mess in the real world we live in.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:The entire healthcare system is screwed and US healthcare is the worst out of any industrialized country in the world. I've gotten far better care before in Thailand.

I haven't seen a real MD for primary care in like 20+ years because they're impossible to book or get into a practice with as a new patient. It's been NPs the entire time.

PCPs barley follow your health. I really have no idea if I have major health issues. I mean my blood work showed that my cholesterol as a little high and my blood pressure was slightly elevated, but my NP PCP didn't prescribe anything. I haven't gone in 2 years. Am I supposed to even go regularly? I dunno, the PCP doesn't follow up and barely knows my name.

Other times I've had to go to a specialist, and it's been the insurance company denying and denying. Or when I've gone I've gotten zero bills mailed to me the entire time only to find out years later I've been sent to collections for unpaid bills. Wut? How can I even pay a damn bill of you don't even send it to me?

US health scare is an absolute joke. It significantly reduces the quality of life in the country by a massive percentage. Insurance companies shouldn't even exist and they are in charge of determining your healthcare, not doctors. Insurance companies and litigation basically burnout doctors who spend more time with that crap than actually doing medicine.

And no, I refuse that concierge crap. That smacks of privilege, and we simply don't have thousands of dollars laying around to throw away on a country club model just to have access to appropriate healthcare. The whole system is sick.

It’s emblematic of the country in general. The problem starts with clinical staff slash nurses who are largely unhelpful to doctors due to an inferiority complex.

There needs to be a reset. Nurses provide zero medical direction and need to KNOW that. They should be great at patient care like cleaning wounds, wiping asses, and following specific directions by physicians. Make it easy for the actual doctors do their jobs.

If that were true, then maybe they shouldn't require nurses to get bachelor's degrees and masters degrees just to do grunt work.

Agreed. And there are associates degrees and other programs.

Anyone idiotic enough to get a masters and pay for it should be unemployed, but that’s another story.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Its become a factory line since obama care kicked in. welcome to a somewhat world of socialized healthcare that docs need to process as many as possible to turn a profit.

also dont forget, inflation has gone nuts but the insurance reimbursement to doctors has stayed constant so they cant afford to hire staff. Its really a sh*t show.

Its about to hit dentistry next.

American healthcare sucked balls loooooong before Obamacare. It has sucked ass all during the Bush years and even under Clinton. Obamacare is a reaction to the problem that has basically existed since the 80s, when US healthcare really started going downhill.

Why did US healthcare start going downhill in the 80s?
BTW I'm a foreign trained MD and I agree that the quality of healthcare in this country is pretty low, I've received better care (without the stress of battling against insurance companies) in several developing countries.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Its become a factory line since obama care kicked in. welcome to a somewhat world of socialized healthcare that docs need to process as many as possible to turn a profit.

also dont forget, inflation has gone nuts but the insurance reimbursement to doctors has stayed constant so they cant afford to hire staff. Its really a sh*t show.

Its about to hit dentistry next.

American healthcare sucked balls loooooong before Obamacare. It has sucked ass all during the Bush years and even under Clinton. Obamacare is a reaction to the problem that has basically existed since the 80s, when US healthcare really started going downhill.

When trying to fix things it's important to at the very least to Do No Harm.

Obamacare made things worse. Trillions of dollars wasted on nonsense, decades of delay till another reform attempt given the disaster it was.

Beware Senators who talk much and do little.

[Anonymous]

Anonymous wrote:

Anonymous wrote:The entire healthcare system is screwed and US healthcare is the worst out of any industrialized country in the world. I've gotten far better care before in Thailand.

I haven't seen a real MD for primary care in like 20+ years because they're impossible to book or get into a practice with as a new patient. It's been NPs the entire time.

PCPs barley follow your health. I really have no idea if I have major health issues. I mean my blood work showed that my cholesterol as a little high and my blood pressure was slightly elevated, but my NP PCP didn't prescribe anything. I haven't gone in 2 years. Am I supposed to even go regularly? I dunno, the PCP doesn't follow up and barely knows my name.

Other times I've had to go to a specialist, and it's been the insurance company denying and denying. Or when I've gone I've gotten zero bills mailed to me the entire time only to find out years later I've been sent to collections for unpaid bills. Wut? How can I even pay a damn bill of you don't even send it to me?

US health scare is an absolute joke. It significantly reduces the quality of life in the country by a massive percentage. Insurance companies shouldn't even exist and they are in charge of determining your healthcare, not doctors. Insurance companies and litigation basically burnout doctors who spend more time with that crap than actually doing medicine.

And no, I refuse that concierge crap. That smacks of privilege, and we simply don't have thousands of dollars laying around to throw away on a country club model just to have access to appropriate healthcare. The whole system is sick.

Sorry to break it to you...you get what you pay for.

I already pay thosuands of dollars per year for insurance, a$$hole.

How much more do I need to pay inorder to get appropriate care then?

I guess healthcare is now only reserved for the wealthy 1% elite who can fork over tons of more money for a concierge treatment?

What a fantastic way to destabilize a country. Don't surprised in a few years when the masses get so pissed off they start putting the heads of the rich on pikes lining the highway.

[Anonymous]

Anonymous wrote:

Anonymous wrote:The entire healthcare system is screwed and US healthcare is the worst out of any industrialized country in the world. I've gotten far better care before in Thailand.

I haven't seen a real MD for primary care in like 20+ years because they're impossible to book or get into a practice with as a new patient. It's been NPs the entire time.

PCPs barley follow your health. I really have no idea if I have major health issues. I mean my blood work showed that my cholesterol as a little high and my blood pressure was slightly elevated, but my NP PCP didn't prescribe anything. I haven't gone in 2 years. Am I supposed to even go regularly? I dunno, the PCP doesn't follow up and barely knows my name.

Other times I've had to go to a specialist, and it's been the insurance company denying and denying. Or when I've gone I've gotten zero bills mailed to me the entire time only to find out years later I've been sent to collections for unpaid bills. Wut? How can I even pay a damn bill of you don't even send it to me?

US health scare is an absolute joke. It significantly reduces the quality of life in the country by a massive percentage. Insurance companies shouldn't even exist and they are in charge of determining your healthcare, not doctors. Insurance companies and litigation basically burnout doctors who spend more time with that crap than actually doing medicine.

And no, I refuse that concierge crap. That smacks of privilege, and we simply don't have thousands of dollars laying around to throw away on a country club model just to have access to appropriate healthcare. The whole system is sick.

Sorry to break it to you...you get what you pay for.

We're paying more than 18% of our GDP for this garbage!

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:The entire healthcare system is screwed and US healthcare is the worst out of any industrialized country in the world. I've gotten far better care before in Thailand.

I haven't seen a real MD for primary care in like 20+ years because they're impossible to book or get into a practice with as a new patient. It's been NPs the entire time.

PCPs barley follow your health. I really have no idea if I have major health issues. I mean my blood work showed that my cholesterol as a little high and my blood pressure was slightly elevated, but my NP PCP didn't prescribe anything. I haven't gone in 2 years. Am I supposed to even go regularly? I dunno, the PCP doesn't follow up and barely knows my name.

Other times I've had to go to a specialist, and it's been the insurance company denying and denying. Or when I've gone I've gotten zero bills mailed to me the entire time only to find out years later I've been sent to collections for unpaid bills. Wut? How can I even pay a damn bill of you don't even send it to me?

US health scare is an absolute joke. It significantly reduces the quality of life in the country by a massive percentage. Insurance companies shouldn't even exist and they are in charge of determining your healthcare, not doctors. Insurance companies and litigation basically burnout doctors who spend more time with that crap than actually doing medicine.

And no, I refuse that concierge crap. That smacks of privilege, and we simply don't have thousands of dollars laying around to throw away on a country club model just to have access to appropriate healthcare. The whole system is sick.

Sorry to break it to you...you get what you pay for.

I already pay thosuands of dollars per year for insurance, a$$hole.

How much more do I need to pay inorder to get appropriate care then?

I guess healthcare is now only reserved for the wealthy 1% elite who can fork over tons of more money for a concierge treatment?

What a fantastic way to destabilize a country. Don't surprised in a few years when the masses get so pissed off they start putting the heads of the rich on pikes lining the highway.

The problem is private equity getting involved in healthcare. It's untenable and shouldn't be allowed.

[Anonymous]

Anonymous wrote:Its amazing to me that majority of people dont understand. The more people covered, the worst the quality of care is. Something has to give in the equation to balance out and compensate for more people in the system and its quality of care.

Shhh.

[Anonymous]

Anonymous wrote:
What Happened to Doctors is...

Obamacare.

Great narrative, but a horrible mess in the real world we live in.

Our system before Obamacare was also terrible. It was fine for people employed and with health insurance, but terrible for anyone else. They could have moved towards a true single payer system, but Republicans backed by lobbyists wouldn’t allow it.

[Anonymous]

Anonymous wrote:Its amazing to me that majority of people dont understand. The more people covered, the worst the quality of care is. Something has to give in the equation to balance out and compensate for more people in the system and its quality of care.

Or train and employ more healthcare workers.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:The entire healthcare system is screwed and US healthcare is the worst out of any industrialized country in the world. I've gotten far better care before in Thailand.

I haven't seen a real MD for primary care in like 20+ years because they're impossible to book or get into a practice with as a new patient. It's been NPs the entire time.

PCPs barley follow your health. I really have no idea if I have major health issues. I mean my blood work showed that my cholesterol as a little high and my blood pressure was slightly elevated, but my NP PCP didn't prescribe anything. I haven't gone in 2 years. Am I supposed to even go regularly? I dunno, the PCP doesn't follow up and barely knows my name.

Other times I've had to go to a specialist, and it's been the insurance company denying and denying. Or when I've gone I've gotten zero bills mailed to me the entire time only to find out years later I've been sent to collections for unpaid bills. Wut? How can I even pay a damn bill of you don't even send it to me?

US health scare is an absolute joke. It significantly reduces the quality of life in the country by a massive percentage. Insurance companies shouldn't even exist and they are in charge of determining your healthcare, not doctors. Insurance companies and litigation basically burnout doctors who spend more time with that crap than actually doing medicine.

And no, I refuse that concierge crap. That smacks of privilege, and we simply don't have thousands of dollars laying around to throw away on a country club model just to have access to appropriate healthcare. The whole system is sick.

Sorry to break it to you...you get what you pay for.

I already pay thosuands of dollars per year for insurance, a$$hole.

How much more do I need to pay inorder to get appropriate care then?

I guess healthcare is now only reserved for the wealthy 1% elite who can fork over tons of more money for a concierge treatment?

What a fantastic way to destabilize a country. Don't surprised in a few years when the masses get so pissed off they start putting the heads of the rich on pikes lining the highway.

Pay more, obviously what you pay is not enough..average person pays equally or more for their car on a monthly basis. What’s more important, your health or a fast depreciating asset?? Lol people are looney, priorities buddy

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:The entire healthcare system is screwed and US healthcare is the worst out of any industrialized country in the world. I've gotten far better care before in Thailand.

I haven't seen a real MD for primary care in like 20+ years because they're impossible to book or get into a practice with as a new patient. It's been NPs the entire time.

PCPs barley follow your health. I really have no idea if I have major health issues. I mean my blood work showed that my cholesterol as a little high and my blood pressure was slightly elevated, but my NP PCP didn't prescribe anything. I haven't gone in 2 years. Am I supposed to even go regularly? I dunno, the PCP doesn't follow up and barely knows my name.

Other times I've had to go to a specialist, and it's been the insurance company denying and denying. Or when I've gone I've gotten zero bills mailed to me the entire time only to find out years later I've been sent to collections for unpaid bills. Wut? How can I even pay a damn bill of you don't even send it to me?

US health scare is an absolute joke. It significantly reduces the quality of life in the country by a massive percentage. Insurance companies shouldn't even exist and they are in charge of determining your healthcare, not doctors. Insurance companies and litigation basically burnout doctors who spend more time with that crap than actually doing medicine.

And no, I refuse that concierge crap. That smacks of privilege, and we simply don't have thousands of dollars laying around to throw away on a country club model just to have access to appropriate healthcare. The whole system is sick.

Sorry to break it to you...you get what you pay for.

I already pay thosuands of dollars per year for insurance, a$$hole.

How much more do I need to pay inorder to get appropriate care then?

I guess healthcare is now only reserved for the wealthy 1% elite who can fork over tons of more money for a concierge treatment?

What a fantastic way to destabilize a country. Don't surprised in a few years when the masses get so pissed off they start putting the heads of the rich on pikes lining the highway.

Pay more, obviously what you pay is not enough..average person pays equally or more for their car on a monthly basis. What’s more important, your health or a fast depreciating asset?? Lol people are looney, priorities buddy

It’s like the person that complains over a few hundred copay when they waste that much on their shiny new iPhone and phone service monthly.