Reply to S/o What the f do you all want from doctors?

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[quote=Anonymous]You can try to explain it to them in person or online, and often get accused of being defensive or spending too much time doing that. But it does take time.

Sometimes people are open to looking at the actual protocols and recommendations. However, no amount of time is going to replace a thorough grounding in statistics, critical analysis, and how to do an accurate lit review. People who don't want to understand can always just say, or write, "word salad" or say you don't make sense. And from their point of view they may be justified, but the truth is that the time spent with someone with that perspective is entirely wasted. Entirely.

Some people have a provider they trust, and they don't need details. You can move through that appointment both accurately and on time. Some people don't trust for very understandable or valid reasons, or they may have a good sense that they are outliers in dome way (rightly or wrongly).

[i]All[/i] of them deserve good care. Only [i]some[/i] of them can get it in the current system. The system needs to change.

One way of doing it is for physicians to take more control of their professional workspace, decide who they can work with (even if it takes more time), set aside the needed time, and charge what they need to make up for loss in economies of space, shared overhead, etc. But they can make sure they do it right.

Another way is to use the economies of scale and shared overhead costs to the advantage of patients, but this requires larger group buy-in and the removal of financial investment and shareholder interests from the provision of medical care, which shouldn't be driven by making as much money as you can squeeze. That's more systemic, and it's much more difficult. It comes with other costs, too.

But if someone is convinced that they are right and unable to consider in any significant ways that they have no idea what they don't know, then this system does not permit good care for them without going concierge, or -- possibly -- getting very very lucky, in a specific context which cannot be held over time, or for many people.[/quote]

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