keccers
@keccers.eth
Wait times to see a specialist in 🇺🇸 are now in the months to years range One solution I didn’t expect: group based care https://www.huffpost.com/entry/wait-time-specialists_l_67cb20e4e4b056d451321921
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Omar
@dromar.eth
Another reason for this is the growth of PAs and NPs in primary care who reflexively refer to specialists for everything Physician PCPs are very comfortable managing most common issues. @farmerboy thoughts?
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Shamsul Bhuiyan
@farmerboy
Financial engineers industrialized health care like ford did through car industry. It’s sad we created technicians with short training who can’t tell 5-10 differentials of most common disease . It’s very sensitive zone to talk about even . We can’t criticize one individual knowledge, that’s not proper . But we can criticize looking how system is developed to produce so called skilled worker . When we don’t think we do test and ref every places . More radiation exposure every where through more test . Working in primary care setting I can see everyday billions dollars waste by doing test . We are in tough time . Training being distorted and financial business person don’t understand depth how physician works . Fundamentals training system need revolution. We have reached to the point where we are about to CT scan of hair and don’t know what we are looking even .
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keccers
@keccers.eth
It's interesting to contrast your experience with mine talking to rich patients/marketing to consumers of health tech. Some of what you observe must come in part from their demand. I know many people who feel MORE IS ALWAYS BETTER and this includes testing. They feel entitled to these services and are unwilling to accept that that it's a waste in the slightest
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Shamsul Bhuiyan
@farmerboy
Totally agree. The word “” feel entitled “ is society empowered on them . In USA every 30 min there is one add from attorney on Tv , “ call me and sue physician, I will get you money “ not sure how many country in the world has such sick advertising to attack professional doctors . No doubt we do defensive medicine practice. Medicaid - 21% USA population Medicare 18.7% Private insurance: 54.5% Probably you see more third category insurance coverage patients 😂. I see more first two category. I think always if I can save government money though government don’t care for us .
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