Why are doctors so hands off and unhelpful in the USA?
Why are doctors so hands off and unhelpful in the USA?
I remember when I was a kid, doctors were so interactive and really took time to get to know you and talk to you, learn about what you're going through and explain things. Now as an adult, it's been nearly impossible to find a doctor who is willing to take any amount of time to sit down, explain things, show any sort of compassion or empathy at all.
I suffer from acid reflux, and in order to diagnose that, they basically put a tube down your throat, it's called an endoscopy. You have to be fully sedated with anesthesia and take nearly an entire day off of work because the way the anesthesia affects you, you can't drive and someone has to drive you. Well for many years now we've had this other procedure which is a tube, but they put it through your nose instead. There's been lots of research papers about the use of it, it's used in other countries as a procedure regularly. So I asked several gastroenterologists if they offer the procedure and every single one of them said no, and would not provide any additional information or insight as to why you have to be completely sedated and pay thousands upon thousands of dollars for expensive anesthesia. I am simply blown away. It makes no sense. A research tested method that has been written about for about a decade now in actual research studies by board certified medical physicians, and no one offers it. Literally no one, and they won't even consider it.
I've also been through at least several primary care physicians because the ones I have seen are so short and don't really take time to get to know you at all. They just pop in, ask you a handful of questions and leave, if your test results come back with anything abnormal, they say it's nothing to worry about, they don't want to take any extra time to help look into anything or diagnose you.. like wtf?
It just seems like doctors these days are out to get you to spend as much money as possible and do the absolute bare minimum for you in return. And now we have direct primary care options where you can circumvent insurance entirely, pay your doctor thousands upon thousands of dollars a year for the same level of care that we had in the '90s. But now you have to pay out of pocket for that in addition to your insurance. Wtfffff
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the united states is addicted to litigation. something that goes wrong is always someone elses responsibility and they will pay.
if a kid breaks their arm at school way too many humans decide 'that school was negligent, no matter what the circumstances' and they sue instead of collectively realizing kids do stupid things, and get hurt sometimes. this leaves school districts banning things like 'tag'. banning being children
its the same nonsense with doctors. theyve been sued into seclusion of anything they arent explicitly required to do.
the insurance industry has a hand in managing doctors time also... theyre basically given zero time to work with patients or they cant make enough money to stay in business.
health insurance companies only profit when human beings suffer
Is there evidence that this is true? Ive read that the US is actually not more litigious than some European nations and the idea that it is has been boosted by corporations that want to shift public opinion against plaintiffs (an example being the infamous McDonald’s coffee lawsuit)
Nah, it's about cramming as many patients as possible into each day. If it was about litigation, being more personable and attentive would decrease the risk.
Cramming is due to insurance reimbursement t
it's about cramming as many patients as possible into each day.
Using general anaesthsia and controlling everything reduces risk as compared to doing it with local anaesthesia which might cause discomfort, vomiting. These can get you sued. You never know who will be the person who will screw you just because you tried to save a few bucks.
General anaesthsia might save a few minutes during the procedure but along with the time for giving anaesthsia, recovery from anaesthsia, after care. It is both more time consuming and costly.
being more personable and attentive would decrease the risk.
You would think so but in real world the more you speak more material you would give if you get sued. Hence the doctrine be professional and cover your ass.
I'm not sure why you're talking about anesthesia.
OP's post was about anaesthesia.
No, they used anesthesia as an example. Their post was about doctors not spending time and communicating with patients.
I gave an explanation for both the points talking less n anaesthesia from the point of view of preventing litigation.
New doctors are drilled by seniors n lawyers to speak less, be professional n only answer to the point.