I used to think my doctor spent a good chunk of time doing what I do: Keeping abreast of his industry, reading papers, catching up with colleagues, etc...
The truth is doctors see patients, day in and day out, and work endless hours seeing patients. Any spare time they have they spend updating charts. Occasionally they have to "download" new programming from insurance companies to figure out how to get paid for some common ailments.
The covid thing has exposed that America's doctors are not worthy of the title anymore. The medical industry is completely broken, and we'd be better off with nothing in most cases.
How do we reset the medical industry? I have some ideas, the first being, get rid of all forms of insurance. Doctors either work for free or they get paid in cash. And let people build medical centers / hospitals wherever they want and let them do whatever they think is best there. If that means turning away the endless hordes of people who have ripped their internal organs in anal sex, along with the drug addicts and homeless, so be it.
Yep this is what I've come to understand. I think there are 2 types of doctor: the kind who deals with difficult decisions by outsourcing it to "trusted" authorities, and the kind who finds the time to investigate personally. I don't blame people for being in the first category - it takes a particular character, as well as the opportunity, to be able to research for yourself, and I think many doctors who might want to investigate personally have been swamped and just trusted that others are doing their jobs properly.
I think part of what is going on might be that we have a system which evolved to manage a public that was poor in information and time. Decision making processes weren't set up to be challenged from multiple random directions, and now that they are being, they can't process the challenges effectively and learn from them. To prevent total collapse and inability to make any decisions at all, I think they've just cut off and censored input channels that they aren't designed to handle.
That's the most charitable hypothesis I can come up with by the way - I have plenty of others which are less so :)
I used to think my doctor spent a good chunk of time doing what I do: Keeping abreast of his industry, reading papers, catching up with colleagues, etc...
The truth is doctors see patients, day in and day out, and work endless hours seeing patients. Any spare time they have they spend updating charts. Occasionally they have to "download" new programming from insurance companies to figure out how to get paid for some common ailments.
The covid thing has exposed that America's doctors are not worthy of the title anymore. The medical industry is completely broken, and we'd be better off with nothing in most cases.
How do we reset the medical industry? I have some ideas, the first being, get rid of all forms of insurance. Doctors either work for free or they get paid in cash. And let people build medical centers / hospitals wherever they want and let them do whatever they think is best there. If that means turning away the endless hordes of people who have ripped their internal organs in anal sex, along with the drug addicts and homeless, so be it.
Yep this is what I've come to understand. I think there are 2 types of doctor: the kind who deals with difficult decisions by outsourcing it to "trusted" authorities, and the kind who finds the time to investigate personally. I don't blame people for being in the first category - it takes a particular character, as well as the opportunity, to be able to research for yourself, and I think many doctors who might want to investigate personally have been swamped and just trusted that others are doing their jobs properly.
I think part of what is going on might be that we have a system which evolved to manage a public that was poor in information and time. Decision making processes weren't set up to be challenged from multiple random directions, and now that they are being, they can't process the challenges effectively and learn from them. To prevent total collapse and inability to make any decisions at all, I think they've just cut off and censored input channels that they aren't designed to handle.
That's the most charitable hypothesis I can come up with by the way - I have plenty of others which are less so :)