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@rojoloco said in Random Thread - Anything Goes:
@dashrender said in Random Thread - Anything Goes:
@rojoloco said in Random Thread - Anything Goes:
@dashrender said in Random Thread - Anything Goes:
@rojoloco said in Random Thread - Anything Goes:
@dashrender I don't claim to care one bit about our customers, but I don't work in a field that has the word "care" in it's name. And if doctors really did care at all, the American health care system would be much less of a joke. Doctors haven't cured anything in decades because they figured out all the $$$$$$ is in treatment of disease, not eradication of disease.
That's a whole different story.
If doctors actually cared, then money wouldn't drive everything they do. They may seem to "care" while they're in the same room as you, but they care more about that new vacation house on an island, or their new, ridiculously expensive supercar, or whatever. The patient is just a cash cow, and they only need to care enough to keep that revenue stream rolling.
Why yes, I am VERY cynical... I call it being realistic.
Do you consider doctors elsewhere on the planet (in first world countries) different? To that end I have no idea.
It seems unlikely that doctors in France/Germany/UK, etc aren't thinking about expensive supercars either.These are people after all. While there are some people who give fully of themselves for others, I certainly don't expect it from most.
I really don't know anything about doctors in other countries. All I know is that the US is the only place where drug companies advertise so heavily that they have tricked the patients into asking for or demanding this or that new prescription drug. I know that in other countries, the doctor tells you what medicine to take, not the other way around. In that respect, I'm sure that most foreign doctors have the patient's well being as a higher priority than making sure to prescribe stuff from the drug companies that pay them the most.
I completely agree this is horrible - patients being advertised to directly. Patients know nothing about drugs, and rarely if ever actually research about those drugs before asking for them. So on one hand, who's fault is this? This is the patient choosing to not do the right thing.
And the doctor should be saying - stop watching those ads,But I also wonder, is there enough time for a GP to study every new med that comes out, read all the studies, etc so they can be up to date on all the new options? This seems untenable. But Then someone will probably say - uh wait, You're in IT right? Isn't it your job to stay up to date on all those new IT things - to which I reply, that's a practical impossibility. There are to many things out there, often times out of financial reach to study them all, nor the time to do so. So most stick to a much smaller subset.
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@dashrender said in Random Thread - Anything Goes:
@scottalanmiller said in Random Thread - Anything Goes:
@dashrender said in Random Thread - Anything Goes:
@scottalanmiller said in Random Thread - Anything Goes:
Basically... McDonald's takes transmitting your order from cashier to cook more seriously than most doctors take getting your prescription from doctor to pharmacist.
This was definitely true a few years ago, but becoming much and much less true. Electronic submissions of prescriptions is pretty common today. My office has been doing it for nearly 10 years.
"Pretty common" is a far cry from "essentially ubiquitous" and "socially unacceptable for it to be any other way" or "instantly criminal negligence to use handwritten scripts unless absolutely necessary (like from a power ourage.)"
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@scottalanmiller said in Random Thread - Anything Goes:
@rojoloco said in Random Thread - Anything Goes:
@dashrender I don't claim to care one bit about our customers, but I don't work in a field that has the word "care" in it's name. And if doctors really did care at all, the American health care system would be much less of a joke. Doctors haven't cured anything in decades because they figured out all the $$$$$$ is in treatment of disease, not eradication of disease.
You also don't use government corruption to hold your customer hostage and threaten their lives if they don't come to you.
No doubt! Though, I have hard time not thinking this is mostly driven by the insurance companies than it doctors themselves.. but that's just a feeling, one I'm sure Scott is about to tell me why it's wrong.
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@dashrender said in Random Thread - Anything Goes:
@scottalanmiller said in Random Thread - Anything Goes:
@dashrender said in Random Thread - Anything Goes:
@scottalanmiller said in Random Thread - Anything Goes:
Basically... McDonald's takes transmitting your order from cashier to cook more seriously than most doctors take getting your prescription from doctor to pharmacist.
This was definitely true a few years ago, but becoming much and much less true. Electronic submissions of prescriptions is pretty common today. My office has been doing it for nearly 10 years.
Becoming less true, but still vastly true. My family has loads of pharmacists in it and they talk about all the garbage that happens still today. And we know doctors that don't even have computers in their offices still. It's very much still true today. And that 7,000 number is the rate per year that sloppy handwriting causes deaths TODAY after many doctors have moved away from handwriting. Think about that... imagine what the figure was just ten years ago, maybe 70,000?
Definitely horrible - I blame the pharmacists though as much as I do the doctor. They are clearly guessing at what the doctor meant, instead of confirming. If the pharmacists were to push back on the doctors by calling and refusing to fill a prescription until they confirmed a messy script, the doctors would likely be pressured into writing better.
Doctors are the sole ones making the choice to force the guessing, though. If the doctor didn't DEMAND guessing, they wouldn't be writing crap by hand. The pharmacists are forced to work with what is given to them. It's also up to the patient to know at that point, right? Pharmacists do check, and I know pharmacists that say that they routinely save lives because they know that the doctor made a mistake. But that's how bad it is. And only doctors can fix this, you can't pass the blame along. There is one and only one party truly at fault.
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@dashrender said in Random Thread - Anything Goes:
@rojoloco said in Random Thread - Anything Goes:
@dashrender said in Random Thread - Anything Goes:
@rojoloco said in Random Thread - Anything Goes:
@dashrender said in Random Thread - Anything Goes:
@rojoloco said in Random Thread - Anything Goes:
@dashrender I don't claim to care one bit about our customers, but I don't work in a field that has the word "care" in it's name. And if doctors really did care at all, the American health care system would be much less of a joke. Doctors haven't cured anything in decades because they figured out all the $$$$$$ is in treatment of disease, not eradication of disease.
That's a whole different story.
If doctors actually cared, then money wouldn't drive everything they do. They may seem to "care" while they're in the same room as you, but they care more about that new vacation house on an island, or their new, ridiculously expensive supercar, or whatever. The patient is just a cash cow, and they only need to care enough to keep that revenue stream rolling.
Why yes, I am VERY cynical... I call it being realistic.
Do you consider doctors elsewhere on the planet (in first world countries) different? To that end I have no idea.
It seems unlikely that doctors in France/Germany/UK, etc aren't thinking about expensive supercars either.These are people after all. While there are some people who give fully of themselves for others, I certainly don't expect it from most.
I really don't know anything about doctors in other countries. All I know is that the US is the only place where drug companies advertise so heavily that they have tricked the patients into asking for or demanding this or that new prescription drug. I know that in other countries, the doctor tells you what medicine to take, not the other way around. In that respect, I'm sure that most foreign doctors have the patient's well being as a higher priority than making sure to prescribe stuff from the drug companies that pay them the most.
I completely agree this is horrible - patients being advertised to directly. Patients know nothing about drugs, and rarely if ever actually research about those drugs before asking for them. So on one hand, who's fault is this? This is the patient choosing to not do the right thing.
And the doctor should be saying - stop watching those ads,But I also wonder, is there enough time for a GP to study every new med that comes out, read all the studies, etc so they can be up to date on all the new options? This seems untenable. But Then someone will probably say - uh wait, You're in IT right? Isn't it your job to stay up to date on all those new IT things - to which I reply, that's a practical impossibility. There are to many things out there, often times out of financial reach to study them all, nor the time to do so. So most stick to a much smaller subset.
Problem is, according to pharmacists, that doctors know nothing about drugs either.
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@dashrender said in Random Thread - Anything Goes:
@scottalanmiller said in Random Thread - Anything Goes:
@rojoloco said in Random Thread - Anything Goes:
@dashrender I don't claim to care one bit about our customers, but I don't work in a field that has the word "care" in it's name. And if doctors really did care at all, the American health care system would be much less of a joke. Doctors haven't cured anything in decades because they figured out all the $$$$$$ is in treatment of disease, not eradication of disease.
You also don't use government corruption to hold your customer hostage and threaten their lives if they don't come to you.
No doubt! Though, I have hard time not thinking this is mostly driven by the insurance companies than it doctors themselves.. but that's just a feeling, one I'm sure Scott is about to tell me why it's wrong.
No, it's driven by doctors. Take away the insurance, and the issue remains 100%. Insurance companies control your money, but doctors control your access to healthcare. I use doctors directly without insurance and still am extorted. If I need medicine, I can't just buy it without paying a bribe to a doctor.
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@scottalanmiller said in Random Thread - Anything Goes:
@dashrender said in Random Thread - Anything Goes:
@scottalanmiller said in Random Thread - Anything Goes:
@rojoloco said in Random Thread - Anything Goes:
@dashrender I don't claim to care one bit about our customers, but I don't work in a field that has the word "care" in it's name. And if doctors really did care at all, the American health care system would be much less of a joke. Doctors haven't cured anything in decades because they figured out all the $$$$$$ is in treatment of disease, not eradication of disease.
You also don't use government corruption to hold your customer hostage and threaten their lives if they don't come to you.
No doubt! Though, I have hard time not thinking this is mostly driven by the insurance companies than it doctors themselves.. but that's just a feeling, one I'm sure Scott is about to tell me why it's wrong.
No, it's driven by doctors. Take away the insurance, and the issue remains 100%. Insurance companies control your money, but doctors control your access to healthcare. I use doctors directly without insurance and still am extorted. If I need medicine, I can't just buy it without paying a bribe to a doctor.
That's the way it feels with my wife and her Zoloft prescription. Gotta see the doc every 6 months to keep the refills coming.
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@scottalanmiller said in Random Thread - Anything Goes:
@dashrender said in Random Thread - Anything Goes:
@scottalanmiller said in Random Thread - Anything Goes:
@rojoloco said in Random Thread - Anything Goes:
@dashrender I don't claim to care one bit about our customers, but I don't work in a field that has the word "care" in it's name. And if doctors really did care at all, the American health care system would be much less of a joke. Doctors haven't cured anything in decades because they figured out all the $$$$$$ is in treatment of disease, not eradication of disease.
You also don't use government corruption to hold your customer hostage and threaten their lives if they don't come to you.
No doubt! Though, I have hard time not thinking this is mostly driven by the insurance companies than it doctors themselves.. but that's just a feeling, one I'm sure Scott is about to tell me why it's wrong.
No, it's driven by doctors. Take away the insurance, and the issue remains 100%. Insurance companies control your money, but doctors control your access to healthcare. I use doctors directly without insurance and still am extorted. If I need medicine, I can't just buy it without paying a bribe to a doctor.
You feel that you should just be able to order any medicine you want? I'm not convinced of that yet. On one hand - hey, you want it, you buy it, you take it, you die - you problem.
Is this basically what you're saying? -
@dafyre said in Random Thread - Anything Goes:
@scottalanmiller said in Random Thread - Anything Goes:
@dashrender said in Random Thread - Anything Goes:
@scottalanmiller said in Random Thread - Anything Goes:
@rojoloco said in Random Thread - Anything Goes:
@dashrender I don't claim to care one bit about our customers, but I don't work in a field that has the word "care" in it's name. And if doctors really did care at all, the American health care system would be much less of a joke. Doctors haven't cured anything in decades because they figured out all the $$$$$$ is in treatment of disease, not eradication of disease.
You also don't use government corruption to hold your customer hostage and threaten their lives if they don't come to you.
No doubt! Though, I have hard time not thinking this is mostly driven by the insurance companies than it doctors themselves.. but that's just a feeling, one I'm sure Scott is about to tell me why it's wrong.
No, it's driven by doctors. Take away the insurance, and the issue remains 100%. Insurance companies control your money, but doctors control your access to healthcare. I use doctors directly without insurance and still am extorted. If I need medicine, I can't just buy it without paying a bribe to a doctor.
That's the way it feels with my wife and her Zoloft prescription. Gotta see the doc every 6 months to keep the refills coming.
yeah - that seems over zealous requirement for visits. Has your wife asked why the need for such frequent visits? If so, what was the reasoning?
I definitely agree that some doctors hold you hostage with visits that aren't needed to line their pockets.
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@dafyre That's exactly my problem with doctors. I've been in that exact situation, and I decided to go unmedicated instead of paying out the ass for an Rx refill.
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@rojoloco said in Random Thread - Anything Goes:
@dafyre That's exactly my problem with doctors. I've been in that exact situation, and I decided to go unmedicated instead of paying out the ass for an Rx refill.
Why not find a new doctor?
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@dashrender said in Random Thread - Anything Goes:
@rojoloco said in Random Thread - Anything Goes:
@dafyre That's exactly my problem with doctors. I've been in that exact situation, and I decided to go unmedicated instead of paying out the ass for an Rx refill.
Why not find a new doctor?
Money. Didn't have much of it at the time, and I needed those dollars more than a damn doctor. But even if I had a money fountain, I'm not really into the whole going to the doctor bit. Most of the ones I've been to are somewhere between totally checked out and downright asshole.
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So why the high cost for healthcare in the US compared to other countries? Are doctors still to blame? Is some of this blame to be put on pharmaceuticals? I heard one time that the reason why healthcare costs so much is because the research for new medicines is done in the US. I also believe that there is some corruption going on between gov and healthcare/drug companies because of all of the red tape. "If I get a piece of the pie, I'll make sure that your new drug is FDA approved" kind of thing. Is it because of socialized medicine in other countries, such as the UK or Canada help keeps the costs down to the end user, but how about the costs to tax payers?
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@rojoloco said in Random Thread - Anything Goes:
@dashrender said in Random Thread - Anything Goes:
@rojoloco said in Random Thread - Anything Goes:
@dafyre That's exactly my problem with doctors. I've been in that exact situation, and I decided to go unmedicated instead of paying out the ass for an Rx refill.
Why not find a new doctor?
Money. Didn't have much of it at the time, and I needed those dollars more than a damn doctor. But even if I had a money fountain, I'm not really into the whole going to the doctor bit. Most of the ones I've been to are somewhere between totally checked out and downright asshole.
That's why I'm saying - find a new doctor, one that doesn't require frequent visits for things like medication refills, etc. Once a year, I'm currently OK with, kinda like changing your password once a year, just because. But more often then that - I need a good reason why you need to see me for a non narcotic med refill.
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@nerdydad The reason healthcare cost so much in the US is because 'Merica!
No, really, it's because of 'Merica and the laws and regulations to be able to practice medicine here. With health insurance providers dictating what they'll cover, and the in-ability of a lot of people to pay out of pocket.
Doctors used to get paid cash, but that quickly fell out as people failed to pay. But it was a "keep people alive" first bill later case.
Still is, which means insurance is hedging their bets against a massive group of people all becoming sick at the same time.
It's not just a research only issue, or pharma issue. It's the entire system that has caused medical treatment in the US to cost so much.
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@dashrender said in Random Thread - Anything Goes:
@rojoloco said in Random Thread - Anything Goes:
@dashrender said in Random Thread - Anything Goes:
@rojoloco said in Random Thread - Anything Goes:
@dafyre That's exactly my problem with doctors. I've been in that exact situation, and I decided to go unmedicated instead of paying out the ass for an Rx refill.
Why not find a new doctor?
Money. Didn't have much of it at the time, and I needed those dollars more than a damn doctor. But even if I had a money fountain, I'm not really into the whole going to the doctor bit. Most of the ones I've been to are somewhere between totally checked out and downright asshole.
That's why I'm saying - find a new doctor, one that doesn't require frequent visits for things like medication refills, etc. Once a year, I'm currently OK with, kinda like changing your password once a year, just because. But more often then that - I need a good reason why you need to see me for a non narcotic med refill.
Insurance providers might dictate the followup visits.
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@dustinb3403 said in Random Thread - Anything Goes:
@dashrender said in Random Thread - Anything Goes:
@rojoloco said in Random Thread - Anything Goes:
@dashrender said in Random Thread - Anything Goes:
@rojoloco said in Random Thread - Anything Goes:
@dafyre That's exactly my problem with doctors. I've been in that exact situation, and I decided to go unmedicated instead of paying out the ass for an Rx refill.
Why not find a new doctor?
Money. Didn't have much of it at the time, and I needed those dollars more than a damn doctor. But even if I had a money fountain, I'm not really into the whole going to the doctor bit. Most of the ones I've been to are somewhere between totally checked out and downright asshole.
That's why I'm saying - find a new doctor, one that doesn't require frequent visits for things like medication refills, etc. Once a year, I'm currently OK with, kinda like changing your password once a year, just because. But more often then that - I need a good reason why you need to see me for a non narcotic med refill.
Insurance providers might dictate the followup visits.
I suppose that's possible - but in that case, it would be the insurance company robbing people not the doctors.
That said, I'm not aware of any insurance company mandating regular visits on our patients, but there are definitely many from the doctors themselves - see you in 3 months, see you in 6, etc.
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@dashrender said in Random Thread - Anything Goes:
@dustinb3403 said in Random Thread - Anything Goes:
@dashrender said in Random Thread - Anything Goes:
@rojoloco said in Random Thread - Anything Goes:
@dashrender said in Random Thread - Anything Goes:
@rojoloco said in Random Thread - Anything Goes:
@dafyre That's exactly my problem with doctors. I've been in that exact situation, and I decided to go unmedicated instead of paying out the ass for an Rx refill.
Why not find a new doctor?
Money. Didn't have much of it at the time, and I needed those dollars more than a damn doctor. But even if I had a money fountain, I'm not really into the whole going to the doctor bit. Most of the ones I've been to are somewhere between totally checked out and downright asshole.
That's why I'm saying - find a new doctor, one that doesn't require frequent visits for things like medication refills, etc. Once a year, I'm currently OK with, kinda like changing your password once a year, just because. But more often then that - I need a good reason why you need to see me for a non narcotic med refill.
Insurance providers might dictate the followup visits.
I suppose that's possible - but in that case, it would be the insurance company robbing people not the doctors.
That said, I'm not aware of any insurance company mandating regular visits on our patients, but there are definitely many from the doctors themselves - see you in 3 months, see you in 6, etc.
Of course that alone proves nothing, it's possible that they really need to be checked up upon in that amount of time.
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@dashrender said in Random Thread - Anything Goes:
@dustinb3403 said in Random Thread - Anything Goes:
@dashrender said in Random Thread - Anything Goes:
@rojoloco said in Random Thread - Anything Goes:
@dashrender said in Random Thread - Anything Goes:
@rojoloco said in Random Thread - Anything Goes:
@dafyre That's exactly my problem with doctors. I've been in that exact situation, and I decided to go unmedicated instead of paying out the ass for an Rx refill.
Why not find a new doctor?
Money. Didn't have much of it at the time, and I needed those dollars more than a damn doctor. But even if I had a money fountain, I'm not really into the whole going to the doctor bit. Most of the ones I've been to are somewhere between totally checked out and downright asshole.
That's why I'm saying - find a new doctor, one that doesn't require frequent visits for things like medication refills, etc. Once a year, I'm currently OK with, kinda like changing your password once a year, just because. But more often then that - I need a good reason why you need to see me for a non narcotic med refill.
Insurance providers might dictate the followup visits.
I suppose that's possible - but in that case, it would be the insurance company robbing people not the doctors.
That said, I'm not aware of any insurance company mandating regular visits on our patients, but there are definitely many from the doctors themselves - see you in 3 months, see you in 6, etc.
Exactly, but many people correlate the insurer with the doctor. Or the doctors office with the doctor.
The employer may dictate that the doctor require follow ups every so often. There's all kinds of ways it could be, and many ways that it actually is.
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@dashrender said in Random Thread - Anything Goes:
@dafyre said in Random Thread - Anything Goes:
@scottalanmiller said in Random Thread - Anything Goes:
@dashrender said in Random Thread - Anything Goes:
@scottalanmiller said in Random Thread - Anything Goes:
@rojoloco said in Random Thread - Anything Goes:
@dashrender I don't claim to care one bit about our customers, but I don't work in a field that has the word "care" in it's name. And if doctors really did care at all, the American health care system would be much less of a joke. Doctors haven't cured anything in decades because they figured out all the $$$$$$ is in treatment of disease, not eradication of disease.
You also don't use government corruption to hold your customer hostage and threaten their lives if they don't come to you.
No doubt! Though, I have hard time not thinking this is mostly driven by the insurance companies than it doctors themselves.. but that's just a feeling, one I'm sure Scott is about to tell me why it's wrong.
No, it's driven by doctors. Take away the insurance, and the issue remains 100%. Insurance companies control your money, but doctors control your access to healthcare. I use doctors directly without insurance and still am extorted. If I need medicine, I can't just buy it without paying a bribe to a doctor.
That's the way it feels with my wife and her Zoloft prescription. Gotta see the doc every 6 months to keep the refills coming.
yeah - that seems over zealous requirement for visits. Has your wife asked why the need for such frequent visits? If so, what was the reasoning?
I definitely agree that some doctors hold you hostage with visits that aren't needed to line their pockets.
Just a "routine checkup to make sure they don't need to adjust it"... How about we call you if we think something is up?
