For many disabled patients, the doctor is often not in
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https://www.sciencealert.com/a-case-of-schizophrenia-found-t....
I read a long form story of that case where the teen's parents spent 2 years and nearly half a million dollars on medical treatment until the father actually was able to put the correct diagnosis together himself. I don't disagree that profit-driven healthcare is incredibly problematic.
When they are just an interchangeable employee, you're back to all the problems that come with motivating employees. The easy and most common solution is to tie pay to performance--where performance is measured in how much the employee brings in for the company.
This gets even worse when instead of the employer being a non profit healthcare organization, the employer is owned by a private equity firm.
Government-run, "socialized" health care (especially with unionized staff) is one example.
As a monopoly, government has no financial or other incentives to provide efficient and quality service. If more money is needed/wanted, it's simply taken from taxpayers.
Even worse, there are no real consequences or accountability for poor performance from any of the participants involved.
We end up with bloated health care organizations that deliver slow and ineffective treatment at a massive cost to society at large.
If the government-run health care system employees are unionized, it's even worse. The unions involved will effectively become political entities, doing everything in their power to block or impede any kind of meaningful reform or optimization of a broken (but beneficial to them) health care system.
It gets even worse when the government-run health care system, despite imposing a massive tax burden on taxpayers, doesn't even cover common procedures or treatments (dental, vision, prescriptions, and so on). So those already paying into this "socialized" system often end up needing some sort of costly private insurance, often offered through an employer, or they have to pay out-of-pocket.
What's described above is what we find with the various provincial government-run health care systems in Canada.
Canadian patients who can afford to do so will usually seek treatment at a private provider in the US or elsewhere. It may be expensive, but at least those patients tend to get effective treatment in a timely manner, which is something that's extremely rare with Canada's various "socialized" health care systems.
See the article.
> We end up with bloated health care organizations that deliver slow and ineffective treatment at a massive cost to society at large.
As opposed to the USA where we pay practically 2x per capita for healthcare compared to socialized nations and get measurably worse health outcomes in aggregate. The US healthcare system is great for people with the means to have genuine access to it, but most people don't and it shows in our metrics.
It’s compounded because she’s a young woman and my god while it’s not discussed here doctors are horrible with treating women. Between friends and family I don’t know a single woman who hasn’t told me they’ve had problems getting their doctors to listen to them and this is the case even when the doctor is a women themselves. It’s just like the system is fundamentally unable to cope with women’s health as a patient.
Its sad to think that your friend is "lucky" relative to some to have developed the skills to interpret medical literature and advocate for herself. So many people, and women in particular, seem to get told they are faking it or that their symptoms are psychosomatic and they don't even have the tools, time, or money to advance their own treatment.
This is shocking. I've accepted that there are a lot of crappy doctors, and it might take some effort to find one that's competent enought to help you. I hadn't considered that there might be no such doctor within a hundred-mile radius of you, even in a place like Illinois.