Instead, a physician working for the insurance company will use some sort of GPT to come up with an excuse to deny care and then they will write that up in their own words to deny care.
Propublica has done an excellent slate of investigatory articles recently about how insurance denials actually work.
Oftentimes, the "embarrassment to us all" is just trying to pay his own bills/obligations [not saying this is "correct" — it's not].
There’s a difference between doing an unsavory job to the best of one’s abilities and calling women’s mental health issues "hysterics" and invoking psychosomatics to avoid paying out after someone was badly injured horseback riding and are bedridden due to debilitating neurological disorders following her injuries.
There’s a decidedly difference between being strict, maybe even excessively so, whilst doing a controversial job and systematically being misleading, manipulative and untruthful when confronted with established standards of care.
I fully get having to yield to the way the world works, and i sincerely feel for your view. My parents have basically disowned me and trying to sustain myself through medical school is taking a fat toll on me.
But I’m sorry, but "savying" away any sort of criticism of the conduct of our profession on the basis of "that’s not of the real world works" has it’s limits. Maybe you haven’t been at the receiving end of this sort of ordeal, but i can attest you first hand that this group of physicians, at least here, has issues way beyond having to sustain themselves. Maybe our generation will be different, but the ease of your dismissal is kind of troubling to me.
A few months ago i came across an interview with a physician who worked for one of the online pill mills that sprung up after the US loosened the rules for RXing scheduled substance via telemedicine. He pretty much approved Benzos and Adderall all day. He invoked pretty much the very same argument you have, and I’m sure his situation was everything but easy. The pressures of becoming a US physician are very alien to me, so maybe i just don’t get it. But "well, that’s how the world keeps spinning, grow up kiddo" isn’t a carte blanche for being oblivious to the damage you’re doing. You have sworn or will swear an oath. Being a mercenary liar, misrepresenting medicine for monetary gain is not quite what was implied there. If you don’t see a glaring issue with behaving this way, maybe you should look into an alternative career path.
I'm sorry you perceived my comment this way. It's not a dismissal, rather a charge to maintain your purity.
>The pressures of becoming a US physician are very alien to me, so maybe i just don’t get it.
The US training schedules for physicians are ridiculous, absolutely. I never really "got it," either, which is why I do not practice medicine.
>"well, that’s how the world keeps spinning, grow up kiddo" isn’t a carte blanche for being oblivious to the damage you’re doing
Please consider how this misdirected ANGER resonated with myself, others.
>If you don’t see a glaring issue with behaving this way, maybe you should look into an alternative career path.
I did, having left medical school over a decade ago [I wouldn't have been able to maintain the purity I saw in your above-comment, so I changed professions].
----
Best of luck in your studies. I truly hope one day you'll "make it" and be able to help people in the real world.
Why doesn't the AMA expel these doctors from its ranks?
As the first of many examples, limiting accredited residency program seats nationwide places an artificial restriction on produced-physicians.
I'm very happy to see increase in ancillary licensure/practice, although I know this just increases "the race to the bottom" which echoes so familiarly in regulatory capture / oligarchy.