3 ms·
This is an artifact of the medical insurance system in the US, which focuses upon low-cost, high-volume processing of patients and gouging the delivery staff on
by yourapostasy 11y ago
This is an artifact of the medical insurance system in the US, which focuses upon low-cost, high-volume processing of patients and gouging the delivery staff on payments. Subscribe to an expensive concierge physician service (the kind that is cash/check/bank-transfer only, no insurance allowed, some don't even take credit cards), and the difference is night and day; impeccable bedside manners, no rushed visits, 24x7 phone access to your personally-assigned doctor (with only light screening by the RN on duty, if any screening at all), some even perform house calls.
It is no secret that if you are well-to-do or wealthier in the US, then it offers you some of the best medical services and quality delivery you can buy anywhere in the world; the steady stream of medical tourism by the very wealthy non-US patients year-in and year-out attests to that. And if you are not so well-off in the US, then any complex medical complications requiring sophisticated treatment to survive can be a horrifically terrifying experience, depending upon your individual roll of the dice in our byzantine insurance maze.
While many US citizens decry "socialism" when single-payer systems are discussed, I personally believe Coase's Nature of the Firm might offer one possible solution set out of many possible such sets, in terms of a solution along the lines of co-ops.
- warfangle 11y agoCompanies like One Medical are trying to strike a balance between traditional volume based doctor and the concierge service.
- vortexh 11y agoI have never heard of a concierge physician service. where can I learn more about the issues surrounding medical insurance and its impact on patient care? as someone who lives in the US and relies on the healthcare system, I'm very interested.
- yourapostasy 11y agoStart at the Wikipedia entry for concierge medicine, branch out from the references there, especially references in the Controversy section.
- medicalskeptic6 11y agoThe idea that insurance companies are "gouging" providers or that providers are underpaid is absurd: http://www.slate.com/articles/business/moneybox/2013/02/american_doctors_are_overpaid_medicare_is_cheaper_than_private_insurance.html http://www.slate.com/articles/business/moneybox/2013/02/amer...
- yourapostasy 11y agoRight you are, I should have been more specific for the US readers of my comment. General Practitioner's are not nearly as well-compensated by insurance as specialists, and GP's are the primary care main point of contact for most Americans. Thanks for pointing out the need for the clarification.