3 ms·

In the US, it is a huge problem that physicians spend so much time dealing with insurance, they have to churn through patients and can't establish a real relati

by Mz 10y ago

In the US, it is a huge problem that physicians spend so much time dealing with insurance, they have to churn through patients and can't establish a real relationship to them. It actively undermines the quality of care. DPC allows physicians to escape a horrifying hamster wheel of running faster to just stay in place. It allows them to take the time to get to know their patients in a way that was normal when I was growing up, but is very rare these days. It allows them to see the same patient for thirty minutes or an hour a few times a year and actually remember who they are instead of having some insanely low amount of time per patient per year, like seven or ten minutes. It has a track record in this country of stopping the insanity and improving care. http://medicaleconomics.modernmedicine.com/medical-economics/news/physicians-chart-new-path-direct-primary-care http://medicaleconomics.modernmedicine.com/medical-economics... http://aapp.org/2016/01/08/why-you-should-transition-to-direct-primary-care-and-how-you-can-make-the-process-easier/ http://aapp.org/2016/01/08/why-you-should-transition-to-dire... http://www.dpceugene.com/single-post/2016/07/06/Why-choose-the-direct-primary-care-model http://www.dpceugene.com/single-post/2016/07/06/Why-choose-t...

icantdrive55 10y ago
I've been to modern doctors who spent time with me, and in all honestly--I'm getting no benefit from their "wisdom". Now the family doctor, whom retired in 2000, was time well spent. He palpated for tumors. He looked at our retinas. He listened to our hearts. He found a slight mitral valve prolapse in my mom, and myself.(Something every doctor I have seen since has completely missed, or didn't care enough to listen for?). And yes, some times the rubber glove was brought out. Since I have good insurance now, my doctors spend time with me, but I have found talking kinda useless, unless I'm in for a specific symptom. Too many they don't seem to really listen. They love to run up the bill with a depression screening. They mention fish oil. Blah--blah--blah. I sometimes think a person without good insurance might be better off. They are left alone. They aren't put on dubious anti-depressants. They arn't over treated. They won't get a testosterone patch. They won't get any edgy new treatment--that might be found to be dangerious. I will admit; I'm no fan of modern doctors, unless it's for emergency medicine. Maybe that's affecting my judgement? I don't have the respect for doctors I once had. I haven't been to a doctor recently whom I didn't walk out of thinking---He's/She's just in it for the money? I have a psychiatrist that put me on a addictive drug years ago, and has literally held me hostage with the mandatory office visits, and they are solely for money. I look back at 99% of my doctor office visits, and I can't think on any ailment they caught by spending talking time. "So give me the comprehensive blood test, and order a MRI if I"m complaining of upper right quadrant pain--please doc, and refill any addictive prescriptions for a year. I really don't want to talk to you, unless that office visit includes blood work, or something other than just yacking, and running up a bill!" I'm now fifty. If you get through your twenties-thirties without a mental malady; you succeeded. Life in America is hard on the psyche, and that can cause so many health problems--high blood pressure from self medicating? Weird pains? Most of it will be psychosomatic. In terms of health, I can offer what helped me: cut back on the alcohol, exercise a little, eat less. Get that pneumonia vaccine if you're constantly getting chest infections. It's one of the better vaccines.

by Mz 10y ago

icantdrive55 10y ago

I've been to modern doctors who spent time with me, and in all honestly--I'm getting no benefit from their "wisdom". Now the family doctor, whom retired in 2000, was time well spent. He palpated for tumors. He looked at our retinas. He listened to our hearts. He found a slight mitral valve prolapse in my mom, and myself.(Something every doctor I have seen since has completely missed, or didn't care enough to listen for?). And yes, some times the rubber glove was brought out. Since I have good insurance now, my doctors spend time with me, but I have found talking kinda useless, unless I'm in for a specific symptom. Too many they don't seem to really listen. They love to run up the bill with a depression screening. They mention fish oil. Blah--blah--blah. I sometimes think a person without good insurance might be better off. They are left alone. They aren't put on dubious anti-depressants. They arn't over treated. They won't get a testosterone patch. They won't get any edgy new treatment--that might be found to be dangerious. I will admit; I'm no fan of modern doctors, unless it's for emergency medicine. Maybe that's affecting my judgement? I don't have the respect for doctors I once had. I haven't been to a doctor recently whom I didn't walk out of thinking---He's/She's just in it for the money? I have a psychiatrist that put me on a addictive drug years ago, and has literally held me hostage with the mandatory office visits, and they are solely for money. I look back at 99% of my doctor office visits, and I can't think on any ailment they caught by spending talking time. "So give me the comprehensive blood test, and order a MRI if I"m complaining of upper right quadrant pain--please doc, and refill any addictive prescriptions for a year. I really don't want to talk to you, unless that office visit includes blood work, or something other than just yacking, and running up a bill!" I'm now fifty. If you get through your twenties-thirties without a mental malady; you succeeded. Life in America is hard on the psyche, and that can cause so many health problems--high blood pressure from self medicating? Weird pains? Most of it will be psychosomatic. In terms of health, I can offer what helped me: cut back on the alcohol, exercise a little, eat less. Get that pneumonia vaccine if you're constantly getting chest infections. It's one of the better vaccines.