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The two times I used One Medical, me and the doctor just ended up googling my symptoms together. Don’t have a lot of confidence in their staff. It’s a nice idea

The two times I used One Medical, me and the doctor just ended up googling my symptoms together. Don’t have a lot of confidence in their staff. It’s a nice idea though, although concierge care like this probably pushes health care costs even higher.

pxlpshr 7y ago
Direct primary care is (generally) much cheaper for better quality/more holistic care. I think DPC is particularly attractive if you’re a low utilizer on an HDHP and never hit your deductible.
- deleted 7y ago
  [deleted]
- surfmike 7y ago
  Much cheaper than what? I also can get direct primary care through Sutter, and although the experience is probably worse (less time during appt, longer wait time) it’s probably cheaper than the concierge model of One Medical. At the very least it allows a doctor to scale to more patients.
  - JshWright 7y ago
    Presumably they mean cheaper than using a fee-for-service PCP, but I don't really see how (especially in the low utilization car they mentioned... DPC makes more sense in high utilization cases, since the overhead cost is fixed)
JshWright 7y ago
Would you rather they Google your symptoms behind your back? It's happening either way...
winfred 7y ago
Do you have any idea how much can go wrong with a human body and in how many different ways? And we're not even close to figuring out all the illnesses. Sure, brain cancer they can detect just fine, but try to go to a doctor because you're fatigued or have joint pain or other inflammation related issues. See the shit show you'll run into then. 9 out of 10 times they'll toss you through a few machines and then claim it's psychological. Most doctors are just guessing, some are just better at making it appear they know what they are doing to improve placebo. I rather have a doctor that's using Google than one that thinks he knows what's wrong but doesn't fact check.
- surfmike 7y ago
  Yes medicine is complicated, but I question whether a general purpose search engine, searching potentially untrustworthy or out of date medical information, is the best tool for diagnosis.
  - JshWright 7y ago
    That's the reason for the doctor. They have the foundational knowledge to evaluate the information and the source.

pxlpshr 7y ago

Direct primary care is (generally) much cheaper for better quality/more holistic care. I think DPC is particularly attractive if you’re a low utilizer on an HDHP and never hit your deductible.

deleted 7y ago
[deleted]
surfmike 7y ago
Much cheaper than what? I also can get direct primary care through Sutter, and although the experience is probably worse (less time during appt, longer wait time) it’s probably cheaper than the concierge model of One Medical. At the very least it allows a doctor to scale to more patients.
- JshWright 7y ago
  Presumably they mean cheaper than using a fee-for-service PCP, but I don't really see how (especially in the low utilization car they mentioned... DPC makes more sense in high utilization cases, since the overhead cost is fixed)

JshWright 7y ago

Would you rather they Google your symptoms behind your back? It's happening either way...

winfred 7y ago

Do you have any idea how much can go wrong with a human body and in how many different ways? And we're not even close to figuring out all the illnesses. Sure, brain cancer they can detect just fine, but try to go to a doctor because you're fatigued or have joint pain or other inflammation related issues. See the shit show you'll run into then. 9 out of 10 times they'll toss you through a few machines and then claim it's psychological. Most doctors are just guessing, some are just better at making it appear they know what they are doing to improve placebo. I rather have a doctor that's using Google than one that thinks he knows what's wrong but doesn't fact check.

surfmike 7y ago
Yes medicine is complicated, but I question whether a general purpose search engine, searching potentially untrustworthy or out of date medical information, is the best tool for diagnosis.
- JshWright 7y ago
  That's the reason for the doctor. They have the foundational knowledge to evaluate the information and the source.