3 ms·

I agree that our medical system is fucked, but what exactly are you referring to here? The process seems the same from when I was poor and now that I'm rich.

I agree that our medical system is fucked, but what exactly are you referring to here? The process seems the same from when I was poor and now that I'm rich. Make appointment -> pay money -> see doctor -> get prescription -> go to pharmacy -> pay money -> get drugs. And the advice I get from doctors doesn't seem to be any better now. It's not like doctors that poor people see are intentionally giving bad medical advice.

dboreham 5y ago
Perhaps they don't even see a doctor, at least not in the official manner. I know of people who consult medical practitioners in a "black market" fashion because it's so much cheaper (and in some ways more convenient) than the proper medical-industrial-complex way.
- fallingknife 5y ago
  > I know of people who consult medical practitioners in a "black market" fashion because it's so much cheaper How does this work?
meheleventyone 5y ago
They're saying the upfront costs of healthcare put poor people off going to the doctor at all and leads to distrust of doctors as just being in it for the money. At least that's the way I read it.
Ansil849 5y ago
I think the point was that those who can afford it can see better doctors, particularly those who are less likely to be swayed by pharmaceutical company incentives. Case in point would be, when you were poor did you go to the same doctor in the same neighborhood now that you are rich? Kind of like those who can afford them can receive better lawyers than overworked public defenders.
- godsfshrmn 5y ago
  As a doctor, someone tell me where I can sign up for some of these pharmaceutical incentives. I guess I am out of the loop as after a decade of practice, no one has come knocking
aurizon 5y ago
Here in Canada, the payment is by the Ontario Health plan. I pay nothing except for a small list of meds, like colchicine. This is an excellent system, conditions that need immediate attention are seen immediately, and treatment is fast. Elective procedures, like knees worn out take more time. Bad knee from car crash immediate system. There is a steady loss of doctors to the USA, but the documentary process with a huge number of providers has led to fee based invoice creators, and there are fee based invoice deniers that make doctors wait long periods to be paid, and if they are denied = round again. We now get as many doctors leaving as entering as the process can eat up half the doctor's time. Ask any US doctor about this process...
8eye 5y ago
there’s actually a different procedure if you are on government issue it’s the governments bill, so if you get injured they won’t suggest the same care right away that they would to someone who had better insurance. you do not think this is happening but my mother and sister years and years ago did medical transcription (before speech to text was a big thing) and the notes from the doctors were insanely prejudice towards people who did that dress well, or who used government insurance. today’s standards talking how they talked would get anyone fired, but that attitude is still there with certain doctors. so yeah i still believe care is withheld due to insurance. it might not be done out of mistreatment of the patient but purely procedural, like an mri cost more than an x-ray, so they will suggest the x-ray first and never bring up an mri until the patient insists on it, that’s the type of low key care difference. there has not been any studies on this to my knowledge but i’ve experienced it before with friends who do not work jobs that provide healthcare options. i am not sure if it is done consciously or not, a lot of judgements are subconscious and that will affect outcome.

dboreham 5y ago

Perhaps they don't even see a doctor, at least not in the official manner. I know of people who consult medical practitioners in a "black market" fashion because it's so much cheaper (and in some ways more convenient) than the proper medical-industrial-complex way.

fallingknife 5y ago
> I know of people who consult medical practitioners in a "black market" fashion because it's so much cheaper How does this work?

meheleventyone 5y ago

They're saying the upfront costs of healthcare put poor people off going to the doctor at all and leads to distrust of doctors as just being in it for the money. At least that's the way I read it.

Ansil849 5y ago

I think the point was that those who can afford it can see better doctors, particularly those who are less likely to be swayed by pharmaceutical company incentives. Case in point would be, when you were poor did you go to the same doctor in the same neighborhood now that you are rich? Kind of like those who can afford them can receive better lawyers than overworked public defenders.

godsfshrmn 5y ago
As a doctor, someone tell me where I can sign up for some of these pharmaceutical incentives. I guess I am out of the loop as after a decade of practice, no one has come knocking

aurizon 5y ago

Here in Canada, the payment is by the Ontario Health plan. I pay nothing except for a small list of meds, like colchicine. This is an excellent system, conditions that need immediate attention are seen immediately, and treatment is fast. Elective procedures, like knees worn out take more time. Bad knee from car crash immediate system. There is a steady loss of doctors to the USA, but the documentary process with a huge number of providers has led to fee based invoice creators, and there are fee based invoice deniers that make doctors wait long periods to be paid, and if they are denied = round again. We now get as many doctors leaving as entering as the process can eat up half the doctor's time. Ask any US doctor about this process...

8eye 5y ago

there’s actually a different procedure if you are on government issue it’s the governments bill, so if you get injured they won’t suggest the same care right away that they would to someone who had better insurance. you do not think this is happening but my mother and sister years and years ago did medical transcription (before speech to text was a big thing) and the notes from the doctors were insanely prejudice towards people who did that dress well, or who used government insurance. today’s standards talking how they talked would get anyone fired, but that attitude is still there with certain doctors. so yeah i still believe care is withheld due to insurance. it might not be done out of mistreatment of the patient but purely procedural, like an mri cost more than an x-ray, so they will suggest the x-ray first and never bring up an mri until the patient insists on it, that’s the type of low key care difference. there has not been any studies on this to my knowledge but i’ve experienced it before with friends who do not work jobs that provide healthcare options. i am not sure if it is done consciously or not, a lot of judgements are subconscious and that will affect outcome.