12 ms·

If they went to a physician in a patient setting, they may have had an experience like this: -Made to wait 45-60 minutes past their appointment time bombarde

If they went to a physician in a patient setting, they may have had an experience like this: -Made to wait 45-60 minutes past their appointment time bombarded with pharmaceutical advertisements -Spend another 20 minutes sitting in the examination room staring at pharmaceutical company sponsored ads -Nurse takes your history with a bunch of redundant questions they already have the answers to -Finally the physician arrives -Assesses the patient without laying their hands on them -Ignores everything you say -Does no tests and cultures no pathogens -"take some antibiotics and I'll bill your insurance company $500, see ya"

Retric 3y ago
If that’s your experience, find a new doctor.
- VancouverMan 3y ago
  It may not be that simple, especially in regions where there isn't anything resembling a free market in the health care sector. Canada's various provincial public health care systems (with a corresponding lack of private health care offerings) tend to be like that. Many Canadians don't have a dedicated physician. Even if they want one (or want a new one), it's often difficult, if not impossible, to find one who's close by and who's accepting new patients. Having a dedicated physician still often results in an experience much like that other commenter described. It's not an exaggeration. Long waits even with appointments, rushed examinations, and low-quality service are the norm. Another option, which is sometimes used even by people who have dedicated physicians, is a walk-in clinic. Unfortunately, they can be quite rare and inconvenient to get to, even in Canada's largest cities, assuming they're even open when you need them. You'll usually face an even longer wait, even less time with the doctor, and typically see a different doctor if any sort of followup is needed. Then there are hospital emergency rooms. That usually means getting to the nearest sizable city, and even once you're there, you've got to be prepared to wait many hours, even for relatively serious situations. Ultimately, in Canada, it doesn't matter whether you see your family doctor (if you even have one), use a walk-in clinic, or go to a hospital emergency room. It's going to be a horrible experience, and there's pretty much nothing the average person can do about it. Given the lack of competition and due to other government-imposed market distortions, there's no incentive for doctors to offer anything resembling good service to the general public. The best situation is to have a doctor who's a close friend or family member, and who may be able to help mitigate at least some of the typical problems. The next best option for Canadians, assuming they have the money for it, is often to seek treatment in the US or overseas. Just "finding a new doctor" isn't feasible, unfortunately.
  - Retric 3y ago
    It is that simple even if it’s inconvenient. Being forced to wait for routine care isn’t a big deal, but having a doctor unwilling to listen to you is a life threatening situation. If your local area lacks access to proper medical care that’s a serious enough problem where you should move. Medical care is like clean drinking water or working breaks for your car, it’s not optional.
  - andsoitis 3y ago
    > The best situation is to have a doctor who's a close friend or family member The code of medical ethics advises physicians to not treat themselves or members of their own families. https://code-medical-ethics.ama-assn.org/ethics-opinions/treating-self-or-family https://code-medical-ethics.ama-assn.org/ethics-opinions/tre...
tgv 3y ago
> Assesses the patient without laying their hands on them That’s not a killer argument in a comparison with an AI.
- User23 3y ago
  Yes, yes it is, because it's an intrinsic advantage the human doctor could have that's being ignored. Palpation, especially for musculoskeletal issues, is an incredible diagnostic tool. And manual therapies are surprisingly often an effective alternative to surgery or drugs.
  - tgv 3y ago
    An AI couldn't touch anyone even if we could give it the desire to do so.
    - hgsgm 3y ago
      The point of that thread starting comment was that it's what a bad doctor does. The reply was saying good doctors can do better.
SkyMarshal 3y ago
That last one is more like: -“take some antibiotics and our billing dept will bill your insurance company for the maximum amount they estimate your insurance can pay, plus some margin, see ya”
speedgoose 3y ago
It depends on the location. In Norway they are usually perfectly on time, you don’t have any ads, they do the required tests and examinations, they listen to you, they take the time to explain everything and will do drawings if necessary, they tell you to do more sport, and you get billed about $25 (but it becomes free if you spend more than $300 in visits and medications during the year).
- mensetmanusman 3y ago
  Might be a consequence of oil wealth offering a government savings rate of $200,000 per citizen?
  - tbossanova 3y ago
    There are other places with a similar experience that don’t have the same oil wealth. I wonder though if it’s different at the higher end of things, like expensive treatments for major issues which a tighter public purse might not stretch to.
  - hgsgm 3y ago
    That's an asset, not a savings rate. USA's mean household Net Worth is $500K more than Norway's, and average household is about 3 people (some households are single people) so the oil fund approximately cancels that out.
  - speedgoose 3y ago
    No, I don't think the oil fund (https://www.nbim.no/en/ https://www.nbim.no/en/) is responsible for the culture to be on time or is connected directly to the public healthcare finances. Though being a state with money helps, obviously.
  - kwhitefoot 3y ago
    Perhaps you could explain how a fund that doesn't invest onshore does this. The government uses only a small percentage of the return on the fund (not the capital) each year.
- 3y ago
javajosh 3y ago
Accurate. This is a result of the heady combination of relying on the profession to enforce ethical codes, and letting corruption become standard practice, and therefore common and safe. That medicine is NOT a free market is easy to prove, because as soon as you posit a provider that keeps their appointment times, charges a reasonable fee for a short consult, actually looks at you and performs tests himself, relates to your whole being as a human on this planet, and charges something like $100/hour, cash - imagine how that poor schmuck is going to fare in this hard, harsh world of ours. As soon as they need to interface with literally any other part of the system, the other providers, pharmacies, etc will not be able to handle them - and won't want to. Won't need to. Many of their colleagues will sneer at them or even refuse to refer. Some patients, the sociopaths, will sense weakness, the lack blood-thirsty corpo apparatus backup that deals with 10 frivolous lawsuits a day, and say "what the hell" and sue you for malpractice simply because they think you're unprepared and they can win.
- Firmwarrior 3y ago
  I had some doctors like that To be fair, they were so heavily booked that they weren't taking new patients and you had to wait weeks or months for non-urgent visits Also some of them went out of business..
- musicale 3y ago
  I wonder if things like CVS's minute clinic are any better for basic stuff vs. the hell of regular clinics. The potential seems there: cash payments accepted, many convenient locations, possibly lower wait times. Of course CVS is Aetna, for better or for worse.
seszett 3y ago
This sounds like hell but it's also infinitely different from how it works here (in Western Europe, but I'd assume it's different from almost anywhere but the US). Also, pharmaceutical ads are forbidden here, and antibiotics are very sparsely used.
- ben_w 3y ago
  Indeed; my experiences have been UK and Germany, and while the UK is currently experiencing chronic failure in timelines due to the combination of {chronic understaffing} with {strike action caused by {{chronic low pay} and {extra stress from acute overwork}}}, I've never seen a single thing advertised in medical facilities of either country.
- acheron 3y ago
  It’s also not actually what happens in the US either. The poster is lying for whatever reason, probably because making negative comments about healthcare is good for Internet points.
  - DangitBobby 3y ago
    Eh, no, all of these definitely actually happen in some places, but it would have to be a really shitty place for all of these things to happen in one visit.
PragmaticPulp 3y ago
If we’re comparing worst-case scenarios: ChatGPT might confidently hallucinate a very valid-sounding explanation that convinces the patient they have a rare disorder that they spend $1000s of dollars testing for, despite real doctors disagreeing and test results being negative. Maybe it only does this once in a long series of questions, but the seed is planted despite negative test results. Then when the patient asks ChatGPT if the tests could give false negatives, it could provide some very valid-sounding answers that say repeat testing might be necessary. This isn’t a hypothetical. It’s currently happening to an old friend of mine. They won’t let it go because ChatGPT continues to give them the same answers when they ask it the same (leading) questions. At this point he can get ChatGPT to give him any medical answer he wants to hear by rephrasing his questions until ChatGPT tells him what he wants to hear. He’s learned to ask questions like “If someone has symptoms _____ and ____ could they have <rare disease> and if so how would it be treated?” A real doctor would see what’s happening and address the leading questions. ChatGPT just takes it at face value. The difference between ChatGPT and real doctors is that he can iterate on his answer-shopping a hundred times in one sitting, whereas a doctor is going to see what’s happening and stop the patient. ChatGPT is an automated confirmation bias machine for hypochondriacs.
- BlackSwanMan 3y ago
  [flagged]
- ngngngng 3y ago
  > they spend $1000s of dollars testing for The subtext you're missing here is that GPT with access to the entire corpus of medical data could undermine the entire money printing machine (referring to US healthcare here). What test would cost thousands of dollars if the only human cost to run it is drawing some blood and putting it in a machine?
  - Retric 3y ago
    Abstractions like that are meaningless. Why is the large hadron collider so expensive it’s just throwing stuff at each other and looking at what happens? Random teens could do that… The actual process of doing blood work is often surprisingly complicated.
zarzavat 3y ago
> Nurse takes your history with a bunch of redundant questions they already have the answers to If you’re a nurse and your job is to take histories, it’s better to take the history in the same way every time, systematically. This minimizes the chance of making mistakes. Moreover the notes may be wrong, or you may give a different answer this time around. You might give an important detail this time around that you didn’t give the last several times, which actually turns out to be consequential. It might seem like a waste of your time but it’s really not. Measure twice cut once.
- flangola7 3y ago
  The point is the patient has already given their history. The clinic's internal processes aren't the patient's problem.
  - hgsgm 3y ago
    The point is that the patients is neither compete nor consistent.
    - flangola7 3y ago
      [flagged]
      - Toutouxc 3y ago
        I think they were trying to say "The point is that the patient's story is neither complete nor consistent." and it makes sense to me that way.
      - KyeRussell 3y ago
        If you can’t deal with a one-character typo in a comment, then ChatGPT certainly has you beat. The bot paranoia is the icing on the cake. Calling this an “internal process” that’s none of your concern, a much more egregious wilful misrepresentation of this situation. There is a situation or phenomenon of human behaviour, this is how the healthcare system deals with it. Who are you as presumably some software person to come in telling them to knock the gate down without understanding why it was put there in the first place? God knows you’d hate it if someone did that to you in your area of expertise. I understand that the proliferation of VC-backed money-losing companies which parachute clueless software people into other domains have given developers an undue sense of transferable expertise, but perhaps exercise some self-awareness.
thih9 3y ago
Can you elaborate? Did you have an experience like this? Is this a regular occurrence or have you found a better physician since then?
jquery 3y ago
- Your doctor has the incredible ability to understand your symptoms without even listening to you - Your 40 minute in-depth appointment is finished in an amazing 5 minutes - They can do this amazing appointment time compression because of an encoding technique called "one size fits all" - The physician's assistant is so efficient that they've already scheduled your follow-up appointment - for three months from now, because they know you just love the suspense.
- ulizzle 3y ago
  Most communication is non-verbal, with 7% being attributed to words (see the "55/38/7 Formula"), so they may need to listen to how you say what you say (vocal), but don't have to believe the words you say.
ajmurmann 3y ago
Where is this happening? I've had long wait times in Germany, but low cost and good care. In the US I have very little wait time and high cost and equally good care. The doctors unfortunately don't go all Doctor House on me, but they certainly aren't shying away from touching me and physically inspecting any issue and ordering follow-up tests. The results aren't always very satisfying, but I understand that there are limited to what's reasonable to invest in researching relatively mild symptoms. Meanwhile my mom has had cronic pain without any proper diagnosis. However, the German public health care system must have spent €50-100k in tests and to my astonishment she is currently in a clinic for 3 weeks that focuses on undiagnosed pain. As close to Dr House as it gets.
vitorgrs 3y ago
This is very U.S. Not even here in Brazil, which is not a developed country, it's like that.
deleted 3y ago
[deleted]
musicale 3y ago
You forgot: - remove your clothes and wait in a freezing room for 30+ minutes (Largely a compliance exercise to reinforce the social status hierarchy.)
KyeRussell 3y ago
Ah, an American conflating healthcare with American healthcare. You love to see it.
devinprater 3y ago
Can confirm.
DangitBobby 3y ago
I can count on pretty much 0 hands the number of times I had an on-time appointment with a doctor. I understand they have things going on that drag out their schedule a bit, but my God.
HEmanZ 3y ago
I just want to point out, this may not be the physician’s fault. A friend of mine, who is a primary care physician, just quit her job after the clinic changed its policy so that she had to fill her schedule with 10 minute appointments (6 per hour) and double book at least 10% (because the clinic was losing SO much money to no-shows /s). She burnt out after 6 months of this and moved somewhere they give her a more reasonable 15 minute time slots and no double-booking… All this is to say, it may be a doctor thing, but I would bet it’s more likely a clinic trying to squeeze as much money as possible, and the doctor getting none of the extra profit from it.
jasonhansel 3y ago
So...if we have ChatGPT replace the doctor, as suggested, how would that be an improvement? I'm not sure how having a computer say "take some antibiotics and I'll bill your insurance company $500, see ya" would be any better.
pharmakom 3y ago
> -Nurse takes your history with a bunch of redundant questions they already have the answers to BTW this is done to verify the records and make sure you are who they think you are. Giving someone another persons treatment can be… bad.
77pt77 3y ago
That's the premium treatment. You forgot at least mildly insulting the patient by calling him stupid.
teddyX 3y ago
Painfully accurate

Retric 3y ago

If that’s your experience, find a new doctor.

VancouverMan 3y ago
It may not be that simple, especially in regions where there isn't anything resembling a free market in the health care sector. Canada's various provincial public health care systems (with a corresponding lack of private health care offerings) tend to be like that. Many Canadians don't have a dedicated physician. Even if they want one (or want a new one), it's often difficult, if not impossible, to find one who's close by and who's accepting new patients. Having a dedicated physician still often results in an experience much like that other commenter described. It's not an exaggeration. Long waits even with appointments, rushed examinations, and low-quality service are the norm. Another option, which is sometimes used even by people who have dedicated physicians, is a walk-in clinic. Unfortunately, they can be quite rare and inconvenient to get to, even in Canada's largest cities, assuming they're even open when you need them. You'll usually face an even longer wait, even less time with the doctor, and typically see a different doctor if any sort of followup is needed. Then there are hospital emergency rooms. That usually means getting to the nearest sizable city, and even once you're there, you've got to be prepared to wait many hours, even for relatively serious situations. Ultimately, in Canada, it doesn't matter whether you see your family doctor (if you even have one), use a walk-in clinic, or go to a hospital emergency room. It's going to be a horrible experience, and there's pretty much nothing the average person can do about it. Given the lack of competition and due to other government-imposed market distortions, there's no incentive for doctors to offer anything resembling good service to the general public. The best situation is to have a doctor who's a close friend or family member, and who may be able to help mitigate at least some of the typical problems. The next best option for Canadians, assuming they have the money for it, is often to seek treatment in the US or overseas. Just "finding a new doctor" isn't feasible, unfortunately.
- Retric 3y ago
  It is that simple even if it’s inconvenient. Being forced to wait for routine care isn’t a big deal, but having a doctor unwilling to listen to you is a life threatening situation. If your local area lacks access to proper medical care that’s a serious enough problem where you should move. Medical care is like clean drinking water or working breaks for your car, it’s not optional.
- andsoitis 3y ago
  > The best situation is to have a doctor who's a close friend or family member The code of medical ethics advises physicians to not treat themselves or members of their own families. https://code-medical-ethics.ama-assn.org/ethics-opinions/treating-self-or-family https://code-medical-ethics.ama-assn.org/ethics-opinions/tre...

tgv 3y ago

> Assesses the patient without laying their hands on them That’s not a killer argument in a comparison with an AI.

User23 3y ago
Yes, yes it is, because it's an intrinsic advantage the human doctor could have that's being ignored. Palpation, especially for musculoskeletal issues, is an incredible diagnostic tool. And manual therapies are surprisingly often an effective alternative to surgery or drugs.
- tgv 3y ago
  An AI couldn't touch anyone even if we could give it the desire to do so.
  - hgsgm 3y ago
    The point of that thread starting comment was that it's what a bad doctor does. The reply was saying good doctors can do better.

SkyMarshal 3y ago

That last one is more like: -“take some antibiotics and our billing dept will bill your insurance company for the maximum amount they estimate your insurance can pay, plus some margin, see ya”

speedgoose 3y ago

It depends on the location. In Norway they are usually perfectly on time, you don’t have any ads, they do the required tests and examinations, they listen to you, they take the time to explain everything and will do drawings if necessary, they tell you to do more sport, and you get billed about $25 (but it becomes free if you spend more than $300 in visits and medications during the year).

mensetmanusman 3y ago
Might be a consequence of oil wealth offering a government savings rate of $200,000 per citizen?
- tbossanova 3y ago
  There are other places with a similar experience that don’t have the same oil wealth. I wonder though if it’s different at the higher end of things, like expensive treatments for major issues which a tighter public purse might not stretch to.
- hgsgm 3y ago
  That's an asset, not a savings rate. USA's mean household Net Worth is $500K more than Norway's, and average household is about 3 people (some households are single people) so the oil fund approximately cancels that out.
- speedgoose 3y ago
  No, I don't think the oil fund (https://www.nbim.no/en/ https://www.nbim.no/en/) is responsible for the culture to be on time or is connected directly to the public healthcare finances. Though being a state with money helps, obviously.
- kwhitefoot 3y ago
  Perhaps you could explain how a fund that doesn't invest onshore does this. The government uses only a small percentage of the return on the fund (not the capital) each year.
3y ago

javajosh 3y ago

Accurate. This is a result of the heady combination of relying on the profession to enforce ethical codes, and letting corruption become standard practice, and therefore common and safe. That medicine is NOT a free market is easy to prove, because as soon as you posit a provider that keeps their appointment times, charges a reasonable fee for a short consult, actually looks at you and performs tests himself, relates to your whole being as a human on this planet, and charges something like $100/hour, cash - imagine how that poor schmuck is going to fare in this hard, harsh world of ours. As soon as they need to interface with literally any other part of the system, the other providers, pharmacies, etc will not be able to handle them - and won't want to. Won't need to. Many of their colleagues will sneer at them or even refuse to refer. Some patients, the sociopaths, will sense weakness, the lack blood-thirsty corpo apparatus backup that deals with 10 frivolous lawsuits a day, and say "what the hell" and sue you for malpractice simply because they think you're unprepared and they can win.

Firmwarrior 3y ago
I had some doctors like that To be fair, they were so heavily booked that they weren't taking new patients and you had to wait weeks or months for non-urgent visits Also some of them went out of business..
musicale 3y ago
I wonder if things like CVS's minute clinic are any better for basic stuff vs. the hell of regular clinics. The potential seems there: cash payments accepted, many convenient locations, possibly lower wait times. Of course CVS is Aetna, for better or for worse.

seszett 3y ago

This sounds like hell but it's also infinitely different from how it works here (in Western Europe, but I'd assume it's different from almost anywhere but the US). Also, pharmaceutical ads are forbidden here, and antibiotics are very sparsely used.

ben_w 3y ago
Indeed; my experiences have been UK and Germany, and while the UK is currently experiencing chronic failure in timelines due to the combination of {chronic understaffing} with {strike action caused by {{chronic low pay} and {extra stress from acute overwork}}}, I've never seen a single thing advertised in medical facilities of either country.
acheron 3y ago
It’s also not actually what happens in the US either. The poster is lying for whatever reason, probably because making negative comments about healthcare is good for Internet points.
- DangitBobby 3y ago
  Eh, no, all of these definitely actually happen in some places, but it would have to be a really shitty place for all of these things to happen in one visit.

PragmaticPulp 3y ago

If we’re comparing worst-case scenarios: ChatGPT might confidently hallucinate a very valid-sounding explanation that convinces the patient they have a rare disorder that they spend $1000s of dollars testing for, despite real doctors disagreeing and test results being negative. Maybe it only does this once in a long series of questions, but the seed is planted despite negative test results. Then when the patient asks ChatGPT if the tests could give false negatives, it could provide some very valid-sounding answers that say repeat testing might be necessary. This isn’t a hypothetical. It’s currently happening to an old friend of mine. They won’t let it go because ChatGPT continues to give them the same answers when they ask it the same (leading) questions. At this point he can get ChatGPT to give him any medical answer he wants to hear by rephrasing his questions until ChatGPT tells him what he wants to hear. He’s learned to ask questions like “If someone has symptoms _____ and ____ could they have <rare disease> and if so how would it be treated?” A real doctor would see what’s happening and address the leading questions. ChatGPT just takes it at face value. The difference between ChatGPT and real doctors is that he can iterate on his answer-shopping a hundred times in one sitting, whereas a doctor is going to see what’s happening and stop the patient. ChatGPT is an automated confirmation bias machine for hypochondriacs.

BlackSwanMan 3y ago
[flagged]
ngngngng 3y ago
> they spend $1000s of dollars testing for The subtext you're missing here is that GPT with access to the entire corpus of medical data could undermine the entire money printing machine (referring to US healthcare here). What test would cost thousands of dollars if the only human cost to run it is drawing some blood and putting it in a machine?
- Retric 3y ago
  Abstractions like that are meaningless. Why is the large hadron collider so expensive it’s just throwing stuff at each other and looking at what happens? Random teens could do that… The actual process of doing blood work is often surprisingly complicated.

zarzavat 3y ago

> Nurse takes your history with a bunch of redundant questions they already have the answers to If you’re a nurse and your job is to take histories, it’s better to take the history in the same way every time, systematically. This minimizes the chance of making mistakes. Moreover the notes may be wrong, or you may give a different answer this time around. You might give an important detail this time around that you didn’t give the last several times, which actually turns out to be consequential. It might seem like a waste of your time but it’s really not. Measure twice cut once.

flangola7 3y ago
The point is the patient has already given their history. The clinic's internal processes aren't the patient's problem.
- hgsgm 3y ago
  The point is that the patients is neither compete nor consistent.
  - flangola7 3y ago
    [flagged]
    - Toutouxc 3y ago
      I think they were trying to say "The point is that the patient's story is neither complete nor consistent." and it makes sense to me that way.
    - KyeRussell 3y ago
      If you can’t deal with a one-character typo in a comment, then ChatGPT certainly has you beat. The bot paranoia is the icing on the cake. Calling this an “internal process” that’s none of your concern, a much more egregious wilful misrepresentation of this situation. There is a situation or phenomenon of human behaviour, this is how the healthcare system deals with it. Who are you as presumably some software person to come in telling them to knock the gate down without understanding why it was put there in the first place? God knows you’d hate it if someone did that to you in your area of expertise. I understand that the proliferation of VC-backed money-losing companies which parachute clueless software people into other domains have given developers an undue sense of transferable expertise, but perhaps exercise some self-awareness.

thih9 3y ago

Can you elaborate? Did you have an experience like this? Is this a regular occurrence or have you found a better physician since then?

jquery 3y ago

- Your doctor has the incredible ability to understand your symptoms without even listening to you - Your 40 minute in-depth appointment is finished in an amazing 5 minutes - They can do this amazing appointment time compression because of an encoding technique called "one size fits all" - The physician's assistant is so efficient that they've already scheduled your follow-up appointment - for three months from now, because they know you just love the suspense.

ulizzle 3y ago
Most communication is non-verbal, with 7% being attributed to words (see the "55/38/7 Formula"), so they may need to listen to how you say what you say (vocal), but don't have to believe the words you say.

ajmurmann 3y ago

Where is this happening? I've had long wait times in Germany, but low cost and good care. In the US I have very little wait time and high cost and equally good care. The doctors unfortunately don't go all Doctor House on me, but they certainly aren't shying away from touching me and physically inspecting any issue and ordering follow-up tests. The results aren't always very satisfying, but I understand that there are limited to what's reasonable to invest in researching relatively mild symptoms. Meanwhile my mom has had cronic pain without any proper diagnosis. However, the German public health care system must have spent €50-100k in tests and to my astonishment she is currently in a clinic for 3 weeks that focuses on undiagnosed pain. As close to Dr House as it gets.

vitorgrs 3y ago

This is very U.S. Not even here in Brazil, which is not a developed country, it's like that.

deleted 3y ago

[deleted]

musicale 3y ago

You forgot: - remove your clothes and wait in a freezing room for 30+ minutes (Largely a compliance exercise to reinforce the social status hierarchy.)

KyeRussell 3y ago

Ah, an American conflating healthcare with American healthcare. You love to see it.

devinprater 3y ago

Can confirm.

DangitBobby 3y ago

I can count on pretty much 0 hands the number of times I had an on-time appointment with a doctor. I understand they have things going on that drag out their schedule a bit, but my God.

HEmanZ 3y ago

I just want to point out, this may not be the physician’s fault. A friend of mine, who is a primary care physician, just quit her job after the clinic changed its policy so that she had to fill her schedule with 10 minute appointments (6 per hour) and double book at least 10% (because the clinic was losing SO much money to no-shows /s). She burnt out after 6 months of this and moved somewhere they give her a more reasonable 15 minute time slots and no double-booking… All this is to say, it may be a doctor thing, but I would bet it’s more likely a clinic trying to squeeze as much money as possible, and the doctor getting none of the extra profit from it.

jasonhansel 3y ago

So...if we have ChatGPT replace the doctor, as suggested, how would that be an improvement? I'm not sure how having a computer say "take some antibiotics and I'll bill your insurance company $500, see ya" would be any better.

pharmakom 3y ago

> -Nurse takes your history with a bunch of redundant questions they already have the answers to BTW this is done to verify the records and make sure you are who they think you are. Giving someone another persons treatment can be… bad.

77pt77 3y ago

That's the premium treatment. You forgot at least mildly insulting the patient by calling him stupid.

teddyX 3y ago

Painfully accurate