4 ms·

> I'm sure "move fast and break things" will work out great for health care. Health care is already broken to the point of borderline dystopia. When I contrast

> I'm sure "move fast and break things" will work out great for health care. Health care is already broken to the point of borderline dystopia. When I contrast the experience I had as a young boy of visiting a rural country doctor to the fast food health care experience of "urgent care" clinics, it makes my head spin. The last few doctors I've been to have been completely useless and generally uncaring as well. Every visit I've made to a doctor has resulted in my feeling the same at the end but with a big medical bill to go home with. At this point the only way I'll intentionally end up in a medical facility is if I'm unconscious and someone else makes that call. Dentistry has met a similar fate as more and more dentists have been swallowed up by private equity. I've had loads of dental work, including a 'surprise' root canal, and never had an issue. My last dentist had a person on staff dedicated to pushing things through on the insurance front and my dental procedure was so awful it boarded on torture. I used to be an annual check + 3 times a year dentist person. Today I'm dead set on not stepping foot in any kind of medical facility unless the alternative is incredible pain or certain death.

hshdhdhj4444 1y ago
I’m sure move fast and break things, now with AI (tm) will reduce the deepening monetization of the doctor-patient relationship that’s the root of your complaints.
- sorcerer-mar 1y ago
  Yep! What ya gotta do when you spot a problem, is just throw whatever objects or topics are immediately at hand at it. Then blame regulation and that pesky Other Side Ta-da! Fixed!
- bko 1y ago
  Sometimes I just need a prescription. I don't know why I have to drive somewhere, fill out a form, wait, see a nurse, tell them what I wrote on the form, wait some more, see a doctor and tell them what I wrote on the form and have him write me a prescription. Why can't I just chat with an AI bot and get my prescription? Much cheaper to administer which helps monetization (!) but much better and cheaper for me. Things aren't slow and wasteful because of monetization. Having all these steps doesn't necessarily mean more profit. I would argue that its deeply inefficient for everyone involved and doctors. For instance, physician salaries have decreased 25% in real terms over the last 20 years. https://www.reddit.com/r/Residency/comments/15cr60z/adjusted_for_inflation_md_pay_decreased_26_from/ https://www.reddit.com/r/Residency/comments/15cr60z/adjusted...
  - slg 1y ago
    >Why can't I just chat with an AI bot and get my prescription? Because people have decided that whatever drug you are taking shouldn't be taken without a doctor's oversight. If you have a problem with that conclusion, the response should be lobbying to get that drug reclassified as safe for over-the-counter sale, not completely removing the doctor's oversight from the prescription process. Ironically, your proposal here is using AI to treat the symptom that frustrates you without any attempt to diagnose or treat the actual root cause of the problem.
    - unyttigfjelltol 1y ago
      Doctors don't hunt for root causes, in my experience. They do the minimum to bring that specific visit to a pleasant, malpractice-free conclusion.
    - bko 1y ago
      I think the AI could help. Sure there are a lot of drugs that should be over the counter. Don't know why anyone would abuse ear drops for a kid. But the AI could let you know if there are any dangerous interactions or if your alignment would be helped with this prescription. Besides the AI could spend more time w you than a doctor and answer questions When it comes to abuse, you already have it with real doctors. Pill mills exist.
    - terminalshort 1y ago
      Doctors oversight should be removed (not as an option, but as a requirement) for 90% of all prescriptions. Unless the drug has externalities like antibiotic resistance, is heinously addictive, or is so difficult to administer correctly that you cant take it outside of a hospital, there's no good reason to tell people what they can't put in their bodies. Whether or not your insurance will pay for it without a prescription is another matter.
      - slg 1y ago
        This is not an argument that has any relevancy to AI. If anything, someone who believes what you say should be against the introduction of AI into the system because your argument is fundamentally that these drugs shouldn't have a gatekeeper. Swapping out one gatekeeper for another, especially with the new gatekeeper being the unknown black box of some AI middleman, won't actually address your complaint.
ineedaj0b 1y ago
it's tough to tell what's going wrong for you but concierge medicine will give you a full hour and be much more invested in finding the root of your issues. keep in mind, drs are also trying to figure out if you're a reliable narrator (so many patients are not) or trying to scam for drugs. best of luck!
dinkumthinkum 1y ago
Why is healthcare a borderline dystopia? How would you compare health outcomes of human beings in 2025 vs every year since dawn of homo sapiens? One thing you point to is your experience as a child to an adult with medical bills, couldn't there be another factor there? I mean saying you would never set foot in any kind of medical facility, I don't think is a typical person's experience. Maybe I'm delusional.
UmGuys 1y ago
It's true. Recently I moved to a rural area and many nurses work as doctors. Soon we won't have hospitals here so there's no more need to keep up the cruel charade. It's absolutely disgusting and the primary reason I could never have children. It would be impossible to guarantee their security. Edit: I haven't yet achieved my savings goal so I can escape to a place where it's safe to have a family.

hshdhdhj4444 1y ago

I’m sure move fast and break things, now with AI (tm) will reduce the deepening monetization of the doctor-patient relationship that’s the root of your complaints.

sorcerer-mar 1y ago
Yep! What ya gotta do when you spot a problem, is just throw whatever objects or topics are immediately at hand at it. Then blame regulation and that pesky Other Side Ta-da! Fixed!
bko 1y ago
Sometimes I just need a prescription. I don't know why I have to drive somewhere, fill out a form, wait, see a nurse, tell them what I wrote on the form, wait some more, see a doctor and tell them what I wrote on the form and have him write me a prescription. Why can't I just chat with an AI bot and get my prescription? Much cheaper to administer which helps monetization (!) but much better and cheaper for me. Things aren't slow and wasteful because of monetization. Having all these steps doesn't necessarily mean more profit. I would argue that its deeply inefficient for everyone involved and doctors. For instance, physician salaries have decreased 25% in real terms over the last 20 years. https://www.reddit.com/r/Residency/comments/15cr60z/adjusted_for_inflation_md_pay_decreased_26_from/ https://www.reddit.com/r/Residency/comments/15cr60z/adjusted...
- slg 1y ago
  >Why can't I just chat with an AI bot and get my prescription? Because people have decided that whatever drug you are taking shouldn't be taken without a doctor's oversight. If you have a problem with that conclusion, the response should be lobbying to get that drug reclassified as safe for over-the-counter sale, not completely removing the doctor's oversight from the prescription process. Ironically, your proposal here is using AI to treat the symptom that frustrates you without any attempt to diagnose or treat the actual root cause of the problem.
  - unyttigfjelltol 1y ago
    Doctors don't hunt for root causes, in my experience. They do the minimum to bring that specific visit to a pleasant, malpractice-free conclusion.
  - bko 1y ago
    I think the AI could help. Sure there are a lot of drugs that should be over the counter. Don't know why anyone would abuse ear drops for a kid. But the AI could let you know if there are any dangerous interactions or if your alignment would be helped with this prescription. Besides the AI could spend more time w you than a doctor and answer questions When it comes to abuse, you already have it with real doctors. Pill mills exist.
  - terminalshort 1y ago
    Doctors oversight should be removed (not as an option, but as a requirement) for 90% of all prescriptions. Unless the drug has externalities like antibiotic resistance, is heinously addictive, or is so difficult to administer correctly that you cant take it outside of a hospital, there's no good reason to tell people what they can't put in their bodies. Whether or not your insurance will pay for it without a prescription is another matter.
    - slg 1y ago
      This is not an argument that has any relevancy to AI. If anything, someone who believes what you say should be against the introduction of AI into the system because your argument is fundamentally that these drugs shouldn't have a gatekeeper. Swapping out one gatekeeper for another, especially with the new gatekeeper being the unknown black box of some AI middleman, won't actually address your complaint.

ineedaj0b 1y ago

it's tough to tell what's going wrong for you but concierge medicine will give you a full hour and be much more invested in finding the root of your issues. keep in mind, drs are also trying to figure out if you're a reliable narrator (so many patients are not) or trying to scam for drugs. best of luck!

dinkumthinkum 1y ago

Why is healthcare a borderline dystopia? How would you compare health outcomes of human beings in 2025 vs every year since dawn of homo sapiens? One thing you point to is your experience as a child to an adult with medical bills, couldn't there be another factor there? I mean saying you would never set foot in any kind of medical facility, I don't think is a typical person's experience. Maybe I'm delusional.

UmGuys 1y ago

It's true. Recently I moved to a rural area and many nurses work as doctors. Soon we won't have hospitals here so there's no more need to keep up the cruel charade. It's absolutely disgusting and the primary reason I could never have children. It would be impossible to guarantee their security. Edit: I haven't yet achieved my savings goal so I can escape to a place where it's safe to have a family.