3 ms·

>Countries vary, but in the US and many places there's a shortage of quality therapists. Worse in my EU country. There's even a shortage of shitty therapists

>Countries vary, but in the US and many places there's a shortage of quality therapists. Worse in my EU country. There's even a shortage of shitty therapists and doctors, let alone quality ones. It takes 6+ months to get an appointment for a 5 minute checkup at a poorly reviewed state funded therapist, while the good ones are either private or don't accept any new patients if they're on the public system. And ADHD diagnosticians/therapists are only in the private sector because I guess the government doesn't recognize ADHD as being a "real" mental issue worthy of your tax Euros. A friend of mine got a more accurate diagnosis for his breathing issue by putting his symptoms in ChatGPT than he got from his general practitioner, later confirmed by a good specialist. I also wasted a lot of money on bad private therapists that were basically just phoning in their job, so to me, the bar seems pretty low, since as long as they pass their med-school exams and don't kill too many people through malpractice, nobody checks up on how good or bad their are at their job (maybe some need more training, or maybe some don't belong in medicine at all but managed to slipped through the cracks). Not saying all doctors are bad (I've met few amazing ones), but it definitely seems like the healthcare systems are failing a lot of people everywhere if they resort to LLMs for diagnosis and therapy and getting better results from it.

kakacik 1y ago
Not sure where you are based, but in general GPs shouldn't be doing psychological evaluation, period. I am in Europe, and this is the default. If you live in utter shithole (even if only health-care wise), move elsewhere if its important for you - it has never been easier, Europe is facing many issues and massive improvement of healthcare is not in the work pipeline, more like the opposite. You also don't expect butcher to fix your car, those are as close as above (my wife is a GP so I have a good perspective from the other side, including tons of hypochondriac and low-intensity psychiatric persons who are an absolute nightmare to deal with and routinely overwhelm the system so that there isn't enough resources to deal with more serious cases). You get what you pay for at the end, 'free' healthcare typical for Europe is anyway still paid for one way or another. And if the market forces are so severely distorted (or bureaucracy so ridiculous/corrupt) that they push such specialists away or into another profession, you get healthcare wastelands you describe. Vote, and vote with your feet if you want to see change, not ideal state but thats reality.
- jack_tripper 1y ago
  >but in general GPs shouldn't be doing psychological evaluation, period. I am in Europe, and this is the default. Where did I say GPs have to do that? In my example of my friend's being misdiagnosed by GPs, it was about another issue, not mental, but it has the same core problem of doctors misdiagnosing patients worse than a LLM bring into questions their competence or that of the health system in general if a LLM can do better than someone who spent 6+ years in med school and got a degree to be a licensed MD to treat people. >You also don't expect butcher to fix your car, those are as close as above You're making strawmen at this point. Such metaphors have no relevance to anything I said. Please review my comment through the lens of the clarifications I just made. Maybe the way I wrote it initially made it unclear. >You get what you pay for at the end The problem is the opposite, that you don't get what you pay for, if you're a higher than average earner. The more you work, the more taxes you pay, but get the same healthcare quality in return as unskilled laborer who is subsidized. It's a bad reward structure to incentivize people to pay more of their taxes into the public system, compounded by the fact that government workers, civil servants, lawyers, architects, and other privileged employment classes of bureaucrats with strong unions, have their own separate heath insurance funds, that separate from the national public one that the unwashed masses working in the private sector have to use, so THEY do get what THEY pay for, but you don't. So that's the problem with state run systems, just like you said about corruption, that giving the government unchecked power over large amounts of people's taxes, allow the government to manipulate the market and choosing winners and losers based on political favoritism and not on the fair free market of who pays the most into the system. Maybe Switzerland managed to nail it with their individual private system, but I don't know enough to say for sure.
- lxgr 1y ago
  > I am in Europe, and this is the default. Obligatory reminder that Europe is not a homogeneous country.

kakacik 1y ago

Not sure where you are based, but in general GPs shouldn't be doing psychological evaluation, period. I am in Europe, and this is the default. If you live in utter shithole (even if only health-care wise), move elsewhere if its important for you - it has never been easier, Europe is facing many issues and massive improvement of healthcare is not in the work pipeline, more like the opposite. You also don't expect butcher to fix your car, those are as close as above (my wife is a GP so I have a good perspective from the other side, including tons of hypochondriac and low-intensity psychiatric persons who are an absolute nightmare to deal with and routinely overwhelm the system so that there isn't enough resources to deal with more serious cases). You get what you pay for at the end, 'free' healthcare typical for Europe is anyway still paid for one way or another. And if the market forces are so severely distorted (or bureaucracy so ridiculous/corrupt) that they push such specialists away or into another profession, you get healthcare wastelands you describe. Vote, and vote with your feet if you want to see change, not ideal state but thats reality.

jack_tripper 1y ago
>but in general GPs shouldn't be doing psychological evaluation, period. I am in Europe, and this is the default. Where did I say GPs have to do that? In my example of my friend's being misdiagnosed by GPs, it was about another issue, not mental, but it has the same core problem of doctors misdiagnosing patients worse than a LLM bring into questions their competence or that of the health system in general if a LLM can do better than someone who spent 6+ years in med school and got a degree to be a licensed MD to treat people. >You also don't expect butcher to fix your car, those are as close as above You're making strawmen at this point. Such metaphors have no relevance to anything I said. Please review my comment through the lens of the clarifications I just made. Maybe the way I wrote it initially made it unclear. >You get what you pay for at the end The problem is the opposite, that you don't get what you pay for, if you're a higher than average earner. The more you work, the more taxes you pay, but get the same healthcare quality in return as unskilled laborer who is subsidized. It's a bad reward structure to incentivize people to pay more of their taxes into the public system, compounded by the fact that government workers, civil servants, lawyers, architects, and other privileged employment classes of bureaucrats with strong unions, have their own separate heath insurance funds, that separate from the national public one that the unwashed masses working in the private sector have to use, so THEY do get what THEY pay for, but you don't. So that's the problem with state run systems, just like you said about corruption, that giving the government unchecked power over large amounts of people's taxes, allow the government to manipulate the market and choosing winners and losers based on political favoritism and not on the fair free market of who pays the most into the system. Maybe Switzerland managed to nail it with their individual private system, but I don't know enough to say for sure.
lxgr 1y ago
> I am in Europe, and this is the default. Obligatory reminder that Europe is not a homogeneous country.