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> In reality you'll find the vast majority of GPs are highly intelligent and quite good at problem solving. Is this statement supported by facts? If anything t

> In reality you'll find the vast majority of GPs are highly intelligent and quite good at problem solving. Is this statement supported by facts? If anything this statement is just your internal sentiment. If you claim it’s not supported by facts the proper thing you should do is offer facts to counter his statement. Don’t claim his statement isn’t supported by facts than make a counter claim without facts yourself. https://www.statnews.com/2023/07/21/misdiagnoses-cost-the-u-s-800000-deaths-and-serious-disabilities-annually-study/ https://www.statnews.com/2023/07/21/misdiagnoses-cost-the-u-... Read that fact. 800,000 deaths from misdiagnosis a year is pretty pathetic. And this is just deaths. I can guarantee you the amount of mistakes unreported that don’t result in deaths dwarfs that number. Boeing the air plane manufacurwe who was responsible for the crashing Boeing 737 mcas units have BETTER outcomes than this. In the year that those planes crashed you have a 135x better survival rate of getting on a 737 max then you are getting an important diagnosis from a doctor and not dying from a misdiagnosis. Yet doctors are universally respected and Boeing as a corporation was universally reviled that year. I will say this GPs are in general not very competent. They are about as competent and trust worthy as a car mechanic. There are good ones, bad ones, and also ones that bullshit and lie. Don’t expect anything more than that, and this is supported by facts.

rl3 10mo ago
>Is this statement supported by facts? Yeah, the main fact here is called medical school.[0] >Read that fact. 800,000 deaths from misdiagnosis a year is pretty pathetic. And this is just deaths. Okay, and if that somehow flows from GPs (but not specialists!) being uniquely poor at problem solving relative to all other types of physicians—irrespective of wider issues inherent in the U.S. healthcare system—then I stand corrected. >135x better survival rate of getting on a 737 max The human body isn't a 737. >I will say this GPs are in general not very competent. They are about as competent and trust worthy as a car mechanic. Ignorant. [0] https://medstudenthandbook.hms.harvard.edu/md-program-objectives https://medstudenthandbook.hms.harvard.edu/md-program-object...
- threethirtytwo 10mo ago
  How is going to medical school a measurement of problem solving ability? You need to cite a metric involving ACTUAL problem solving. For example, a misdiagnosis is a FAILURE at solving a problem. Instead you say “medical school” and cite the Harvard handbook as if everyone went to Harvard and that the medical book was a quantitative metric on problem solving success or failure. Come on man. Numbers. Not manuals. > The human body isn't a 737 Are you joking? You know a 737 is responsible for ensuring the survival of human bodies hurdling through the air at hundreds of miles per hour at altitudes higher than Mount Everest? The fact that your risk of dying is lower going through that then getting a correct diagnosis from a doctor is quite pathetic. This statement you made here is manipulative. You know what I mean by that comparison. Don’t try to spin it like I'm not talking about human lives. > Ignorant. Being a car mechanic is a respectable profession. They get the typical respect of any other occupation and nothing beyond that. I’m saying doctors deserve EXACTLY the same thing. The problem is doctors sometimes get more than that and that is not deserved at all. Respect is earned and the profession itself doesn’t earn enough of that respect. Are you yourself a doctor? If so your response speaks volumes about the treatment your patients will get.
  - rl3 10mo ago
    >Are you joking? No. The human body actually isn't a 737. >This statement you made here is manipulative. You know what I mean by that comparison. Don’t try to spin it like I'm not talking about human lives. Let me spell it out then: The mechanisms by which a human body and a 737 work are so vastly different that one may as well be alien to the other. It's quite an apples and oranges comparison. Yeah, you can draw parallels in some areas but I'd say on the whole the analogy isn't exactly apt. That said, I'll indulge: Imagine if every 737 was a few orders of magnitude more complex, and also so different to the point that no plane even looked or functioned the same. Then, imagine we didn't fully understand how they worked. Point being: Medicine is fuzzy because the human body is fuzzy and imprecise. Everybody's a little different. Contrast to aviation, which is very much an exact science and engineering discipline at this point. Medicine isn't engineering. Treating patients isn't the same as the design and manufacture of aircraft. That of course doesn't excuse shitty healthcare systems that can clearly do better when stats indicate there's preventable adverse outcomes happening. I just don't think laying the blame at the feet of doctors somehow being too stupid to problem solve is helpful when there's a larger system that's preventing them from doing their best work for their patients. If anything that narrative is counterproductive. >Are you yourself a doctor? Nope, just a layperson who knows they're a layperson.

rl3 10mo ago

>Is this statement supported by facts? Yeah, the main fact here is called medical school.[0] >Read that fact. 800,000 deaths from misdiagnosis a year is pretty pathetic. And this is just deaths. Okay, and if that somehow flows from GPs (but not specialists!) being uniquely poor at problem solving relative to all other types of physicians—irrespective of wider issues inherent in the U.S. healthcare system—then I stand corrected. >135x better survival rate of getting on a 737 max The human body isn't a 737. >I will say this GPs are in general not very competent. They are about as competent and trust worthy as a car mechanic. Ignorant. [0] https://medstudenthandbook.hms.harvard.edu/md-program-objectives https://medstudenthandbook.hms.harvard.edu/md-program-object...

threethirtytwo 10mo ago
How is going to medical school a measurement of problem solving ability? You need to cite a metric involving ACTUAL problem solving. For example, a misdiagnosis is a FAILURE at solving a problem. Instead you say “medical school” and cite the Harvard handbook as if everyone went to Harvard and that the medical book was a quantitative metric on problem solving success or failure. Come on man. Numbers. Not manuals. > The human body isn't a 737 Are you joking? You know a 737 is responsible for ensuring the survival of human bodies hurdling through the air at hundreds of miles per hour at altitudes higher than Mount Everest? The fact that your risk of dying is lower going through that then getting a correct diagnosis from a doctor is quite pathetic. This statement you made here is manipulative. You know what I mean by that comparison. Don’t try to spin it like I'm not talking about human lives. > Ignorant. Being a car mechanic is a respectable profession. They get the typical respect of any other occupation and nothing beyond that. I’m saying doctors deserve EXACTLY the same thing. The problem is doctors sometimes get more than that and that is not deserved at all. Respect is earned and the profession itself doesn’t earn enough of that respect. Are you yourself a doctor? If so your response speaks volumes about the treatment your patients will get.
- rl3 10mo ago
  >Are you joking? No. The human body actually isn't a 737. >This statement you made here is manipulative. You know what I mean by that comparison. Don’t try to spin it like I'm not talking about human lives. Let me spell it out then: The mechanisms by which a human body and a 737 work are so vastly different that one may as well be alien to the other. It's quite an apples and oranges comparison. Yeah, you can draw parallels in some areas but I'd say on the whole the analogy isn't exactly apt. That said, I'll indulge: Imagine if every 737 was a few orders of magnitude more complex, and also so different to the point that no plane even looked or functioned the same. Then, imagine we didn't fully understand how they worked. Point being: Medicine is fuzzy because the human body is fuzzy and imprecise. Everybody's a little different. Contrast to aviation, which is very much an exact science and engineering discipline at this point. Medicine isn't engineering. Treating patients isn't the same as the design and manufacture of aircraft. That of course doesn't excuse shitty healthcare systems that can clearly do better when stats indicate there's preventable adverse outcomes happening. I just don't think laying the blame at the feet of doctors somehow being too stupid to problem solve is helpful when there's a larger system that's preventing them from doing their best work for their patients. If anything that narrative is counterproductive. >Are you yourself a doctor? Nope, just a layperson who knows they're a layperson.