tinokid

9 ms·

31.
by tinokid 9y ago
And now for the reality of market-based health care: A guy with a minor cut on his back is bombarded with a 24/7 targeted ad campaign for ScarAway!TM, that convinces him this experimental...er..."cutting-edge!" UV treatment i
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by tinokid 9y ago
>not all advertising is unscrupulous That's a strawman. But even if the businesses you work for are decent, they are nevertheless in competition, a "race to the bottom" if you will, with unscrupulous ones. And even if the
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by tinokid 9y ago
Once upon a time, not so long ago (within your parents lifetime if not your own), all advertising by medical providers was considered illicit and prohibited by standards of professional conduct. It's interesting to see how attitudes
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by tinokid 9y ago
Nothing in these articles supports your contention. The "tangled mess" is by design. By the people who stand to profit from it.
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by tinokid 9y ago
Most of the "top 1% doctor" is marketing hype and BS. Reminds me of the "America's Top Doctors" ads you see on airplanes.
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by tinokid 9y ago
The other bizarre and ludicrous thing about the constant "ask your doctor" refrain: how many US adults have a personal physician whom they see regularly enough to even be able to call the person "their doctor"? I'm
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by tinokid 9y ago
>the other has a permanent effect This is not really accurate. There are of course many ways both fiscal and monetary for policymakers to "tighten the screws", as it were. They just haven't chosen to do so in recent years.
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by tinokid 9y ago
Agreed. we'll see if it catches on. Existing stores could catch up a lot by improving the self checkout experience. Perhaps add a super-express method for single items with e-receipt only.
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by tinokid 9y ago
This was 2016. Two years hence the feeling is different.
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by tinokid 9y ago
They "very promptly respond" to tiny whiffs of data when they suggest there is more money to be made (i.e. growing the pie of medical spending). If the data suggest that a treatment in general use is in fact useless, they are blin
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by tinokid 9y ago
>Things have seemed to work out great for those of us who are willing and able to negotiate well for ourselves. Yeah, but companies are also really good at making people think they are getting a great deal when they aren't. There wa
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by tinokid 9y ago
1) Those are professional schools 2) Even so, no respectable law school offers a bar prep class. Nor does any med school offer "How to ace the USMLE".
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by tinokid 9y ago
Could there be a clearer sign that the quality of higher education in our time is in steep decline? If, one hundred years ago, Oxbridge had floated the idea of sanctioning a student to embark on a program of study designed to anticipate que
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by tinokid 9y ago
>overall the space is mostly filled with scientists and doctors trying to make people healthier, and mostly failing. Failing flat, i.e., not making people healthier but not making them sicker either, is not a problem. Failing down, i.e.
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by tinokid 9y ago
Never. In decades past they voted for Nixon.
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by tinokid 9y ago
Randomize patients to providers with the same certification level in delineated service areas. It will require formalizing the informal process you describe (whereby "cases with the highest levels of difficulty are often treated by the
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by tinokid 9y ago
>Since we have a shortage of doctors in many regions and specialties We also have record levels of advertising by not only drugmakers but also doctors and hospitals. If there is a shortage of providers, why is so much being spent on dema
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by tinokid 9y ago
>Who exactly do you think is going to pay for that extra work? If it puts out of business doctors and facilities (perhaps even specialties?) whose patients agree to care based on grossly inaccurate understandings of their track record, t
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by tinokid 9y ago
Sure, bad comparison. It's consistent to support standardized rating of doctors but not teachers. Teaching exists to enrich, whereas medicine properly understood only exists to solve problems. (I find it curious that another poster tak
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by tinokid 9y ago
>doctor's might be incentivised not to treat patients which make their numbers look bad. If your concern is with metrics arbitrage, then it is not necessary to use quantitative metrics to satisfy concerns about bodily autonomy. One
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by tinokid 9y ago
Your views on bodily autonomy seem bizarre. Patients own their own bodies and have the right to make fully informed decisions about what happens to them. If a provider's or facility's (or entire speciality's) numbers look bad
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by tinokid 9y ago
Is this an argument against tracking and releasing data? Let people do their own risk adjustments. If twice as many people who are going to one doctor or hospital are ending up dead or crippled, and there are no discernible confounding fact
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by tinokid 9y ago
Their fear (for their own professional standing and income stream) is justified, but the objections to measuring performance are special pleading. 1) "Each patient is unique" just like "each student is unique"...but we s
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by tinokid 9y ago
I likewise knew Bill. I met his parents once too, and saw his kindness and good nature reflected in them as well. This is a tragedy no one should have to bear. We miss him.