I remember when I was a kid, doctors were so interactive and really took time to get to know you and talk to you, learn about what you're going through and explain things. Now as an adult, it's been nearly impossible to find a doctor who is willing to take any amount of time to sit down, explain things, show any sort of compassion or empathy at all.
I suffer from acid reflux, and in order to diagnose that, they basically put a tube down your throat, it's called an endoscopy. You have to be fully sedated with anesthesia and take nearly an entire day off of work because the way the anesthesia affects you, you can't drive and someone has to drive you. Well for many years now we've had this other procedure which is a tube, but they put it through your nose instead. There's been lots of research papers about the use of it, it's used in other countries as a procedure regularly. So I asked several gastroenterologists if they offer the procedure and every single one of them said no, and would not provide any additional information or insight as to why you have to be completely sedated and pay thousands upon thousands of dollars for expensive anesthesia. I am simply blown away. It makes no sense. A research tested method that has been written about for about a decade now in actual research studies by board certified medical physicians, and no one offers it. Literally no one, and they won't even consider it.
I've also been through at least several primary care physicians because the ones I have seen are so short and don't really take time to get to know you at all. They just pop in, ask you a handful of questions and leave, if your test results come back with anything abnormal, they say it's nothing to worry about, they don't want to take any extra time to help look into anything or diagnose you.. like wtf?
It just seems like doctors these days are out to get you to spend as much money as possible and do the absolute bare minimum for you in return. And now we have direct primary care options where you can circumvent insurance entirely, pay your doctor thousands upon thousands of dollars a year for the same level of care that we had in the '90s. But now you have to pay out of pocket for that in addition to your insurance. Wtfffff
Insurance companies have control over what the doctors can do and over their schedules. They are only allowed to spend certain amounts of time with patients or they get in trouble. All the doctors I've talked to hate this. Blame insurance companies and the hospitals for prioritizing profit, not the doctors.
Yes, but to clarify: the time constraints are imposed by for-profit healthcare businesses trying to optimize billable time because insurance will only reimburse for so much time, rather than being imposed by the insurance companies directly. (It's generally not quite as silly in the non-profit sector.) I work in healthcare in the US: we all hate how it works. The system sucks and it interferes with the quality of care that can be provided, leaving patients worse off just so that greedy can be fed. It's just asinine that anyone who has no medical knowledge/training is making decisions about how patient care can be implemented, especially where there's a profit motive involved. We really need to pivot to single-payer or national healthcare system, and abolish for-profit ownership of hospitals.
They can spend as much time as they want with the patient. The insurance simply caps how much is billable.