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People have stopped going to the doctor and most seem fine

nytimes.com

11–20 of 76 posts

Re: People have stopped going to the doctor and most seem fine

#11
I'd love to go to the doctor, but I don't have a pressing emergency; no-one is willing to schedule an appointment.

I'd love to do to the dentist; the very few I've found willing to do routine teeth cleaning have a reservation system that requires winning the scheduling lottery.

I guess that superficially, I'm fine. For now, at least. At least I have an HSA; most of my health insurance money is sitting in an account instead of being lost forever.

Re: People have stopped going to the doctor and most seem fine

#12
post #3

This article seems to suggest that because no spike in short-term ailments due to lower frequency of care has been observed in a 5-month span, there is no damage to the quality of our society's physical health overall. That seems incredibly myopic to me. The real question is whether there there will be statistically detectable increases in severity or prevalence of chronic or emergent ailments in the long run. How ma…

This whole crisis has seen constant articles that, at least on the clickbait level which actually influences our discourse, present reasoning like "we didn't notice anything bad (yet)" -> "maybe nothing's ever bad again!"

Re: People have stopped going to the doctor and most seem fine

#13
post #7

If I could get antibiotics for strep or sinus infections without going to them, I'd pretty much never go. Those visits are really dumb because I already know what's wrong, and just need them to say "yep, it's the thing you already knew it was, here's a prescription and a bill for doing nothing useful" ... actually on reflection already knowing what's wrong and just needing a doctor to say it so treatment can proceed…

The doctor can check for problems with similar symptoms. The simple act of looking up your nose and into your throat tells a lot.

Simply thinking "I hurt, like I hurt the last time I got strep" isn't a diagnosis. Its witchcraft essentially.

Re: People have stopped going to the doctor and most seem fine

#14
post #7

If I could get antibiotics for strep or sinus infections without going to them, I'd pretty much never go. Those visits are really dumb because I already know what's wrong, and just need them to say "yep, it's the thing you already knew it was, here's a prescription and a bill for doing nothing useful" ... actually on reflection already knowing what's wrong and just needing a doctor to say it so treatment can proceed…

Whilst I can’t speak for your particular circumstances and will assume you know exactly what is wrong with you and what you need, this assumption cannot be applied more broadly. In many respects the family practitioner’s role as gatekeeper to further medical care is anachronistic; perhaps we will be able to solve this with better technology. Until then, it provides a important centre for coordination of care and the prevention of unnecessary care (however imperfect this is at present)

Re: People have stopped going to the doctor and most seem fine

#15
post #7

If I could get antibiotics for strep or sinus infections without going to them, I'd pretty much never go. Those visits are really dumb because I already know what's wrong, and just need them to say "yep, it's the thing you already knew it was, here's a prescription and a bill for doing nothing useful" ... actually on reflection already knowing what's wrong and just needing a doctor to say it so treatment can proceed…

GP's really should go away. We need specialists and technicians to perform tests when necessary.

Medical training for everyone but surgeons should not take more than 5 total years including undergrad. Arbitrary number, but it should be significantly less time than it takes now.

Technicians who can be trained on specific technologies (x-ray, ultrasound, etc) should be able to handle most cases.

Medical treatment in the US today is a horribly inefficient hybrid of old and new.

Re: People have stopped going to the doctor and most seem fine

#16
post #3

This article seems to suggest that because no spike in short-term ailments due to lower frequency of care has been observed in a 5-month span, there is no damage to the quality of our society's physical health overall. That seems incredibly myopic to me. The real question is whether there there will be statistically detectable increases in severity or prevalence of chronic or emergent ailments in the long run. How ma…

In my mind, the missed cancers could be a problem.

But, there's a lot of "health care" that doesn't really need to happen. A few of my family members have chronic health issues that require medication. These are typically prescribed 6-months at a time, requiring in-person bi-annual follow-ups. That's a waste of both parties time - patient and doctor - as 95% of the time, the result is "here's another 6 months" and 5% "here's the same drug, with an adjust dose".

Those appointments should only occur if there's an issue that requires new dosing or a change of medication. The rest of the time, it should be either completely automatic, or at most a simple phone call. I assume this doesn't happen, either because it's a CYA maneuver by the physician, or because the physician wants to bill for the appointment.

Re: People have stopped going to the doctor and most seem fine

#17
post #6

Most people were also stuck at home, living a much lower impact lifestyle.

I wondered about that - the cost to the environment (is that what you mean by 'impact'?).

I guess this is off topic. But not travelling - check. Ordering all the stuff online from different vendors, consuming more (because, more idle leisure), doing more home projects cost something.

Heck, construction is booming. That's an impact too. I wonder what it'll all add up to.

Re: People have stopped going to the doctor and most seem fine

#19
post #9

> In a recent survey, only one in 10 respondents said their or a family member’s health had worsened as a result of delayed care during the pandemic. That's 30 million people. And in a fantasy world where going to the doctor in America was cheap and easy, I imagine most people would be happy to go regularly if they knew there was a 10% chance it would make them healthier. Also, how are people answering this survey? O…

And younger people's health is going to be generally better right now just because they're not getting colds all the time.

Re: People have stopped going to the doctor and most seem fine

#20
post #3

This article seems to suggest that because no spike in short-term ailments due to lower frequency of care has been observed in a 5-month span, there is no damage to the quality of our society's physical health overall. That seems incredibly myopic to me. The real question is whether there there will be statistically detectable increases in severity or prevalence of chronic or emergent ailments in the long run. How ma…

In my mind, the missed cancers could be a problem. But, there's a lot of "health care" that doesn't really need to happen. A few of my family members have chronic health issues that require medication. These are typically prescribed 6-months at a time, requiring in-person bi-annual follow-ups. That's a waste of both parties time - patient and doctor - as 95% of the time, the result is "here's another 6 months" and 5%…

A less cynical analysis would be that there is a risk of changed conditions that it is good that the doctor notices.
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