341–350 of 387 posts
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This is a practical reality of the "we keep old people alive too long" category.
How old should people be allowed to get? Why are the old less valuable to you? A life is a life, is it not?
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This is a practical reality of the "we keep old people alive too long" category.
I’m old and statements like this are… interesting
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Although I agree with you on a distaste for the foolishness of central planning, lLet me provide an alternative perspective. A huge proportion of US physicians are already mediocre; a shocking number are bad. (Source: I am a physician.) Given this, I am concerned that further relaxation of standards in an effort to train more doctors won't lead to better outcomes.
Not making American doctors do 4-years of an undergraduate "premed" degree will not meaningfully lower standards. Nor will creating more residency slots. We don't need better outcomes. We will happily take the existing outcomes but cheaper.
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I’m old and statements like this are… interesting
We all will be old one day, if lucky. My comment was not about you because you happen to be old right now. But are you unfamiliar with typical end of life care in the US? Where the last few years is a constant stream of hospitalizations, rehabilitation, etc with no quality of life and no tangible benefit but a very substantial cost? I find that concept… interesting… as in, I don’t like paying the cost and I don’t int…
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You should check out The Resident. The first several seasons are about the doctor invested in a device that is a fraud, a private equity group buying the hospital, it eventually failing. Chicago MD has some of the aspects you mention, especially overloaded, drug abuse, blame, police interactions. New Amsterdam attacks it by the main character trying to solve the problems and running into bureaucracy.
Are all of these well-written shows? They all look terrible in the descriptions but I’m hoping I’m wrong.
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You thought it wasn’t real as in you though everyone was an actor in a fake hospital building or you thought you were in a whole nother plane of existence?
Interesting question ... plane of existence. I was hearing voices that convinced me I was not where I thought I was, it was an illusion of sorts and it was best to leave. Immediately. For reasons unclear to me.
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Yes - my wife is a physician and she routinely describes how well meaning family members make care harder for their loved ones by trying too hard in the wrong ways. Requesting more care doesn’t get you better care - “squeaky wheel gets the grease” doesn’t really apply in many situations.
I have heard an equal number of stories that are exactly opposite. Only through aggressive, pushy "squeaky wheel" behaviour was someone able to get the correct care.
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The fact that they’re more open to believing that anything might work cuts both ways :)
I think when dealing with chronic issues, it might be better to optimize for luck. [0] A little ridiculousness like homeopathy might be worth it to find the thing that actually works. [0] https://www.lesswrong.com/posts/fFY2HeC9i2Tx8FEnK/luck-based...
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I've noticed recently that there are people out there who simply can't accurately listen to others and repeat back what they say. It's not about being stressed for time, the skill is just not there. You say ABC, they write CBD, and they have no idea it's not the same thing.
Add to that the people who reply to an email or other message without providing any response to the questions it explicitly poses.
But with some people definitely only ask 1 question per email.
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Although I agree with you on a distaste for the foolishness of central planning, lLet me provide an alternative perspective. A huge proportion of US physicians are already mediocre; a shocking number are bad. (Source: I am a physician.) Given this, I am concerned that further relaxation of standards in an effort to train more doctors won't lead to better outcomes.
Not making American doctors do 4-years of an undergraduate "premed" degree will not meaningfully lower standards. Nor will creating more residency slots. We don't need better outcomes. We will happily take the existing outcomes but cheaper.