Live data from Hacker News

Americans Are Skipping Doctor Visits Due to Costs

msn.com

21–30 of 68 posts

Re: Americans Are Skipping Doctor Visits Due to Costs

#21

As a patient, post-2020 I find even basics like appointment scheduling to be hard. (I'm also an MD, which makes all of this easier for me, and yet it's still a morass of scheduling hell, too many phone calls, too many logins/reauthentications, etc.)

I wanted to get a checkup and every place i called was months of waiting. The ER and Urgent Care is the only functional piece of the US health care system left.

Re: Americans Are Skipping Doctor Visits Due to Costs

#22

As a patient, post-2020 I find even basics like appointment scheduling to be hard. (I'm also an MD, which makes all of this easier for me, and yet it's still a morass of scheduling hell, too many phone calls, too many logins/reauthentications, etc.)

Although access got much worse in 2020, my impression is things are back to about what they were in 2019, which is still bad. My memory is that scheduling first became a serious issue when many doctors took early retirement to avoid dealing with the effects of the ACA. If you ignore the COVID bump, how would you describe the changes in accessibility from about 2014 until now?

Re: Americans Are Skipping Doctor Visits Due to Costs

#23

I de facto require semaglutide due to the side-effects of the only anti-depressant I'm able to tolerate (I've titrated up and down on 17+). Unfortunately, I currently don't have health insurance and hovering at 35% excess weight. There's no point in my going to a doctor when all of their recommendations are "window shopping". The only way this shit stops is not Medicare for all, which is a red herring with third-clas…

Absolutely none of the insults you wrote have any connection with healthcare issues.

The actual issue is way way simpler: Doctors and other healthcare works make too much money for it to be affordable for everyone. That's it, it's as simple as that.

Compare Dr salaries to other countries. Doctors in the US make 2 to 10 times as much as other counties. (Google it if you don't believe me.)

And they make so much because there is not enough supply. And colleges take advantage of that and charge insane tuition.

Want to actually change things? Start educating way way way more Doctors, and encourage people to go to low cost universities (which do exist - but everyone wants "the best").

See: https://www.advisory.com/daily-briefing/2022/02/16/physician...

Re: Americans Are Skipping Doctor Visits Due to Costs

#24

As a patient, post-2020 I find even basics like appointment scheduling to be hard. (I'm also an MD, which makes all of this easier for me, and yet it's still a morass of scheduling hell, too many phone calls, too many logins/reauthentications, etc.)

Appointment scheduling is beyond awful these days. We're getting specialist appointments scheduled literally a year out, or just outright rejected because they're too full. It's de facto rationing.

Experiencing that, too. Are these long waits due to anything other than a shortage of specialists? If not, why is there a shortage? I thought more doctors wanted to be specialists because of better hours and pay.

Re: Americans Are Skipping Doctor Visits Due to Costs

#25

I de facto require semaglutide due to the side-effects of the only anti-depressant I'm able to tolerate (I've titrated up and down on 17+). Unfortunately, I currently don't have health insurance and hovering at 35% excess weight. There's no point in my going to a doctor when all of their recommendations are "window shopping". The only way this shit stops is not Medicare for all, which is a red herring with third-clas…

> The ultimate solution is [...] making for-profit health insurance illegal. > Every other free country in the world has [...] ... and most also have private health insurance too. Some have a higher percentage of people with private health insurance than even the US does, often in a supplementary role.

(Not sure if you're arguing for or against a privatized health insurance system)

I guess that countries that provide public health insurance don't have people skipping doctor visits because of costs, even if the majority of residence also have private insurance.

Re: Americans Are Skipping Doctor Visits Due to Costs

#26
On the bright side, virtual doctor visits have led me to obtain medications that I would have gone without in the past. I have to imagine US healthcare outcomes would dramatically improve if insurance companies weren't charging $80+ per virtual visit. Oh well, the revolution can come in a decade rather than this year.

Re: Americans Are Skipping Doctor Visits Due to Costs

#28
My parents (both in late 60s) live in the US and I'm alarmed by what they tell me. Their old GP retired and sold his clinic to a "concierge" system/network (I don't know the terminology, been overseas for over 10 years so I'm not familiar with any of this.) You have to pay upfront a few thousand per year to get into the system.

The US system sounds totally broken compared to my experiences within the Singapore and Australian health care systems.

Re: Americans Are Skipping Doctor Visits Due to Costs

#29

I de facto require semaglutide due to the side-effects of the only anti-depressant I'm able to tolerate (I've titrated up and down on 17+). Unfortunately, I currently don't have health insurance and hovering at 35% excess weight. There's no point in my going to a doctor when all of their recommendations are "window shopping". The only way this shit stops is not Medicare for all, which is a red herring with third-clas…

Gastric bypass? Has the benefit of being a onetime payment instead of in perpetuity.

I’m sure some people have, but of the half dozen people I know to have gotten a gastric bypass, all of them were about where they started no more than 5 years later.

Re: Americans Are Skipping Doctor Visits Due to Costs

#30

As a patient, post-2020 I find even basics like appointment scheduling to be hard. (I'm also an MD, which makes all of this easier for me, and yet it's still a morass of scheduling hell, too many phone calls, too many logins/reauthentications, etc.)

I agree. Problem is that when you get an appointment, you don’t get an MD or DO or any doctor, only FNP or PA or other Nurse practitioners. And unfortunately for me, my experience with them has been terrible at best. The insurance still gets charged the same as a doctor, but somehow I get subpar care, where almost always things get worse and I finally need an MD to do a proper diagnosis.

Even things like my yearly checkups which technically doesn’t need an MD, have gone poorly. One of the NPs strongly wanted me on statins of slightly elevated cholesterol meanwhile the MD that I eventually took a second opinion from, suggested that for my age and physical condition, I most definitely don’t need to be on them.

Post reply on HN