In many countries doctors' unions actually encourage this sort of stuff, by restricting the number of spots in medical degrees. Making sure there are as few juniors as possible, making their life more miserable than it needs to be - this sort of stuff.
The goal of a union is to put a fence around the employers and drive wages up. Mission accomplished.
> The goal of a union is to put a fence around the employers and drive wages up
Feeding the troll: The role of a union is to represent the interests of their members
> I had worked in a hospital where I was oncall 24/7, 12 days out of 14. I had fortnightly weekends off. Why would you do this? Some of the most basic labour jobs have better employment terms than this. > You might ask, why can’t you work less? It’s not as easy as that. If I decide to work less, who is going to cover the hospital? Yes, I did ask. But covering the hospital isn't your problem, that's a hospital managem…
I understand why doctors don't just refuse to come in. It's horrible but one of the only ways they will see change is by refusing poor working conditions. The sociopaths that own the businesses know that doctors feel that way and will milk it for every hour of extra work they can get. It just doesn't matter to them what anyone feels or complains about they are soulless demons who understand metrics and nothing else.
There has to be a way for docs to organize in larger groups and demand better, including striking when it comes to it.
Rounding is a major source of mistakes. It is very common that cases rounded through multiple people develop major gaps in information. This is not as simple of a problem as you think it is.
I feel like technology could very easily solve this eventually
Quite possibly one of the worst instances of “let me solve this problem with some code” I’ve heard.
We do not need all doctors to be uber doctors. We need a range of doctors, who range in price according to quality . That way for simple stuff, which anyone can get right, we go to a cheap, reasonable doctor. A similar example would be if we only had uber software engineers. Each one had to have a PhD. There were no cheap and okay developers who could do say web-sites but not write a programming language from scratch…
That is not even remotely viable. There is little or no correlation between price and quality in healthcare. There are no reliable ways to accurately measure quality of individual doctors across the full spectrum of services that they deliver. In particular, it doesn't make sense to just look at outcomes because the doctors who take on more difficult cases will always look worse in the metrics regardless of the quali…
Like air transport, in America Healthcare has its First Class, Business and Steerage tiers of medical care.
ACA (Obamacare)HMOs may have opened healthcare up to a lot of people who until then were going without. But its a faaaar cry from from Employer PPOs. And the ACA PPOs somewhere in between.
An don't forget the Trumpcare policies, with major policy exclusions.
Rounding is a major source of mistakes. It is very common that cases rounded through multiple people develop major gaps in information. This is not as simple of a problem as you think it is.
I feel like technology could very easily solve this eventually
If you find some problem that plagues millions of very smart people, and your thought is "technology could very easily solve this", the first thing you should ask yourself is what you're missing.
There’s a blurb underneath the title linking to third party page. This page is selling a really quacky looking book, that has no obvious connection to the author of this article.
Is this an ad? It doesn’t look like normal ad placement. It looks like the author of the article is promoting it.
And it seems really quacky.
I wish substack was clearer on whether this product is endorsed by the author of the article.
I would like to ask anyone who knows medical policies: can we not have cap on accepted medical school matriculants each year? Can we have a system where if you are qualified to attend medical school, let as many of them attend as they can so free market mechanism plays in this career path just like we have in graduate school?
That is not even remotely viable. There is little or no correlation between price and quality in healthcare. There are no reliable ways to accurately measure quality of individual doctors across the full spectrum of services that they deliver. In particular, it doesn't make sense to just look at outcomes because the doctors who take on more difficult cases will always look worse in the metrics regardless of the quali…
Like air transport, in America Healthcare has its First Class, Business and Steerage tiers of medical care. ACA (Obamacare)HMOs may have opened healthcare up to a lot of people who until then were going without. But its a faaaar cry from from Employer PPOs. And the ACA PPOs somewhere in between. An don't forget the Trumpcare policies, with major policy exclusions.
I've heard this before, but I still can't figure out where this first class medical care is hiding. For the regional medical system I'm familiar with, there are two major hospitals, each with a set of associated providers. They both take most "insurances", because they effectively have to. I'm mostly familiar with the "better" one, and my experiences there have not been good. Are they checking the class of a patient's "insurance" plan behind the scenes, and sending different doctors based on that? Do I need to travel to a major 1M+ city (somehow even during an emergency)? Or what else gives? Where are these engaged doctors, who actually give you more than a 10-20 minute slice of their time, actually hiding? Ones who don't simply pass the buck to a different place (often booking many months out), recursively? Because from what I've gathered, I suspect that most people are just not very good at judging the competence of professionals, and are absolutely unable to judge the constructive incompetence of systems.