I don’t know why medical people want to take responsibility for cost containment.
a) patients will find out and know you’re skimping to try to get paid more
b) why take responsibility for a problem that is not yours?
c) why put your salary at risk for caring for sicker patients?
a) patients will find out and know you’re skimping to try to get paid more
b) why take responsibility for a problem that is not yours?
c) why put your salary at risk for caring for sicker patients?
Seriously. I don’t get it at all. I’m a doctor. I can’t fix a $20,000,000,000,000 debt at the US treasury or the 19% GDP. It’s not my problem. If the people with the money don’t want to pay, I want my patients to know that.
I don’t want my patients to think that it’s between me and them. It most certainly isn’t. I can do my best in any limited system. I already live in a rationed system. I’m an American doctor who takes care of lots of poor people.
I tell my patients all the time why they’ve gotten less than the best that US healthcare has to offer. We don’t just have a 2-tiered system. It’s multi-tiered.
I enjoy evening up the care despite the crooks and thieves who have their hands in the basket along the way.
I enjoy evening up the care despite the crooks and thieves who have their hands in the basket along the way.
I’m sure as shit not going to take responsibility for the piracy of US healthcare. Nor am I going to fire a neuron trying to fix it to increase my income. That concept goes against my duty as a physician.
So, if the system want to ration care, it should pull up it’s big boy pants and rations care. Limit formularies. Whatever. It’s not my problem. I’m not going to do that job for them and poison my physician-patient relationship in the process. Yuck. Gross. No.
