Posted by alexandra_k on November 6, 2018, at 15:53:36
In reply to Re: customer service, posted by alexandra_k on November 6, 2018, at 15:35:51
actually, i wonder if that is why American is renowned for having a particularly exhorbatant cost of health care.
when people decide 'I want everything that can possibly be done to be done', I mean.
i went to a talk and the guy was lamenting that people mostly chose for that to happen. even when he thought (in his expert opinion) that it was unnecessary.
interestingly (to my mind) he didn't say he thought it would do more harm than good. He didn't say that the best medical decision was to (for example) not have that scan because of the radiation from the scan that would likely do more harm than any good that would come from finding abnormality on the scan.
I guess he doesn't want people starting to resist hospitals and the like wanting to take multiple x-rays of their kids...
but he did say that people were of the opinion (often) that if their health insurance funded it: they wanted it.
it's not a very... sustainable... attitude. i quite agree.
i wonder how much the UK is differnet with respect to information. i mean, I wonder if they try and manage demand for services they don't want to provide by way of limiting people's knowledge about treatments / treatment options.
i know our government surely does that. it would be harder to do that in Europe... people travel to France and the like and they see what people have access to over there...
I will have to see about optometry at some point... It's about seeing whether I can make an appointment without handing over all my data. I really shouldn't need to have an appointment with admin first while I watch them feed it all into a 'health database' ... into my healthone file... So other people can know all that's wrong with me (but I won't be told because timely treatment is simply not an option for all those people in the control group). We must observe the natural history...
We have prominent academics arguing for no intervention (e.g., don't prescribe antibiotics because that's creating treatment resistent) and also don't do screening programs. I'm actually abvilane tabout screening programs. Mostly because we won't intervene to help people when people are bothered by signs and symptoms. When people want intervention in a timely fashion (e.g., to stop them goign blind) we will not intervene to help them. Instead.. We think it's a better idea to take bio samples from a bunch of people who have no signs or symptoms so we can find something wrong with them... At which point we pop them on a waiting list and they are likely to die from lack of treatment.
It is like 'only treat the involuntary'.
Yeah.
It's just bullies being bullies.
Sigh.
poster:alexandra_k
thread:1101870
URL: http://www.dr-bob.org/babble/social/20181103/msgs/1101872.html