Benjamin Murphy2 said:It seems we’ve reached an impasse—nothing makes sense anymore. Apparently, as doctors, we are expected to just swallow the nonsense, stay silent, and let ourselves be trampled. We have no right to a life—after all, we finished medical school, didn't we? Where did we get the audacity to start families or spend any actual time with our children? In essence, we should probably just be robots. That would be most efficient. Better yet, we should live at the hospital, ensuring the valued public is served 24/7 for every minor ailment—including showing up at midnight for some rash cream if they can't sleep.
Speaking of rashes and creams... well, I certainly didn't want to bother the doctors on call (in a small vacation town, no less) over a strange shoulder rash from an insect bite. It turned out to be a staph infection. I ended up paying the price the next morning because, as it turns out, starting antibiotics immediately is vital. Every case is different, and a layperson will naturally err by either overestimating or underestimating their own condition.
I am not entirely sure what the point of this debate is—the market is doing its job. Even now, I am selecting a primary care physician. In major cities, those who fail to perform will lose patients and, consequently, their Medicare contracts... leaving them with nothing but a patient base of retirees who consume most of the referrals and prescriptions. Meanwhile, the younger, generally healthy population knows exactly what their rights are.
As for hospitals, change is inevitable. Everything is shifting toward private providers and private insurance policies—and in that arena, only quality (and bedside manner) will survive.