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Never been one to let the carrier drop » Blog Archive Badly needed improvement to US medical system - Never been one to let the carrier drop

Badly needed improvement to US medical system

One thing the US medical system badly needs is a set of rules similar to the ones mechanics operate under.

1) They should be required to provide a quote beforehand. Recently a doctor ordered some unnecessary imaging for me and the imaging lab could not even tell me how much it would cost.
2) They should not get paid if a reasonable person would conclude they did not solve the problem. This would require a little bit of special-case handling because of course you have hypochondriacs who would never believe they had been cured, but I am sure we could come up with a way (maybe a independent panel of reviewers) to implement it. For long term treatments money could go into a escrow account until the patient concludes the work was successful.

As it currently stands, they have NO reason to behave themselves. They can charge anything they want, they never have to get any results, and because of protectionism for health insurance companies you can’t even change providers if you don’t like the results you’re getting unless you want to wait for the next enrollment period. Being a doctor is a license to steal – and also my ongoing experience with them suggests they all think they know my body better than I do and they often do not bother to even listen to me.

From my POV, health care in the USA is the worst in the industrialized world – and the people who run the system have no shame and are making no real attempt to improve it.

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