like, Ikes, what would even make you happy? You get mad if anyone says anything negative about individual doctors and try to pivot to talking about systemic issues, I mention something systemic like you want and you get mad because I’m “inventing new shit”
Nobody is allowed to have any opinion about anything medical-related unless they’re a doctor, because something something, standard
Which part of his post is wrong? Wait times are absolutely a scam perpetuated by the industry to maximize revenues in an inelastic market.
You can have an opinion, no matter how ignorant it is.
Three different US health care providers are trying to educate you, but you’re so intent on scoring points on Ikes that you’re coming off like either a moron or a troll.
So ER docs are getting rich by not working?
Bold strategy, Cotton!
wut
[quote=“Surf, post:1818, topic:90”]
I didn’t read that any of the medical providers thought it wasn’t emergent? [/quote]
nothing indicated the need for the specialist was emergent and ikes also conceded it was a non-emergent consult
Yeah why listen to HCWs
This is nonsense. ER economics are all about throughput and seeing everyone as soon as possible. That doesn’t happen when things get overwhelmed, but typical payment structures mean that the ER makes less not more when that happens. You get paid for seeing patients, doing tests, admitting people, etc.
The most profitable ERs do this efficiently even when there’s long wait times
yes, if wait times are less that means there will be more seconds during a shift where you are not doing those things. A queue ensures you are always generating revenue.
I use emergent later as in do they have to be seen right the fuck now. Examples include a ruptured ectopic, generally people dying and shit.
What you’re even complaining about is baffling to me. We’re into stuff that happens in every ER, socialized medicine or not, in the world. What is your point exactly?
Problem is that people leave and don’t complete their workup.
Again pvn what the fuck is your point here? You’re so far beyond complaining about our current model that you’re complaining about waiting a whole hour to see a specialist. That happens everywhere. You’ve lost the plot
I paid 2800 THB ($85) to see a specialist at a private hospital in Hanoi last year and less than $600 for the procedure including a nice suite for the night.
fyp
who is this a problem for?
We don’t know the specialist was just about to show up. it could have been much, much longer.
the fact that it “happens everywhere” IS the point. it’s 100% standard for patients’ time to be considered worthless. that’s exactly my point. if this were an isolated incident then your argument would make sense.
Have you ever met the median patient?
So your point is that people wait to see doctors in emergency rooms
Well I guess we’re done here
Sounds more like his point was that it’s pretty crazy to be asked to sit and wait for anywhere from like 1-10 hours to see a doctor (who knows!), and if you get fed up and leave before the doctor is available you get charged $900 for the privilege of sitting in the waiting room, and that there are financial incentives for providers/hospitals to operate the system in that way.
I guess my sympathy with CN here is that if you have to pick something about the US healthcare system to complain about, bills sent to ironically impatient patients shouldn’t be high up the list. Patients being annoying is actually a cost burden to a system that is already complicated enough to administrator as it is. I am admittedly biased because my spouse is a physician. It’s very demoralizing to see her put so much work into something only to see patients Karen up the joint with consumer experience complaints.
What was the burden to the hospital in this scenario? They paid for the time of the NP who actually treated the kid. I assume there was some admin who spent 5 minutes typing insurance info and putting on a fake smile for the parent. Who else is being burdened here, and how?
I’m spending the rest of the day in a mental health center for a polysomnograph.
I mean maybe the tests being done are covered under insurance that the center accepts but what if my doctor doesn’t? Or if the nurses here are staff from some third-party subcontractor specializing in recruiting and placing nurses in different facilities. Or if food and water doesn’t qualify as part of staying at the hospital. What if I decide to leave before the specialist sees me?
Oh wait. I’m in a country where this shit doesn’t matter. A place where this argument is completely foreign in both language and logic. Shit if America was close to fair it would be insane to have to read about this.
I’m more than happy to have a percentage of my salary deducted for this. Yeah, it isn’t a luxurious experience (beats the hell out of a typical Czech hospital though) but it’s a necessary one that I wouldn’t have if I was living in America.