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Joined 11 months ago
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Cake day: March 18th, 2024

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  • My money is on failure to engage with medical care due to costs.

    Rumor is the hospitals down there tightly ration their care. The health industry rations care not just in the way Luigi pointed out, but in not staffing their hospitals with enough personnel and overbooking primary doctors like they’re airports during the holidays.

    Scheduling a PCP visit takes months. Doctors get 10min per patient plus a ton of electronic boxes to check. If you’re late, then you lose your appointment and now have to wait weeks or months for another appointment. How many problems get missed in this system?

    Also. Items that used to be CT scans are now recommended to be ultrasound first. Why? CTs had this cool side feature where they’d spot other problems that you weren’t looking for but needed to be addressed right away. So, now ultrasound is the standard, as it’s highly focused and far less likely to catch a peripheral picture of a second problem.

    ED won’t fix it unless it’s an emergency, meaning, you’re about to die, the months long waiting doesn’t make it an emergency.

    Hiring or not is choice made by corporate, one that can cut into profits. So it’s rationed as is all the money in health care.












  • We felt it last year. A building up of something. A sense of impending doom. Feelings of grim.

    Things are worse especially with Trump making noises about using the American military to take resources. I don’t know who put the Panama canal and Greenland into his head but here we are. He is a guy who would do it too. Making us axis and not ally this go. That’s grim.

    Pick and choose your outlets but don’t stick your head in the sand.




  • That would be almost everyone. I can tell you that most patients I see (mostly) love, like, or are ok with their staff (doctors, nurses, ancillary) while disliking the company, management, etc.

    I think, since COVID, the general public is more in tune with how things work. I can hear both patients and family asking, or directly asking me, things like “How many patients does each nurse have?”

    That question alone speaks volumes on how well they understand what’s happening. And they won’t, typically, blame the nurse for shitty service, but corporate instead.

    Same thing on the clinic end of things. Patients ask how much time each doctor is allowed per patient. Again, that speaks volumes on how well they understand what’s really happening with their care. The rationing of healthcare, not just by monetary coverage, but by trained personnel is understood.

    Allowing a doctor only 10-15min per patient such that anyone who is late gets dropped and has to wait another 3 months to get in is working as intended.

    Having a nurse take 7 patients such that there is only a few minutes per hour per severely ill patient is working as intended.

    Patients and their families are asking the right questions. They understand, these last couple years, how the rationing of car is occurring in person, in addition to the denial of monetary coverage. It is ALL rationing of care.

    The difference is whether or not it’s spoken verbally in an office or hospital vs typed out on Lemmy or elsewhere. If they really want to track disgruntlement, they should start recording ED, urgent care, and clinic waiting rooms.