I’m an MD. There’s room for different healthcare delivery models for patients and doctors. The unintended consequences remain to be seen.
Physicians have only themselves to blame. I am a victim of one who ended my PhD studies by refusing to treat a serious case of myxedema which I had never heard of before, because I participated in the student health insurance program at Harvard. In a final outburst, he called health insurance “immoral”, adding “people who are unable to pay out of pocket for medical treatment do not deserve to have any”. By that time I had blown all my savings and knew I was gravely ill, so returned home to die. Mother panicked in another attack, called in a Polish Jew who survived WW2 in the underground, who discovered I was on the verge of myxedemic coma (which had few survivors in those days). Recovery required two years, during which I changed college major to health economics, lecturing frequently in various universities and medical societies – mostly to unreceptive physicians. For twelve years I established health systems in developing countries. including highly beneficial systems in Korea and Thailand. U.S. Department of Health & Human Services finally ended my very successful career by means of outright lies unlawful actions (from Surgeon General Koop an his deputy Faye Abdellah), to assignments that were undoable, and which he hoped would end my career. Since then I have been misdiagnosed on further occasions, leading to preventable stroke and very painful physical conditions. Indeed, misdiagnoses are the third leading cause of death in the U.S. Occasionally physicians are competent and helpful, but it comes at unnecessarily high cost owing to big pharma, consolidating hospital systems and bureaucracy – all assisted by payoffs and political contributions. I admit that physicians are dismayed by bureaucracy, but is the medical industry’s own doing. We could have a much more effective and medical system than we have, but must physician oppose what it requires and injures those who champion it. Doctors, cure thyselves!
Great read Vishal!
I am an MD and I have been in telemedicine for many years. I have also been thinking about the value these services create. They target the younger “healthy” generation and there is an increasing uptake among men. It could be a trend or there is a “hidden” health problem in this generation that is not being addressed by traditional healthcare, or they are used to get what they want online. What I know from the teledermatology service that I started, is that the younger generation do not want to pay for a dermatologist (specialist doctor) giving a probable diagnosis and advice on what next steps to take: 8/10 stop at the payment wall: 1/10 complain (abuse/ threaten they will give a one star review) about our service; “the doctor is wrong”, “could have Googled the answer”, “did not get a prescription” etc … basically they act as if they are a specialist doctor after having spent time searching online. Interestingly our best and happiest customers are 37 years old married men, with young children.
I foresee that Amazon will introduce AI on dermatology conditions in 2-5 years, and since AI will be more accurate than doctors, the “lighter” medical conditions will be served by Amazon prime. This is not bad, because dermatologists can spend more time on treating skin cancer, which is increasing with 5% every year.
In regards to AI, it would be interesting if you could conduct a survey on what specialties are in demand at medical school these days. Does the future of AI have an influence on what people will choose?
Have a good week-end
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