Quote:
Originally Posted by Tron_fdc
So why does it take 4 hours at a clinic, with 8 people in the wait room? Too much time on CP?
I keed I keed
One thing that annoys the sh*t outta me is I have to go to a doctor to tell me I have a wrecked knee (which I knew) so he can write a prescription for physio, so I can claim it on my healthcare. I'm wasting his and my time to do it. I'm sure there's a reason for it, but it makes me stay away from the doctors office when I have medical issues.
You touched a little on subsidizing schooling; what if they were subsidized nationally? ie you agree to practise in the country for school grants?
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Well, so you knew you had a wrecked knee and perhaps 50% of the time its as simple as that. Still the MD has to act as a bit of a gatekeeper on these limited resources you require there after. There is not enough subsidized physio/meds/ct's...etc to go around that any yahoo should walk in off the street and obtain whatever he thinks he wants. The role of the MD in this situation is to dispense such resources appropriately and fairly so we can all get it if/when we need it. Furthermore, is your knee damage appropriate for a referral to an orthopedic surgeon for urgent surgical repair? Maybe it is, but it can wait 1 month. You aren't going to be able to make that decision.
The other side of the coin, is that what if there is more to your knee than it just being wrecked? What if you had a bone tumour which made your knee more succeptible to minor trauma causing the destruction? What if you're a hemophiliac and you've bled into the joint space? What if there is a concurrent infection of the knee that will cause further damage if left untreated? What if you've actually have a first onset flare up of rheumatoid arthritis causing your wrecked knee? The list of what-ifs goes on and on and the MD is there to assess these what-ifs. You as a patient don't know, what you don't know.
With regards to wait times, alot of that is a product of the system. As I've said an afternoon might be booked in the ideal "5 min / patient" system, but as is often the case this never works out. The so called hand-on-the-doorknob-consult whereby you think you are done with a patient and you turn to leave putting a hand on the doorknob and the patient suddenly says something like "oh by the way doc, I woke up this morning and my chest really hurts". Further time delays occur when an intial complaint is more serious than initially expected. Or the patient is a very poor communicator, or demented. The delays are multifactorial in cause, but that again is a product of the system. Should a doctor book less patients over more time? Well she/he's trying to make a decent living and the current system discourages anything but this. A salaried approach would be the solution to this, as long as it's competitive.
As for kick backs from the drug industry, there is very little of that in Canada. It's pretty regulated, and most doctors choice of prescription (when there are options), are dictated by the optimal therapeutic choice and whether or not the patient can afford it.
And yes, a national aid/susidization of medical school costs in exchange for guaranteed service contracts would be the proper way to go about it. The canadian army essentially offers this at the moment.
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