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Comment by paulnpace

3 days ago

My primary care physician will only do video meetings or wait 6 months for in-person appointment. He does not care.

You think PCPs get to decide what their schedule looks like? Or do you think they have a specific patient load they are expected to meet, which dictates how many in-person vs remote slots they have in each day?

  • Yes. They just choose to fill it way passed capacity because they want more money and don't want to accept the money they will end up getting for doing a proper non-rushed job.

    That's why they have 15min slots and rush you out the door if you look like you'll be taking too much of their time. Maybe blame the insurance for dictating they must charge per-session instead of per-hour, sure, but the doctors at the end of the day prioritize their own salary over patients well being. Not to the extent that one can say they are negligent or do a bad job, but they ride that line between in order to optimize their earnings without getting into (too much) trouble.

    • Presumably, if the GP comment hasn't switched yet, then there's a bit of a shortage of options. So it's entirely possible that there's a shortage of doctors in general in the area, and a doctor that does care about serving patients in that circumstance will find themselves in exactly the same pattern of behaviour, because there's more need from patients than they can satisfy, so they try to help the most people they can even if that means each person gets less help.

      More egregously in that regard, in the UK it's common for doctors to part work for the NHS and part work privately. Anything on the NHS is massively underresourced and so long waiting times for short, overworked appointments are common, but you can get an appointment much faster and with better attention from the same doctor if you pay. But then even these private services are starting to have too much demand, because the problem is more structural as the population grows and ages, while investment in the education and training, not to mention reasons to stay in the country afterwards, has stagnated.

His care does not scale and he has to ration his care between existing patients. For him to give you more care, it will likely come at the expense of someone else's care.

This situation has occurred because somewhere and somewhen else, a chain of other people have not cared and allowed primary care resources to get to this state.

Why don't you change ?

Is it not allowed ?

  • They might be living in the UK where most of the population has no private healthcare insurance and the nationalized GPs are frequently all overloaded like that.

  • Is that a rebuttal to the idea that the doctor doesn't care?

    • Why would you think it's a rebuttal?

      Six months' wait to see your GP for an in-person visit is a worryingly long wait. If I heard someone say that they were required to wait that long for in-person doctor's visits, I'd wonder why they were still seeing that doctor and ask them polite questions to try to figure it out.

      5 replies →

    • No. I was curious as to why they are stuck like that and what country and system they were in.