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Comment by tqi

2 days ago

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.