Comment by bcrosby95
9 hours ago
How do you define good/bad? People mostly seem to talk about wait time for socialized health care, but where we live in US there's plenty of specialists that you gotta book months ahead of time. When my mom needed a pacemaker it was a 4 month process. My wife's OBGYN is booked a year out - god help you if you miss an appointment. Anyone working in pediatrics look like zombies.
Urgent care clinics have been big in our region. The primary system is obviously overloaded, and 2 of these have popped up in the last 3 years. It's more expensive per visit than our primary physician, but cheaper than an ER visit, which could easily take half a day anyways.
What you’re describing is that in response to a resource being rationed you are able to use money to raise its urgency at your will. That seems like a powerful option to have when your health is on the line (that I acknowledge is not available to everyone).
I don’t have metrics for good/bad. I’m just going off of them telling me it’s bad.
To be clear, that's in the US where we have private health care thus it generally isn't rationed provided you're willing to pay. However what we have is a guild system that in effect tightly constrains the total supply. Depending on the state one of the ways that urgent care commonly gets around this is with ever controversial nurse practitioners. Which is to say that quite a few state legislatures appear to be pushing back against the guild.
To tease apart above for non-US readers, to the best of my understanding.
The US government funds most of the resident slots through which the path to become a doctor runs.
The AMA generally (but not always) lobbies against increasing slots too much, reasoning it would decrease the premium doctors (its members) could charge.
As a result, most of the time the US has too low of a supply of doctors, especially in general, highly-demanded areas (family medicine, internal medicine, psychiatry).