Comment by JackFr
4 days ago
Is there adverse selection in reports of the callousness, incompetence and greed of US healthcare providers?
Three years ago, of necessity I became a big-time consumer of healthcare[1] and I can't believe I just been lucky that nearly all my doctors seemed reasonable and effectively treated me. Of the dozen or so doctors I dealt with only one left me with a bad feeling.
[1] Stage 4 renal cancer, successfully treated with immunotherapy and surgery at Perlmutter Cancer Center in NYC.
There is definitely some, but the #1 advice is excellent advice pretty much wherever you go IMO. Beyond just scheduling: You absolutely have to be your own advocate for all sorts of stuff that will otherwise often get dropped through the cracks.
> Is there adverse selection in reports of the callousness, incompetence and greed of US healthcare providers?
I assume so. My experience is pretty similar to yours.
perlmutter is also one of the best cancer centers in the country, things are often quite different at smaller hospitals
And in addition to variance among institutions, there variance in practice at each. The best groups have a consummate professional's focus on reducing their own. But even at another "one of the best", let alone at the merely good... my impression was "there's lots of holes in the cheese around here", and left me wondering whether/how a transient outsider might usefully help folks towards more of a safety culture. It seems a reoccurring opportunity.
providing top-level medical care requires a very rare combination of incredible technical skill, organization, humility, and life-long dedication to the craft. i would wager that it's largely a numbers game. how many humans on earth have that combination of skills and traits?