Which Country Should I Move To?

[Chaotic42]

I think I'd go to New Zealand if I ever left the US.

 

[gophins72]

i'm firmly convinced from all the kiwi's i've met that new zealand is only good to move to if you're female.

 

[Hayabusa Rider]

And again you refuse to tell us what exactly it is you do in the Health Care field. I'm getting to the point to where I'm convinced you're a janitor at a hospital. I hope to god that you aren't a physician.

Let's look at what you asked me?



Well, I provided an entire list of ways a physician can schedule another appointments TO GIVE THEM MORE TIME with their patients. Especially, with "counseling sessions."

But, I take it that your complaint is really with the fact that primary care doctors do not (in America, but not in rest of the developed world) get to spend enough time with their patients. I'm in awe that you would bring this up in defense of the American system, when this problem is a result of the dysfunctional incentive structure that pushes medical students into specializations, rather than primary care. This pretty much an America specific issue, not a global issue.

And, the Affordable Care Act actually DOES include a provision to address the fact that insufficient primary care physicians are coming out of medical schools: Affordable care act primary care residency expansion program.

Of course, more should be done to increase the number of GPs in America. I would support any of this doctor's recommendations: http://healthpolicyandreform.nejm.org/?p=13628#more-13628. Of course, most Democrats would. Republicans? Of course not! Because, health care reform is SOCIALISM and FASCISM all rolled up into one


And, if you knew anything about the Electronic Health Record systems that have become standard in the rest of the world, you would know that doctors wouldn't need to rely on patients' terrible memory about their medical history for a consult. Because, in these record system, the patient's entire history is in the database. If a patient went to a specialist, their recommendations, lab results, x-rays & other imaging results, etc. are immediately available to the doctor. Not only do they improve the effectiveness of treatment, but they save time and allow GPs to see more patients.

Note that I said earlier that the system should be reformed? And the point of getting a history isn't just about medical history, right? And you know that it takes over an hour of practitioner interaction with to do it right, and that's by the best there is, right? For mere mortals it takes somewhat more time. It is the interaction between the patient and provider which determines the accuracy of diagnosis, which discovers underlying conditions, etc. Done right you go in because you have acid reflux, but that little spot of skin cancer? That has a good chance of being spotted not because of an electronic record (which aren't bad for accumulating data, but not a substitution)

The system needs to be fixed but it needs to be done so from the ground up guided by those who know what's going on. BTW, you know that the French system is increasing at a rate of utilization which will outstrip it's ability to deal, right?

By all means fund some initiatives but that's a bandage. You are looking to address health issues with political thinking.

Oh, what do I do? I'm not going to tell you because I want you to go on and say that I'm the janitor. Many others here know, but I want you to go on expounding on your vast knowledge of the subject.

One of my favorite saying is "No one knows your job better than someone who's never done it". I see that holds.

Anyway, regale us further while I ignore you.

 

[Brutus04]

China ...or Spain

 

[preslove]

Note that I said earlier that the system should be reformed? And the point of getting a history isn't just about medical history, right? And you know that it takes over an hour of practitioner interaction with to do it right, and that's by the best there is, right? For mere mortals it takes somewhat more time. It is the interaction between the patient and provider which determines the accuracy of diagnosis, which discovers underlying conditions, etc. Done right you go in because you have acid reflux, but that little spot of skin cancer? That has a good chance of being spotted not because of an electronic record (which aren't bad for accumulating data, but not a substitution)

The system needs to be fixed but it needs to be done so from the ground up guided by those who know what's going on. BTW, you know that the French system is increasing at a rate of utilization which will outstrip it's ability to deal, right?

By all means fund some initiatives but that's a bandage. You are looking to address health issues with political thinking.

Oh, what do I do? I'm not going to tell you because I want you to go on and say that I'm the janitor. Many others here know, but I want you to go on expounding on your vast knowledge of the subject.

One of my favorite saying is "No one knows your job better than someone who's never done it". I see that holds.

Anyway, regale us further while I ignore you.

Is your job to design a national health care system? No? Then your job doesn't allow you to argue from authority. You've demonstrated no knowledge of the mountains of literature on health care reform in the US or in rest of the developed world. It's not the job of a practitioner to identify waste (ours is the most wasteful in the world) provide fixes within a system. It would be pretty sad if you really are a physician, considering your ignorance of ACA and its history. Also, considering your contempt for the very people you claim to serve is quite disturbing.

And, "ignore me?" LOL. All you've done this entire thread is insult me like an arrogant ass. You know very little about this subject, or you wouldn't have to resort to such pettiness.

 

[IEC]

Yes, it's so terrible that people come from all over the world to use it. You moving to Sudan as well?

At the high end it's still the best - the problem is that on average we spend 2x as much as England, France, etc for the same health outcome.