this post was submitted on 10 Sep 2024
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And these cunts get to say 'doctor is wrong you don't actually need that'
I know I'll be hated for this, but my wife works for an insurance company, as a doctor, doing chart review. She was always very responsible as a doctor, but the shit she talks about that doctors prescribe is ridiculous.
One case that sticks with me (not even the most egregious, but because of the berating she got from the doctor and the patient), the patient needed a special car seat, which they approved. The doctor also prescribed a 200 dollar car seat cover. Now the seat already comes with a removable and washable cover, this additional one would just make it easier to remove and wash. It was denied as not medically necessary, which it clearly is not. The doctor demanded a consult and then yelled at her the whole time. The patient also called her and yelled at her.
Im a firm supporter of universal healthcare, but the idea that doctors never do ridiculously unnecessary shit, regardless of the reason, requires one to be completely ignorant of how any of this actually works. And so, even with universal health care, some bureaucrat stepping in to determine if a doctor made the right decision would absolutely still be necessary.
The thing that's missing here is context. It's hard to care about a random doctor prescribing an extra $200 for a patient that is taken out of the tens of billions of dollars of profit a year that health insurance companies make.
Like, this car seat anecdote costs as much as an hour meeting of a few of their higher paid employees.
Does that really matter? Should it matter?
The real thing is many regular preventative checks are a huge money maker for physicians while not actually being that effective for patient outcomes. IIRC its been argued prostate exams are an example of this. IMO, routine removal of wisdom teeth is another, and routine circumcision is an obvious one.
These are different questions, I was responding to the implicit claim that it's ridiculous that someone other than a doctor could understand what is medically necessary.
Although one thing my wife has expressed shock about since taking this role is how much waste there is, and how much doctors prescribe that is just clearly not medically necessary.