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>You are getting WORSE care for the same price when you see an NP or PA.

I am skeptical of this statement on average.



You’d agree that an important part of patient care is listening to the patients, correct?

In my personal experience, NPs tend to do so. Oftentimes I’m coming in for fairly obvious medical reasons and it’s a painless visit.

With doctors, it’s been a crapshoot for me. They adhere to whatever they learned years ago with complete inflexibility.

I still recall my high school dermatologist insisting that diet doesn’t affect acne and even showing me some stupid pamphlet to support her argument despite my insistence that it does from anecdotal evidence. Lo and behold it turns out she’s wrong! I doubt she cares since that’s not what she learned 15 years ago in school.

Simply put, most doctors don’t give a shit if you don’t fit the general case. If a side effect is not on the label, surely you’re imagining it and we can set up some therapy sessions.

It’s bewildering to say the least and very patronizing.

Imagine you had a tech lead try and “fix” any bugs you’re encountering without ever bothering to read the code or see what your approach so far has been. They just spitball some suggestions from what they’ve seen before. That’s how it feels.


It's certainly not better.


Well that is a massive difference from “it’s worse”. If Americans are paying so much more than other countries on their health care for something that isn’t leaps and bounds better, then they are getting fleeced. And given how many health outcomes in the US are fairly middling for a country of its size and wealth, it’s not a stretch to assume the health care isnt actually better. At the very least, you can conclude that whatever benefits their are to our stupendous health care are more than offset by the damage done by the prohibitive cost. Fantastic health care isn’t fantastic if people can’t afford it.




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