Hacker News new | past | comments | ask | show | jobs | submit login

> But GPs often make astounding amounts of money while leaning heavily on their staff to actually handle patients and keep the business running.

The private ones might the ones in the public system at least in my country need to see a patient every 10 minutes to keep their heads above water.




In my country, patients will go to the public healthcare unit at 4 AM in the morning in order to try and get an appointment. It opens at 8 AM and by that time there'll be a queue of about 30 people. Doctors are expected to see them all before 11 AM. Such is life in "family medicine", theoretically a medical specialty but mostly filled with doctors who just graduated medical school and who are looking to make some money before they start residency which pays a pitiful "scholarship" and is essentially indentured servitude anyway. There's barely any time to do anything more complex than chief complaint or chronic disease management.

It's funny because it's the complete opposite of what family medicine was supposed to be. The doctors were supposed to live and work in those towns so they could get to know the population and form stronger bonds with the community. Instead, they either burn out quickly or move on to far better working environments, specialization or not. Some of these public healthcare units don't even have sinks you can use to wash your hands.


This is more or less the case in many European countries. Less so here in the UK, but approaching there rather quickly due to astoundingly poor management by various successive governments. It’s tough back in South Africa as well, and they pay their doctors extraordinarily well.


This is true in the US, too. GPs have become "procedure mills". It's almost as if management figured out they just have to put the right code on the bill enough times a day. Since no one is accountable for outcomes, money happens.


What country are you from, if you don’t mind me asking?


I've heard Canada is like that. I've had similar experience in South Africa, even in private health care, but I definitely had the impression that my doctor somewhat cared about me, especially after going to them for a few years


I'm in New Zealand and it's not too far from what was described.


It is so in China and it is every 5 minutes in most cases. Precisely because of this, I chose doctors from good public hospitals because of their super rich experiences instead of fancy private hospitals.


I'm from Spain and my wife is a family doctor. It really is like that here too.




Guidelines | FAQ | Lists | API | Security | Legal | Apply to YC | Contact

Search: