PE/insurance/pharma and the rest of the lot... Is there really nothing that can be done? Is there anythign the AMA can do?

PE/insurance/pharma and the rest of the lot... Is there really nothing that can be done? Is there anythign the AMA can do?

In a recent Glaucomflecken video (https://www.youtube.com/watch?v=nlgqYwX0WVo), he talks about how healthcare professionals came together to write a public letter detailing the outsourcing and problems this course creates. Medicine has a culture of almost being proud of how much shit you can take and a certain amount of that is just expected of physicians inherently and is considered part of the deal. So I guess we can all be proud of the high physician suicide rate? This does make me feel that it was inaction of physicians which contribute(d) to this situation (I do of course recognize that the job of a physician is not to really engage in politics or things of that nature, but this is where that has led). The apparent hell-scape is making more and more people leave. Can physicians come together and be stubborn about this?

So what are physicians going to do about it? The entire thing just feels like a cash grab in practice with all the middle men and hands in the pot which patients pay for in one way or another, and even for students along the path... It's like 1000 to sit for step 1 and step 2, I don't see the point in step 3 at all, the cost for some rotations and applying for residency, etc. - What the literal fuck for, so I can get a real knife in the back when I'm done and getting out into practice and learn that it's hell-ish and it's just starting? Are all future physicians resigned to prior auths, peer to peers, having insurance deny necessary treatment, and every other little thing being a fight? The hoops aren't just hoops to jump through anymore. They are the norm and physicians have sat back and sucked it up and haven't done anything about it. Nothing is going to change. So at what point is shit going to be too heavy and break to where physicians say fuck it... and why isn't healthcare there yet? At what point will it get to where physicians stand up for themselves, if not for their patients, or for when they themselves become the patients? It's touching and affecting every aspect of patient care.

I'm a lowly student who barely knows anything, but I hear the misery from everyone and even I can see that the writing is on the wall. This is coming from someone who is frustrated that the burden has just been passed down the line and nothing has been done about it. In the end is there really nothing that can be done? Or perhaps I'm misinformed about everything, in which case please do correct me- it would be very nice to be wrong.

u/Awkward_Pin_8901 — 2 days ago

Is there anyway to not be absolutely miserable?

I keep hearing all this negative shit about physicians being burnt out, leaving medicine, depressed. I get that it's the system that you have to work in after the process of becoming a doctor is complete. It is kinda hard for someone on the outside looking in to really grasp... but is there any way to not be miserable if you choose medicine? I like the science part and I like helping people, but I don't wanna get to the other side and then just be miserable and one of those statistics. So is there any solution? Is how fucking awful and how miserable people are overhyped and/or just louder in the echo chamber? Thanks.

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u/Awkward_Pin_8901 — 2 months ago

When is it time to switch therapists?

I have been working with this person for around 4 years now. I have made progress and I do like him. But I don't know how much of my progress is from him or not. He has certainly contributed, but I'm just tired of wrestling with the same things on loop and I feel like I haven't gotten what I've needed from him. While I don't know how much progress I can make on certain things with him, I don't want to need to start from scratch with someone new, nor do I know if another therapist will actually be any better. I have had several. And I don't know. Granted, I am exhausted as I am writing this and just kinda frustrated. So yea.

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u/Awkward_Pin_8901 — 3 months ago

PCNL surgery :/

Not excited or looking forward to having surgery and am a little scared. The recovery seems worse than the surgery itself. How soon can I get back to work (one job is a desk job, the other job is waiting tables), I've heard that it can be under a week? 2 weeks is really a lot of work to miss. Can I shower (really don't want a sponge bath)? Any other recommendations or things that help during recovery? Thanks.

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u/Awkward_Pin_8901 — 3 months ago