Doctors should be awarded based upon quality of care, not quantity of patients. Many doctors have become greedy and are more concerned about the amount of patients they see in a day than whether they are actually improving their health.
These same doctors encourage continuous follow-up visits and only offer unnecessary prescription medications as a treatment to their patients. These unneeded medications cause side-effects which require the doctor to prescribe additional medication to counteract them; it becomes a vicious (and costly) cycle. I believe such doctors are merely legal drug dealers, who should be held accountable for their immoral and unlawful acts of patient negligence and insurance fraud.
My disabled veteran husband was murdered by his doctors in 2023. He had pre-existing conditions and was at a civilian facility for gall bladder removal surgery. They “nucjed” something during surgery, put him in the ICU, on a vent, for 4 months whike billing the VA over 2 million $. They denied he was bleeding despite a blood transfusion every 3 days (for 4 months.) Fraudulent clinical notes as well. If he had lived, we could sue but if he died, even from the malpracrice, it becomes a wrongful death and the standard is so high, anyone with pre-existings will lose.
Since then, talking to others, it seems peopke go in fir minir procedures…coloniscopy…and they “nick” something until the patient dies.
Cleaning staff at the hospital say 3 to 5 patients “go out on body bags a day.”
Would LOVE to be part of any committee to oversee changes.
My brother is an MD and I was treated with hostility for questioning his care. They refused to allow him to transfer. I discovered the method, which inckudes much more than above. I cant reconcile what we experienced or the total cavalier, evil attitude of the physicians. Its still haunts me.
I’m so sorry to hear about your husband. Unfortunately, many doctors become corrupt and lose their way. They no longer treat patients to better humanity, but to inflate their social standing and income bracket. We must advocate for all doctors to be rewarded based on merit, not greed.
Quality of care is hard to do and unwise. Patients often will not follow the doctor’s recommendations, is it the doctors fault in that case? There are some patients that are really complex and need to be on many medications and have a big workup…hard to keep up for even the model patients. Providers would be incentivized to not accept complex patients, discharge non compliant patients, and not accept certain insurances based on the patient profile.
The current payment system rewards volume, not quality.
Continuous follow up is for safety reasons. Other times it’s for CYA legal reasons. “You’ve been refilling their blood pressure medication for 6 months without checking on them and they collapsed?!” Sued. “You refilled their Benzo for 4 months and they overdosed?” Sued. “You didn’t monitor their live with imaging every 6 months and they developed cancer?” Sued. “The patient had chronic suicidal thoughts and they killed themselves because a 2 month follow-up instead of a 1 month?” Sued.
Ido understand the sentiment though. I think it’s a misunderstanding and the blame should be placed on the system.
“Providers would be incentivized to not accept complex patients, discharge non compliant patients, and not accept certain insurances based on the patient profile.”
Many doctors already do all of these. I have personally experienced two of them. Thanks for proving my point.
So we agree? Digging your feet deeper into the sand doesn’t change that. The system does not compensate for more complex patients. The system compensates for volume.