Observation of a retired physician on what has happened and happening in Medicine
I last wrote on this about 3yrs ago. A lot has changed since. None for the better. It is like climate change, or gun violence or drugs. We talk about it, warn of the dire consequences and need for change- periodically. Yet little , if anything changes. As if we wave collective indifference, for none have these have yet affected us to a sufficient degree for the majority of us to get involved. Just another news item!
But my fiends we better pay attention or risk changes which we will not like and and wish we had heeded the then seemingly doomsday warning.
In the three years , things in medicine have taken turn for the worse and now seem irreversible.
It is now totally an industry. Owned operated and dealt with like any other commodity. Like in industry, small 'mom and pop' enterprises small practices and hospitals are dying or dead. A death they do not deserve and did not wish for. Impersonalization, loss of the human touch and interaction- the social fabric, being sacrificed at the alter of convenience, profits and selfishness. The humane in humans is withering. Medicine involves empathy, care, consideration, faith, touch-basic human traits which are being attempted to be replaced by cold, calculating, callus machines which might make a person get better- but not feel better.
Every action and transaction, measured and weighed in monetary value. Can empathy, compassion, affection and gratefulness be measured against gold? But we are hurtling head-first into an era with all human and humane interaction be assigned a fiscal value. The hallmark of medicine not healing and wellness but hedonism and wealth. Is that what we really want?
The result is that no body seems to be happy. The patients complain of inability to get timely appointments, which are transactional, impersonal and often hurried. Doctors complain of lack of time with the patients, onerous demands on their time, 'paperwork' (in technologically paper-less environment),and lack of any control of anything by them. Certain meds, tests and procedure have to be approved and when rejected by the insurance gods, appealed for again, adding to the helplessness, frustration and disappointments. Nobody seems happy. Is that the way things ought to be?
The truth is that nobody seems to admit that choices in medicine are now abundant, and that their demand, are limitless but the resources to provide them are exorbitantly expensive. Just like not everyone can afford to drive a luxury car. But to limit the best care only to those who can afford it, is not only inherently wrong, but also inhumane. No one wants to admit that. They try to hide behind setting rules and regulations to try to ration care- which causes various degrees of discontent and frustration and unhappiness.
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