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It seems to me like the whole medical profession is a big celebration of having an ego problem. Some doctors carry themselves with so much hubris it's hard to imagine some of them making ANY rational decisions at all, and all their processes, right down to how medical records are kept, seem geared around expecting obedience from the patient without revealing enough details for scrutiny to be applied.

Compare that against professions like engineering where a few notorious failures have led to the presence of cognitive biases in decision making being at least acknowledged to a degree.

It seems to me like the whole medical profession is a big celebration of having an ego problem. Some doctors carry themselves with so much hubris it's hard to imagine some of them making ANY rational decisions at all, and all their processes, right down to how medical records are kept, seem geared around expecting obedience from the patient without revealing enough details for scrutiny to be applied. Compare that against professions like engineering where a few notorious failures have led to the presence of cognitive biases in decision making being at least acknowledged to a degree.

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[–] • 3 pts (edited )

Most individual doctors offices in a town today are secretly members of a corporate consortium of some kind. Some umbrella LLC. "Xxx medical group LLC" etc . You'll find some group has most of the individual doctors offices monopolized in a town.

They all keep competition down and prices up and they must follow computer protocols they read on the computer screen they have in the examine rooms. If your doctor has one that's what it is. If they follow those protocols the whole groups malpractice insurance rates are lower because it's harder to sue them. But the protocols have nothing to do with what's right for individual patients.

So you may think you are getting specific doctors advise from the doctor you have known for years but you are just getting standard protocols from the computer. High cholesterol = stations etc.

And the doctors get fined by the LLC if they dont follow the protocols! Or if their prescriptions vary too much from the average! They get fined thousands of dollars.

This is one reason doctors get mad if you don't follow the protocols. They will get fined. This is also why if you say no they want some sort of documentation that they tried to get you to do it and you refused..so they can appeal the LLC fines. Of course ego is the other reason.

[–] • 0 pt

Do you have more info on this sort of thing? Would be a great undercover exposé if you had inside access to this stuff.