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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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What makes it worse is that in public hospitals it's a panel of unseen doctors who decide the treatment, behind closed doors, on your behalf. Then they send one of them over for your signature. In theory that provides necessary oversight but in practice it's just a smug circlejerk of doctors who don't care about listening to the details first-hand from you, making a snap decision based on 3 lines of medical notes and disregarding everything else.

If you don't consent to whatever treatment the doctor presents you with, you're told that the panel will discuss your refusal, so it feels like it's 5-on-1 (not sure how big these decision panels really are) against your freedom of choice.