No, the system is just fucked.

The insurance companies have fucked the system, and mega corp pharma is buying up hospital systems, which then leads to them incorporating individual doc offices that can no longer subsist on their own (high costs of medicine).

Once in the hospital’s system, the only way docs make money is through volume, maximizing the number of patients that are sent to billing.

Docs are smart; they didn’t do the hard work to get there to not make money, so they use the cheat code of “overseeing care” by having NPs and PAs do the work. They show up if needed, but otherwise they’re running a conveyer belt of patients through and profiting.

Edit: cleaned up a barely coherent stream of thoughts

In my experience, both are correct. Too much demand, too many people, too few qualified doctors - and most of them are told to specialize. Few want to be a general practitioner. Enter the nurse practitioner.

I go twice a year - scheduled. I get to see the Dr. once a year, then the NP the other visit. Special visit? NP it is. However the nurse practitioners seem to take more interest in my treatment. Maybe because the two I've seen were both women and they tend to be more empathic, or maybe being a NP makes them want to try harder? No clue, but I've received better and more attentive care from the NPs than the Dr. I used to see.

I'm good with the results so far, but not necessarily with the causality.

I am finding that the NP is the way to go for general stuff. I feel like they put more thought into things and get better results for me. Is a small set of experiences and some have been negative.

All medicine is screwed, though. Your treatment is centrally planned via NIH standard of care definition used by Medicaid and Medicare. If doctors do not follow this, even for you, they open themselves up to problems for the hospital or physician Corp.

It is difficult to find an independent doctor willing to practice medicine these days.

Seems to me that the current environment has forced MDs to become lawyers and hand off their workload to the NP.

Yes, shitskins have overloaded the system for decades. The medical system is also an overregulated mess.

Be glad you don't go to the VA where you see a black or brown doctor who can barely speak English...

That was my experience for about 10 years and it sucked because the NP was a fucking retard. I think I saw my actual doctor twice in that whole time.

Then the practice got you out by a big hospital system and now I can actually pick what doctor to see and I can actually see THAT doctor. It's nice, but if I go outside that hospital system for anything at all I get completely buttfucked on my insurance.

What annoys me now is they never ask for payment at the office. They always send a bill in the mail. I'd rather just give them money right instead of fucking with their stupid website.

I think there's some sort of ponzi-like scheme where doctors own several of these clinics and employ RN/NP/PA 's and then just rake in tons of money having them triage everything.

I went to a local quick care a few days ago. A tick bite on my ankle was infected and my foot started swelling. Walked into the entrance and every seat in the waiting room was filled. I asked the desk lady what she thought the wait time would be ....2hrs ... so I said I'm going to lunch and I'll be back later. About an hour and a half later I return and there were only 2 people in the waiting room. They got me in and out quickly. I don't know what % of the earlier crowd were illegals, I only glanced at the full waiting room, but I'd say most all of them were just locals with few if any illegals.

I don't have any other stories, the last time I went to a quick care was over 20 years ago before the bulk of the invasion.

This has been going on for quite a while.

I used to go to a place that was our "family practice" for decades. The doctor is well known and fairly good but a few times the NP was the only one available and honestly 100% better than the doctor was.

She would walk into the room and practically look at you and say "So, you have this. Its going to suck." sometimes it was something you could have meds for, sometimes it was "go home, drink a lot of water and sleep as much as you can". She was great, if I still lived there and she still worked there I would request her every time if possible.

It all really depends on where you are and how skilled the people in the area are. I feel like a lot of the "good" people in health care are also fleeing cities unless the pay is to good. They are also under extremely strict NCA's (restrictions often say you cannot work within X miles of where you are currently quitting) most of the time so if they quit they basically have to move to another city to get a job, that should be illegal.