Are costs and lack of insurance a thing that would stop a patient?

There’s a serious lack of trust that permeates through our culture at the moment.

Many are probably thinking you are recommending the most expensive, highest yielding treatment to satisfy the administrative trolls that run your hospital.

Here in Canada, people usually only refuse life saving treatment for religious, ideological, or trust issues.

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💯. Costs are too damn high and definitely a concern…with a sprinkle of ignorance (eg I hope this lump in my ballsack goes away…oops six months went by lemme get it checked out = bad times).

One of my favorite parts of my job is pissing off some C-suite types by ninja-ing un/underinsured people into the hospital for cancer biopsies, because if I don’t do it they probably won’t get it done before it’s too late.

You’re definitely right about the lack of trust. I have to FREQUENTLY reassure patients that IDGAF about their insurance status and just want them to get them the best care possible.

It’s sad hospital plebs gotta deal with this from all sides nowadays. Can’t wait to quit my fiat gig and do this for free in a couple years.

Yeah, I don’t think people (the ignorant and uninitiated) can separate the physicians from the CEOs and admin staff that can sometimes have divergent goals.

There are lot of easier ways to make a lot of money than being a doctor. 99% of the ones I’ve met could’ve been successful in any field, and the reasons they became physicians was to help people. If you don’t have that mindset, being a doctor would be fucking miserable.

It’s the same with teachers. If you don’t want to help kids, or are only doing it for the time off, there’s nowhere to hide. And trust me, there are some who I’m like, do you even like kids?

You going on a mission soon?

Not anytime soon with the small ones around.

Depending on how things go might have to try my hand at opening my own shop and offering my services for free on the side.

That sounds like a plan! Overheads a killer though…..

After insurance coverage the overhead shouldn’t be that bad for a one man show…so sayeth the initial numbers.

Yeah, I said it without any knowledge of what kind of specialist you are 😂

Just a humble generalist/internist/PCP type. Only working with acutely sick nowadays tho. Seeing healthy people in an office would weird me the fuck out 😂

Ah, that’s awesome. I didn’t know you still had generalists in the states. I thought it was all specialists, or mostly specialists.

Have your wife as your moa and clinic manager, kids come into clinic for lunch with dad, see you with your patients……it’s a life man.

I drag the eldest in to answer the phone sometimes. He loves it.

They do 🤙😁

Mega amens to that. You’re always spittin’ wisdom per the usual my friend.

Ah, thanks. We’ve spent some time around people, eh? With that, comes wisdom.