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What competence concerns did you have? Perceived, or did you experience a true fck up?

I get to meet many folks who complain about the “competence” of the people before me, but when I dig into it it’s because somebody didn’t bring them a turkey sandwich fast enough, or something else didn’t get done fast enough (usually because their neighbor was more critically ill and needed more attention).

That being said, all staff/institutions aren’t created equal so there’s definitely times where I’ve walked into a room and thought “tf did they do that for?”

Ways you can safeguard yourself and put your mind at ease:

Step 1. Don’t get old

Step 2. If you fail step 1 (you will) find a PCP/internist that you trust. Not just for the medical treatment/advice, but also on where/who to go to for unusual/significant diagnoses, testing, treatment, etc. This separates the good PCPs from the great PCPs.

jpfrogmd 🏴‍☠️⚡️ 1y ago

full disclosure…I feel that the system is slowly teetering/breaking/collapsing

MD/DOs are getting squeezed on all sides but especially the primary care side of things. The docs aren’t being given adequate time to see patients in the office and I’m seeing more and more midlevels without adequate training serving as “primary care providers.” Unfortunately many of them don’t have a clue what they’re doing (not all, but many)…but hey, they’re cheaper to hire than physicians so the VC groups, insurance companies, and health systems like that.

so yes…im right there with you and get nervous about the future as well sometimes and I work in the biz

you ain’t alone 🫂

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Discussion

Joe 1y ago

Yes I agree the system is fucked. The individuals are generally ok, although sometimes could use some humble pie.

Primary care is so bad. 20 minute appointments that the doctor basically sneaks out of when the timer is up. How can that honestly be the deal? And like you say, many are not even very competent.

I want more smart people with the latitude to make decisions rather than some "system" that gets put onto everyone.

I am considering a "concierge" pcp. You pay like $2k per year to be one of the 300 patients the doctor has, rather than 3,000 patients like in a "system". Crazy this has to be an additional charge on top of the already outrageous health care costs, but health is everything.