Customers can buy what they want, provided that funds are available. Nobody acts as a gatekeeper if I want to buy something expensive at the mall, or a plane ticket. We don’t let patients demand labs/scans/treatment and give in because they pay. This take demeans what we do.
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Replying to @SeanFreyMD @MDaware
You probably have less respect for chefs, carpenters, and auto mechanics than I do.
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Replying to @medicalaxioms @SeanFreyMD
my carpenter rarely asks me about my poop within the first few minutes of meeting
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I don’t allow my auto mechanic to put their hands on or inside my body. I don’t tell a chef about my struggles with intimacy. The relationships are different. There’s no expectation of privacy or trust needed to buy groceries at Walmart.
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Replying to @TheEveNebula @BrowOfJustice and
I’m pointing out that I’ve seen plenty of medical people who did not even meet the minimum requirements of customer service at Walmart. I’m not suggesting you let the cashier do your pelvic exam. I’m suggesting your doctor not have worse manners than a cashier.
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A very good take. I’m suggesting that treating the therapeutic relationship as a capitalist venture is as demeaning as treating patients as subordinates or fools.
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Replying to @TheEveNebula @BrowOfJustice and
In 23 years of doctoring I have seen plenty of mistreatment of patients by doctors, nurses, and others. I’ve heard bad behavior defended by - he’s not paying my salary - she can get up and leave if she not happy - he doesn’t have another choice
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I have heard every one of these things
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So have I. And what did both of you say when people said those things? I can tell you what I said.
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Replying to @TheEveNebula @BrowOfJustice and
It depends. Sometimes docs/nurses have trouble rationalizing saying “no” which is a necessary part of medicine - the customer is not always right. We aren’t pill dispensers or technicians. We are professionals. We are empowered to decide what you need, not what you want.
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Yup. Part of the change in nomenclature and culture in medicine to be more of a business is pressure to "keep the customer satisfied." Unfortunately, that ethos has facilitated the rise of quackery in medicine and been suggested to lead to poorer outcomes.https://sciencebasedmedicine.org/keeping-the-customer-satisfied/ …
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