While there most certainly could exist a market for un(der)qualified doctors, I don’t think I would ever want to use them. Also seems like it would cause healthcare to inevitably become even more class stratified than it already is
I genuinely do not believe that anyone needs to go to school for the better part of a decade to handle nearly any medical problem someone like me has ever had. Thinking otherwise seems absurd on its face.
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Oh def agree, but the incentive gradient here is hilariously hard to fight against. “Oh, your Doctor doesn’t know as much as a traditionally trained Dr? What if they missed something important?”
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To be fair, I also think Doctors can probably be mostly replaced with a natural language wrapper around webmd for an enormous range of circumstances. But I also recognize the comfort in having someone that’s trained a decade to do a thing
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Pro case: You’re substantially right that all issues you’re likely to have in a year could get diagnosed and treated by an EMT at $20/hr. Con case: You demographically represent a tiny, tiny portion of healthcare spending, and the supermajority is folks whose situations need MDs
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The insurance layer is a bit of risk pooling (1 of every X0k Masons hits a $100k++ issue this year), a bit of enforced savings disguised as a wealth transfer, and a heaping helping of cross-subsidy for old folks and folks with chronic conditions.
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Right. Regulations! Given what we do know now, why a neurosurgeon needs to learn all they learn over ~10 years is bizarre. It’s the problem of knowledge in medicine in particular being partly unifying (explanatory) & partly fragmentary (rules of thumb).
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Specialists often have explanations that help (eg) neurosurgeons know how to remove tumours. Simultaneously much medical stuff works (take X to treat Y) without doctors knowing why-they just *recall* it works. Self treating the latter would be possible with less regulations.
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Except that 5% of the time that the "routine" problem actually turns out to be an extremely serious but difficult to detect malady that requires prompt treatment in order to avoid serious injury or death.
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