I’ve noticed the growing incompetence. Idiots almost killed a family member 3 different times due to lazy, stupid mistakes. Instead of winning do your damn jobs.
Google “Katie Tyra.” The doctor should still be in prison, but he is still practicing medicine.
Why don’t you go to med school and do it smart guy?
“Instead of winning do your damn jobs.”
Yes, the beatings will continue until morale improves. I really like your authoritarian approach. Perhaps 0bama should force doctors to do a better job by prosecuting or fining them. Any other suggestions?
First, I don't know if it's growing, or has just become more obvious, but there is definitely a significant amount of ‘bad medicine’ being practiced. Honestly, whether you do well or not when you present for care is very much a function of who you wind up seeing. Further, it doesn't matter if the person you see is on some list of ‘top doctors’ etc. Read the book “Brain on Fire: My Month of Madness”, for a true story exemplifying this.
Why is this the case? IMHO, many reasons. I'll give one here.
The emphasis in medical school currently is on algorithm-driven approaches to diagnosis and treatment (if A, do B etc.). This is being driven by bean counters, bureaucrats, and by a relatively new branch of academic medicine - ‘outcomes analysis’. Obamacare was based, in part, on the belief that an ‘outcomes analysis’ approach to medicine would eliminate unnecessary procedures/treatments, and thus reduce costs and lead to overall better care. It didn't, doesn't, and won't. The reasons for this are many, and I'd be happy to discuss them - but it is not a short answer.
Essentially, ‘outcomes analysis’ is based on statistical analysis of large databases of patient information (e.g. medicare databases) and on review of clinical trial data. The idea is that you can figure out what works, and what doesn't, based on this type of statistical analysis. This approach has become very popular with politicians, insurers, and some healthcare administrators because 1) it provides them with a basis for denying payment for specific treatments, 2) it diminishes the importance of the knowledge and cognitive contributions of individual physicians - thus making it easier to replace more expensive physician input with the input of lesser-trained and lesser expensive ‘care providers’.
The problem is that patients are individuals, and their medical problems don't always present themselves in some ‘classic’ way that makes diagnosis straightforward. For the same reason, ‘one size fits all’ types of treatment approaches are not going to be the best choice for every patient.
The bottom line is that good medical care requires thinking. We aren't teaching medical students, residents, fellows etc. how to think anymore. They aren't learning to ‘think outside the box’. They are, instead, learning to ‘check off boxes’ - like following instructions for how to assemble something from IKEA.
Anyway, there are many, many additional problems, but this is a big one.