this post was submitted on 11 Mar 2024
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The last time I took my daughter to the doctor's, we had the 8:30am appointment. First of the day.
I was feeling pretty optimistic that we would be in and out by 8:45.
So we arrive at 8:20 and take our seats in the waiting room. 8:30 rolls around, no call. 8:40, no call. 8:50 no call. At 8:55 a side door opens and 8 doctors stroll out with coffees in hand and make their way to their individual consulting rooms.
At 9:10 we got the call to go in.
I get that they might need to have a morning meeting to get setup for the day, but 8 doctors each wasting 40 minutes, and the entire appointment book playing catch-up for the rest of the day, seems like a colossal piss take.
Why not, like, have your meeting earlier.....?
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Went to my appointment Friday, was told my primary stopped working Fridays 2 months ago. They were the one who scheduled the appointment 3 months ago
At the office I worked at, the receptionist was underpaid and didn't give a fuck, and the manager was 100% revenue motivated and didn't give a fuck. The MD had tunnel vision on his work and couldn't be bothered to get his staff under control. Also everyone was high. 🤷♀️
I don't put up with it lol. If someone is 15 late for an appt, I reschedule. Black and white. No exceptions.
Airports work like this. You arrive two hours before takeoff only to find out like half an hour before takeoff that the flight is delayed because there's no plane.
Better to be stuck on the ground than to be stuck in the air in a plane that needs maintinence, or in bad weather.
I spent 3 days in an airport because storms near Chicago caused a ripple of delays and cancelations all over the country, I was constantly being told "okay your new flight leaves in 5 hours" and I was in a city over 100 miles away from home with no transportation.
Overall I had tickets and replacement tickets for 9 flights. Honestly given some of the times we found out there was no plane, I didn't believe we would get to board even as they were calling boarding groups.
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My favorite was receiving a text notification at 5:30AM thar my 8AM flight was canceled. Ruined my entire vacation
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I think veterinary offices are the only places I can understand. Everyone there is underpaid, working hard, enduring trauma, and doing it because they love animals. Although I've never seen them get upset at someone for being late!
veterinary offices are the only places I can understand. Everyone there is underpaid, working hard, enduring trauma, and doing it because they love animals.
Boy do I have some news about basically everyone in healthcare......
Pretty much everyone is making less than previous generations, and that's not even accounting for inflation. I am a specialty provider and the salary for my position hasn't increased in decades, all while licensing and education costs have skyrocketed.
Healthcare isnt the get rich quick scheme people seem to believe it is. It's basically hundreds of thousands of dollars of debt for near a decade of school, just for the privilege to basically work for free for several years.
Pretty much any person in healthcare under 40 is there because they love people and want to help them. Nowadays it's just too difficult and thankless of a job for any other real reason other than empathy. There are plenty of easier and more profitable ways to make money.
The reason you may have experiences that run contrary to this is the same reason you've prob had to wait in a room for over an hour. The providers are not the ones in charge of their schedules, and are probably experiencing burnout.
The people making the schedules have no idea how much time is appropriate for the patient care the person is coming in for. All they know is management wants less down time and faster turnaround. So they just pile as many patients as they can schedule, and then utilize the patient's understandable agitation as a stick to prod the provider along.
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Last time i was a the doctors office, my appointment was at 11. At 11:45 i was still waiting and i heard them laugh in the break room 😑...
My favorite was my psychologist who knows I'm autistic and routine and schedule is everything to me. Then doesn't show up for 30 minutes and then call me saying their previous appointment went on longer than expected... this happened almost every other appointment. Eventually i quit because it gave me more anxiety and stress than the trauma's i was dealing with. 🤦🏻
At one point I setup an appt with a doctor, 3 weeks set date, and to be the first one in the morning, like 9AM, he cannot be late, right? I left at 11:30AM without seeing him.
Jeez, how is that even possible? Like did some other asshole sneak in and get seen for some crazy disease somehow?
He is a surgeon and was in the hospital nearby, I guess saving life, so it's ok :)
Ahhh that makes much more sense! I thought it was just a regular clinician type of doctor.
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Medical care suffers from the same thing all heavily-regulated quasi-markets suffer from: severely restricted supply.
This results in:
- Insufficient competition
- High prices
- Low quality work
- Low quality customer service
- Low availability and hence queueing
People complain that medicine should not be a free market, and look how bad the free market screwed up American medicine but we do not have a free market in medicine.
If we did have a free market, supply would be allowed to organically grow to match demand, introducing competition and solving all of the above problems.
But we artificially suppress supply of medicine and medical services. We call it regulation, and sure maybe it’s got its reasons for existing, but the natural and predictable result of such heavy-handed regulation is a lack of supply, leading to a lack of competition, leading to a lack of quality.
If we did have a free market, supply would be allowed to organically grow to match demand, introducing competition and solving all of the above problems.
No, health care companies would just be more “free” to make choices that cause people to die because it is more profitable.
Full stop that is the only real difference you would see.
An hour? Try three to four hours. I'd pay through the nose to only wait one hour past appointment time.
What country and private or universal healthcare/insurance?
Flanders, Belgium. Universal, but specifically psychological/psychiatrist appointments, since they've been overbooked since over a decade and the situation keeps getting worse instead of better (more patients, less doctors, less budget). I have little doubt it's being left to fail deliberately by our very right-leaning government. Private entities can help you almost immediately but you'll pay prices out of the range of most working people.
A previous provider of mine changed locations. The front office staff took 2 months to tell patients. We showed up for an appointment we had made a month earlier and they laughed at us. Easiest decision I have ever made.
Inland Revenue has entered the chat
Our patient visits are set as 15 minute slots standard.
This isn’t enough time to practice good medicine for anything much more than something like a flu or strep throat. How does one squeeze in an entire rooming process followed by a solid HPI, physical, poc testing and then plan review with pt in 15 minutes?
They don’t.
But with how medicine works (in the US) it’s the how clinics make enough money to stay open.
For clarity: I work at a Federally Qualified Health Center, not a for profit clinic.
But with how medicine works (in the US) it’s the how clinics make enough money to stay open.
This is the truth. PCP offices in particular have razor-thin margins and insurance reimbursement goes down every year while supply, fixed, and staff costs go up every year. This is an insurance industry and healthcare system problem. Your doctors' offices are just doing everything they can to stay open.
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I think this is a cross-disciplinary issue.
My last optometrist appointment was wicked fast. Eye test speed run. I think it took 15 minutes for the examination and the optometrist was using the time it took for a patient's pupils to dilate in response to those horrid drops to do the initial exam on another patient, so they always had two patients "being seen" at a given time.
Buck wild. Seems like a bad trend for quality care.
Agreed.
There’s an argument that more appointment slots means more access but if it’s access to poor quality medicine what’s the point?
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