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I know that both you and the original author come from a European medical community, so things are bit different over there. But in the US, there is a tremendous polarization between the for-profit and research-based medical communities. The for-profit arena looks at the bottom line. They administer treatment, build practices, forge alliances in whatever manner makes them the most money-- this is especially true with cancer treatment. We now have a huge push for urologists to run radiation treatment centers so they have a one-stop shop. The more services provided the greater the profits.
My husband, who works on the business end of medicine, was recently at a conference in California. A medical director did a presentation on a cancer treatment that cut the treatment time in half and was more reliable than methods currently being used. But the catch was it shrank the profit margin because fewer treatments meant fewer charges—decreasing reimbursement. When asked a show of hands who would opt to use the treatment that was better for the patient, 4 of 75 physicians in the room raised their hands.
No, physicians are not required to teach people to eat well, how to exercise correctly, or how to reduce lifestyle risks. But Hippocrates told his fellow physicians, “Leave your drugs in the chemist’s pot if you can heal the patient with food.” Just like the forefathers of our nation, I think that physicians should take the words from the father of medicine to heart.
When the CEO of a medical group owns 10 houses over 1 million dollars, you can’t convince even the most green patient that he bought them with every patient’s best interest in mind. Not all physicians fall under this scope, but having listen to the stories told by my husband who’s worked with hundreds of physicians over the course of 8 years, I can hardly feel confident in saying that all doctors show up to work every day to heal the sick.
If a family doctor can put a liposuction machine in his office (yes, this is happening all over the country) to boost profits, I think he is perfectly capable of picking up a nutrition textbook and advising his patient on a proper diet.
Maybe I’m a little jaded being that I’ve watched a close family member who’s been morbidly obese nearly her entire life spend ever single month of her life for the past 10 years in and out of doctors’ offices. She’s been prescribed countless medications, has had numerous surgeries, including gastric bypass, and has been on medical leave more in the last year than she has been at work. Not one single doctor has looked her dead in the face and said, “You need to lose weight or we can’t help you.” Why would they when they have referral incentives?
Unless you are part of the non-profit medical sector searching for the answers, medicine is big business in America.
1 year, 10 months ago on <!--:en-->A Doctor’s Response, To A Response From A Doctor<!--:--><!--:sv-->A Doctor’s Response, To A Response From A Doctor<!--:-->