History of medical decision making:

1900-1980 (post Flexner era): physician driven 

1980 to 2020 (employer based insurance growth/managed care boom):

Insurance/Institution driven decisions

2020 - present (post-COVID/GLP-1):

Patient-driven clinical decisions

Physician always trying to learn, passionate about healthspan and precision medicine.

omarsaleem.xyz

Factors leading to where we are today: 
- distrust of institutional medicine/credentials
- ROI on insurance is trash (left ppl hanging too many times)
- social media
- AI democratizing knowledge
- availability of DTC (byproduct of GLP-1 growth)

Do you think the majority of patients are capable enough to make correct choices? 

How justified is paternalism based on your patient exp?

The Farcaster formerly known as Kchamp. Books, beats, bodybuilding, bright ideas and beautiful things.

katherinechampagne.com

There are no real 'correct choices' in healthcare, only tradeoffs.

A lot of doctors are incredibly constrained in how they are able to treat patients. The system chiefly pushes for treatment of side effects versus root understanding, unfortunately.

Meridian Radiopharmaceuticals
https://www.meridianradiopharmaceuticals.com/

I feel bad doctors shoulder the majority of the blame for health systems that mandate the 15min appt