Omar
@dromar.eth
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
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Omar
@dromar.eth
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)
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keccers
@keccers.eth
Do you think the majority of patients are capable enough to make correct choices? How justified is paternalism based on your patient exp?
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Eric Olszewski
@ericolsz
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.
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Omar
@dromar.eth
Not really to be blunt. Quite a bit I would say. I feel the 1% that are capable of understanding medical decisions and their implications are used too often as the reason to shift the balance away from paternalism towards autonomy. Because even with LLMs, you can say things to justify anything. If someone is having a headache, giving the right symptoms on the list can skew it to have it say take ketamine. Even if it was just sinusitis
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