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The Second Millennium Prize Problem of Management: Iatrogenesis

1 点作者 bshepard将近 3 年前

1 comment

bshepard将近 3 年前
Key Chunk:<p>Bad care comes in many forms. Pill mill doctors. Doctors who collaborate with patients in obvious self-diagnosis. Overprescription of pain medication in general. Collaborating with delusional behaviors, such as Munchausen&#x27;s. Extreme waits for competent physicians. Doctors who refuse to listen to their patients when it is essential that they do. Molestation. Disregard for the patient&#x27;s comfort. Adverse drug reactions. Surgical mishaps. Botched medical procedures. Inflating costs of procedures. The many different forms of negligent malpractice that can occur when you ignore or disregard a patient. Pushing drugs as an agent of a pharmaceutical corporation. Everything Doctor House does. The list goes on and on.<p>Not only do these increase administrative and liability burdens for doctors to bear, they also create a class of people who are simply unwilling to participate in the healthcare system without a dire emergency, thus worsening costs and outcomes.<p>These people come to exist in an oppositional, anti-expertise mode, where they have seen the outcomes of managerial society, and while they may not understand it, they may just blame &#x27;doctors&#x27; or &#x27;that doctor&#x27; or &#x27;that hospital&#x27; or &#x27;insurance companies,&#x27; they certainly see that modern medicine is dysfunctional in the extreme. They have no relationship and are unreachable by even well-meaning, scientific, or well-practiced public health interventions.