(03-31-2020 04:15 PM)RiceLad15 Wrote: (03-31-2020 03:55 PM)GoodOwl Wrote: (03-31-2020 01:55 PM)Hambone10 Wrote: Hospitals should be reserved for people most likely to need the broadest range of medical services... and places that are in some way 'less' than a hospital should be reserved for people who need fewer services.
THIS. Your statement here is one reason I get so pissed with people running to hospitals for every little thing instead of doing a bit of self-triage and learning and understanding what they can treat on their own at home, and saving the hospitals (and Doctor's office visits and expensive medicines) for those whose cases actually demand them. Example: Too many doctors have given out too many antibiotics because their patients demand them when they get the sniffles, leading to antibiotic resistant bugs. I have nothing against a proper response for the sick people who need it. Problem is, too many assume they need every blessed little thing because no one raised them to take care of themselves in the first place (broken families, bad public schooling, ignorant media, et cetera, et cetera (no "x" in there)) People screaming on the news and on the boards about tests when most of them don't need them, making shortages for the people who actually do is another.
It seems like you're primarily talking about pre-COVID care, is that correct? If so, I agree that hospital visits are likely not the best choice for many seeking healthcare - and that utilizing other resources like telemedicine should be the front-line response. I don't think I'd advocate for eschewing proper medical care for self-diagnosis, though. And it seems like you're getting into that realm with the comment about people not taking care of themselves.
Isn't one of the goals of encouraging more preventative screenings with PCPs to cut down on eventual hospital/ER visits?
Somewhat. For some reasons, it seems today far fewer people have been raised/taught to do some self-care first, or at least consider it. My goodne4ss, more information is available today to the average citizen and less people than ever seem capable of reading ti or using it. Many people today, it seems, don't have a clue how to take care of themselves without a doctor and an insurance card constantly at the ready, and I think that's a problem that makes things like this virus much worse, and more costly, for everybody.
I worked in a pharmacy for a few years among other things growing up. The pharmacists would often point out how many people were coming in for prescriptions that seemed like overkill for what they supposedly had; that many people would get a Rx for something just because their insurance paid for it, when something OTC, or even a home-remedy would do as well or better for them; That many of them never bothered to read the insert information or warnings on the back of medicines they bought, et cetera. Maybe it was the fact that I saw so many people come in for/with so many different things, and I would listen to the pharmacist's conversations with customers and ask them questions about what the different drugs did and also would ask about and read many of the bottles and pills I was stocking out on the shelves in the OTC section...I guess a lot of folks don't know about these things nowadays, but it seems like there is a pre-disposition to just blindly run to doctors and hospitals for anything and do whatever as long as you can scan an insurance card and few seem to question or look for alternative remedies.
My present concerns from this coronabug are the extreme amounts of public financing being thrown at it and the bucket list of goodies in these spending bills that will have a far more negative impact on the average American now and in the future than if we don't get every single case of coronabug exactly right by shutting everything down for several months instead of a few weeks. Inflation and economics are real, as real as this bug. Eventually, those costs have to be weighed against what we are doing and their effect on the average poor and middle-class working American needs to be taken into account. Same as with for Health Insurance, vs 'health "care"' disguised as over-bloated government-mandated insurance monstrosities like ACA, which didn't do anything to fix the alleged problem that insurance and health care cost too much; well, yeah, if you bloat up policies and take away choice from people with government mandates, what else could you expect but much higher prices and much worse actual care and insurance?
Something just feels rotten in Denmark with the way this whole thing is playing out. Ham seems to have a better handle on the medical ground-game reality than many of us, but at some point, someone has to be brave enough to re-examine just what it is we are doing here. We just cannot shut down everything endlessly every single time this comes up--and if the Chinese are planning to release another one of these bug-bombs, what then? We can't use all our ammunition because there may be something worse coming that we will not be able to defend.