Yeah it's bad. That doesn't mean it's necessarily uniformly bad. But if it's bad where you are, yeah it's bad.
You can see multiple doctors (among the ones you're allowed to see by your insurance). The doctors are all in an echo chamber which reinforces their thinking. Their cognitive load and goal seeking is burdened by what they can determine they can bill insurance for (there is still no price transparency). You don't have a "regular" / primary care physician because they rotate through the provider network constantly.
Symptoms which don't fit the diagnosis are ignored / dealt with by deflecting that you should "see your regular physician". "Stare decisis" rules the second opinion. In their minds they believe they have no place to write down e.g. drug interactions with things which they didn't prescribe and don't believe in (the one time I got a call from quality control working for the umbrella organization I utilized this as an example of why I was looking for a different doctor and the QA person, who was, they said, a licensed nurse, said "they can add that to the record, I'll do it right now").
You might get fired as a patient for passing out or having a seizure during a blood draw, hard to say whether that's because they failed to follow SOP and call the meatwagon or because you upset staff by acting unusually. You might get into a conversation with a physician which goes strange and they end up telling you that their clinic gets health inspections like a restaurant... they don't. There's a "wet work" inspection (just like a butcher shop) before occupancy is allowed, but there's no posted inspection report because... there is no inspection! But there's more. There are relatively "safe" and common procedures which still have ooopsies and people end up in the hospital or die. The hospitalization rate might be 1:5000 and the death rate 1:100000 but if you do a million of these there are going to be a few. If the procedure took place in a clinic it's supposed to be reported, and the reports are public record; but surprise surprise, the reported rates for serious complications are far far below what the actuarial tables show.
If you're seeing constellations of incidents similar to these, you need to get a second opinion from somewhere / somebody who is not caught up in that particular bubble. It can be very hard to see what's happening, and also to find a measurable proxy for "in / not in the bubble".
You can see multiple doctors (among the ones you're allowed to see by your insurance). The doctors are all in an echo chamber which reinforces their thinking. Their cognitive load and goal seeking is burdened by what they can determine they can bill insurance for (there is still no price transparency). You don't have a "regular" / primary care physician because they rotate through the provider network constantly.
Symptoms which don't fit the diagnosis are ignored / dealt with by deflecting that you should "see your regular physician". "Stare decisis" rules the second opinion. In their minds they believe they have no place to write down e.g. drug interactions with things which they didn't prescribe and don't believe in (the one time I got a call from quality control working for the umbrella organization I utilized this as an example of why I was looking for a different doctor and the QA person, who was, they said, a licensed nurse, said "they can add that to the record, I'll do it right now").
You might get fired as a patient for passing out or having a seizure during a blood draw, hard to say whether that's because they failed to follow SOP and call the meatwagon or because you upset staff by acting unusually. You might get into a conversation with a physician which goes strange and they end up telling you that their clinic gets health inspections like a restaurant... they don't. There's a "wet work" inspection (just like a butcher shop) before occupancy is allowed, but there's no posted inspection report because... there is no inspection! But there's more. There are relatively "safe" and common procedures which still have ooopsies and people end up in the hospital or die. The hospitalization rate might be 1:5000 and the death rate 1:100000 but if you do a million of these there are going to be a few. If the procedure took place in a clinic it's supposed to be reported, and the reports are public record; but surprise surprise, the reported rates for serious complications are far far below what the actuarial tables show.
If you're seeing constellations of incidents similar to these, you need to get a second opinion from somewhere / somebody who is not caught up in that particular bubble. It can be very hard to see what's happening, and also to find a measurable proxy for "in / not in the bubble".