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The doctor’s appointment is not a great example for the US because the system is so fucked. If the doctor is terrible, sit it out, and then request to never see them again. You don’t even have to say why (if/when the scheduler pressures you, just blame the free market: “my care will be better managed by someone else”). Because if you don’t like your healthcare in the US, you certainly can leave, but you will be stuck with the bill, and if it’s considered leaving “against medical advice,” you will be denied insurance coverage if you return for the same issue.
But also, make sure you have good reason to not like the doctor, regardless of financial implications. A doctor giving you bad news or making an honest but unflattering comment is an easy situation to want to leave, but bailing on that situation is not a good solution.
I'm not trying to say one should never take a stand, just that they should make sure of their reasoning before doing so.
Yeah, walking out would be more reserved for "why are you wearing that mask, don't you know the pandemic is over?" or "don't get (that vasectomy/your tubes tied, I know that you'll change your mind later".
Just basic science denial shit, or shoving somebody else's culture down your throat while trying to pretend it's compassion. Stuff that no competent doctor would do in the first place.
HeAlThY aT aLl SiZeS
Idk “I’d rather you exercise and focus on a more nutritious diet than focus on a number on a scale or your pants. Let’s focus on getting you healthy so we aren’t just trading one eating disorder for another” is both the original meaning of that concept and probably the best approach for a doctor to take
Fat doctors telling you to exercise to lose weight 🫤
No they’re telling you to exercise because it’s necessary to maintain cardiovascular and muscular health as well as playing a role in endocrine regulation. Because it’s critical to a healthy lifestyle and it’s difficult to do.
The point of my comment was that there are elements of heath that are vital and associated with weight loss that are better separated from it because if you think of exercise as a “weight loss thing” instead of a “important element of a healthy lifestyle no matter your weight” you will be less healthy
The plus side is exercise does help regulate the endocrine system which can help you lose weight
Yet the doctor is fat, they explicitly say the exercise is for weight loss, the knowledge hasn't helped them.
Oh of course, 100%. I wouldn’t suggest changing from providers for reasons other than really botched/mismanaged/negligent care. I don’t think everyone wants to give a reason to a scheduler for the switch because honestly they don’t need to know, and I would assume the patient is having conversations way above a scheduler’s level about any issues with a provider.
I've been told at one office that they didn't allow patients to switch doctors within the same practice. Currently, I live in a very small town, and am on Medicaid. I've been trying to switch to the only other practice in town (my current doctor has made 5+ screw-ups with medication, and has declined to write down my information and make requested referrals), but they're dragging their heels. So I'm not holding my breath that it will be any better. Anyway, I guess my point, apart from the rant, is that the system is even more fucked than you say.
Hey, I’ve heard that one before, and big surprise, it was told to another Medicaid patient. It’s a lie that means “we don’t want our practice potentially making less money.” The provider probably doesn’t even know you were told that. I wish the gnarliest of 8th-dimensional waking nightmares on every admin who enables that bullshit.
Some areas are lucky enough to have Kaiser. It's just a quick click and you have a new doctor of your choice. Though the rest of Kaiser is falling to shit
I was lucky enough to have Kaiser
And now I have a permanently fucked up knee because of them
I've seen more people swear at Kaiser than swear by it.
Limper Permanente
Because if you don’t like your healthcare in the US, you certainly can leave, but you will be stuck with the bill, and if it’s considered leaving “against medical advice,” you will be denied insurance coverage if you return for the same issue.
Insurance is just a pain in general in the U.S. For instance some people might struggle to find a new doctor in their area if they're dealing with a specialist and have specific insurance coverages which means cutting off their toxic doctor might be more difficult.
Burning bridges to escape toxicity is fine, just don't strand yourself.