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Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by jasonwatkinspdx on Sunday August 06, 2023 @03:22PM (#37025589)
This is very true. I had a SO with severe chronic gastric pain and they got passed around by doctors for years. One jerk wrote "drug seeking behavior" into her file and that made things even worse. Finally someone took her seriously, got imagery done, and discovered surgery was necessary.

In US healthcare you have to be your own advocate and be willing to push. The system breaks down if you don't have a routine and obvious illness.

Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by Etrnl_President on Sunday August 06, 2023 @04:14PM (#37026136)
Now imagine doing this on Canadian healthcare, having to wait months or years for each appointment, and nowadays they try to talk you into MAID to save resources…
Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by mikeyouse on Sunday August 06, 2023 @04:26PM (#37026267)
I know HN is a privileged place but people should recognize that the “worst case” of Canadian/European healthcare wait times is already the reality for many if not most Americans.. You shouldn’t base your understanding of American health care on personal experience if you work for a big company that provides a nice health insurance plan.
Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by ROTMetro on Sunday August 06, 2023 @04:50PM (#37026583)
I have jank government insurance and this is not true. When I got out of prison and had no insurance I went to the city's clinics. Wait times have never been an issue (at most was two weeks for specialist). The doctors in the clinic were also friggin amazing doctors/people. I had a ton of shame around getting out of prison, some much shame about needing to get tests ran for HIV/Hep from being in prison but they were so good about it all (all came out negative so woohoo).

Now dentists...when we had money we went to a family friend. He still totally f'd us and did unnecessary work. It's only now that I have a cash only country dentist that I trust my dentist again. Crazy part is the cash only dentist ends up being cheaper than my previous copay/premiums insurance dentists.

Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by tyg13 on Sunday August 06, 2023 @05:04PM (#37026742)
I'm always surprised when people leave comments like these, based on nothing but N=1 anecdata. You don't have any authority to say something like "this is not true" with regards to the whole of the American healthcare experience. Compared to my own personal experience, yours was uncommonly-good. Wait times for specialists for my SO's heart condition are routinely several months out.
Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by zdragnar on Sunday August 06, 2023 @06:55PM (#37027794)
What this demonstrates is that wait times are widely variable by specialty and region. Arguments like "for most Americans" are wrong on their face, because most Americans don't live in the same area or have the same issues.

My wife and I have both had to see various specialists. Some had very long wait times, many didn't, and of those that did, we were (fortunately) able to call around to different clinics to find one that wasn't too bad.

Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by DropInIn on Monday August 07, 2023 @04:19PM (#37040422)
"Most" comes from the actual data

The exceptions are part of that data set

Really...

Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by giantg2 on Sunday August 06, 2023 @07:41PM (#37028156)
To be fair, their statement of n=1 is more evidence than the other person posted (comment without any evidence). Although both are weak.
Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by mikeyouse on Monday August 07, 2023 @02:36PM (#37038666)
I mean, n=1 of a guy that had a good experience -- n=roughly 28,000,000 with no health insurance at all. These don't seem like two sides of the same coin in my view.
Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by giantg2 on Monday August 07, 2023 @07:59PM (#37042631)
I'd the original comment actually mentioned that and laid out a theory behind it, that would be different (is that health insurance or dental insurance?). Even your comment about uninsured people doesn't fully connect the dots or explain what their experiences are, as some people in these comments are stating that cash dentists are cheaper/easier to deal with than with insurance. I have had experiences that also back this up.
Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by jasonwatkinspdx on Sunday August 06, 2023 @04:23PM (#37026240)
Yeah that's a hyperbolic exaggeration.
Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by momirlan on Sunday August 06, 2023 @04:52PM (#37026605)
Absolutely true, and that is if you even have a family doctor to refer you to a specialist. For those who had the luck to lose their family doctor (mine through retirement), it is impossible to find one that takes new patients. Many retired during covid, many more only work part time. The Canadian health care is a disaster at this point, and those who have a family doctor have no clue how awful this is.
Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by smsm42 on Sunday August 06, 2023 @05:19PM (#37026900)
In the US it's not easy to find a primary care provider also. When we moved couple of years ago and called a local medical center to establish a primary care provider, we were given answers like "we have the nearest appointments in 6-8 months". If you have something urgent, there's telemedicine line where you can talk to advice nurse or if there's something really urgent, get an appointment with an urgent care doctor. But all primary care providers seem to be booked solid for months. And given how many patients they'd have and how often they see each one, establishing any kind of personal care relationship is out of the question. How personal can it be if you can see you doctor twice a year for 20 minutes? I think the only solution is go get rich enough so you can afford personal concierge doctors or however it is called (no idea since I'm not rich enough).
Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by mynameishere on Sunday August 06, 2023 @05:45PM (#37027183)
rich enough so you can afford personal concierge

A few minutes research suggests it's not that expensive. (As little as ~2000/year).

Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by 20after4 on Sunday August 06, 2023 @06:41PM (#37027669)
For most people, that's expensive.
Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by mynameishere on Sunday August 06, 2023 @10:34PM (#37029363)
No, it isn't. Most people pay about that much for their cable. For the bottom 20 percent, yes, it is a budget-buster.

However, that is beside the point. Believe me, I hate explaining simple, simple things--but the person I was responding to is probably comfortably middle or upper-middle class and could afford a miserable 2000/year on a doctor. He doesn't have to become "rich enough", and almost 100 percent of the people in this thread don't have to either.

Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by DropInIn on Monday August 07, 2023 @04:17PM (#37040392)
Average canadian income is 60k

2 k is a lot for even those at the 50th percentile and extremely significant for those below it.

Min wage earners make about 30k, so that 2k is 6.6% of thier income....

Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by smsm42 on Monday August 07, 2023 @01:52AM (#37030649)
What I can find around me with a quick look sounds like about ~$400/m, or $4800/yr - which I could handle if I had to, but it would sting (especially as I still would have to pay my regular health insurance, of course). And there doesn't seem to be all that much choice - at least in places where I know to look.
Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by wredue on Sunday August 06, 2023 @05:20PM (#37026911)
This is not true.

I mean, the wait times sometimes are, but they vary by province. More conservative provinces have worse wait times. That is not surprising given that the provincial conservative government are all actively attempting to sabotage public healthcare so we can move to an American style system. A system where we will all pay more, and still see similar wait times anyway.

MAID is not actively proposed as a way to save resources.

Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by bennettnate5 on Sunday August 06, 2023 @10:14PM (#37029228)
> More conservative provinces have worse wait times.

This feels like a pretty glaring generalization. If we look at the actual data, the story becomes a little more nuanced [1]. "Conservative" provinces have wait times that are a couple of days to a couple of weeks higher than national average (assuming we call BC, AB, SK and MB "conservative" [2]), but then again almost all of the maritimes provinces (which are considered strongly liberal-leaning) have abysmally bad wait times relative to the average (10-20 weeks worse).

Overall, the average is ~half a year anyways, which is pretty rough regardless.

[1] - https://www.fraserinstitute.org/file/waiting-your-turn-2021-... [2] - https://en.wikipedia.org/wiki/2021_Canadian_federal_election, "Results by province and territory

Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by wredue on Monday August 07, 2023 @08:41AM (#37033617)
AB, SK and MB are conservative with high rates of Trump flags.

And nice lies dude. They all have over double the national average!

Don’t use Fraser institute for sources. They are a far right “think” tank. If they posted it, it’s a lie or misrepresentation.

Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by littlestymaar on Sunday August 06, 2023 @06:06PM (#37027369)
Favorably comparing the US health system to the Canadian one is an interesting take indeed…
Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by kbutler on Monday August 07, 2023 @12:00AM (#37029929)
I know people in Canada who come to the US for healthcare (better care for specialties, shorter wait times).

I'm not aware of the reverse (admittedly, that would require more than just $$).

Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by vkou on Monday August 07, 2023 @12:42PM (#37036926)
And Americans go to Mexico for healthcare, I'm not aware of the reverse, I guess that means Mexico has the best healthcare in the world.
Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by kbutler on Monday August 07, 2023 @10:35PM (#37043792)
I actually drove someone across the border from Mexico to the U.S. for healthcare (voluntourism injury).

The reason to go to Mexico is price. The reason to go to the U.S. is quality.

How about for Canada vs the U.S.?

If you're a Canadian citizen, Canadian healthcare is cheaper, but generally has much longer wait times.

U.S. healthcare is much more expensive, but much more quickly available, and specialty care (e.g., rare disease treatment) is much better.

Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by kbutler on Wednesday August 09, 2023 @07:09PM (#37069623)
Then there's this - When a woman went to the hospital for help with suicidal ideation, a clinician told her the waits to see a psychiatrist are long, "the system is broken", and "have you considered [assisted suicide?]...MAID would be a more “comfortable” process during which she would be given sedating benzodiazepines among other drugs."

She will be able to see a psychiatrist "when one is available in the fall."

https://web.archive.org/web/20230809170345/https://www.thegl...

Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by UncleMeat on Sunday August 06, 2023 @08:41PM (#37028564)
I live in the US. I am a software engineer making more than a half a million annually. I have access to tremendous resources and can advocate for myself and my family. I live in a college town because of my wife's career. It is not a big city, but is also not rural middle of nowhere.

Getting a routine gynecological appointment for my wife any time in the next six months is impossible. I gave up on trying to get an appointment with an allergist for myself, even after getting a referral. What you describe is common in the US too, even for those with means. I cannot imagine what it is like for somebody who doesn't have money and insurance.

Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by nunez on Sunday August 06, 2023 @10:37PM (#37029381)
Preach.

I wanted to get a sleep study done to get to the bottom of my occasional insomnia. My PCP at the time put in the pulmonologist referral (because this hospital network required a referral to get a sleep study done, which is insane in its own right, but that's neither here nor there).

This was in January. His next available appointment? March! For a friggin sleep study! And I have a HDHP + HSA and was going to pay full boat!

(He also prescribed me with an antipsychotic that can double as a sleep aid at low dosages, which I didn't take because five minutes of research into it made it obvious that taking that for extended periods of time is bad news bears. I stopped seeing him after that.)

(For those looking for answers like I was, I eventually stumbled upon Cognitive Behavioral Therapy for Insomnia, or CBT-I. It's essentially a rigid sliding window-style sleep schedule plus challenge therapy to make you rethink how you approach sleep. I've been doing this for six months now and it has been transformational. Best part? No meds!)

Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by Firmwarrior on Monday August 07, 2023 @12:31AM (#37030158)
FYI: I'm not a doctor and this isn't medical advice, but you can buy an APAP machine over the counter with money in your HSA, then hack around in it to figure out if you have sleep apnea and how bad it is if so
Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by kspacewalk2 on Monday August 07, 2023 @03:39PM (#37039834)
My wife got a sleep study done within 2 weeks of booking one, after she asked to be put on a cancellation list. Her actual appointment time was for end of October, scheduled about a month ago. You may need to be proactive and ask to be put on one, for some reason no one mentioned to her that there is one.
Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by daddylongstroke on Monday August 07, 2023 @05:43PM (#37041368)
Well, no need to imagine any longer my friend. I have neither money nor insurance. My experience is identical to yours...other than that whole allergist thing. That's not something I would seek out answers on, as it is simple to figure out at home, and when you do get to an allergist, you will likely hear something very useless like "yeah you're allergic to at least some degree to these 17-25 different things; please try to limit exposure". :-D
Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by vkou on Monday August 07, 2023 @03:21AM (#37031321)
If you think waiting for months is a Canada-only problem, you clearly haven't tried to get a specialist appointment[1] in much of the US. And that's with good insurance.

[1] Or shit, even a PCP that accepts new patients.

Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by DropInIn on Monday August 07, 2023 @04:17PM (#37040394)
No one is talking anyone into going the MAID route, that's just some far right conservative party bs.

Really, you just engaged in deception and promulgation of propaganda intended to push people toward neofascist ideology.

Shame on you.

Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by canucker2016 on Monday August 07, 2023 @06:02PM (#37041555)
MAID == Medical assistance in dying (assisted suicide)

Went from nothing/reluctance to popular for some segments of the population

Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by formerly_proven on Sunday August 06, 2023 @04:18PM (#37026170)
> In US healthcare you have to be your own advocate and be willing to push. The system breaks down if you don't have a routine and obvious illness.

100% the same thing on this side of the pond, US healthcare isn’t special here.

Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by danielfoster on Sunday August 06, 2023 @04:23PM (#37026244)
How is this problem specific to the US? I live in Germany and hear exactly the same problem of needing to be your own advocate in northern Europe.
Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by emerongi on Sunday August 06, 2023 @05:05PM (#37026756)
Also in Europe and most doctors just want to get you out of the office. I've met only a few doctors who actually care and will work with you to figure out the issue. The equivalent in software engineering would be waiting for my client to tell me what line to change in what file.

To be fair, doctors are usually overworked and on a human level I understand that the system is a bit broken, but it's still infuriating when it's your health that is suffering.

Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by NovaDudely on Sunday August 06, 2023 @05:47PM (#37027200)
The internal term is "Treat and street". Get them out on the street as quick as possible .
Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by getwiththeprog on Monday August 07, 2023 @07:11AM (#37032901)
You got the street - the treat is some yummy meds.
Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by KineticLensman on Monday August 07, 2023 @04:30AM (#37031854)
I had this when I got shingles on my neck. I hadn’t even got through the door when the doctor had made the diagnosis based on eyeballing my obvious visual symptoms. She was right as it happened but it was my fastest ever doctors visit
Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by smsm42 on Sunday August 06, 2023 @05:14PM (#37026855)
It's not specific to the US. It's the problem of doctors seeing every particular patient for literally minutes and having zero incentive to dig deeper. 90% of the problems are of the nature that is either covered by standard remedies or will pass by itself with time. If you have one of the 10%, you need to have good luck to encounter an extra-ordinary doctor that would take personal interest in your problem, usually while all incentives point to "give the standard answer and move on" behavior.
Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by TheOtherHobbes on Sunday August 06, 2023 @05:57PM (#37027293)
I once had extended work done at a dentist. It took a few hours, some of which involved sitting around and waiting for things to happen.

It gave me a new perspective on that kind of work. From my/our point of view, I was the most important person in the room and my problems really really matter.

From the doctor or dentists POV, I'm one a long long list of people they're seeing that day. It's a health care production line, and even if they have the inclination to be equally caring about everyone - which is a rare quality, because a good medical professionals are only in it for the money - they just don't have the time.

This is not an excuse unprofessional behaviour. But it made me realise that self-advocacy works because you're asking - maybe demanding - more than the production line gives you by default.

Also, medicine is incredibly complicated. And the research is often very low quality.

And that's not taking into account Big Pharma trying to tout its products, whether or not they're suitable or effective.

The most depressing thing recently has been the professional response to Covid. In the UK countless doctors have aggressively given up masking, even in settings with immunocompromised patients.

It's really made it obvious that some doctors are just in it for the money, a good few are phoning it in, surprisingly many have quite irrational beliefs, and the caring expert professionals are much rarer than they should be.

Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by kortilla on Sunday August 06, 2023 @06:43PM (#37027688)
>extra-ordinary

It’s just “extraordinary”.

Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by chmod600 on Monday August 07, 2023 @02:28AM (#37030906)
While there's some truth here, medical diagnosis and treatment can be really hard.

People have weird habits, weird diets, are exposed to weird chemicals in small amounts over extended periods of time, etc. There are all kinds of genetic factors where something can be really minor for most people and debilitating for others. There are all kinds or problems or diseases that people can have, and there can be weird combinations that interact or provide an overall confusing array of symptoms. And it's all mixed up with the patient's brain, which may be exacerbating or compensating in all kinds of ways (psychologically or through behaviors that the patient develops).

Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by webmobdev on Sunday August 06, 2023 @06:07PM (#37027390)
That sounds very much like someone I know. She had pain in her stomach that doctors in the US just refused to examine in depth. One prescribed her pain-killers and another steroid. She asked more tests but they declined. Her father is a doctor in India and when she finally told him (after a few months of suffering) about her ordeal, he asked her to come immediately to India. After some reluctance, she flew down, and the first thing they did after reviewing her reports was a simple ultrasound. They discovered a tumour in her stomach. Operated and removed it and luckily it was not cancerous. The irony is that when her father asked her to come down to India, she refused initially arguing that the US was at the forefront of medical science in the world. She now understands that doctors matter too. (And unfortunately doctor behaviour in the US is very much influenced by insurance provider policies).
Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by Sai_ on Sunday August 06, 2023 @08:34PM (#37028527)
100%. I’m in India now after years in the US. Indian doctors I’ve interacted with (for my kid) are just better at empathy and analysis.

It may be because they see a wider range of illnesses and this empathy/awareness might not work well with the patients are of varying ethnicity and race but they’re pretty good if you look past the exterior - shabby offices, gruff manner.

Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by WWLink on Sunday August 06, 2023 @09:51PM (#37029056)
That's pretty funny because every time I've interacted with a stomach doctor, it pretty much went from introducing themselves to the patient (one time myself) to "let's get you scheduled for an EGD and/or a colonoscopy!"

That's with 3 different people and a handful of different doctors. They are actually pretty eager to look inside your stomach out here heheh. I'm really sorry to hear that happened to your friend though! I hope they're doing better now!

Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by jahewson on Sunday August 06, 2023 @08:05PM (#37028320)
I moved from the U.K. to the US and the situation is even worse in the UK. Unless you’re bleeding or have cancer it’s basically “please go away”.
Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by no_butterscotch on Sunday August 06, 2023 @10:52PM (#37029493)
So much he said she said is the UK better than us with healthcare or not?!
Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by Turskarama on Sunday August 06, 2023 @11:33PM (#37029761)
It's better in that it's free, but it's been defunded so much that it's beginning to fall apart.

Private healthcare is basically broken out the gate, public healthcare can be much better but it still does need to be funded.

Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by mensetmanusman on Monday August 07, 2023 @06:50AM (#37032752)
I would say it’s been defunded relative to the expected pensioner to worker ratio.

Much of Europe went wild assuming that we would always have 5 to 7 workers per person retired to care for, and I won’t be surprised if we get down to 1 to 2 in the next 50 years.

That’s a type of system collapse people aren’t prepared for.

Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by jl6 on Monday August 07, 2023 @03:37AM (#37031439)
If it were possible to answer that with a simple yes or a no, it wouldn’t be such a perennial debate.

Clearly both systems have benefits and drawbacks.

Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by mrguyorama on Monday August 07, 2023 @02:27PM (#37038537)
It's a perrenial debate due to ideology, not actual stats. The UK, despite the struggles the NIH has with.... everything, still has better outcomes than the US. This is JUST "outcomes" btw, as the UK also rates significantly higher than the US in "access to care". The US also has nearly twice as many "deaths that could be prevented by timely access to healthcare".

The main complaint about the UK system that people quote is "it takes a while to see a doctor" but that's true about most people here in the US as well. If you have not top-line insurance or live in a slightly rural area or a million other things.

Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by spoiler on Monday August 07, 2023 @04:07AM (#37031672)
As of recently, doctors refuse to see you in person even when you tell them you're chronically having abdominal pains. They're doing this telephone medicine now. They kept prescribing PPIs and insisting its indigestion (it wasn't).

Not sure if this practice is just shit or if all of them are. They then have the audacity to strike too. I've had absolutely zero sympathy for them since the months long ordeal of being in pain and taking pills that made me feel worse rather than better. Fucking disgraceful is what it has become.

Re:I Went to 50 Different Dentists: Almost All Gave a Differ... by TheRealDunkirk on Monday August 07, 2023 @07:57AM (#37033257)
I had a sudden onset of extreme pain 2 years and 3 months ago. I've seen 13 doctors in this time, had 2 major surgeries and lots of different therapies, and this one of my main takeaways. In our system, you are forced to become a "general contractor" of your health. I understand the nature of my problem, and I've had a lot of improvement, but I'm still nailing down the particular patholog(ies). The doctors that stand out are the ones who take the time to review your records, and come to the appointment prepared. I've had two. I blame the insurance companies for extracting more and more profit from the system, causing doctors to spend just as little time as possible on, you know, something as silly as patients.