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Re:Common infections can spark psychiatric illnesses in chil... by coldtea on Tuesday September 26, 2023 @12:17PM (#37661546)
>Our medical system where we rely on individual doctors for primary care is really flawed but it's better than any alternatives that we have (or that we can afford anyway)

The US one I presume? Says who? Based on what metric? We can, and other countries have, do much better.

That this parent "is “exhausted” by years spent campaigning to get doctors to take the illnesses seriously" doesn't say much.

It's not like she had to go the public health system and didn't have the option to go on "individual doctors for primary care" if she could afford it (in fact it would have been way more affordable than in the US).

She campaigned to spread awareness for the cause, not for them to treat her own special case.

Second, the average person would be much more exhausted when chacing their own (or kid's) treatment trying to afford hellishly expensive treatment in the US, sacrificing their kids college fund or their own pension (or even ending in bankruptcy (CNBC: "Two-thirds of people who file for bankruptcy say medical bills or other issues related to illness contributed to their financial downfall").

Re:Common infections can spark psychiatric illnesses in chil... by danzer420 on Tuesday September 26, 2023 @12:18PM (#37661577)
which countries have a different system than individual doctors for primary care, and how is it better?
Re:Common infections can spark psychiatric illnesses in chil... by Aeolun on Tuesday September 26, 2023 @12:33PM (#37661814)
Japan has a ‘go to any specialist nearby and be seen’ system. Very few GP’s, and a multitude of specialists for their own area of expertise.

I had my pick of three ortholaryngologists today (all of them less than ideal according to reviews, but they were there).

Re:Common infections can spark psychiatric illnesses in chil... by anonymoushn on Tuesday September 26, 2023 @02:19PM (#37663603)
I think in most countries people don't have to ask their PCP for permission to see the proper specialist. I don't have much other basis for comparison because I don't think I've ever met any PCP more than once anyway.
Re:Common infections can spark psychiatric illnesses in chil... by ksenzee on Tuesday September 26, 2023 @03:18PM (#37664483)
The Canadian system absolutely requires a referral from your GP to see a specialist. And even in the US, when you do have insurance that allows you to see a specialist without a referral, there are some specialists who won’t see you without a referral anyway, I assume because they don’t want to deal with random people off the street.
Re:Common infections can spark psychiatric illnesses in chil... by coldtea on Wednesday September 27, 2023 @04:42AM (#37671865)
>The Canadian system absolutely requires a referral from your GP to see a specialist

I presume that's only when you want your expenses covered. If you pay with your own money/private insurance you can see whoever you want, no?

Re:Common infections can spark psychiatric illnesses in chil... by ksenzee on Saturday September 30, 2023 @02:04PM (#37718065)
There are some rules hobbling the private system in Canada that don’t exist in every country with universal healthcare. As I understand it, if a doctor participates in the public system they’re limited in their ability to accept private-pay patients. Happy to take correction here from Canadians who know better.
Re:Common infections can spark psychiatric illnesses in chil... by Aurornis on Tuesday September 26, 2023 @12:49PM (#37662078)
> The US one I presume? Says who? Based on what metric? We can, and other countries have, do much better.

The article is about UK doctors not recognizing PANDAS as a real illness.

They even quote one doctor who refused to treat "an American illness".

The US NIH has a page on PANDAS and our (US) diagnostic and treatment recommendations here: https://www.nimh.nih.gov/health/publications/pandas

If you wanted an example of "US healthcare bad" then this is not it. The article is about UK doctors not recognizing a condition and the activities in Parliament to address the situation.

Re:Common infections can spark psychiatric illnesses in chil... by coldtea on Tuesday September 26, 2023 @12:56PM (#37662218)
>The article is about UK doctors not recognizing PANDAS as a real illness.

I know, I read it before commenting.

I'm not saying the article is about the US system. I'm saying the comment I responded to appeared to say that the US system is better, and how those countries with other systems like the UK have it bad.

"Doctors not recognizing X as a real illness" can happen, and has, anywhere. It's not a result of how the medical system is structured with regard to public/private, universal healthcare or not, and so on.

There is no shortage of stories from the US about doctors refusing to take some illness or condition as real that was later proven otherwise (or vise versa), dismissing patient concerns that were later proven, and so on.

Re:Common infections can spark psychiatric illnesses in chil... by badcppdev on Wednesday September 27, 2023 @05:05AM (#37672049)
I have no experience with the US system. I made no mention of public/private, universal health care or not and so on.

Your last sentence (minus the specific country) is exactly what I was talking about. There is no shortage of stories where doctors don't get it right for a million reasons. There is room for improvement.

Re:Common infections can spark psychiatric illnesses in chil... by badcppdev on Wednesday September 27, 2023 @05:10AM (#37672109)
What are you talking about? What country doesn't use individual doctors for primary care?