healthcare crisis out of control

So you all know about the major shortage of doctors and nurse’s and long very long wait times in the ER 4 to 8 hours and soon to be 8 to 12 hours.

About a month to see family doctor or specialist. And many months for hip and knee surgery.

About month for CT scan or MRI. And run away healthcare costs that if the government does not start to put money into it by the year 2050 it will collapsed.

Countries with universal health care like UK,Canada so on and countries with no universal health care all having run away healthcare costs and major shortage of doctors and nurse’s.

Are we just going have to get use to the idea that this will be norm Possible cause for pain/numbness near kidney? (pt. on way to ER) - In My Humble Opinion - Straight Dope Message Board

And get use to the idea of month to see a family doctor or specialist and only one or two doctors working in ER!!!

And month to get CT scan or MRI.

Any thing that I read if some thing is not done about it now by the year 2050 it come to such a run away cost by the year 2050 it will collapsed.

Well health care costs is going up exponential!!

And med schools are not bringing out enough doctors,specialists and nurse’s.

Do we?

Forgive a foreigner, but I was always under the assumption that these not being an issue is why so many Americans preferred their system, even if it costs them.

Basically, there are just too many people. I have a Modest Proposal…

I went from neurologist appointment to an MRI later that afternoon to spinal surgery within three days. Of course, I ignored symptoms until my legs stopped working, but the US healthcare system can move fast when it needs to.

I went from reporting a potential problem with my knee to my Dr in March, to knee surgery in April.

So I question your premise. There are certainly problems in the US health care system but you haven’t presented any data to back up your claims. Let’s start there; where did you get your data from?

A shortage of doctors and nurses is easy to remedy by increasing supply. There are ample people with the desire and talent to fill those roles but the schools do not provide enough openings.

I think China will save the world from high health care costs. They are facing a massive problem of demographics, too many elderly, too few laborers, not enough wealth. I think China will innovate ways to provide high quality health care on the cheap and their ideas will be adopted by other countries. However since medicine is a multi trillion industry they will not accept massive cuts to income without a fight. But when China finds out how to do $20 mri, $600 bypass surgeries, $10 dialysis, etc the rest of the world will copy them . India will contribute too and already is innovative in having cheap health care. But China will lead.

There is this concept called “triage” you might want to educate yourself about. The notion is that some emergencies are more emergent than others. In other words, your broken arm is important, but you can wait a couple hours to have it set if someone else is, saying, fountaining blood or having a heart attack or otherwise experiencing something that could result in death in minutes.

In the late 1970’s I once waited many hours to be seen for a knee injury. It was annoying, but wasn’t going to kill me. In the early 00’s my spouse went to the ER with severe abdominal pain and vomiting and was seen almost immediately.

If you’re really about to die you’ll be seen promptly in the ER. Otherwise, wait your turn like everyone else. This is nothing new, it’s been the case for decades, and has nothing to do with Obamacare, how many doctors medical schools churn out, or anything else you’ve mentioned.

My mother once waited four months for absolutely essential, life-saving heart surgery. She only got in that fast because several people on the waiting list ahead of her died. (New procedure, not many doctors trained in it) Guess what year that was: 1978. Now people with the same condition are given surgery within days, if not that very same day. The fact is, quite a bit has improved over the years.

Long waits for specialist are nothing new.

Hip and knee surgery? Are you going to die if you don’t get that new hip or knee today? No? I agree waiting is a pain but it’s not an emergency.

If you break your hip you’ll get immediate surgery. If you need a new hip yeah, you’ll wait. Why shouldn’t patients be prioritized based on need and other reasons?

Is that scan needed for an emergency? If so, you’ll get it immediately. If not… what’s your frickin’ hurry? Do you cut in line for everything? At the grocery store do you shove others aside and barge to the front of the line? Is your every dental appointment the very day you called the dentist or do you need to wait to get in there?

If the US was sane it would adopt a universal health care system like every other civilized nation on the planet, and even some not-so-civilized nations.

Cite for those, please.

It is the norm, and has been for decades.

It is the norm, and has been for decades. Well, maybe not so much for the family doctors, there is a shortage of them. That has to do more with relatively low income for those docs and the high cost of medical education, we could do more to encourage docs to be generalists rather than pushing them to be specialists.

I remember before those things existed.

You know, in 2005 I got a CT scan in under 2 days. The last time my spouse got one he had to schedule an appointment, I think it was three weeks. Not really a problem - his issue wasn’t nearly as serious or urgent as mine.

The sky is falling! The end is nigh! PANIC!!!

Actually, the medical schools are producing too high a percentage of specialists relative to generalist - which we really do need more of. It’s very, very expensive to educate a new doctor, expanding educational capacity will be expensive so feel free to suggest ways to fund that. We could also use more nurses, but we could also probably get more retired nurses back into the profession if we made the jobs more reasonable. Like, say, 8 hours shifts instead of 12, and a few other things like that.

Bonehead. Are you well?

Does it involve a panel?

Permanent damage at C5 C6 and C7 leading to balance issues, epic episodes of jimmy leg and loss of grip strength. But aside from that, no complaints

Nah, It’s Just Lunch…

I’ll get me hat.

As a corollary to this, do not think that, by going into the ER in an ambulance, you will get seen immediately. In addition to the triage you mentioned, ambulances will notify the hospitals ahead of time that they are coming to the hospital, what the situation is, what the patient’s vital signs are, and so on. The nursing staff (sometimes with input from the EMS crews, but not always) makes the determination as to how serious the situation is, checks vitals also, talks with the patient, and decides whether the patient goes into a room to wait. If the patient has called for something non-emergent, I’ve been told by different hospitals that they request the patient to go back into the waiting room.

A lot of people think that the ambulance = immediate treatment, and that’s just not the case. In fact, using the ambulance for a non-emergency can lead to slower treatment in some cases.

Well, here’s the thing. I haven’t been in an ER since I was 14. Because nowadays we have these things called urgent care clinics that can handle minor emergencies like broken bones, burns, cuts, dog bites, stitches, asthma attacks, etc.

Choosing your route of care changes those wait times considerably. I would not sit in the ER for 4 hours waiting for sutures, especially because there is a window of time after which sutures cannot be given because the risk of infection is higher in the closed wound (that’s been exposed to bacteria for several hours already) than in a wound left open. I would not wait for an x-ray for hours and hours either. I go to the nearby clinic, that’s open whenever I’m awake, 7 days a week, to handle things like that.

Now if you want to be a NEW patient with a primary care physician or a specialist, then yes, you can wait months for an appointment. I had to wait six months for an appointment with a new dentist. However, once you establish yourself as a patient, you can usually get right in with a phone call, same day or within a day or two. I had to see an opthalmologist last year for an eye thing that ended up resulting in in-office surgery. I did not have to wait days and days. I called on Monday, explained the problem, noted that I was miserable and wanted to claw my own eye out and they squoze me in same day.

Yes, there are some crisis-level problems with the American healthcare system, sure. But I don’t really think that med schools not churning out enough graduates is really the problem.

Maybe you should think about moving to another provider. When I had pneumonia in January I saw a doctor the same day. My group did have long waits for checkups at one point, but then they hired more doctors and now it is very reasonable.

Well, we don’t have any less of a shortage than other western countries. The difference is that our shortage is mostly in the primary care/general practice sector. We have lots and lots of specialists, because that’s where the money is.

Funny, I don’t know these things.

It’s another of those negative headlines.

As per last time, we won’t see the poster again. The title will just sit here a few days hundreds will note it, and it’s job will be done.

Two months ago I got an appointment with a hand surgeon. Went to the appointment 4 weeks ago. Got the surgery done the next day. YMMV.

So get schools to open the doors and get more people into med school!!

China system is worse than US it is base on system of pay. The health care system in China is nothing more than profiting system.

The long wait time ER are worse in China than the US.
China hospital

A crowded waiting room at Beijing Hospital

I gone to ER in the 90’s on average 5 may be 10 people tops. Now when I go to ER I see 40 to 60 people with same number of doctors!!! :eek::eek::eek::eek::eek::eek::eek::eek: