this post was submitted on 03 Apr 2026
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Systemic as in "everyone else does this so we have to in order to compete"?
It's always seemed to me the issue is over scheduling
So, doctors should see fewer patients? Meaning it would take longer to get the appointment in the first place, but at least you wouldn't have to sit in the waiting room for a bit?
How many people skip a visit to the doctor because of the waiting time?
Honestly it does deter me a little.
They should schedule realistically and not make people wait over an hour as has happened to me several times. Are you really suggesting that doctors offices don't fuck this up royally? It's not on me to tell them how to fix their business but it's abundantly obvious in America that doctors can do whatever they want to you and they don't care if they waste (a lot of) your time. Nothing about that is inevitable, at least not nearly to the degree that it happens
Exactly. If it's at a hospital, then the doctor has little to no say in the matter. I will always blame the bosses before the workers.
In America I have rarely gone to a hospital to see a doctor. Most of my doctor visits have been to practices with 3-5 doctors. They could choose differently. what I notice is that doctors are rich and all seem to live in very nice homes and drive fancy cars. They over schedule and waste our time because they want to maximize their profits. Not because they have to. Healthcare in America is about making money and it sucks.
I hear what you're saying. But these are hard working people who suffered through a residency and have no personal lives. It feels like we're being crabs in a bucket.
Three overwhelming majority of that profit is going to insurance and pharma shareholders, not to the doctors themselves. The difference between a doctor and a billionaire is about a billion dollars. Everybody ought to be living like doctors and it's the shareholder's fault that we aren't.
It's taken decades of bad experiences for me to get here. I have seen time and again that most doctors are not interested in helping people. They are interested in driving a Mercedes and retiring with millions of dollars. They aren't billionaires but they are selfish pricks. And you can easily tell the difference between the minority of doctors who do care and the majority who don't. The typical doctor assaults you with "you're just another patient" vibes from the first moment you walk in the door. They don't ask followup questions, they don't listen to your complaints about whatever issue you're having, they're basically worse than a Google search.
Then sometimes you're faced with insane billing issues like one I'm going through now from a mental health professional who came back months later after not helping me at all and being completely inept at their job to try and double bill me for all the services I already paid for. This guy sucked from day one, utterly incapable of communicating, and now he's repeatedly blown me off when I try to straighten this out and prove I paid it. I approached him for help with stress and anxiety and literally got no help and added stress and anxiety about the fucking basics of just trying to seek help from him. I honestly suspect he's a scammer who has pulled this double bill scam a lot. I know this area has a lot of wealthy people who would've assumed they made a mistake and just paid the bill of hundreds of dollars again. I could tell you several fucked up stories about how doctors wasted my time, not helping me at all, costing me a lot of money, and stressing me out.
Trust me, I've appreciated the great doctors I've seen. They are wonderful humans who clearly want to help people. It's unmistakable and unforgettable when you get a doctor like that. I have no beef with them, and even if they made me wait a long time, I'd assume it wasn't their fault. But I'd guess out of the doctors I've seen in my life, and we're probably looking at 30-50 doctors at this point, less than 20% actually seem in the field for good reasons.
And just for clarity, I'm in the US. It's likely that percentage is much higher in civilized countries.