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How to stop interest of doctors to cure patients as long as possible to get more money?

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Mikhail Korsanov
Mikhail Korsanov May 02, 2022
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Come up with a model of medicine and pharmaceutical industry financing, in which doctors, pharmaceutical companies, drug stores and medical organizations have no motivation to rip off money from patients (or insurance companies) and treat them as long as possible, but rather are better off when patients are alive, healthy and happy as much of life time as possible.
medicine fundingpharmacymedicine
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Creative contributions

Raise doctor salaries

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jnikola
jnikola May 04, 2022
I recently watched a traveler interviewing a doctor in Australia. The doctor used to work in Croatia, where the standard is much lower, including doctor salaries. When he was asked if he would accept bribery or any kind of gift from the patient now when he is working in Australia, he said that thought never even crossed his mind. Why? Because doctor salaries in Australia are just enormous and make the "gifts" look funny, compared to Croatia, where these "gifts" are sometimes a few times higher than the salary. The concept could be described through altruism, which often appears when people solve their own issues and realize they can help others, too. In this case, solving existential problems by earning more could potentiate altruism in medicine and make doctors care more for the patients.
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Shireesh Apte
Shireesh Apte2 years ago
Keep a metric of [average (time to patient progression free disease divided by # of patients treated)] normalized to average time for global population to recover from that disease.
Publish the number as a rating for physicians, the lower the number, the faster the patients recover from the disease when treated by that doctor/practice/hospital.... This will increase the # of patients visiting that doctor/practice.
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jnikola
jnikola2 years ago
Shireesh Apte It's actually a very cool suggestion, but should still be worked out a bit more. What if you have an exceptional doctor to which every terminal stage patient wants to go. His score would be terrible.
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Mikhail Korsanov
Mikhail Korsanov2 years ago
Gifts problem is solvable by increasing salaries, yes. But doctors rely on medical standards. These standards are made by medical authorities, who are affiliated with pharma and medical equipment business. They maximize profits. So standards are good for companies, but are bad for patients. How to solve this?
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Try alternative medicine

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Shubhankar Kulkarni
Shubhankar Kulkarni May 07, 2022
The major concern of patients regarding alternative medicine is that it feels non-scientific. First of all, not all alternative medicine is non-scientific. If you look at the number of peer-reviewed science publications on "Traditional Chinese Medicine" or "Ayurveda", you would know that much work has been done in those fields using the tools defined by Modern Science/ Medicine.
Alternative medicine is usually cheaper than mainstream medicine (modern medicine) because it is less standardized, less money has gone into its research and development since it involves age-old practices and was passed on over generations, it uses local ingredients for therapy reducing the cost of importing goods, and it is usually not patent-protected, further reducing its cost. A major part of the cost of the pharma products is justified by the amount spent on their research and development. Furthermore, the medicines involved in alternative medicine could be manufactured locally, reducing their cost further.
Alternative medicine from your homeland may work better for you since it was practiced in your area (geographical and climatic advantage) and on people of genetic makeup (race) and habits (eating, hygiene, diet, etc.) related to yours.
If you promote a cheaper, likely more effective, and scientific medicine, you could reduce the burden on modern medicine. This reduction may influence the production and protocols of modern medicine and make them more suitable for you.
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Mikhail Korsanov
Mikhail Korsanov2 years ago
There are simple and cheap solutions even accessible globally, but not applied because of lobbying and marketing efforts of pharma companies. The problem is that they act against these cheap medicines, partly doing advertising and promotions, in part of cases lobbying to make these remedies prohibited by the law or declared as anti-scientific.
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Shubhankar Kulkarni
Shubhankar Kulkarni2 years ago
Mikhail Korsanov I think that is their loss. Good things never need to be promoted that hard, I think. If it's good, people use it.
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Mikhail Korsanov
Mikhail Korsanov2 years ago
Shubhankar Kulkarni Nope, alas :) I am a marketing specialist. Only a very small fraction of all best things in the world have a marketing virus potential. All others stay unknown. You have to dig deep to find them. I can tell you by my own example. Another sphere of my competence is psychology: emotions. My system works for 94% of people. However, it does not have a viral marketing potential. It is very simple and flat. It does not produce any big emotions in the 99.9% of users which are necessary for word of mouth. It just works. Another factor is that a need in this system is substantial in about 5% of population, all others just do not have an interest. You may have the very best solution for some problem of a small fraction of population, who do not communicate with each other. Then this solution will not be distributed by the word of mouth. Also, big business applies strong PR and legal mechanism to prevent using the best things, which are commercially not good for them.
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Avoid medicine as much as possible

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Shubhankar Kulkarni
Shubhankar Kulkarni May 07, 2022
  1. Try healthy dietary habits and physical activity that suits you, which will make you less likely to fall ill and consume medicines.
  2. Avoid artificial supplements and try to incorporate foods into your diet that provide you with the necessary nutrition.
  3. Common non-serious illnesses could be treated at home using scientifically proven home remedies.
This will reduce your personal intake of medicines. Moreover, if more people do that, it will influence the sale of pharma products and may help change the therapeutic protocols to suit you better. If governments realize that home remedies combat specific common non-serious illnesses, they may as well realize these remedies as the official remedies to treat those diseases, reducing the burden on modern medicine.
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Mikhail Korsanov
Mikhail Korsanov2 years ago
It would be cool to find a solution that would work systematically, not only for the specific person who has read your right and fair words.
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Shubhankar Kulkarni
Shubhankar Kulkarni2 years ago
Mikhail Korsanov The problem with a systematic global solution is that it may become the new evil. Problems arise when things start getting big and more and more people are involved in it. I guess numerous local solutions is the key. We have started to accept different cultures across the globe. May be it's time we accept the medicine.
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Mikhail Korsanov
Mikhail Korsanov2 years ago
Local solutions disadvantage is that they are hard to test fast to be sure they are workable and efficient. Is there a way to make right local decisions overbeating a standard system?
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General comments

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Subash Chapagain
Subash Chapagain2 years ago
Guarantee fixed wages to doctors and deprivatize the medicine (and equipment) supply. It seems like a lot to ask, but mostly, doctors keep on delaying discharges for the fact that they can get a share of the profits made by making the patients use medication and equipment for a longer time. If there was one centralized system to supply the equipment and medicine and if it did not connect to the doctor's income in any way, then they would not be interested in delaying the discharges.
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Mikhail Korsanov
Mikhail Korsanov2 years ago
Subash Chapagain Why will doctors be better off if the patients are happy, healthy and live long in this system? Just because they are altruistic? Is not this too weak simulus to make it workable in most cases? Do you take into account that in the system you propose, doctors will not be interested in improving their service and competence because their salary does not depend on whether patients choose them over other specialists?
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Subash Chapagain
Subash Chapagain2 years ago
Mikhail Korsanov True, incentives matter. But at what cost? I think this is a deeply moral and philosophical conundrum. While the purpose of healthcare and medication is to alleviate human suffering by curing disease and infections, the same healthcare system is largely dependent on acute profiteering. Without a fundamental change in the notion of why and how we operate healthcare, there seems to be no solution. In more altruistic societies, this can be to some extent dealt with by government regulations and subsidized health for all, all the while commensurately paying the healthcare specialists. Scandinavian and Canadian healthcare schemes seem to be doing better as compared to the American for instance. But like you said, there should be strong incentives included (which can be beyond sheer monetary benefits) to motivate doctors.
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Mikhail Korsanov
Mikhail Korsanov2 years ago
Subash Chapagain An idea: training up happy altruists in each doctor and management of the healthcare. Then it may work.
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Goran Radanovic
Goran Radanovic2 years ago
You can set fixed prices for surgery, treatment and hospital stay. If the costs increase due to unforeseen complications or extended hospital stay, that's something that the hospital has to incur.
Everything is agreed upfront, and those are the conditions.
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