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I go to a family doctor in his 70s for this very reason. He isn't in a rush. He (or his nurse) actually looks at the old form responses instead of asking me the same old questions. He cares about me beyond the list of symptoms, and asked about the job I started a year ago at the last visit.

I feel like the move to larger clinics (at least in the US) over old school one physician offices has standardized the process and made it more bureaucratic. But there could be a more human approach if someone actually cared to invest in it. I don't see it happening when larger practices and health systems are optimizing for cost and throughput.

Edit: grammar



"I feel like the move to larger clinics (at least in the US) over old school one physician offices has standardized the process and made it more bureaucratic."

The cause and effect might be backwards here. Many physicians retired or consolidated as regulations increased, and ghe cost of complying with the regulations increased. For example, we saw a lot of this when digitization of files became mandatory.


It is ultimately the influence of Federal Healthcare programs that have pushed small doctors out of business. The cost of regulation is ENOURMOUS. And the following effect is that because the federal government is the largest spender in the sector, private insurance companies tend to follow suit, making the whole thing worse.

I don't have a solution for solving medical billing, but it's a huge racket and it's driving up costs.


So in the end we basically get the worst of both worlds. Sigh.


> But there could be a more human approach if someone actually cared to invest in it.

Most people cannot afford a more human approach.




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