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Mary Humstone's avatar

Previous commenters have said it all so I’ll just send love to you and your family and a thank you for sharing this story.

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Pediatrics On The Front Line's avatar

This continually breaks my heart. The system I entered in 1972 as a medical student - that just exuded competence, compassion, and joy (but required incredibly intense work) - is nowhere to be seen. As a (now retired) Pediatrician, I have been examined multiple times and have been asked Med Hx questions in a way that would have earned that examiner an F when I was taught basic exam skills. The commitment to continuity and the understanding of what constitutes excellence is simply gone.

More upsetting is that because the institutional knowledge has dissipated, the newbies have no idea what it was like.

The pandemic has broken the system's back by accelerating the person-power loss. RNs, PAs, NPs and MDs are leaving in droves - and the extraordinary push of deniers to question the basic value of expertise has meant that years of hard-won study and knowledge are treated with contempt. My colleagues and I are simply gob-smacked when people who hardly know high school biology claim to have more information and insight than we.

https://www.nejm.org/doi/full/10.1056/NEJMp2214120

We currently live 1/2-time in Mexico, and the quality of devotion and care is quite superior to the U.S. Here, physicians make house calls. (!) If you are injured or sick, they meet you at the E.R. They are reasonably well trained. And the costs are remarkably low. For example, the cost of a CT scan here is about $250. That is the COPAY for a CT under Medicare....

I wish I could offer reassurance....but I can't see how it will get better when there is no longer a shared commitment to truth and science.

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