memes @lemmy.world

1年前

How many other businesses would we be fine with operating like this?

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Airports work like this. You arrive two hours before takeoff only to find out like half an hour before takeoff that the flight is delayed because there's no plane.
- I spent 3 days in an airport because storms near Chicago caused a ripple of delays and cancelations all over the country, I was constantly being told "okay your new flight leaves in 5 hours" and I was in a city over 100 miles away from home with no transportation.
  Overall I had tickets and replacement tickets for 9 flights. Honestly given some of the times we found out there was no plane, I didn't believe we would get to board even as they were calling boarding groups.
  
  100 miles from home
  Bro, you could have walked home in that time. Benefit of restrospect.
- My favorite was receiving a text notification at 5:30AM thar my 8AM flight was canceled. Ruined my entire vacation
- Better to be stuck on the ground than to be stuck in the air in a plane that needs maintinence, or in bad weather.
- I was on a lay over and was lined up ready to board and they cancelled the flight. Was told to go to customer service to find another flight. Conveniently two other flights were canceled around the same time so they were over 900 people in the customer service line. After waiting about 45 minutes in line and moving about 20 spots forward and asking multiple airline employees that had no idea what was going on. I get a text message that my flight had been rebooked to a flight that had been delayed earlier in the day and it has finally showed up but it's leaving in 15 minutes and it's in a different terminal. I booked it over there and made the flight. Anyway, it was a mess. Extremely unorganized, handled terribly and it was just an all around piss poor experience. Did I get compensation for the inconvenience and time wasted? Of course not. Airline are allowed to charge hundreds of dollars and fuck things up without consequences.
- There is no plane because everyone on board the inbound flight died when your 737 MAX crashed because of an MCAS failure and also all the bolts fell off.

At one point I setup an appt with a doctor, 3 weeks set date, and to be the first one in the morning, like 9AM, he cannot be late, right? I left at 11:30AM without seeing him.
- Jeez, how is that even possible? Like did some other asshole sneak in and get seen for some crazy disease somehow?
  
  He is a surgeon and was in the hospital nearby, I guess saving life, so it's ok :)

Because every patient before you was 10-30 minutes late for their appointment so now you have to wait an hour.
- Or, more likely in my experience, the doctors office is overbooked and anything more than 10-15 min/patient puts the whole schedule behind.
  
  Not really overbooked, so much as you put down you had a sore throat which takes about 10-15 minutes but now you're here can you have your ear looked at and also your stomach hurts but it started about six years ago and you think you might have ADHD so could you get a referral for an evaluation?
  And it's like that every other patient.
- Once I had to wait more than 30 minutes even though I was the very first patient in the morning.

The last time I took my daughter to the doctor's, we had the 8:30am appointment. First of the day.
I was feeling pretty optimistic that we would be in and out by 8:45.
So we arrive at 8:20 and take our seats in the waiting room. 8:30 rolls around, no call. 8:40, no call. 8:50 no call. At 8:55 a side door opens and 8 doctors stroll out with coffees in hand and make their way to their individual consulting rooms.
At 9:10 we got the call to go in.
I get that they might need to have a morning meeting to get setup for the day, but 8 doctors each wasting 40 minutes, and the entire appointment book playing catch-up for the rest of the day, seems like a colossal piss take.
Why not, like, have your meeting earlier.....?
- Dickheads. My grandpa was right back in the 90s when he said the country is going to the dogs. A Tory! In a way I'm glad for him that he isn't around to see how badly his descendants are getting rinsed.

Their time is actually more important than yours
- I'll have you know I have 27 cats at home which depend on me. My time is precious
  
  Just bring them with you, duh.

I think veterinary offices are the only places I can understand. Everyone there is underpaid, working hard, enduring trauma, and doing it because they love animals. Although I've never seen them get upset at someone for being late!
- veterinary offices are the only places I can understand. Everyone there is underpaid, working hard, enduring trauma, and doing it because they love animals.
  Boy do I have some news about basically everyone in healthcare......
  Pretty much everyone is making less than previous generations, and that's not even accounting for inflation. I am a specialty provider and the salary for my position hasn't increased in decades, all while licensing and education costs have skyrocketed.
  Healthcare isnt the get rich quick scheme people seem to believe it is. It's basically hundreds of thousands of dollars of debt for near a decade of school, just for the privilege to basically work for free for several years.
  Pretty much any person in healthcare under 40 is there because they love people and want to help them. Nowadays it's just too difficult and thankless of a job for any other real reason other than empathy. There are plenty of easier and more profitable ways to make money.
  The reason you may have experiences that run contrary to this is the same reason you've prob had to wait in a room for over an hour. The providers are not the ones in charge of their schedules, and are probably experiencing burnout.
  The people making the schedules have no idea how much time is appropriate for the patient care the person is coming in for. All they know is management wants less down time and faster turnaround. So they just pile as many patients as they can schedule, and then utilize the patient's understandable agitation as a stick to prod the provider along.
  
  Did you respond to the wrong person?
  "Healthcare isnt the get rich quick scheme people seem to believe it is. It’s basically hundreds of thousands of dollars of debt for near a decade of school, just for the privilege to basically work for free for several years."
  I never said this nor do I think this, I'm so confused lol. OP asked about other services that are similar, and I responded.

I had this happen when I was at my Dr's appt. I needed a script for oxygen. Prior to that, I watched several people walk in, get called to go to one of the examination rooms almost immediately. The thing is that each one of the other patients was obviously in far worse shape. When I finally was seen, my Dr started apologizing profusely. I told her that I know what triage means and to not worry about it. Stuff happens. If I was one of the others, I would want relief too.
- This is the reality. A doctor is trying to see as many patients as possible who want to be seen. Not every condition requires the same amount of time. They do their best to estimate, but ultimately, if a doctor is willing to give you extra time, then the price is usually paying it forward by waiting longer in the waiting room for fellow patients. If you're late when they are ready, then you drop the efficiency of the entire day. If you're ready when they're not, well, yes, their time is actually more valuable in this case.

Reading the comments in this thread just indicates to me that we need more doctors. The supply of doctors is definitely artificially restricted
- For real. At least in the US medical school is incredibly expensive (on top of undergrad being really expensive too). Going to school is a huge risk, because if you find you can't handle it half way through, you've got all that debt,without the job to actually pay it. We've got so many incredible potential doctors and nurses that just can't afford to go to school
  
  It also takes 2x longer than most of the world to get licensed.
- Yep, that AMA is proof the licensing organization shouldn't also be the union.
- We need to pressure schools to open more seats.

Our patient visits are set as 15 minute slots standard.
This isn’t enough time to practice good medicine for anything much more than something like a flu or strep throat. How does one squeeze in an entire rooming process followed by a solid HPI, physical, poc testing and then plan review with pt in 15 minutes?
They don’t.
But with how medicine works (in the US) it’s the how clinics make enough money to stay open.
For clarity: I work at a Federally Qualified Health Center, not a for profit clinic.
- But with how medicine works (in the US) it’s the how clinics make enough money to stay open.
  This is the truth. PCP offices in particular have razor-thin margins and insurance reimbursement goes down every year while supply, fixed, and staff costs go up every year. This is an insurance industry and healthcare system problem. Your doctors' offices are just doing everything they can to stay open.
  
  Fortunately CMS is rethinking the role of primary care and realizing we can save money if we're able to provide high quality preventive care like we're supposed to. PCP service payments (RVUs) are up 18% since 2020 which has been a long time coming. Unfortunately physician pay is down vs inflation over the last few decades but thank Christ administration salaries are way, way up over the same timeframe.
- One of my doctors clearly has it this way. When I'm there in the afternoon, there are dozens of people waiting because each person takes longer than the appointed slot and so everyone moves back in time... but at least they have good managing there and the receptionist will tell me when I arrive whether it will be 30 or 50 minutes to wait.
  My eye doctor, on the other hand... I arrive 15 minutes before my appointment and there are only three other people there, two of whom arrived at the same time as me. How the hell does it take an hour for me until I can go in? What are they doing in there that every patient takes 20-25 minutes for an eye exam?

The best way to fix this is to cancel the appointment if they make you wait. If enough people did this the clinic loses money which should cause change. Unfortunately, patients are largely a captive clientele, having already waited months and canceled work and with few if any alternative providers.
The next best thing is much more realistic. Plaster the internet with reviews complaining of the wait. If your doctor (or more likely your doctor's employer) does not respect your time, let everyone know.
Many of the other comments are also correct. I have worked in clinics in government, military, academic centers, venture capital, physician owned, and even free community health centers, all in the USA. Doctors running late is going to happen. I've kept patients waiting while in the operating room, while telling someone they have cancer or are losing a limb, and by my burnt out underpaid government scheduler incompetently overbooking. I will also tell you that when I have at least a little control over my own schedule, I've never made a patient wait an hour, even with the above happening. It can be done, it just isn't because for decades timeliness has not been a financial incentive.
Make it one. Name and shame on google, yelp, zoc doc, wherever. Do it gracefully and sensitively, recognizing that there is a high chance the delay is not the doctor or nurse's fault. Done right, you'll do them a favor when their employer feels the sting of lost patients.
- You need a doctor, not otherwise.
- Man, I resonate with the meme here in the UK where it's free to go to the doctors but HAVING TO PAY FOR IT AT THE SAME TIME?!
- Except then they send you a bill for services not rendered and act like that's legitimate.
- I joined a private medical group that has annual fees, purely to avoid this shit. They don't overbook. I've never had to wait, unless I got there early (and even then sometimes they were happy to see me early).

Don't forget waiting for hours, going to the toilet for a leak and returning to see you've been skipped

I had this discussion recently and my friend pointed out that this also happens with utility workers on in-house visits, I guess cause of the demand there is on their work. At least where I live.
But I can't take it with doctors man. Also it's the only business where you can pay to get insulted or diminished, yet not diagnosed, repeatedly from different specialists (true story)
- I had appendicitis for 18 months.
  I'm not going to kill that doctor. But he is 45 years older than me and some fresh graves just scream out to be pissed on.
  Highfalutin fuck with his own practice and a fireplace in the lobby couldn't diagnose and treat what a chick in her 20s with a nose ring working the night shift at Halifax caught in an hour.
  I'm not going to kill that doctor. I ain't gonna go looking for him. If I encounter him again and he isn't cold in his urn, I'm gonna hurt him in a way medical science can't fix.
  
  What?

Try 3 hours, it's the reason I bought a miyoo mini plus, just to take it to doctor's offices.
- wow, that looks cool
- I got a gamesir x2 pro for my appointments, changed my life, carry the little fucker everywhere now.

I told my wife, the day I see an actual fucking doctor when my appointment time is, I'll either die of shock or but a lottery ticket.
In my experience you're lucky if some not-an-MD is checking your weight and blood pressure within half an hour, but if you're five minutes late they're sending you a bill for them doing literally nothing and canceling you entirely. I've never seen anybody so high on their own fucking importance while at the same time showing not the slightest smidgen of respect for the time of anyone else unfortunate enough to have to interact with them.
I wish I had a job where I could fuck up the timing of every single task every single day that consistently and still be employed. Not that I would, because I recognize that other people's time matters.
- Top tip, book the first appointment of the day (specifically request this) You'll almost always be seen on time.
  Now please don't die of shock now you know this. I hope you survive
  
  Did that.
  Doc was 45 minutes late to work.
  She was a nice lady but that had me fuming.
  I then had to wait two hours for a taxi. I was in tears from anxiety by the time I got home, then had to go back to work.
  Luckily I am WFH so no one could see me crying.
  That was a bad day!
  
  I was told to try this by an RN but the issue I need to see a doctor for is sleep apnea so that's out the window.
- To be fair you don't need a doctor to check your vitals and ODs are doctors too.
- Your doctor is doing doctor things while the RNs are performing their functions? I'm shocked.
  But if you want a better experience, find a good small non-chain urgent care office in a subsurb that doesn't take insurance. You'll pay more and get the experience you want, in my experience. But the RN is still going to come in first and perform their functions for a minute before the doctor comes in 5 minutes later.

How many other businesses would be fine with operating like this
The Apple Store, for starters.
Ticketmaster, also, too.

Went to my appointment Friday, was told my primary stopped working Fridays 2 months ago. They were the one who scheduled the appointment 3 months ago

Last time i was a the doctors office, my appointment was at 11. At 11:45 i was still waiting and i heard them laugh in the break room 😑...
My favorite was my psychologist who knows I'm autistic and routine and schedule is everything to me. Then doesn't show up for 30 minutes and then call me saying their previous appointment went on longer than expected... this happened almost every other appointment. Eventually i quit because it gave me more anxiety and stress than the trauma's i was dealing with. 🤦🏻

"My time is important, your time is unimportant".
- I dunno what your job is but a doctor's time is more important than my time for sure.
  
  Sure, but all the more reason to keep track of how late they're running and inform patients accordingly. If the doc is running an hour late, shoot me a text that says that.

At the office I worked at, the receptionist was underpaid and didn't give a fuck, and the manager was 100% revenue motivated and didn't give a fuck. The MD had tunnel vision on his work and couldn't be bothered to get his staff under control. Also everyone was high. 🤷‍♀️

It it was only an hour ⏳💀

I have a few doctors like this.
One in particular, you have to schedule your whole day for the appointment. Even if it's virtual.
There's the call for the copay, the call for the vitals, the call with the midlevel, then the call with the doctor. I've waited over 5 hours just for the doctor before.
My next appointment with that doctor is after business hours. I am not looking forward to that late night.
- Why would you stay with that doctor? Switch
  
  I would, but the only other doctor available who treats my condition in my area won't see me because I already saw the first doctor.

Inland Revenue has entered the chat

An hour? Try three to four hours. I'd pay through the nose to only wait one hour past appointment time.
- What country and private or universal healthcare/insurance?
  
  Flanders, Belgium. Universal, but specifically psychological/psychiatrist appointments, since they've been overbooked since over a decade and the situation keeps getting worse instead of better (more patients, less doctors, less budget). I have little doubt it's being left to fail deliberately by our very right-leaning government. Private entities can help you almost immediately but you'll pay prices out of the range of most working people.

A previous provider of mine changed locations. The front office staff took 2 months to tell patients. We showed up for an appointment we had made a month earlier and they laughed at us. Easiest decision I have ever made.

I don't put up with it lol. If someone is 15 late for an appt, I reschedule. Black and white. No exceptions.

Haha good meme. Good work buddy I like it :)

Medical care suffers from the same thing all heavily-regulated quasi-markets suffer from: severely restricted supply.
This results in:
Insufficient competition
High prices
Low quality work
Low quality customer service
Low availability and hence queueing
People complain that medicine should not be a free market, and look how bad the free market screwed up American medicine but we do not have a free market in medicine.
If we did have a free market, supply would be allowed to organically grow to match demand, introducing competition and solving all of the above problems.
But we artificially suppress supply of medicine and medical services. We call it regulation, and sure maybe it’s got its reasons for existing, but the natural and predictable result of such heavy-handed regulation is a lack of supply, leading to a lack of competition, leading to a lack of quality.
- If we did have a free market, supply would be allowed to organically grow to match demand, introducing competition and solving all of the above problems.
  No, health care companies would just be more “free” to make choices that cause people to die because it is more profitable.
  Full stop that is the only real difference you would see.

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