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BiggerBoat posted:This is a great point. I don't think telehealth is going to replace in-person doctoring. If anything, the goal is for it to become part of the pipeline to in-person doctoring, dragging people into the system to rack up further bills. The theory is that since telehealth is easier and quicker than regular doctor's appointments, people might be more willing to schedule them for things they might bother setting up a real doctor's appointment for, allowing the medical system to collect some money for things that otherwise would have gone unseen. It becomes a funnel to draw people into the system. But if it turns out your issue isn't obviously minor enough to be be solved with over-the-counter medicine or a basic catch-all prescription, then all the telehealth doctor can really do is tell you to come see a real doctor - often an urgent care or ER. So in the case of a real issue, the medical system at large gets paid for the telehealth, and then gets paid for the actual in-person visit the telehealth doc tells you to make.
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Oct 16, 2021 16:28
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And consequently, if you're living with public sector health-care then telehealth is 90% a grift to pillage the public purse.
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Oct 16, 2021 16:33
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Main Paineframe posted:I don't think telehealth is going to replace in-person doctoring. If anything, the goal is for it to become part of the pipeline to in-person doctoring, dragging people into the system to rack up further bills. To be fair, I don't need to bring myself down in person and wait an hour in a waiting room just to say "it burns when I pee" or "I can't get hard" or "I've got a rash on my stomach and it is unclear why" some other issue that can very much be diagnosed remotely. Or when going is not an option. I used telehealth a couple years ago, when I threw out my back on an evening. I didn't want to deal with going to the hospital just to get a $50 charge tacked on for aspirin, along with the $500 or whatever bill for just showing up, so I called the telehealth line. The diagnosis was "yeah you should definitely get that checked out in person, if you cannot get up off the floor that is usually quite bad and needs attention" which was at least a nice step to know before I wasted everyone's time and money. To be fair, at the Urgent Care place they went  and threw painkillers at me before telling me where to schedule physical therapy, but it remained a lot cheaper and simpler than an ER visit.
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Oct 16, 2021 23:15
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Lotta NHS GPs in the UK went to phone consults first, with in person only when necessary, in the 2020 lockdown. And it's worked OK enough.
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Oct 17, 2021 16:10
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Phone consults are just a whole lot more efficient than in-person consults tend to be. There's a lot of check-ins out there that need a five minute conversation rather than a full clinic visit.
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Oct 17, 2021 16:17
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divabot posted:Lotta NHS GPs in the UK went to phone consults first, with in person only when necessary, in the 2020 lockdown. And it's worked OK enough. Telemedicine is good, it allows people to ask qualified professionals about health problems before they snowball into something more serious. Calling in a scam is a sign of cynicism that borders on the pathological. Jasper Tin Neck fucked around with this message at 17:47 on Oct 17, 2021 |
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Oct 17, 2021 16:46
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Telemedicine is especially nice for follow up appointments. I don't need to drive somewhere and wait hours just to tell the doctor "Yeah, I'm better now, thanks!"
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Oct 17, 2021 16:54
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As a sickly mutant who regularly needs to see a doctor, I can't count how many times I've had to set aside most of a day just for a three minute appointment. I've probably wasted weeks of my life in waiting rooms. Telehealth rules.
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Oct 17, 2021 17:27
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Yeah. Telehealth means that when the doctor's late, I'm sitting in the comfort of my own home rather than an uncomfortable office waiting room. The problem I see is practice rather than theory. In practice, insurance companies and the National Health are going to be in control over whether you get a telehealth or in-person appointment, rather than the doctor's deciding what's necessary. It's going to be expensive or impossible to say "I've had this pain for over a month, I want to talk to you and have you do an examination."
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Oct 17, 2021 17:56
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I can see how telehealth is good for a few things and you guys raise some good points but I'm not a fan of it overall and I still wonder how non tech savvy seniors whose VCR's are still flashing 12:00 deal with it. It saves time for routine matters for sure and helps people who can't afford to miss work hours but I went through a 2 week ordeal recently where I was misdiagnosed with bronchitis and wound up wrecked with pneumonia that I think would have been caught with an in person visit. I don't think it's a proper substitute for things like therapy and AA meeting either, nor do I think that the cost savings will be passed on to consumers.
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Oct 17, 2021 18:02
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Oh sure, you can absolutely gently caress it up, and add the hosed up US system and nothing good is likely Old ppl do phone calls just fine
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Oct 17, 2021 18:48
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I'm glad teleheath is offered as on option now that covid has eased back on the lockdowns, and for some stuff its great. I absolutely think saying "no, I need an in person appointment" is great too, but the fact that in person appointments with my doc take over a month to schedule mean it's not gonna catch anything urgent. Thats the poo poo urgent care exists for
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Oct 17, 2021 19:08
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RFC2324 posted:I'm glad teleheath is offered as on option now that covid has eased back on the lockdowns, and for some stuff its great. I absolutely think saying "no, I need an in person appointment" is great too, but the fact that in person appointments with my doc take over a month to schedule mean it's not gonna catch anything urgent. Those places are actively useless and a scam, at least for women in the South. My wife has went to one like, four or five times, and they always either disbelieve her or treat her less seriously I'm assuming bc she's a woman. One of them diagnosed her serious stomach pain as indigestion and then a few hours later at work she had to go the hospital. Apparently a cyst burst!
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Oct 17, 2021 22:46
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SSJ_naruto_2003 posted:Those places are actively useless and a scam, at least for women in the South. My wife has went to one like, four or five times, and they always either disbelieve her or treat her less seriously I'm assuming bc she's a woman. One of them diagnosed her serious stomach pain as indigestion and then a few hours later at work she had to go the hospital. Apparently a cyst burst! Sounds like she just couldn't stomach the pain 
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Oct 17, 2021 23:14
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It's like medical help, but with call centers.
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Oct 18, 2021 00:27
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Sinclair TV likely suffering from Ransomware https://twitter.com/campuscodi/status/1449882031475863556?s=20
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Oct 18, 2021 01:04
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BiggerBoat posted:I can see how telehealth is good for a few things and you guys raise some good points but I'm not a fan of it overall and I still wonder how non tech savvy seniors whose VCR's are still flashing 12:00 deal with it. My wife is a GP and was providing telehealth consults for most of the last 18 months in a rural area to a largely elderly population. It was almost exclusively phone calls because of a) the tech problem you've mentioned above, and b) shithouse internet/phone reception that made video calls unreliable. The patients loved it because it was far more convenient, they could get an appointment often for the same day, and for most of the visits it was sufficient. For anything that couldn't be easily diagnosed or handled, a follow-up was booked in. Note that this was all bulk billed so it cost the patient nothing.
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Oct 18, 2021 01:04
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BiggerBoat posted:I can see how telehealth is good for a few things and you guys raise some good points but I'm not a fan of it overall and I still wonder how non tech savvy seniors whose VCR's are still flashing 12:00 deal with it. What do you mean by "it"? Do you mean "using a telephone to call someone and speak to them"? Because it seems that those seniors as a general population are a lot better at it than a lot of younger population groups.
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Oct 18, 2021 01:37
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SSJ_naruto_2003 posted:Those places are actively useless and a scam, at least for women in the South. My wife has went to one like, four or five times, and they always either disbelieve her or treat her less seriously I'm assuming bc she's a woman. One of them diagnosed her serious stomach pain as indigestion and then a few hours later at work she had to go the hospital. Apparently a cyst burst! everything in the south is actively useless and a scam, particularly if you are a woman.
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Oct 18, 2021 03:24
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RFC2324 posted:everything in the south is actively useless and a scam, particularly if you are a woman. It did come up elsewhere that Americans instinctively associate a cheerful Southern accent with someone trying to scam them.
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Oct 18, 2021 04:36
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RFC2324 posted:I'm glad teleheath is offered as on option now that covid has eased back on the lockdowns, and for some stuff its great. I absolutely think saying "no, I need an in person appointment" is great too, but the fact that in person appointments with my doc take over a month to schedule mean it's not gonna catch anything urgent. I had a 6 month stint at a company in Los Angeles (ended in Feb.) that did everything from comic books to beer to phones and managed to keep the office open during lockdown because they had 2 people (out of around 30) doing their telemedicine thing. Clever.
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Oct 18, 2021 05:09
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SSJ_naruto_2003 posted:The South is actively useless and a scam, at least for women. See, there's your problem.
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Oct 18, 2021 09:07
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Motronic posted:What do you mean by "it"? Do you mean "using a telephone to call someone and speak to them"? Because it seems that those seniors as a general population are a lot better at it than a lot of younger population groups. Video conferencing
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Oct 18, 2021 11:03
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BiggerBoat posted:Video conferencing Not all telemedicine encounters are by video. Also, a video call is that thing they learned how to click on in order to see their grandkids during the pandemic.
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Oct 18, 2021 12:24
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I think there is another technology that is often unusable by sick older people: Driving places
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Oct 18, 2021 12:53
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BiggerBoat posted:Video conferencing I can only hope that, when I am 70, people aren’t being this insultingly infantilizing about my ability to function.
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Oct 18, 2021 13:05
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Baronash posted:I can only hope that, when I am 70, people aren’t being this insultingly infantilizing about my ability to function. Connecting to the metaverse with your implant isn't that hard grandpa!
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Oct 18, 2021 13:10
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MiddleOne posted:And consequently, if you're living with public sector health-care then telehealth is 90% a grift to pillage the public purse. I can't believe that, we've had to go on so many bullshit visits ot the hospital and they cost 40 euros per visit per kid (twins with medical issues). Phonecalls instead of visits have been money savers for us and lost money for the hospital since they couldn't charge us the visitation fee. Some countries might not have that particular piece of shittery though, and it was ok here when it was like 10 euros, but it has ballooned in order to keep the rich peoples taxes low.
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Oct 18, 2021 13:30
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Or reminds me of the sentiment that in late capitalism, every product becomes not only useless but an actively malicious imitation of what it's supposed to be.
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Oct 18, 2021 17:20
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Ghost Leviathan posted:Or reminds me of the sentiment that in late capitalism, every product becomes not only useless but an actively malicious imitation of what it's supposed to be. "I'm sorry, but you can't legally call that garbage ice cream, use something else." * Shoppers at a supermarket * "Ooh, frozen dessert! Let's have that!"
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Oct 18, 2021 17:34
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Mister Facetious posted:"I'm sorry, but you can't legally call that garbage ice cream, use something else." itym frozen dairy treat, thank you.
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Oct 18, 2021 19:36
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Ghost Leviathan posted:Or reminds me of the sentiment that in late capitalism, every product becomes not only useless but an *glances at thread title* FTFY.
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Oct 18, 2021 20:00
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The NYT reports that Nuclear Fusion Edges Toward the Mainstream (You Have Never Heard This Before). Apparently, "Long-shot money is flowing into start-ups that seek the energy of the stars. Driving the investments is a rising alarm about global warming."quote:No one knows when fusion energy will become commercially viable, but driving the private investments is a rising alarm about global warming. Look, I know there's still plenty of serious fusion-related plasma physics research going on around the world but maybe a healthy dose of skepticism would be warranted here since the only novelty here seems to be VC money desperate for returns anywhere there's even a minuscule chance of finding them. I'm pretty sure the DOE spends a bucketload more than $100M on this sort of thing annually.
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Oct 18, 2021 20:18
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Theranos but with nukes
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Oct 18, 2021 20:32
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eXXon posted:The NYT reports that Nuclear Fusion Edges Toward the Mainstream (You Have Never Heard This Before). Apparently, "Long-shot money is flowing into start-ups that seek the energy of the stars. Driving the investments is a rising alarm about global warming." Yeah, this is nothing and really doesn't make Fusion anymore near ready for power generation than it was before.
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Oct 18, 2021 20:40
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It's probably people excited about a successful ignition experiment a couple months back, which is big news but is only step one in actual fusion generation. It's still a long way off.
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Oct 18, 2021 20:53
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fool of sound posted:It's probably people excited about a successful ignition experiment a couple months back, which is big news but is only step one in actual fusion generation. It's still a long way off. And worth noting that the National Ignition Facility isn't really a good model other than maybe testing containment materials, since its mostly aimed at testing Nuclear Weapons models.
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Oct 18, 2021 21:03
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Platystemon posted:Theranos but with nukes Fusion reactors don't cause nuclear-sized explosions if something goes wrong, but yeah it sounds like this is Theranos But Fusion Power The article had me intrigued until I saw the $100m tagline, along with "yeah it's just another Tokamak reactor lol." The amount the USG spends on Fusion research annually is loving shameful (someone share that Fusion Never graph) but this isn't going to be enough to move the needle. The "I'll start the wiki" of the goon version of Fusion Research
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Oct 18, 2021 21:05
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Volmarias posted:Fusion reactors don't cause nuclear-sized explosions if something goes wrong, but yeah it sounds like this is Theranos But Fusion Power Even then most Nuclear fission reactors do not either, its been one of the biggest issues in doing Nuclear Science and Energy outreach is explaining that's not how they work.
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Oct 18, 2021 22:22
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CommieGIR posted:Even then most Nuclear fission reactors do not either, its been one of the biggest issues in doing Nuclear Science and Energy outreach is explaining that's not how they work. has anyone considered that people would like them MORE if they were more likely to go up in a cool explosion?
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Oct 18, 2021 23:13
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