It’s not a dumb talking point at all. The wait times are massively important as they are your actual access to said healthcare.
You do not have access to any healthcare if the wait times are so long that by the time you see the doctor you are iether recovered or dead.
The issue with wait times are multifaceted and can’t be fixed by switching to a different payment scheme. It has to do with hospital admin that cut costs at every opportunity. It has to do with the ACGMEs stranglehold on the amount of new doctors getting a medical licence comming in. It has to do with how few doctors are going into the lower paying specialties.
Wait times are different depending on the area, the procedure, and necessity but they are also so what based on luck.
Go into an ER because of a heart attack on a slow night and you get immediate treatment. Go in with the same issue on a busy night when they just had 3 GSWs dropped of at the ER doors, a cardiac arrest In progress, a CVA, and 5 psychs all in the ER right now. Not to mention a handful of incoming ambulances, and you will get the same treatment but much slower.
You spend a few hours in triage then finally get a room inside. Another twenty minutes before a nurse sees you. Another hour before a doctor. They run an EKG and labs in the meanwhile. You are having an NSTEMI.
After you get out of the ER. You spend a day in a hospital room for observation. They didn’t really do anything but you are feeling a bit better on your own. They tell you, you need to go to a cardiologist.
The hospital tried to find you one to transfer you there directly, but no cardiologist within 250 miles has any opening so they spend a few days looking and nothing comes up. You get discharged. You still need to see a cardiologist.
You call around and find which ones are covered by your insurence. You call their offices and they say they are booked out for 4 months. But you can be put on a wait list. There are only 20 other people on the wait-list before you. Maybe you will get lucky.
You where not lucky. 4 months later you finally get seen by the cardiologist. They discover that you now have left sided heart failure which could have been avoided if you just saw them sooner and got a stent placed. Now you are diagnosed with CHF which you will struggle with for the rest of your life.
Now you have to get regular checkup with your primary care provider but also with th cardiologist to keep an eye on things. You make sure to call 4 months in advance because that’s how far out they are booking appointments right now.
You have an appointment comming up in only a month, but your realy not feeling well. You are worried that it’s your heart again. You can’t seem to catch your breath and your body feels slow and heavy. You call your primary care doctor and they say, no we can’t see you. You have to go to the ER. You go to the ER. They run an EKG and basic labs. Everything comes back ok. Your ER doc says nothing I can do, go see your cardiologist.
You call your cardiologist and they say appointment in 3 months but if it gets worse, go to the ER. You call your Primary care and ask if they can move your appointment up. They say no. And they canceled your next appointment when you called because you where going to the ER so they figured you didn’t need it. The slot has already been given to someone else. But they will squeeze you in asap. Appintmet set a month from now.
This is the cycle that people live and die in.
Time matters. In an emergency, but also in routine daily care. Sure everyone makes appointment, but the problem is there are no open appointments for months.
If I get the flu and want to see my primary care provider to get diagnosed and get some antivirals it will be at minimum 2 weeks before I can see her. That’s the closest appointment. By then I don’t have the flu anymore and it’s pointless. What if I was old and unhealthy and that flu nearly killed me? Now I go to the ER and tie up emergency resources all because I could not get in to see my normal doctor.
It’s not a dumb talking point at all. The wait times are massively important as they are your actual access to said healthcare.
You do not have access to any healthcare if the wait times are so long that by the time you see the doctor you are iether recovered or dead.
The issue with wait times are multifaceted and can’t be fixed by switching to a different payment scheme. It has to do with hospital admin that cut costs at every opportunity. It has to do with the ACGMEs stranglehold on the amount of new doctors getting a medical licence comming in. It has to do with how few doctors are going into the lower paying specialties.
Wait times are different depending on the area, the procedure, and necessity but they are also so what based on luck.
Go into an ER because of a heart attack on a slow night and you get immediate treatment. Go in with the same issue on a busy night when they just had 3 GSWs dropped of at the ER doors, a cardiac arrest In progress, a CVA, and 5 psychs all in the ER right now. Not to mention a handful of incoming ambulances, and you will get the same treatment but much slower.
You spend a few hours in triage then finally get a room inside. Another twenty minutes before a nurse sees you. Another hour before a doctor. They run an EKG and labs in the meanwhile. You are having an NSTEMI.
After you get out of the ER. You spend a day in a hospital room for observation. They didn’t really do anything but you are feeling a bit better on your own. They tell you, you need to go to a cardiologist.
The hospital tried to find you one to transfer you there directly, but no cardiologist within 250 miles has any opening so they spend a few days looking and nothing comes up. You get discharged. You still need to see a cardiologist.
You call around and find which ones are covered by your insurence. You call their offices and they say they are booked out for 4 months. But you can be put on a wait list. There are only 20 other people on the wait-list before you. Maybe you will get lucky.
You where not lucky. 4 months later you finally get seen by the cardiologist. They discover that you now have left sided heart failure which could have been avoided if you just saw them sooner and got a stent placed. Now you are diagnosed with CHF which you will struggle with for the rest of your life.
Now you have to get regular checkup with your primary care provider but also with th cardiologist to keep an eye on things. You make sure to call 4 months in advance because that’s how far out they are booking appointments right now.
You have an appointment comming up in only a month, but your realy not feeling well. You are worried that it’s your heart again. You can’t seem to catch your breath and your body feels slow and heavy. You call your primary care doctor and they say, no we can’t see you. You have to go to the ER. You go to the ER. They run an EKG and basic labs. Everything comes back ok. Your ER doc says nothing I can do, go see your cardiologist.
You call your cardiologist and they say appointment in 3 months but if it gets worse, go to the ER. You call your Primary care and ask if they can move your appointment up. They say no. And they canceled your next appointment when you called because you where going to the ER so they figured you didn’t need it. The slot has already been given to someone else. But they will squeeze you in asap. Appintmet set a month from now.
This is the cycle that people live and die in.
Time matters. In an emergency, but also in routine daily care. Sure everyone makes appointment, but the problem is there are no open appointments for months.
If I get the flu and want to see my primary care provider to get diagnosed and get some antivirals it will be at minimum 2 weeks before I can see her. That’s the closest appointment. By then I don’t have the flu anymore and it’s pointless. What if I was old and unhealthy and that flu nearly killed me? Now I go to the ER and tie up emergency resources all because I could not get in to see my normal doctor.