HEALTH CARE THROUGH THE EYES OF A SORGHUM PHYSICIAN
Looking at the number of patients at each stage of treatment, at the gigantic needs in the field of healthcare, I ask myself why this is the case? Why are there so many patients? Or maybe there are not enough doctors? Maybe I have a bad idea of the doctor-patient relationship?
When I think about this in more depth, I see at least a few reasons for this. In general, they are all caused by the lack of correlation between the premium paid, the state of health, the probability of illness, injury and risky and pro-health behaviors. All responsibility for the state of health and the associated costs are transferred to the state. The patient simply does not cost anything. I put together these main reasons, in my opinion,
No money. The first and the most important one, from which all the others result. Of course, with such a system, each amount will be too low. The problem is that there is no bold politician who says loud and clear: A WORK – just as you can’t expect to receive a sports car, yacht or plane for free, so for the same reasons, you can’t expect the state to pay 100% of the cost of treatment in any case.
Abuse of medical assistance. The elderly and lonely want to be in a hospital for two reasons: they save on food, medicines and the media, and they have someone to talk to. Using an ambulance instead of a taxi or a wheeled clinic, queuing up for specialists “on stock” or for a salary to resell a place has become the norm. If someone on the western side of the Oder River or on the northern side of the Baltic Sea has a cold, a temperature or a headache, then NAJPIERW takes medication, and if it doesn’t help, goes to the doctor’s office. A Pole from Napier goes to a specialist. A GP is treated as a referral writer. Staying in the hospital is a way to “test” yourself.
Too few cares and treatment facilities, geriatric facilities, and hospices. A traceable number of community nurses and home helpers in general. I estimate that nearly 30% of admissions to hospitals (up to 50% in internal wards) are due to negligence in the care of chronically ill and elderly people.
Diseases “at your own request”. People who disregard medical advice and lead to complications such as obesity, smoking, alcohol abuse, taking no medication, failing to take prophylactic tests, not wearing a seatbelt, not wearing a helmet, not adhering to health and safety rules, etc. are treated on the same basis as everyone else.
Insurance fictionality. The patient has no influence on the money he has to pay in the form of health insurance. In theory, everyone has equal access to benefits and the whole treatment for free. In practice, those who pay the largest contributions anyway do not benefit from the public health service, because to put it colloquially, they ‘cannot push’ and prefer to pay extra. Those who do not pay contributions, on the other hand, are insured by the State. I have also witnessed many times how people from the so-called social margin were insured retroactively, after receiving medical assistance, because they did not even fulfill the obligations required to maintain such insurance.
Waste. Practically at every level of treatment. It is not possible to check what tests and medicines the patient has had so far. This results in the more preventable patients having in their homes kilograms of medicines, diabetic strips and “out-of-stocks” medicines, which are largely overdue. Some people are able to go to several doctors with one illness within 2 days (PCP, NPL, SOR, Clinic) and have the same tests and prescribed several prescriptions.
No guidelines. In the absence of these, it is still unclear what tests must be carried out and when, when, and when they should be admitted to hospital. Everything is based on the intuition and experience of the doctor. Therefore, the majority of hospital physicians perform all available examinations in order to avoid suspicion of negligence (the best example is to perform x-rays in trivial injuries). The same is true for antibiotic therapy (especially in children) – under the pressure of parents, which is written down to almost every child, regardless of whether there are indications or not. And usually without an antibiogram!
Lack of educated staff, too few specialists. The best example is a medical rescue.
Medical rescuers – an ambulance is used by someone who hires at a lower rate, and it doesn’t matter what they die of. There are no mechanisms in place to promote those with experience, knowledge, and skills. The result: Unbelievable, young boys ride right after school as team leaders, often deciding on their human lives. Their understanding of medicine is purely theoretical. They are only just learning the profession. It is like putting a young driver in a cruise bus right after he has obtained his B license.