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by froo 3759 days ago
In respect to outsourcing our health to doctors, that is for very good reasons. People are shown to be completely deficient when trying to look out for themselves in this regard.
4 comments

A doctor can't keep you out of dangerous situations that are hazardous to your health. They can't exercise or watch your weight or quit smoking or take your medicine for you. They aren't there to notice the first symptoms of a disease. And you'll get worse results if you don't describe your symptoms accurately.

Of course they'll still do the best they can for people who don't do any of these things, but people who take care of themselves (or have other people - amateurs - to advocate for them) are going to get better use out of the medical system.

People are shown to be completely deficient when trying to look out for themselves in this regard.

jacobr1 is completely right thought, YOU have to take ownership of your health situation. No one can do that for you. Your doctor has hundreds of patients to think about, and only so much cognitive energy available to burn. How much time per month does he/she spend thinking about you specifically? And note that your GP/PCP is likely not up to date on all of the cutting edge research coming down the pike. I'm sure they take their continuing education credits as required by the AMA or whatever, and some probably read a few journal articles and what-not, especially in an area of particular interest. But if you have some uncommon condition, do you think your doctor is on pubmed all day researching every study published on your condition, looking for that one extra bit of knowledge that might make a huge difference. Nah, they're playing golf. Or playing with their kids. Or any of the myriad of things normal people do when they aren't working.

And what if you have, FSM forbid, two (or more) doctors. Maybe you have a GP and a cardiologist or an endocrinologist you see. Who's responsible for noticing and directing attention to conflicting instructions between the two? Who's responsible for making sure each knows about all the drugs you're prescribed by the other? Etc? Yeah, you are.

Of course lay people shouldn't try to be their own doctor, but saying that you have to take responsibility for your health care is totally accurate.

You still need to take overall ownership. Get second opinions. Do some research on use that not as the basis of making some sort of self diagnoses, but as to have a frank discourse with your doctor on your condition. Prevent the need for acute treatments by taking preventative measures that have broad scientific consensus (good diet, exercise, safety equipment, etc...). Do you have a living will and advance directives? Check to see if generic prescriptions would save you money. Proactively ask about different drug formulation if you anticipate or identify side-effects. Get justification for suggested remedies. Ensure your records are transferred or up to date when changing providers. Proactively inform your doctor of family history or environmental conditions regardless of any relevancy you expect - let them make the call but give them all the data. Research providers and providers networks, not just for expertise, which is really hard to judge, but for things like: If I call on the weekend who picks up? Your GP on her mobile? Whoever is on-call? A nurse? A referral service from the local hospital? It is wise to outsource expertise you don't have, but not management of that expertise if you can avoid it.
For an alternative view, read Nassim Nicholas Taleb's "Antifragile" where he writes about iatrogenics.