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by slily 968 days ago
You have a point but need to drop the identity politics bullshit. Since when are women "underserved"? Men are far more likely to "tough it out" i.e. refuse to see a doctor when they have symptoms of illness, so by your logic they are the "underserved minority" in terms of gender. Claiming women are disadvantaged in literally everything ever is a groundless cliché. The racial angle may be less false (though not for the reasons you imply) but is still irrelevant to this story.
4 comments

> https://physicians.dukehealth.org/articles/recognizing-addre...

The article uses a survey about personal opinions as the source for its judgement. Right in the first paragraph (emphasis mine):

> A *survey* conducted in early 2019 by TODAY found that more than one-half of women, compared with one-third of men, *believe* gender discrimination in patient care is a serious problem. One in five women *say they have felt* that a health care provider has ignored or dismissed their symptoms, and 17% say they feel they have been treated differently because of their gender—compared with 14% and 6% of men, respectively.

This does not address GP's complaint regarding men being more likely to refuse to see a doctor in the first place. Does patient gender discrimination occur in the medical space? Probably. But nothing in this article addresses GP's claim of "Men are far more likely to 'tough it out' i.e. refuse to see a doctor when they have symptoms of illness".

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> https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2825679/?itid=l...

This journal article discusses gender disparities regarding coronary heart disease (CHD) diagnoses, with doctors believing that their male diagnoses are more confident than their female diagnoses.

Disregarding the fact that the article still doesn't address GP's aforementioned complaint, the sample size used (n=128) is too small to make a firm judgement, with the ideal being at least n > 1000 to reduce potential statistical noise. The study also doesn't disprove the possibility of men being overdiagnosed with CHD.

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> https://www.americanbar.org/groups/crsj/publications/human_r...

This article addresses lower quality of healthcare received by minorities as opposed to white people. No links or direct references to cited studies/articles are given anywhere within the article, and the one time they do reference a source is to a book ("Just Medicine: A Cure for Racial Inequality in American Healthcare (2015)"), with no page citations to the aforementioned book made in the article. This article also doesn't address the GP's complaint at all.

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Personal opinion:

This type of shotgun-style link posting is a variant of the Gish Gallop, wherein the link poster forces participants to "do the research" via the cited links, only to waste their time by not directly addressing the concerns and complaints of the parent comment.

AaronM, at least spend a few minutes to find articles supporting:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6560804/

https://archive.is/fF4ND (Source: https://www.nytimes.com/2023/03/03/well/live/men-doctor-visi...)

https://www.cdc.gov/nchs/data/series/sr_13/sr13_149.pdf (page 17)

And opposing GP's claim:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3104816/

Women weren't even included in medical trials until the 70s[0].

[0] https://www.theguardian.com/lifeandstyle/2019/nov/13/the-fem...

"Underserved" here means that when they see a provider, they are less likely to be taken seriously; not that they are less likely to see a provider.

For example, while men may be more likely to "tough it out" of their own accord, a black woman describing her symptoms is much less likely to be taken seriously.

Are they being taken less seriously when they have serious health issues, statistically? I'd like to see some data on outcomes, life expectancy is the best datapoint I've got and men are clearly disadvantaged there. If women are more likely to seek health care early then it makes sense that more of them don't actually need it, i.e. are "not taken seriously". Maybe there's "collateral damage" but I've also not been taken seriously as a male so I certainly can't agree that it's unique to women and I'll need more than anecdotes to believe that there's a gender discrepancy.
Dude here. If you talk to women about their experiences with doctors and -- and this is important! -- actually listen you'll find that they're very different than ours.
I've gone to appointments with my wife and have had to repeat what she's told the doctor to have them even pay attention. Then ask, what's the protocol to handle this? because while they listened, they weren't reacting.

She had to ask me to go with her because they weren't helping. And finding another doctor to go to would have taken weeks/months.

I have a hard time taking self reports seriously particularly because identity politics are in vogue and that means a lot of people are eager to portray themselves as oppressed characters. I've spent time in clinics, hospitals, and ICUs, and have experienced condescension, not being taken seriously, being kept in the dark about my own health, etc., likely because I'm not very assertive by nature (as a male of course). "Just believe women!" is another example of bullshit identity politics and I don't think it's proven to be a good attitude since it became a catchphrase with #MeToo. Sorry if this comes off as blunt/rude and of course I sympathize with anyone getting mistreated by physicians but I really don't believe that women are disadvantaged in health care today, however if you have evidence that women have worse health outcomes due to mistreatment then I'd like to see it. Otherwise I'd rather trust my own experience and the data that I'm familiar with (e.g. life expectancy).