However, my understanding is that the situation is much, much worse with an HMO (Health Management Organization). In many ways, although being a graduate student puts you squarely under poverty level incomewise, the standard of living is acceptable as long as you don't own a car or pay for cable TV. guaranteed to evoke a violent reaction from police is to challenge their right to "define the situation." --- David Graeber citing Marc Cooper
anyway, I don't generally "go to the vet" unless I am convinced the injury or illness is serious. have probably visited the doc only 3 or 4 times in 15 years. it is not a system I trust; and as the pharmacorps suborn more and more docs, turning them into drug salesmen, I trust it less and less. my experiences with it on the rare occasions when I venture into the waiting room have done little to alter my feelings -- though my GP is a good fellow and I think uncorrupted, his is the last generation of medical personnel who went through the system before near-total corporate infiltration and control of research and hospital management. I don't trust any of the next generation.
in an emergency the system works fairly well. but somehow that sums up the essence of corporate culture: throw money and resources at emergencies in the present moment for quick results -- heroically if need be -- big flashy quick TV-genic results that people will pay big bucks for -- but skimp as much as possible on maintenance and long term investment and the kind of patient low-key effort that helps to prevent the emergencies. more later... The difference between theory and practise in practise ...
Are you blue? have cramps? back pain? joint pain? neural pain? depressed, nervous, a bit shy? -- change your brain chemistry! Take these epilepsy pills! We don't know how or why they work but they sometimes do!!
Paxil for depression and Neurontin for epilepsy are two of the most prescribed drugs. I had a friend who was put on them and it turned out she just needed her gall bladder removed. Another friend on them and it turned out she had a degenerative spinal disease. I could go on and on -- and the docs present these medicines as though they're pain pills of some sort. People don't even know they're taking pills that are designed to alter your brain chemistry or prevent siezures. It's beyond absurd.
Ohhhh, the stories I could tell! Don't get me started!! Maybe we can eventually make language a complete impediment to understanding. -Hobbes