IMO This is a deep-seated cultural problem. Specifically the overtly litigious corporate culture that exists in the US creates systems that are inherently flawed and tend to be abused. The idea that every misfortune is subject to multi-million dollar lawsuit settlements led to such modern 'innovations' as the 700$ epinephrine auto-injector.
There is also a rash of arrogant cretins impersonating doctors across the US. Midlevels (NP, PA, DO) are a serious danger to patient safety in the US healthcare system. This is basically McDonald's medicine and relegates the MD to a manager of nitwits. Essentially, going to an ER with an emergent problem today is rolling the dice.
Imagine going to a hospital or clinic, only to never be seen by a doctor. Many times the patient will not know they are seeing a midlevel because they use vague terms like 'provider' to refer to themselves.
Few procedures in medicine are both diagnostic and therapeutic. Endoscopy is one such procedure. A GI surgeon will have all the knowledge to deal with any implication or complication should it arise. Today, in many places, mid-levels are allowed to perform endoscopic biopsies (without treatment) resulting in repeat surgeries($$$) to the patient.
There is also a rash of arrogant cretins impersonating doctors across the US. Midlevels (NP, PA, DO) are a serious danger to patient safety in the US healthcare system. This is basically McDonald's medicine and relegates the MD to a manager of nitwits. Essentially, going to an ER with an emergent problem today is rolling the dice.
Imagine going to a hospital or clinic, only to never be seen by a doctor. Many times the patient will not know they are seeing a midlevel because they use vague terms like 'provider' to refer to themselves.
Few procedures in medicine are both diagnostic and therapeutic. Endoscopy is one such procedure. A GI surgeon will have all the knowledge to deal with any implication or complication should it arise. Today, in many places, mid-levels are allowed to perform endoscopic biopsies (without treatment) resulting in repeat surgeries($$$) to the patient.
https://www.midlevel.wtf/ This site is made by dissident American physicians