M.S. [What a set of diagnostically related initials!]
Having been on both sides of being in medical support and a customer, it can be said 'WHO YOU ARE DETERMINES YOUR CARE MORE OFTEN THAN THE NEED OF CARE'.
Except for acute conditions, my own availability for primary care was defined by the secular culture encouraged or discouraged by my supervisors. When seen, dentists showed more diagnostic eagerness than the surgeons. I speculate that American medical training is so distorted towards the exceptional ingenue, that the lack of populist pedagogy limits not only the quantity, but narrows the dedication of the pool to those with monetary than humanistic aspirations.
Those who entered with money goals and who don't get the prime internships, residencies or fellowships, they are the ones who go for quantity of service than quality of service. Either as paycheck functionaries or upgraded diagnostics seeking to soak the system to the inconvenience of the patient.
In my case a heart murmur detected in 1967 was not seen until it showed on a cat scan as a abnormal heart structure this past October 5th. Also what was dx'ed in 2011 as primarily PE-DVT condition may have been 2ndary to the heart abnormality.
My '72 draft physical and my mid-'00's complaints at the VAMC Med Ctr of easy fatigue walking up mild inclines never brought to mind these possibilities and diagnostic options. I attribute that to both the pedagogy and the disinterest for anything more than conventional default diagnostics.
If I as a retired veteran get this mediocre care, what about the non-affluent citizens?
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