I have watched the debate over hydroxychloroquine (HCQ) with interest and amusement. Watching has been like watching two people who don’t realize it, are speaking two very different languages to each other.
If he average American understood how insurance plans, they would likely lineup the presidents of those organizations, and shoot them/ Luckily, we seem to be more civilized than that!
But one thing that all Americans should not deny is this: the system doesn’t work like Marcus Welby anymore. Instead, healthcare is driven by COST, not PATIENT CARE. A lot of that has to do with our obsession with the cost of care, and the quality. As a result, the more generic care is, hospitals and providers go out of their way to look more at the efficacy of large cohorts rather than truly individualized care.
Look at electronic medical records/electronic health records. They are used by every doctor worth a damn, because they are a much better way to give us an insight in to into our own health. BUT they are driven by the “critical care plans” devised by health care plans that direct the majority of care in our system.
You probably see the same as you need less-generic care and move “up the ladder” towards more specialty. As you pay more, you tend to get more individualized care.
The same is true with research! The CDC, FDA, and the large-scale epidemiologists look for — and in many cases will only accept — large-scale solutions to problems. That is why they want large-scale, placebo-controlled, randomized trials. Meanwhile, many doctors — who are taking an individual approach to care for their patients — are seeing tremendous success.
What is the difference? Two people speaking different languages and not realizing it!
Frankly, the situation calls for a little grace and not retribution. Both sides are desperately trying to save lives. But most of all, we need each side to follow the dictum that ONLY the doctor IN CONSULTATION with their patient can make the final call.
You are your best advocate– be that!