Ask HN: Is there a Sherlock Holmes service for finding the best medical care?
2 comments
Interesting idea. I wonder however, would all roads lead to "Rome"? In other words there might be a very small percentage of doctors that are good enough to actually cure problems in their field.
Maybe it can be a Doctor to Patient Marketplace model coupled with a service for verifying how suitable the medical provider is for your needs.
Finding proper medical care in the U.S. is probably the worst experience in life. I think healthcare insurance companies intentionally make it obtuse because they don't actually want you to get medical care. After all, they're a for-profit business.
I have severe chronic pain in my leg from a sports injury. The process of finding medical care worked like this:
1. Visit primary care doctor about specific symptoms (chronic pain).
2. Doctor can't figure it out, refers me to specialist.
3. Specialist can't figure it out, refers me to another specialist.
4. Repeat step #3 a couple more times.
5. Specialist refers me to "Pain Management" clinic. I am now on pain drugs for the rest of my life, instead of actually, you know, fixing the problem.
Ideally, #2 or #3 results in a diagnosis and treatment that yields positive results.
In my case, every doctor I encountered did not have the domain knowledge, experience, or skills to solve my problem. In a city of hundreds of providers, it's not surprising this can happen. Specifically, every doctor I met had little to no background in sports medicine and most of their patients were elderly and not athletes. I needed a sports medicine specialist, a physician who treats professional sports teams for example.
Long story short, after a lot of research and reaching out, I eventually found a sports medicine provider who specialized in injuries of my nature, and they were able to get me on a path that has resulted in an actual diagnosis and treatment plan.
But fucking hell did it take forever (14 months after first symptoms). I'm not trying to dirty physicians, but like any other profession, I'm not naive enough to think every physician knows how to solve every problem just because they got a medical degree. They may simply have never encountered your problem before and don't know how to fix it, or don't know who to properly refer you to, or hell -- they're just bad doctors. Every field has bad people at their job, doctors sure as hell aren't exempt.
Enter Sherlock Holmes. Or, a more apt medicine analogy: House from House M.D. Fictional characters that solve mysteries in short order because of their amazing knowledge and observational skills far beyond the average person.
Imagine a company that is Sherlock Holmes. You have an injury, but instead of going through the nightmare yourself of finding a medical provider, you go to this company and pay them to investigate and find you the most suitable medical provider.
The above process becomes:
1. Go to company and explain my situation and symptoms.
2. Company investigates all providers in my area that are best suited to diagnosing and treating me. Company would actually reach out by phone or email and aggressively determine the expertise, background, and qualifications of each provider for treating and diagnosing my symptoms.
3. Company contacts me and gives me their ideal provider candidate. I contact provider and setup an appointment.
4. I get diagnosed and treated. Fin.
When and how this company gets paid I don't know, perhaps before they investigate, or perhaps after.
Still, I sure as well wouldn't hesitate to spend hundreds on such a service, considering I've spent at least $10k in time/energy/money trying to find proper medical care myself.