Healthcare is consumer product. That is not the issue. The issues are:
- information asymmetry & credence good
- negative selection
- lack of standards
- lack of oversight
Mineralisation of tooth is a constant process with a tug-of-war between pathogenic and protective factors [3:09].
If it's in the balance, of the remineralisation factors prevail, you can stop the progress of the cavity. But deeper the cavity, this is harder to achieve.
> optimize for revenue. I think it's nonsense and even dangerous.
As with everything, there are caveats to the kind of doctor you are talking. The key distinction is that most dentists keep the residual income: the difference between the fixed costs and income. It can be a quite large sum and high % of dentists' earnings. So a dentist has a very strong incentive to increase it. Overtreating patients is the easiest way to do it since increasing the prices is not an option due to competition.
Who isn't keeping the residual income? It's the doctors who work only for a fixed salary. They can't earn more by overtreating. In fact, if they have less work, they are at profit since their salary is fixed. They don't care about increasing the residual income since they don't get it.
We just started doing tests with couple dozen patients for my startup that provides multiple independent dental opinions. It turned out that 80% of people have bruxism.
Yes, we only had less than 20 people so far, so this statistic will likely change. But what was worrying is that they had no clue. Even despite having tooth wear in a very advanced stage.
Finding developers with Blazor focus/experience, seems to have two sides. One is .net developers really want to work on Blazor, and other is that not many have experience. By "choose boring technology" standards, these are both red flags.
However, I wonder if it is more work to implement Vue than Blazor considering my existing stack and that much of app is already developed. Razor pages use the same syntax as Blazor.
I always feel as if Jimmy Fallon is insincere because of his laugh.
You could say that this is an advice that says "Judge people by their cover". If they look like the part, they might be better at looking the part than being the part.
So, in order to do your job of maintaining your health, you need need to do all of these jobs:
1. Learn about the symptoms, diagnosis, and treatment of your health problem
2. Assess the severity of the health problem
3. Learn about the experience of other people
4. Get multiple opinions
While doing all that, you pay for healthcare, which includes all that. You pay a doctor to know no1, do the no2, remember no3. You then pay for multiple of them to do the same.
But then you still get to the point where you have to decide who to believe. And it would be easy if 4 of them say the same thing. You can be pretty sure they are right[1] because statistics. But what happens when they give multiple differing opinions, like here [2].
Some people are unable to control their emotions in stressful situations. You can't really know if someone is outraged by you questioning their authority or by the fact that you clearly don't want to hear the truth. Or by their inability to counter other doctors who woo patients with sweet talk, although obviously doing poor medical job.
Some people can't suppress bad habits like using buzzwords. Maybe they have been taught to use them, maybe they are just too good at what they do to need worry about convincing you. Some people are great actors, and will make you believe they are truly passionate about their job. This is what I am talking about: https://medium.com/incerto/surgeons-should-notlook-like-surg...
Yeah, I would say that good 20% of posts are about anxiety of dentist visits. But what I've seen many more stories about over-treatments. Luckily for you, your dentist didn't abuse your trust.
In the words[1] of @spakhm appointment software for doctors is not a showstopper and definitely not a gamechanger.
I've been researching medical market a lot. There are many reasons why appointment and practice management software isn't a great business. But the number one reason is that it doesn't create a great value for doctors. Patients will still come and use the same doctor, insurance companies will still pay them the same, it won't bring new patients, it will not make it easier for doctor to manage his practice since he still has to have a nurse which does this.
On another hand, it makes it easy for their patients to go somewhere else since EHR need to be completely available to patient. This is an unnecessary risk.