General Discussion
In reply to the discussion: A nightmare that doctors overwhelmingly choose to avoid when they die themselves [View all]OrwellwasRight
(5,312 posts)But I don't understand your post. First you say doctors don't make decisions, they just do what patients want. Second, you say doctors decide what care you do and don't get. So I am not sure what you really mean.
What I mean is that doctors can and do recommend pointless treatments that are unlikely to work -- and patients are often incapable of making decisions and the sad families don't know better than to say yes, when all the doctors are doing is prolonging pain and running up the bill. Yes, people should have advance directives, but many don't. So people should have to be subject to ventilators and feeding tubes and chemo therapy and radiation treatments that won't work simply to punish them for not having an advance directive? I say no. Doctors should not be paid fee for service, as it only incentivizes quantity of treatments, not quality. Instead they should get paid for quality of care, and not be allowed to be paid when they recommend bad, expensive treatments with low chances of success that don't work.
To me, providing care is not the same as "developing cures."