26 thoughts on “Are we in the Hunger Games? A great column by Glenn Reynolds

  1. I read your comments with great interest. Let us suppose that western medicine had long ago chosen to focus on health instead of disease. IMAGINE… Less obesity, less heart disease, less cancer, less diabetes. Wow…but…perhaps that may put you out of the business in which you are most comfortable…treating illness…lpergorming surgery, prescribing drugs…greatly aided by a blossomimg pharmaceutical lobby….wow….IMAGINE…. Something different….where doctors make money by contributingnto health….IMAGINE….not been done yet in this country…but paradigm shift is begging for it. Will you be in the forefront?

    • Brenda,

      That would have been wonderful! Of course, it wouldn’t have eliminated disease or injury. I am an emergency physician. Let me repeat that. I am an emergency physician. I encourage wellness, but all the wellness talks in the world won’t help when you or your loved one are dying of pneumonia before me, dying of an MI, gravely injured from a car wreck. Was that a bad choice for me? I have saved a bunch of lives. But maybe that was only my greed motivating me. Or a drug rep.

      I hear what you’re saying, but perhaps I’m not in the best specialty to attack about focusing on wellness. Maybe if would help if all of my colleagues simply opened offices focused on wellness. Then we could make an impact. But what would happen to the sick and injured? Please direct your frustration in the right direction.

      And before you take your diatribe too far, please know that pharmaceutical reps almost never come to emergency departments, because we prescribe cheap drugs like short courses of antibiotics and pain pills. And we often do it to people who will never pay anything for their care, due to lack of money or insurance. But thanks for thinking the worse. It’s exactly the sort of thing that will change medicine for the better!

      Maybe you should lobby to just fire all of us, or fine us, for our neglect and clear-cut, murderous greed. Get rid of the lot, and find lots of young, fresh, caring people who went into it for the right reason. Wow! Imagine! Those students would help people for free! Wow! I mean, their loans and long hours (well, with better wellness, they might not have long hours) wouldn’t require any remuneration with money. They’d just talk to you for hours about diabetes for free. Imagine! Guess what? You may get your wish! The exodus from medicine is just beginning. So good luck finding a doctor. But imagine, all the old greedy ones who only love money and don’t care for human beings at all will be gone. Wow!

      PS Do you want me at the forefront of wellness, or in behind the ambulance doors of the ER at all hours of the day and night?


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