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Shit About Healthcare

Sharon Ng

Real shit about the healthcare system, from a real doctor’s perspective.

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Substack
PricingOnly free issuesPublishesDaily
Issues14Founded4 years agoLast Issue4 years ago
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Latest Issues

Secret #11 Doctor pay is not the reason why healthcare is so fucking expensive.

I’ll just give you two reasons from my experience, although it’s much more complicated than this.

Reason #1: The explosion of middle-management people between you and your doctor and above your doctor that need to be paid. I include insura...

4 years ago

Secret #10 “Free unlimited portal messaging” is just a marketing tactic to get your business.

When you see this empty promise, just know the company is just generously donating your doctor’s precious personal time to answer portal messages. Your doctor is slammed seeing patients all day. How else are they going to answer everyone’s...

4 years ago

Secret #9 Your co-pay exists to deter you from booking frequent appointments, not to pay your doctor.

Insurances love to collect your premium, but they don’t love for you to actually use medical services, spend their money, or hog up appointments when there’s already not enough to go around.

I don’t know where all the copay money goes, bu...

4 years ago

Secret #8 The appointment line will never tell you when you’re being double-booked.

All the person at the other end of the appointment line sees is an open slot available, without knowing there’s a twin appointment booked. Clinics commonly double-book certain slots to minimize revenue loss, in case someone no-shows. Your d...

4 years ago

Secret #7 Your PCP may be forced to carry a panel size as enormous as 2700 patients, or more.

I’ll help you with the math to see why it takes so long to get an appointment.

Let’s say, conservatively, just 5% (135 patients) of Dr. X’s panel need to be seen at any given week. Dr. X only has 99 appointment slots per week. (Seriously,...

4 years ago

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