Teal Lantern wrote: Thanks for the link, Doc. Interesting info.
In my area, years ago, we had a few popular doctors taken down for running "pill mills". All fun and games until some derp o.d'ed on a 'script.
For that and other reasons my antennae have been a bit twitchy about big chunks of the health care industry.
And that's fair enough- there's plenty of bad individual docs running about out there, both of the traditional and alternative med variety. Poor prescribing and pill mills have created the opioid epidemic, for instance. Then there's rehab clinics that cost literally thousands per month to get you off of opioid afterward- heard about one guy that was charging $500/week PER PATIENT to treat opioid addicts with methadone or suboxone- that's just ****ing untenable. But most doctors are just kind of in the middle of everything, trying to do the best with the guidelines and research we've got. A lot of the time, that research is incomplete, because that's just how science works, our the guidelines change because we find an even better way to do things. We're kind of in the infancy of medicine still- evidence-based medicine has only been around for just over 100 years, and we didn't even get antibiotics until the second world war- do things aren't quite perfect yet.
But there's some systems that are very difficult to corrupt, organ donation bring one of them. The reason for that is the nature of the process, and how many people are involved. You need several nurses, respiratory therapists, neurologists, intensive care physicians, and surgeons along the way to make the process happen, and only after all of these people (all of whom stand nothing to gain from the process) are 100% sure this person is braindead (even if one person objects, the process is halted), no organ recovery occurs. And you don't need to just be severely brain damaged- you need to be full-on no brainstem activity brain-****ing
dead.
Now how hard life is for the organ recipients, that's a story for another day. You may get a few more years, and that's a wonderful gift, but you're basically living life in a similar state to an AIDS patient the whole time, and those organs need to be swapped out every 5-10 years, on average. Hopefully we can finally get the whole lab-grown organ thing figured out in the near future so this whole thing isn't needed anymore and people needing new organs can have a decent quality of life.