I don’t trust doctors. Why not? That’s not the not-so-rhetorical question that should be asked. Well, how could you? That’s the question! Really, how could anyone trust a doctor? After all, doctors are humans, and according to Alexander Pope, “to err is human.” The second half of the proverb is ”…to forgive divine.” Maybe if a person’s car is accidentally damaged, she can easily invoke her inner Clementia, but when you needlessly injure that person’s most important asset - her self, her body – it’s much more difficult to be divine.
Maybe I know too much. From professional and personal experiences, I have learned that trusting doctors is akin to trusting a car mechanic. If one goes to a mechanic knowing nothing about cars, they should prepare to come away knowing more about P.T. Barnum (or whomever said his most famout line). One really wants to completely believe the oil-and-grease-covered-my-name-is-Jim mechanic when he says you need four new tires, new rotors, pads, calipers, and an alignment, and if you don’t get it done right now, your car will blow up - but one shouldn’t. (Funny how just like doctors, mechanics have their names embroidered on their smocks. I can’t think of another profession where this is so commonplace.)
So why shouldn’t the same healthy cynicism apply to doctors’ orders? No one is going to deny that Jiffy Lube or Meineke are businesses out to make money, so why should anyone say physician practices are not the same? Unfortunately, in most minds, they are not. And that’s sad and very scary. Medicine is a very money driven business, dominated by the large, publicly traded pharmaceutical companies and surgical supply companies. Though doctors are purported to follow the Hippocratic Oath as a moral guide, the oath fails to mention anything about conflicts-of-interest.
Doctors are out to make money. But heck, who can blame them. Most medical specialties require a total of eleven years of formal schooling – undergraduate (4), medical school (4), residency (3). Those are many years of toil and stress, and I am sure most physicians feel they should be handsomely (monetarily) compensated. And I agree. But we, the public, should know that. We should know that doctors, like most working people, are out to make a dollar - and that every prescription, every referral, every procedure, every surgery is potentially tinged with green. A doctor’s best interest nor only interest is not our health. The public should be warned and advised: question everything. Don’t believe the first opinion, nor the second opinion. Do your own research. Trust only your intuition and your body’s own feedback. (Do I actually feel better? Does it still hurt?)
Are all doctors so mercenary? No. But neither are all snakes poisonous - doesn’t mean I want to be bitten by one. Is there a solution to this? Yes. Publicly finance doctor’s education. The same way West Point pays for an Army officer’s education, then requires years of public service – let America educate doctors for free, then guarantee a good salary and job security in exchange for their career as a public servant. If we remove the six-figure-debt-ridden doctor from the hospital, we remove much venality.
Tax-payers might say this is unfair, whey should we pay for doctor’s education? Should we pay for lawyers’ too? Accountants’? No – we know those professions are businesses, no one takes that for granted. If America fails to do something about the health care crises, everyone is liable, everyone is at risk. Why not start from the top-down, rather the bottom up? Start with the doctors, and then the trickle-down effect will change everything. Less physician venality equals less insurance fraud, fewer extraneous procedures, fewer overpriced, brand-name drugs prescribed, and so on. It’s a start. And it’s better than Socialism.




