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“for the test, assume everyone is compliant and has insurance”
when taking tests is the central action in medical education, we learn to treat Perfect Patients. the ones with shiny health insurance, transportation, wifi, paid time off, and homes in walkable neighborhoods
when taking tests is the central action in medical education, we learn to treat Perfect Patients. the ones with shiny health insurance, transportation, wifi, paid time off, and homes in walkable neighborhoods
real, struggling, flawed, human patients aren’t slick enough to make good test questions so they’re afterthoughts in medical education. relegated to the “social determinants of health” lectures and the “dealing with difficult patients” simulations and the “ethics” questions
imperfect compliance and access aren’t fringe cases!!! this is what healthcare looks like when our systems are this broken!!!
i want to know: what meds are safer to prescribe for patients who might suddenly drop off of treatment due to lack of access? what does withdrawal look like in the days between the last pill they could afford and the first pill of their restarted treatment?
what is more devastating than knowing, in theory, the perfect drug to treat someone’s illness but learning their insurance won’t cover it and they would lose their house trying to pay for it out of pocket?
