Oddbean new post about | logout
 Primary Care doctors need to start considering Career Plan B right now. 
The sentiment below is widespread, growing and will not go away.  Add to this LLM’s improving by the day and the time is coming very soon where primary care MD’s will be superfluous…
https://m.primal.net/LVCV.jpg 
 I feel the exact same way 
 Semi-related: I used to get personal training and attend CrossFit classes, but now I use phone apps for workout programming at my home gym. I do miss the motivation and form correction that trainers and coaches provided, but I figure they too will have AI equivalents that don’t cost $200+ a month for eventually. 
 Misaligned incentives.

Primary care doctor's have been trained by a system that has been co-opted by big pharma and the insurance industry. 

As a result, doctors are rewarded (kickbacks) by prescriptions they write, not healing success rates.

They are simply drug dealers at this point. Sadly hippocratic oath means nothing now.

#optout 
 I don’t have a primary care doctor.  Haven’t had one in years.  I’m not likely to get one either. 
 We run a online telemedicine service in South Africa 🇿🇦, providing primary care to many unreached and disadvantaged patients. 

Dr SimphiweGPT was built to be an AI assistant with the knowledge base of our local protocols, guidlines and ethical practice. 

Every week the clinicians learn more, especially in things like dermatology, but also help to point out small errors or misunderstandings by the AI and help to adapt the response to a specific individuals situation. 

This is a win win because MD’s upskill significantly and patients has better outcomes at lower cost. 

Healthforce.io 🩺 https://image.nostr.build/51f9f08d66951a269a18f65d100af063486f10834825a0ac195e683591b836a8.jpg  
 Is Bitcoin accepted as payment for services? I’m trying to identify forward thinking health services that accept BTC. 
 Yes 🩺 
 On the Kena App it’s in the Road map for Dec /Jan 
Badger 🦡 
 That’s awesome!  I’m working on some long form writing on Bitcoin and Health.  I’ll be keen to reach out in the new year to highlight what Healthforce is doing should you/ the organization be interested. 
 Yeap. Not talking to doctors and dentists any more. They are indeed all full of shit. 
 Small town.  My PC Dr. for 30ish years was my best friend's dad.  

As I got older and the internet arived, I'd just show up for my appt and tell him what was wrong and how to treat it.  He would ask a few questions to confirm or offer minor adjustments to my thoughts/plans and I'd get pretty much what I knew when I came in.

I was my own Dr. and I interned under him.  But we had a good relationship beyond professional.

That's what I think Dr.foshould do most.  "Let your food be your medicine and you're Dr. your teacher."  That's pretty close to the original I think. 
 ...prayerfully before the much-needed indigenous wisdoms required are sanitarily bunker-busted into oblivion. Mask off awakening. 
 Absolutely true...good advice