By my algorithm you'd be forced to get another doctor that wasn't a waster or pay more. Okay, maybe it's simple, but it is effective which I can prove with personal experience.
Here's the algorithm:
If ((you can pass your doctor on the street) && (they don't recognize you)){
you = in trouble;
}else{
you = good;
}
Here's the anecdotal proof:
A few years ago life seemed to be really coming together. Happily married, just bought my favorite house in the area, was coding like a rock star and arguably the healthiest person in the office. Didn't smoke, drink or eat restaurant food. Also, was riding my bike 100 k / day round trip to work and getting really into carving out a perfect life putting one good day in after the next.
Like you, my doctor was a tosser but I figured, I'm fine.
A cold snap before Thanksgiving caught me off guard and got a slight chill. No big deal. But spent the long holiday in bed and went to see my doctor on Monday. He hardly looked at me, not tests just said I had strep gave me a mega dose of antibiotics and a note for my boss.
Swell. My neck it did. The pills did nothing. Called and to get another appointment. But just got more pills. I was feeling like crap. Felt like my doctor's nurse wasn't even relaying my messages. It was futile to rely on him so I went into the walk in clinic and saw a physician's assistant. He walked in and saw right away what was what. I saw it register in his eye the second he walked in the exam room after which he just blurted out he could see I had lymphoma. He had to back pedal a bit. Protocol and all. But arranged to have me see a doctor that afternoon.
Went home for lunch and they called from the hospital to see if I could come in sooner. So that could be another calculation, if you wait less time to be seen your fucked. Scratch that, they'll use that as an excuse to extend waiting.
Soon I was diagnosed Stage 4B. They don't say terminal any more. And why should they, you've gotta enough to deal with surgeries. Well they could have done em all at once because my surgeon could see what needed to be done but that's not approved by my apparently top notch insurance.
It just seemed so unreal. One day I'm making back of the envelope calculations from the numbers out of my Garmin that if I kept at it and focused I could be competitive enough to ride the pursuit in the next Olympics in London and then it turns out I just had an unnaturally high red blood cell count that any pro cyclist would covet because I had cancer. Did working out help me? I'd like to think so. Like to think maybe my training didn't get me to the Olympics but allowed me to survive. But maybe it did me in. My fat smoking sister didn't get cancer.
Another data you could use but would require surveillence to gather would be the number of doctors, nurses, cleaning ladies and orderlies who sublty as John Cleese wink wink nudge nudge advise you to not use more than one dose of Fentalyn patch as two would kill you, that's an indication that you might soon cease to be.
Another good data point they might want to focus on is the coincidence of spending a month in isolation because you've got like zero white blood cells and corresponding occurences for getting written up for tasks you failed to complete while on disability. Getting fired for taking too many sick days would be a potential data point to calculate in the algorithm as well.
Here's the thing. What ever happened to duty? I must have been focusing on doing my job and missed it but at some point the word lost meaning and worse is now the new euphamism for #2. I mean what kind of business model is it that puts the burden of performance on the customer? I had never heard of fentalyn before, but suspect that so many people know what it is is because they are as high as the arrogant shites who would abrocate responsibility to fluff up their bottom line long tail be damned.
So maybe my anecdotal data is tainted. I've seen too much. I know first hand the dark truth that for the insurance company it doesn't matter because they reserve the right to deny any and all coverage at any time they please. One click of the mouse and you are on the hook for all the pre approved treatment they no longer approve of. How do these people live with themselves? My boss, he's a minister and says the cancer was God's punishment. Oh thanks for the clarification boss. I am so lucky the big guy added him to my torment. I don't care how much prozac you take. You lead your life like that and by the final act your halucinating knives like Lady MacBeth.
But the data backing up the value of actually providing service and doing ones duty to civility is readily available. But if it means getting off your fat ass and doing your job well, it's just not feasible is it? Much easier to put up a prize to get someone else to stilt the data for you. You want your data points, look up a study called "Million Dollar Murray". It lays out the argument pretty well with real world scenarios and clear dollar savings.
What the study did was identify the people who ran up the biggest bills on the healthcare system at a hospital. And it turned out the majority of all costs were just a few people. One patient alone ran up over a million dollars a year just because he drank a lot and was clumsy. So rather than wait for him to come in to the ER, they put him in an apartment and had round the clock nursing care. This solution which would appear extravagant, saved a million dollars.
So just to clarify my so poignent anecdotal data, I did not kill myself, I was fired for having cancer and thus denied the pogue, UI and / or dole until I was granted a hearing to contest it some six months after the fact. But am also cut off from the health insurance I had paid into all these years and unable to get coverage because I am one big pre-existing condition.
But I carried on. Sold a lot of my bike gear to meet COBRA payments. Studied, applied for jobs many offers were retracted once my boss had a chance to slander me.Although, to be honest, coming into a job interview looking as if you just crawled out of the morgue doesn't make the best first impression. And you know you only get one chance to make a first impression.
But I soon found work once I had a decent resume posted on job sites. Head hunters were eagerly scooting me through security clearance and into positions which is sweet because it's rather humiliating to have to give some wag a copy of your prescription from your oncologist. Yeah, they put it bold text they don't hold it against you. Call me paranoid, but I don't buy it.
And on the cancer, my oncologist said I have it beat. The shit thing is, I got mono dragging my corpse into the office because my boss said it was unfeasible for me to telecommute which makes sense as I spend 95% of my time in my office alone with the door shut coding. And if he let me he'd have to let everyone and already half the staff do so his hands were basically tied.
For him it was a bargain. He could use it to intimidate me and shore up his budget with a little insurance fraud. If I missed work my pay would be docked to the 70% disability covers and I'd be written up for not doing my job. So in order to finish treatment, I'd take that time as "disability" but because work I did at the office after 4:30 to keep from getting written up for being late "didn't count" I'd be putting in 40+ hours many weeks while wasting another 20 at the hospital so he'd be getting me at half the price and literally had power over my life and death. What they call a win/win. And for the record I was the best in the office at hitting deadlines when I wasn't laying around in Isolation.
So I've beat the cancer, but in the process of trying to keep my job I've had mono for the past two and a half years. And mono really sucks. At least with cancer you have death to look forward to. Mono is just pain, pain, and more pain.
Fuck. But actually, this whole post is thus far has been pretext to discuss another interesting data factoid I recently learned: apparently British teenage girls spend on average 3 hours per week on sex web sites. How this is relevant is that I just wanted to brag that I've got that beat in spades. In fact, the past few months I've been putting in a good 80 -100 hours a week on a sex website and getting paid to do it!
How's that for karma? Yeah. Well, okay it's not all that great cause it's actually a site about sick sex stuff.
No I mean the really sick sex stuff: HIV, AIDS. It's a hard job. No not that way big boy. I could whine about the poor architecture of the software I am supporting is but it would more reveal that I'm not yet the rock star I once thought I was. It's the other stats I heard about kids these days: they're having more sex than I did at that age and they don't seem to worry anymore about AIDs or chlamydia or ghonorrea, syph. Heck, there's a television station now called syph. Yet the band plays on.
What gets me is how under funded and pressed any organization that does work, particularly in the face of the data I work with every day. These aren't just numbers or boolean equations. They're human train wrecks plowing through society. My biggest fear is fucking up. I don't want to give those greedy self serving bastards one iota of an argument that it is money wasted. Because it's coming to a theater near you soon. The next wave is going to be bigger than the first. The next wave isn't going to be just fags or spades but a class of people nearly as invisible to the greedy cretins, their very own kids.
But in the end you can either use the data to shield yourself from the humanity or use it to find some answers and the only answer I've come up with is we have got to start doing a better job. Duty is not shit, but shit you've got to do. My anecdotal data suggests that while we think we're golden, it's likely it's just an anomaly of the immune reaction already fighting an unknown we have yet to diagnose. If there's a turd floating in the punchbowl, drinking from the other side of the bowl isn't going to work.
Still, there's only so many unknown knowns we can know. And I hope I'm wrong about AIDs. I know I don't know. But I do know this, if your doctor can pass you on the street and not recognize you, you're fucked.
You can pay me the prize in cash, check or paypal.