this post was submitted on 08 Oct 2025
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Yeah, as a German, the quality of care isn't necessarily that great (though I never experience the US healthcare system to compare). Many European countries have been heavily cutting corners in the last 1-2 decades. I've been to several doctors who, after waiting like 3 months for an appointment, have been practically useless. "I tried nothing and I'm all out of ideas" kind of shit, and for several different issues. They're fine with simple/obvious stuff, but once it's slightly difficult to figure out or any kind of mental health issue you're pretty much just going there to be able to tell your employer that you're trying, and maybe get lucky with medication.
I'm sure there's levels of competency, but it seems a large part of the failure of the US healthcare itself is when doctors have to try and convince the insurance corporation that they do have education and experience and the procedure or medication they recommended to help someone is valid. As if the insurance company knows better and is trying to protect the patient... right.
Prior Authorizations as an idea, are just the insurance company playing doctor. They should be illegal, the company doesn't have a medical license.
The insurance companies do have doctors on staff though. They're just incentivised to deny everything lest they get fired.