We're so cooked.
Take 1 moment to imagine the enshitification of medicine.
We're gonna long for the days of sawbones and "you got ghosts in your blood. You should do cocaine about it"
this post was submitted on 16 Aug 2025
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Medicine has already been enshitified...
PE initiated take of provider groups in early 2010s.
Consolidation by PE and health insurance parasites is about complete.
Nurse and mid level providers are being pressured. Doctors are next on the chopping block.
Service quality is down across the board and they haven't even started squeezing in earnest.
You would get better service at 2005 McDonalds than at 2025 urgent care ๐คก
What is โPEโ?
Private equity. These are funds admined by fund managers for a fee but the capital comes from high networth individuals.
You have to be a "qualified investor" to even access it.
They are used for risky plays but general play us buy up a market, consolidate it, then start extracting and then exiting for a fat profit. This will generally result in low quality services and business is unsustainable after the extraction.
You prolly participated in markets they ruined. For example the play for sears was about looting the pension fund of the employees. That one was extra nasty.
Good news. The MCAT, USMLE, and board exams are all done in a proctored environment with no electronic devices allowed. Hell, you cant even take a calculator in for the MCAT, so you better be cool with doing Arrhenius Equations by hand.
As far as doctors go you might be able to get through your premed degree with ChatGPT, but you're not going to get 500+ on your MCAT and you certainly aren't passing Step 1 of the USMLE.
Jokes on Future Doctor because we're closing down the hospitals, cancelling the research grants, and taking all the sick people to jail for the crime of being unemployable.
"I'm sorry, but you have Fistobulimia. You may want to put your affairs in order."
"Oh my god, Doc! That's terrible. I came here for a runny nose. Are you sure?"
"Pretty sure. It lists... runny nose, tightness of jaw, numb toes, and a pain in your Scallambra region as typical symptoms."
"I don't have any of those other things and what the heck is a Scallambra?"
"You don't have those? Hmm, let me double-check."
(types)
"Good news! It's likely a type of Fornamic Pellarsy. Says 76.2387% recovery rate by leeching. System's already sent a referral."
Yeah people think all doctors were straight A students thru med school. Ya'd never know if the one treating you right now was a C- muthafucka.
To be fair, just passing med school, even by the slimmest margins, is no easy feat. The idea that a doctor who got D- grades is somehow bad is wrong because they're still good enough to pass an extremely difficult program.
Yeah, I'd be more comfortable with an A+ doctor, but a doctor still graduated from med school, you know?
If you could pick between two doctors, one A student and one D student, you know you'd pick the A student.
But what if the A student was from some sketchy barely accredited medical school and the D student was from Johns Hopkins.
Who do you pick now?
What if that straight A student from Johns Hopkins develops an opioid addiction and becomes an insufferable asshole but can still manages to oversee the Differential Diagnosis Department?
Does he have a cane that I can kick out from under him when he acts afool?
hell yeah
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You also don't know if the guy that got an A was cheating
You also need to realize school ratings does not always represent person's intelligence. Some straight As have turned into nutcases who scream about autism injections
Ds get degrees
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Just allow AIs to write prescriptions. Iโm sure it will be fine.
/s
9001 kg of bananas to be taken rectally
One step closer to Idiocracy.
idiocracy would be a step up from current murica
at least Camacho noticed and hired the smartest guy he found
I really like Harvard's Nutrition Source for science-based nutrition info that's easy to understand.
I have had absolutely terrible luck with PCPs believing my symptoms or looking at them holistically - even just to gat a referral to the right specialist. In this moment AI has been better at pointing me in the right direction than my previous PCPs. ๐คท
This is what people miss. If you've experienced a chronic condition that doctors don't know what to do with, then trying alternatives seems pretty attractive.
I call it the "witchcraft par of my health journey."
Doctors doing this has been a historical issue but it only becoming obvious now that they behave like this, thanks to the internet.
Many doctors view the patient with contempt
"Why are you sitting on your sandwich?"
"ChatGPT said the healthiest way to eat was through the anus."
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To be blunt, if you were to train a gpt model on all the current medical information available, it actually might be a good starting point for most doctors to "collaborate" with and formulate theories on more difficult cases.
However, since GPT and list other LLMs are trained on information generally available on the Internet, they're not going to come up with anything that could possibly be trusted in any field where bad decisions could mean life or death.
It's basically advanced text prediction based on whatever intent statements you made in your prompt. So if you can feed a bunch of symptoms into a machine learning model, that's been trained on the sum of all relatively recent medical texts and case work, that would have some relevant results.
Since chat gpt isn't that, heh. I doubt it would even help someone pass medical school, quite bluntly... Apart from the hiring boiler plate stuff and filling in words and sentences that just take time to write out and don't contribute in any significant manner to the content of their work. (Eg, introduction paragraphs, sentence structures for entering information and conclusions... Etc).
There's a lot of good, time saving stuff ML, in its current form, can do, diagnostics, not so much.
Doctors right now Google or ask chat gpt what they don't know ( atleast the goofling part is good if rather than barking out false stuff )
I'm a doctor and I google all the time. There's nothing inherently wrong with googling the question is what source are you using from there.
4th year med student here: I use Google to find studies and STATPearls pages because the built-in NIH search function sucks.
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My doctor regularly Google's my symptoms while I'm sitting in the room so IDK if ChatGPT is worse.
It definitely is worse. Depending on which hits your doctor uses, there is legit medical knowledge on the internet, while chatgpt will just make stuff up.
I know a lot of young people see no difference between chatgpting something and googling it, and google has become really awful, but there is still a huge difference, since you can make google results better by using your brain and source criticism, while there is no such option with chatgpt.
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