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ripstep1 t1_j6cx79u wrote

Reply to comment by TheSpaceBetweenUs__ in NYC promises telehealth for all high school students struggling with mental health by greenhousecrtv

Already a 3 month wait for psychiatrists with 10% of the population having access. What do you think will happen when 100% of the population has free, unfettered access?

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higmy6 t1_j6d5spp wrote

Yk, maybe the better way to attack this would be trying to get more psychiatrists, not prevent more people from getting care

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ripstep1 t1_j6daa9s wrote

Generating a new psychiatrist takes about 9 years. Not to mention you cannot just snap your fingers and get a new psychiatrist. Only so many quality training positions available.

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higmy6 t1_j6dfs1v wrote

Yeah I know… so let’s start incentivizing a lot more it now so that we have an influx of them in 8-9 years.

We can also do things like promoting psychologists to receive extra training and even to encourage some to go all the way so we can bring some more in 4 years.

Then how about encouraging psychiatrists to come from other cities to bring some in immediately?

Of course these solutions have issues but we need to be doing something and simply neglecting to address the issue and pretend it’s solved by not allowing people to receive the care they need is only gonna make more problems for us, like it already is

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ripstep1 t1_j6dss0p wrote

Encouraging psychiatrists to go to nyc is simply engaging in brain drain. You help your problem, and you fuck over Philadelphia.

Incentives won’t help the pipeline. Psychiatrists are already being generated at the max number of available residency slots.

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TheSpaceBetweenUs__ t1_j6ddurw wrote

You could try fixing that problem instead of thinking the solution is to block poor people from accessing healthcare.

Priorities is what this is really about. You think access to healthcare should be dependent on your ability to pay. Most of the rest of us don't. You are the problem

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ripstep1 t1_j6dee3d wrote

What is your solution to that problem? Keep in mind that psychiatrists take 9 years to train and training positions are not unlimited.

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TheSpaceBetweenUs__ t1_j6dfve6 wrote

More training positions, reduce the insane costs of education. Not difficult to figure this out on your own. Use that dense head of yours

But you and I both this isn’t a real concern you have. You just think poor people shouldn’t have healthcare. That’s called concern trolling

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ripstep1 t1_j6dsjds wrote

You cannot just make new positions and generate high quality doctors. It’s simply a logical error on your part. The cost of education is an icing on the cake only. The US already fills every psychiatry position in the match each year despite high medical school costs.

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TheSpaceBetweenUs__ t1_j6dxdyr wrote

“Logical error” lol shut the fuck up you think private insurance is the most efficient way to distribute healthcare despite overwhelming evidence that it is the sole reason we have the worst healthcare in the developed world.

You can make up any bullshit excuses to justify your prejudiced opinions that even you know are bullshit. You simply would rather have shitty expensive healthcare yourself than see a poor person in the same hospital as you. That’s what this is about, nothing more, and you know it. The only reason we don’t have universal healthcare is because of people like you who simply believe ‘inferior’ people shouldn’t have healthcare.

If anyone needs socialized medicine it’s you so you can get help for your antisocial selfish behavior

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ripstep1 t1_j6e6ei4 wrote

I never made any such claim. Universal healthcare is the only good solution

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TheSpaceBetweenUs__ t1_j6e8hrv wrote

Do you not realize those are two contradictory things?

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ripstep1 t1_j6e8wh6 wrote

What two things? What did I say that preempts a universal healthcare option?

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TheSpaceBetweenUs__ t1_j6f4xie wrote

No you think therapists and psychiatrists shouldn’t be included for some reason, which would in turn be going against universal healthcare

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ripstep1 t1_j6hu85f wrote

My same statement applies to every physician. There are month long waits for tons of different specialists. Radiology facilities are already pushed to the brink. What’s going to happen when the flood gates open?

There is nuance to this that the layman hasnt attempted to understand

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UpperLowerEastSide t1_j6dnl78 wrote

Psychiatrists are not the only health providers who can provide mental telehealth services.

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ripstep1 t1_j6dscqx wrote

Therapists are in short supply as well. In high demand markets they are often going cash only.

Nurse practitioners are band aids that offer sub par services.

There really is not a quick solution to your problem

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UpperLowerEastSide t1_j6dtb4b wrote

Why is this my problem? Lack of access to Mental health services is an international problem. Something I would think a doctor would recognize.

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ripstep1 t1_j6dtrzy wrote

Sure. And my point being that giving everyone free access is not the panacea that you think it is.

Not to mention if psychiatrists are pulling cash only practices, why would they accept whatever deal the government is going to offer them for public healthcare?

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UpperLowerEastSide t1_j6duh6l wrote

Didn’t say it was a panacea. You seem to repeatedly be making assumptions about my POV.

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UpperLowerEastSide t1_j6e3s7f wrote

Since you edited your comment but didn't reply to mine, I'll respond to your second part.

If you're genuinely wondering how you get psychiatrists to accept public healthcare, then it's improving wages and working conditions for psychiatrists who work at Health + Hospitals. Psychiatrists are already part of The City's "public healthcare" system through Health + Hospitals. And in the shorter term, it's expanding the number of openings for psychiatrists and therapists.

In any case, having nothing but criticisms helps discuss the issues with a plan, what helps even more, especially if you are a physician is providing your own solutions to the issue.

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