The article in the NY Times presents just the tip of human arrogance in medicine. It begins with elder speak, the way medical support workers deal with their customers, or shall we say patients.
When I first started to study medicine I got a copy of Harrison's, a Bible of Internal Medicine. The first chapter told physicians how to speak with patients. One called them Mr or Mrs or Miss Jones etc. Never call a patient by their first name unless you are colleagues and even then one called each other Doctor.
What has happened are the following:
First the employees speaking this was are the lowest paid care givers. They are generally uneducated, paid minimal wage and use this speak as a way of dominating the people in their care. It is the only time in their lives they can give orders or even denigrate others when they have often been denigrated.
Second in the olden days the physician was a god. All answered to the physician and the patient received equal treatment. Now the physician is terrified of the Administrators, generally uneducated but politically connected and over paid managers and moneymakers of medical institutions.
Third, the loss of RNs, professionals in medicine and the explosion of the uneducated care givers means that no one is trained to do anything professionally.
My general approach is to not become a weakling but to dress properly, be well groomed, speak clearly and if necessary speak down to those trying to be in control. All it takes is a bit of astute medical questioning. Yet the first instance almost always is an interface with the "sweetheart" babes especially in New Jersey!
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