by Honolulu Mother
In this Vox article, Sarah Kliff describes the process of coordinating her health care for a minor medical issue as “a part-time job where the pay is lousy, the hours inconvenient, and the stakes incredibly high.” She writes that
But American medicine demands another scarce resource from patients, and that is their time. The time it takes to check in on the status of a prescription, to wait for a doctor, to take time away from work to sit on hold and hope that, at some point, someone will pick up the phone.
I found dealing with the copious administrivia stemming from my daughter’s broken limb last year to be frustratingly time-consuming, and I wasn’t even dealing with the lion’s share of it. The billing disconnects between providers and insurer, the denial based on my husband’s name having been accidentally entered in the patient slot for one provider, the confusion as to whether some new piece of mail was an issue to be attended to or just another routine notification; it seemed that once we left the safe and familiar harbor of routine annual appointments we were at sea without a compass.
How have your experiences as a patient or patient’s family member been? Do you think the burden of administrative health care management falls on patients because practitioners aren’t aware the burden is there, or do you think it’s a more deliberate outsourcing as suggested by the following quote?
“Patients can often become the health care system’s free labor,” Mayo’s Montori says. “The health care system knows that patients are motivated, that they want to get better. So it gains efficiencies by transferring the work.”