[sarora27]

Gatekeepers going to gate keep. American doctors overprescribe EVERYTHING. From unnecessary tests to unnecessary surgeries & even unnecessary pharma (see Opiod crisis), a majority of MDs are looking out for their wallet first.

Of course you love the AMA. They artificially keep supply of doctors low so you can justify the exorbitant costs for a 15 minute consultation. It's no surprise that the state of tech in US Healthcare is also so poor. When you're so busy sitting on your high horse about your education, you dgaf about the actual experience for the patient.

You say the AMA keeps folks from seeing someone who just 'slipped through the cracks' but completely ignore the fact that many folks will complete their medical education training in the Carribbean and then do residency in the US. The worst part, post-residency, it's almost impossible to know where a physician went to medical school because they obfuscate and deflect to where they did their residency.

Also the arrogance surrounding foreign medical professionals in this comment is astounding. Most doctors around the world want to focus on helping their patient actually heal. American doctors just treat symptoms.

[monkburger]

It’s easy to paint with broad strokes, but sweeping generalizations rarely capture the full picture. Not all of us “gatekeep” or overprescribe, we follow evidence-based guidelines and clinical judgment. When a patient presents with nonspecific fatigue and unintended weight loss, for instance, ordering a CBC, CMP, TSH, and A1C isn’t "unnecessary" it’s standard of care to rule out anemia, metabolic derangements, thyroid dysfunction, or early diabetes. That’s not about revenue.. it’s about ruling out high-risk pathology before it escalates.

As for the AMA, it’s far from perfect, but it doesn’t define the ethos of every practicing clinician. Many of us—regardless of where we trained—are here because we care deeply about patient outcomes, not profit. I don’t dismiss international medical graduates; I’ve worked alongside phenomenal ones. What matters to me isn’t where someone studied, but how they think, how they treat, and whether they practice medicine with integrity.

Healthcare needs reform, no doubt—but assuming every U.S. physician is complicit in systemic issues is reductive. Most of us are doing the best we can within a deeply flawed system.