I don’t know what your experience of medical-care is, but my guess is that the system isn’t set up to be highly individualized.
This is my experience of health-care:
- The clinic assigned me a doctor, informing me that I didn’t have any choice in the matter when I asked if a specific doctor had any openings.
- The doctor ignores anything I tell him. He is not interested in treating any conditions I bring up.
- He prescribes screening procedures based on my age and gender, seemingly without any other consideration or factor.
- I burn up time complying with procedures to screen for conditions that I am unlikely to have due to personal characteristics they didn’t ask about.
- It’s not a conspiracy on the part of the doctor; the insurance company refused to pay for a cat-scan to investigate a condition I brought up. While I was doubled over and passing out from pain, they dubbed it “medically un-necessary”.
My guess is that medical care nationwide is being statistically-designed. Someone makes a case that certain procedures applied to anyone who fits some statistical profile will save more lives at a lower cost than actually treating people on an individual, case-by-case basis. An analogy would be to a large-scale livestock raising operation, where they PROACTIVELY feed ALL the livestock antibiotics instead of treating individual animals.
I would not count on the accuracy of their statistical assumptions. Aside from my lack of confidence in their models, I would also guess that there is a lot of moral hazard in the planning process.
A trend continues until it exhausts itself. You’re on your own. Take care of your own health as best you can.