Physician autonomy is a very powerful idea. Medical school places a very large debt burden on its graduates. Whether students care to admit it or not, this debt load is a highly influential factor in one’s decision regarding a medical specialty. It’s been amusing to observe students’ attitudes as we progress through medical school together.
I am skeptical that the American government is capable of reaching a perfect solution for healthcare in the immediate future. While I would love just as much as the next person for the government to quickly solve the healthcare problem, in the meantime, I believe that the American people have an equal responsibility in finding a solution for healthcare.
What about the origins of the despair underlying the opioid crisis? Again it can be argued that despair in significant part has arisen from well-intended but misconceived government social and economic policy.
Going back to Nigeria, I will see everything from a different perspective. A lot needs to be changed in the health system in Nigeria, and I know that they can be modified despite the economy of the country. It needs the cooperation of every health personnel from the government to the medical student.
The past century is riddled with interventions wresting control away from physicians and centralizing it in the hands of the federal government and large firms. Rather than addressing policy issues as they arise, reviewing the healthcare system in historical context can reframe the discussion, revealing its foundational problems.