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Interview October 23, 2017 · 36:45 · 5 min

Fear, trust, and defensive medicine

  • Is the fear that non-doctor community caregivers will miss something serious unfounded?

A host names fear as the core barrier - laypeople afraid to take responsibility for someone's health - and one host confesses he is 'that guy' who shows up five years late to the doctor, joking that only TV's House could diagnose his hypothetical weird disease. Matthew replies that doctors are demonstrably bad at reading evidence and often outthink established protocols, causing harm and expense, and the hosts add that fear drives excess medicine on both sides: extra tests to avoid lawsuits or calm anxious patients. They agree community-level care is more nimble, with faster triage into the right level of care.

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