A few days after I originally posted on this topic, I ran another search on my dentist, "Dr. Yes," for fun, and found that someone left him an
extremely bad internet review several weeks ago. The review wasn't criticizing his dental care as much as his office's billing practices, as well as another incident (not described) that the unhappy patient said s/he was reporting to a state government official, but not the dental board as would be appropriate. The patient used two
very negative adjectives to describe his/her overall experience.
Although no one is perfect, I know Dr. Yes's overall patient-satisfaction rating is well above average, and personally think he, of course, is to be commended for being the only dentist who ever really helped me address my odontophobia. Therefore, even though I don't put much stock or faith in online healthcare reviews, I left him a mostly-positive one to counter the mostly-negative one. If I weren't committed to protecting Dr. Yes's privacy, I'd include a link to both reviews.
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In response to Dr. Kimsey's (comfortdentist) comments about healthcare providers treating everyone well regardless of political, religious, and/or philosophical differences, I believe this is usually true, and one of the foundations of professionalism. Essentially, this is more likely to be a concern for patients than providers, because the healthcare relationship is much more personal/emotional from the patient perspective.
I know from his own website biography that Dr. Yes and I probably have two major life/philosophical differences,
but they're differences I respect, because I honestly believe they exist on both sides for ethical reasons: if I lived his life, I might make his choices, and perhaps vice versa.
Why are sharing at least some values, interests, and/or lifestyle similarities and avoiding serious ethical conflicts issues for me? After all, I'm selecting a healthcare provider, not a spouse or close friend. This is complicated (and I've been accused
many times in my life of being overanalytical), but I'll attempt to answer:
1.) Having a longterm interest in business ethics, I consider these questions even when choosing a retail store, so I'm certainly going to do it when selecting a personal service like healthcare. When entrusting the care, repair, and maintenance of your body to someone, one has to trust and should ideally like the healthcare provider
as a person. Professional skills are paramount, but personal compatibility is important too. . .
especially for the dental phobic.
2.) Although I don't actually
befriend my healthcare providers and owners of independent businesses I patronize on a regular basis, I consider them acquaintances and am friendly when I interact with them in their professional/business settings: it's just a personality trait; I don't like small talk and
love good, meaningful discussions. Considering that I may converse on a slightly deeper level in professional/business settings than many people, the traditionally socially-taboo topics of politics and religiion (admittedly two of my favorites!) occasionally arise.
For example, last spring Dr. Yes, who knows where I work, brought up a highly-charged topic involving my nonprofit healthcare employer that was at the forefront in local politics and news at the time. I responded regarding my position and political-activist input on the issue, and how I was pleasantly surprised by the ultimate outcome. Dr. Yes almost certainly agreed with my specific position, but may have disagreed when I said, "Usually the system doesn't work, but occasionally it does!" Politically I'm a cynical idealist. . .based on our life/philosophical differences mentioned earlier, Dr. Yes is probably more optimistic. In order to be my dentist, he almost certainly has to be!
3a.) Because I am paying (directly or indirectly via insurance) my healthcare providers large amounts of money, I want to ensure that "my" money (once it becomes
their money) does not finance anything I find highly objectionable, and potentially funds something I admire. This past year I decided to find a new GP, and selected the one I chose for three reasons:
i.) He is a partner in an independent clinic, not a "health system," and runs his practice as he wants (no ten-minute appointments!).
ii.) He and I grew up in the same region of the same state, so our childhood backgrounds are generally similar. For example, he knows why I tend to be stoic when in pain: partly it's the geographic culture of our formative years!
iii.) He is a private pilot, one of my unfulfilled dreams! (When I pay my medical bills, I'm indirectly paying for at least some of his aviation avocation!)
3b.) Had I become a patient of Dr. Snakeoil, the sedation dentist mentioned in my original post on this topic who made a tidy sum selling a questionable nutritional supplement, I would have indirectly funded his religion, which would have made me somewhat uncomfortable (a handful of my relatives are converts to the same religion, so I speak from experience, not just prejudice). I also would have indirectly funded Dr Snakeoil's significant contributions to a nonprofit organization which conflicts with some of my own political beliefs.
No doubt Dr. Yes and I have opposing viewpoints on certain issues, but again, I respect Dr Yes's differences because I honestly believe they are made for ethical reasons
from his perspective. With Dr Snakeoil, I suspect most of his values are determined by the single bottom line, not the triple bottom line or anything else other than money.
The world changes one person at a time. . .