That it can be a form of ‘tokenism’ that erases or ignores the vast majority of my personal characteristics and reduces me to a cliche.
I hated identifying as a gay cis man after a while. It was in a small US town and the identity came to feel like a straight jacket (ha!). My identity is much more fluid now even though I fit the descriptor of ‘mostly gay’ in a statistical sense.
I’m not your fscking ‘gay’ friend, in a nutshell. If someone doesn’t understand why I might feel this way, well then the friendship is probably doomed.
Thank you for chiming in on the slightly spurious billing claim. Yes, billing and charge codes are woven throughout EHR systems but that’s just because everything we do in health care costs time/money. It’s as much about cost tracking as cost recovery.
We measure what we treasure however and if you look at the structure of any EHR, they are steadfastly patient-centric. Billing is ubiquitous but it is more like tinsel on a Christmas tree, sort of draped lightly over and connecting everything. Pick off the tinsel and the core patient care features are unaffected.
It will take years to see the effects in large scale but I like the features that allow patients to see their test results the minute they are released. As a patient myself, it gives me a feeling of having a bit more ownership of my own healthcare.
I was intrigued to learn recently that better EHR use a patients highest education level to tailor the way genomic test results are presented in the patient-viewable chart. The same results are reported to anyone but apparently patients with higher education levels will take positive actions when provided with sufficient depth of background information. Conversely, too much background info can be off-putting for others and reduces proactive behavior changes.
I get it, it’s really easy to be cynical about health care especially in the USA where it is kinda bad in many ways for no good reason. But at least pick the right things to complain about.