Investigating Bellvue House

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Once, a woman told me that The Resident had lifted the veil for her on how medicine really works.

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There are, unfortunately, doctors who game the system , and who care more about money than about helping people, though they are outliers. There are also patients who are rightfully frustrated and angry due to negative or harmful encounters with these doctors. But in New Amsterdam , valid critiques of the incentives that allow bad actors to enter and flourish in medicine are supplanted by vague fearmongering and outlandish claims; scapegoating all doctors means overlooking the real , serious flaws in the health-care system.

If New Amsterdam has erred in identifying depraved doctors as the single biggest problem with American health care, the solutions the show proposes are equally disturbing. Never mind that banning residents from patient care, as Goodwin suggests, would dismantle the pipeline for training new doctors, exacerbating the impending physician shortage.

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Or that removing the emergency-department waiting room would mean filling beds on a first-come, first-served basis rather than by medical need. I prefer to talk about the patients. There are no trade-offs in this medical fantasy. Yet viewers are left with no sense of how he accomplished that—unless it was by uncritically accepting every offhand suggestion from the people around him.

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Attention spans, like cardiac surgeons, seem to have no place at New Amsterdam. Whims become policy, facing only token, if any, objections from the quietly skeptical administrator who tails Goodwin through the hospital, the business-minded dean of medicine, or the comically mute board of directors. With evidence-based medicine still in its relative infancy, many doctors are only now coming to terms with how frequently our gut instincts can be wrong.

Part of the problem with New Amsterdam is format. If the medium is the message, prime-time procedural dramas venerate the quick fix at the expense of substance. They rely, by necessity, on simplified, stylized versions of difficult medical problems. Like us on Facebook Follow us on Twitter.

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    Investigating Bellvue House

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