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Home Perspectives

When the Family Doctor Can’t Communicate

What do you do?

Jennifer FitzPatrick by Jennifer FitzPatrick
May 7, 2024
in Perspectives
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When the Family Doctor Can't Communicate

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It has happened to most of us. You walk out of the doctor’s office and are a little unclear–how long are you are supposed to take that medication? Or when you should call for another appointment if things don’t improve? What was the name of that specialist you should see? Particularly with older patients, not understanding the healthcare provider can have far-reaching consequences.

While many doctors have excellent communication skills, some don’t—they are great diagnosticians, but their social skills are lacking. But even the ones possessing excellent communication skills may not pick up cues that their older patients aren’t clear on instructions. How do older patients (and their family members) make sure they are getting the information they need?

  1. Take notes. When the healthcare provider sees you writing her instructions, she will often slow down.
  2. Hit record. Most cell phones allow you to record a conversation—just ask the doctor’s permission before you do so.
  3. Ask for a print-out. Many medical offices now offer printed materials to go. This can include information about your diagnosis, follow-up, and medication.
  4. Make a friend. Is there a nurse, medical aide, or office manager that you connect with? It’s great to have a relationship with a person you can call when you remember that important question once you’ve gotten home. Often a nurse or office staff person will be able to ask the doctor your question and return your call more quickly than the doctor your question and return your call more quickly than the healthcare provider. 
  5. Tell the doctor your concerns. Good doctors want you to be clear about their diagnosis and directions. Most of them will make an effort to explain things more clearly or figure out a way to accommodate the needs of their older patients.
  6. Worst case scenario: fire the doctor! As Baby Boomers are moving into “older age” they are more open to this than those oldest patients from the GI and Silent Generations (Traditionalists). Many Traditionalists revere the doctor and can’t fathom “letting the doctor go.” But if the doctor really won’t work to communicate better with you, it’s a reasonable and necessary decision to start looking for a new provider.

*It’s not just doctors who are lousy at communication with older patients sometimes. These tips are useful for when you run into these issues with social workers, nurses, occupational therapists, psychologists, physical therapists, and anyone else you may encounter in healthcare!

Source: Jeneration Health
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Jennifer FitzPatrick

Jennifer FitzPatrick

Jennifer L. FitzPatrick, MSW, LCSW-C, CSP is a speaker, consultant, author and founder of Jenerations Health Education, Inc.

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Videos

Most employers are unknowingly steering their health plans toward higher costs and reduced control — until they understand how fiduciary missteps and anti-competitive contracts bleed their budgets dry. Katie Talento, a recognized health policy leader, reveals how shifting the network paradigm can save millions by emphasizing independent providers, direct contracting, and innovative tiering models.

Grounded in real-world case studies like Harris Rosen’s community-driven initiative, this episode dives deep into practical strategies to realign incentives—focusing on primary care, specialty care, and transparent vendor relationships. You'll discover how traditional carrier networks are often Trojan horses, locking employers into costly, opaque arrangements that undermine fiduciary duties. Katie breaks down simple yet powerful reforms: owning your data, eliminating conflicts of interest, and outlawing anti-competitive contract clauses.

We explore how a post-network framework—where patients are free to choose providers without restrictive network barriers—can massively reduce costs and improve health outcomes. You'll learn why independent, locally owned providers are vital to rebuilding trust, reducing unnecessary procedures, and reinvesting savings into the community. This conversation offers clarity on the unseen legal landmines employers face and actionable ways to craft health plans built on transparency, independence, and aligned incentives.

Perfect for HR pros, benefits advisors, physicians, and employer leaders committed to transforming healthcare from the ground up. If you’re tired of broken healthcare models draining your budget and frustrating your staff, this episode will empower you to take control by understanding and reshaping the very foundations of employer-sponsored health. Discover the blueprint for smarter, fairer, and more sustainable benefits.

Visit katytalento.com or allbetter.health to connect directly and explore how these innovations can work for your organization. Your path toward a healthier, more cost-effective future starts here.

Chapters

00:00 Introduction to Employer-Sponsored Health Plans
02:50 Understanding ERISA and Fiduciary Responsibilities
06:08 The Misalignment of Clinical and Financial Interests
08:54 Enforcement and Legal Implications for Employers
11:49 Redefining Networks: The Post-Network Framework
25:34 Navigating Healthcare Contracts and Cash Payments
27:31 Understanding Employer Health Plan Structures
28:04 The Role of Benefits Advisors in Health Plans
30:45 Governance and Data Ownership in Health Plans
37:05 Case Study: The Rosen Hotels' Health Model
41:33 Incentivizing Healthy Choices in Healthcare
47:22 Empowering Primary Care and Independent Providers
The Hidden Costs Employers Don’t See in Traditional Health Plans
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Policy Shift in Peptide Regulation

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Semaglutide and the Expansion Problem: When One Trial Becomes a Platform

Semaglutide and the Expansion Problem: When One Trial Becomes a Platform

by Daily Remedy
March 30, 2026
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Semaglutide has moved beyond its original indication and now sits at the center of a widening set of clinical questions: cardiovascular risk, kidney disease progression, and even neurodegeneration. The question is no longer whether the drug lowers glucose or reduces weight—it does—but how far those effects extend across systems, and whether evidence from one population can be translated into another without distortion. Large, well-powered trials have produced consistent signals, yet those signals are now being applied in contexts that were...

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