Hi Manna,
I think you have a misunderstanding of what a doctor responsibilities are.
A G.P., a private G.P., a naturopathic Doctor, an NHS ME/CFS "specialist" or a Private ME/cfs "specialist" etc?...these could be said to all have different responsibilities. to discuss "charging" meaningfully you would have to take each "specialist" at a time and weigh up their expectations, patient expectation, actuall skill, as opposed to hoped for skill (up for wide interpretation) etc. theres no blanket statement for this, mine included, if it were that.
Given that all people die eventually, then it must be assumed that a physician can't save everyone from their ultimate fate.
*anyone.
Most physicians use their knowledge and skills to alleviate suffering and try to improve ones health.
attempt* to use their "knowledge" and "skills" to alleviate suffering etc. their approaches could do the opposite so worth then becomes one's understanding and opinion. the truth and usefullness of their "knowledge" is up for interpretation. no doubt best intentions
Many diseases have no cure, but that doesn't mean that a physician should give up on that patient.
many diseases that are claimed to be incurable, probably aren't. if you're there for relief and get that, great. if you don't get relief its not necessarily their fault either. if you're driving force to be there is cure, and in some way you've been led to think thats possible, then theirs some responsibility on the part of the physician. also patients themselves are responsibile for the unrealistric expectation of some treatments. a specialist might think their treatment to be good,doesn't make it so.
If as you propose to have physician pay for patients that are not cured or made better by their intervention, then I doubt any doctor would try and treat cfs/me patients. Again there are many diseases that cures are unknown, but that doesn't prevent most physician from trying to alleviate symptoms search for a cure. It sounds like you are more frustrated with the disease, csf/me, than the doctors who try and help us with this devastating scourge.
i didn't propose that at all. if no recovery was forthcoming then it should be cheaper, or a part refund given, but only if cure was ever the carrot. of course, none would promise recovery, they'll let external sources and forums imply that, but with the retox issue and crashes etc, less than that is not really meaningfull, imo. if you don't recover in me/cfs you'll probably revert to pre-treatment state, regardless of whether you went for relief or cure...making either less meaningfull. of course if a "specialist" tells you to give up gluten and you do and feel better, then you have something that can be lastingly helpfull. but then info is generally, and imo, should always be, free. folk are there because apparently they understand better, but do they? in some cases, yes, in most, no...and to match their "knowledge" isn't difficult. no dfoubt many patients know as much if not more.
what makes you say im more frustrated with the illness than the doctors? i believe i understand it, as far as me goes. i believe i can cure it 100% as far as me goes, at least. i think its ludicrous and laughable, the hoo hah around some me/cfs specialists. ive watched it for years.
so it might be better to be specific about which "specialist" one is alluding to when trying to decide worth. even then its opinion.