Game show called "What's Wrong With You" where a bunch of doctors compete to see who can diagnose a mystery illness (chronically ill patient whose lab results keep coming back normal despite obvious symptoms) first and most accurately.
Pros:
Doctors paying off their medical loans with prize money
Chronically ill people getting free testing (MRIs, CAT scans, X-Rays, bloodwork, etc) and possibly a diagnosis
You can ding points for 'anxiety' and 'you just need to lose some weight'
Doctors are incentivized to find an answer, not just find something billable
Cons:
HIPAA
Wrong Diagnoses made because they were rushing
HIPAA can be bypassed via agreement to air/be on the show. There'd need to be lawyers heavily involved with setting up the specifics of how the paperwork works, but its absolutely doable.
I don't knkw how to handle the issue of wrong diagnosis bc folks were rushing tho
More lawyers prepping the young docs to avoid triggering malpractice suits, probably.
I want to watch this show.
How would it be judged though? The problem is it sometimes takes weeks to months to figure out whether or not a diagnosis is correct and/or a treatment is working,
Do one of those long-haul reality show competitions where you come back months after the main filming to dramatically reveal the results.
Each doctor can order a limited number of tests. You win the most prize money if a test that you've ordered comes back positive for something that makes sense with the symptoms. (Additional checking is required for tests with a high rate of false positives.) Prize money is split if there are multiple winners.
If no one gets a positive test, there's a smaller prize for suggesting a treatment that the patient uses while measurably improving over the course of 3-6 months. And an even smaller fallback prize for subjective improvement.
Since the patient is not required to take the treatments the doctors suggest, there is an element of bedside manner in this aspect of the competition. If your patient trusts you enough to use the treatment you suggest, then you will have a shot at the fallback prize.
Yeah, it would definitely be a very 'we filmed for months and the show compresses that into a weekly hour-long episode' kind of competition. My major references for that sort of thing are GBBO and Project Runway.
I think a fun element would be "if a chronically ill person with no degree can identify what's wrong with the patient before you do, they get a cash prize (you are still in charge of actually doing the tests that confirm or disprove it)." So if you spend six weeks doing genetic tests and X-rays but some MCAS girlie listened to a five-minute description of symptoms and went 'yeah, you've got [thing]' before you officially considered it, their chunk of the cash comes out of your winnings
And for everyone saying "this is just the House MD tournament arc"...
NGL I forgot that arc happened... but I was thinking "imagine that SNL sketch about the podcast-doctor-appointment, but it's a competition show about chronically ill mysteries, like House MD in real life, but someone put Sam Reich in charge (Katie Marovitch is there as his right-hand comedian and chronically-ill-herself host)."
As I said in the other post where I mentioned dropout: they could NOT do this. The liability insurance would be insane. It would not be accessible to a production studio of that size. There are other things that make it unlikely for anyone, but also some things that make it unlikely for dropout specifically (liability insurance, the ability to award prize money that would actually make a difference to medical debt, the very structure of the company around actors/comedians rather than Random Real Life People).
HOWEVER
I can imagine a game changer episode where some contestants, probably youtuber guests like Dr. Mike or something, have to guess already-diagnosed chronic illnesses of audience volunteers.
No medical testing. Just 'describe some symptoms, and watch as the medical youtubers that are here for a day have to figure out what you've got.'

















