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PaperclipPerfector  3mo ago (text post)   25034 thread views

Culture War Roundup for the week of September 29, 2025

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It used to be the case that you could always opt out by calling a place on the phone, or driving to their physical store, or paying someone in cash.

Oh man, I should have included this story, but I forgot.

I had to sign up for a fucking app for my daughter's pediatrician! They literally handled all test results, scheduling, messaging etc exclusively through the Healow app, which was dog shit. I installed it, and attempted to get the account set up and synced with the doctors office properly, in their fucking lobby, and the piece of shit refused to work. Even just handing them my god damned phone and asking them to do it for me, they couldn't fucking do it. Eventually it just fucking worked for reasons that are opaque to everyone after trying enough times, but then eventually the app refused to update and wouldn't work anymore because my phone was too old. Because when you aren't wrestling with dark patterns and enshittification, there is always planned obsolescence.

We have a different pediatrician now. They have an ongoing problem where our Nurse Practitioner which we see is lazy about getting her files submitted, so our billing is always messed up. Nothing major, sometimes they tell us we owe a copay several weeks after we thought we were caught up. But at least there are actual people there we can speak to reliably, and they don't force us to go through a god damned enshittified app.

Enshittified doesn't mean "is shitty". It means "is shitty because now that you are locked in, they can exploit you". Just being shitty because they're cheapskates that can't spend the money on a good app doesn't count.

Enshittified doesn't mean "is shitty". It means "is shitty because now that you are locked in, they can exploit you". Just being shitty because they're cheapskates that can't spend the money on a good app doesn't count.

I see you are unfamiliar with the Healow app. Yes, it is shitty because they lock you in, and completely stop giving a fuck. It's more or less ubiquitous with Doctors offices, and if your Doctors office uses an app, it's probably Healow. I'm not even aware of another one. I think the Inova hospital system near me doesn't use it... yet. But virtually every other doctors office we had to use in Northern VA used it, although some were better about requiring it than others.

If your doctor's office uses an app, it's probably Healow. I'm not even aware of another one.

Mine uses Medical Brain.

That sounds like a nightmare. I've had much better experiences with healthcare in 3rd world countries that don't use apps.

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