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Violet comments on Med Patient Social Networks Are Better Scientific Institutions - Less Wrong
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This depends on the situation.
With a rare diagnosed conditions it is kind of easy for the patient to have more knowledge than a typical doctor. The doctor has heard 15 minutes about it 20 years ago in med school while the patient has gone through all the recent research.
Self-diagnosing is typically problematic. Self-managing chronic conditions is many times quite rational.