Radiology knew private equity was lying because they gained the ability to literally see through people after spending so much time around medical imaging machines.
we all know the trusted Jonathan can *not* be bought ! ... not even for a Tier III Nova laptop with WiFi6 voice to text system w an IVR searchable database ...
*Gospel music* Truth is I'm tired, options are few, I'm all churched out.... No one ever worries for the children's well being. 🤧 Anyone who cant fend for themselves in this world gets thrown under the bus.
Eh, look at it this way. Y'all are providing a wonderful negative example to the rest of the world. Could you imagine how difficult it would be to accept criminally subpar medical systems without te relief of knowing that at least it is not as bad as America.
Bartholomew Banks is one of my favorite characters that's been added to the cinematic universe here... He's like the embodiment of every corporate scumbag I've ever dealt with... it's fantastic
@@nolanchap7092 what is the purpose of a hospital? From the perspective of at least neoclassical economics, profit maximizing behavior is rational for both individuals and businesses. However, I don't think that sort of economics lays out the case that healthier people are more productive as individuals and as part of society. There's a disconnect when medical institutions seek greater profits compared to more patients being treated well.
How DO you manage to be such a kind and caring doctor one minute and such a sleazeball the next minute?!? The slicked back hair, the sideways glances with the eyes-“speaking” volumes without saying a word-Dude, you are an extremely talented actor! Sadly- for many of us, it’s not acting cuz; it’s real life consequences.
@@aishaacetydopamine837 It also has to do with the fact that our medical system favors high reimbursements for procedures. Surgeons get paid a lot more because they do procedures. It's harder to quantify preventative care.
Sad thing is Medicaid can be "profitable " if you have good billers and know how to apply Medicaid rules to manage care and coordination of benefits is a false denial. When the billing is good things can be good, sadly they cookie cut it.
@@aishaacetydopamine837 Kids can't vote, they have no money, and they can't advocate for themselves. That means that there's no incentive to put more money into pediatrics.
Ehh, who needs children anyway? They are a dime a dozen. A renewable resource! Basically free! Why spend money on their healthcare when it could be spent on the dividents of private investors!? /s
And teens, they don't do anything No one will notice They can suck it up or Romeo and Juliet this story. Every movie studio loves those tales. Dying teens gets us big cash movie rights! Slip it in the parents' paperwork. No one reads that thing, now that it's digital, they only get a blank screen. Give em a vitamin and send them home. Also /s
@@johannageisel5390 Incidentally, if you have the parts and are in Southern Occupied Turtle Island (sometimes referred to as the United States), I highly recommend getting a vasectomy. Extremely fast and easy, almost zero meaningful risk, and prevents this failed state with a gucci belt from getting any wage slaves out of you. If this nation is going to treat children so disrespectfully, we should do everything in our power to prevent there from being any.
@@PWLfr As a dermatologist I agree. I once went to the hostipal 12 times in a year. I have to ask where everything is every time I go. I don't know where anything is.
Don't forget we're going to underpay nurses until they all quit, then pay twice as much to replace them with terrified new grad agency nurses who can contractually be thrown on any specialty floor without any specialty training 👍
Better yet, cut all the support staff so nursing has to do everything. Such as RT tasks, answer the phones, clean rooms, stock supplies, take out garbage.
As the wife of an Emergency Medicine Doc, I can say this is 100% accurate. The whole system is so broken. I hate seeing him so unhappy and absolutely defeated. But when you have $300k left in student loans, you're stuck.
@@chri-k Jonathan is able to do these things because he is free; and aggressively listening for signs of those in need of assistance or a scribe! Protect Jonathan so he may continue to do his job at the apex of excellence!
As a pediatrician, this is sadly true. Even WORSE for peds sub-specialists, most do 3 extra years of training to specialize and end up making LESS than a general pediatrician. System is screwed up and more of us will quit, change careers, or retire if things don’t improve. I recently started working as an attending and am already looking for viable ways out of clinical medicine. I wouldn’t be surprised if there’s a shortage of peds docs in the future.
My daughter's life depends on those sub specialist and general adult specialist won't touch her even if there isn't a peds specialist within 200 miles....all the hospitals just say....drive
Utterly true in every way. At what point do we physicians take Healthcare back from the hands of politicians and business executives? What if we all just stopped caring for patients? Oh wait, I forgot I'm an empathetic person with a soul who's in debt to my eye balls. I'll just keep showing up to the hospital and hoping for the day the CEO drives his Porsche in range for me to jump in front of it and sue him for all he's worth!
Unionize. I'm serious. An IPA that actually fights for physician and patient benefits. Oh, CEO of United Empire Care Shield wants to spend half a billion a year on dividends and executive bonuses while being run as inefficiently as possible? Don't take their patients. Force their patients to switch
@@triarii9257in many countries like mine (Germany) this situation has already gotten better, because the younger generations, being insulted as “quiet quitters”, don’t work their a$$es off anymore for nothing; no unpaid over-time, “bUt yOur cAreEr”, bad training, exploitation etc. is tolerated anymore. These corpos know, that docs are empathetic and can be abused with “you have no power; you have to do your understaffed and overburdened job, or patients are harmed!” bs. No, YOU harmed patients by understaffing and overburdening these hospitals - it’s time for docs to understand that and stop being abused and bullied into shutting up and doing their job. Let’s speak hard, earnest words here: if people die in the course of this, there will be a public outcry - but in the end if worse comes to worst, I don’t think, of these two groups, it’s going to be the doctors who will be publicly hanged…
I went into medicine hoping to avoid business and focus on helping people. And now I'm a family medicine doc and literally all healthcare seems to be is a business and I hate it
Healthcare in the US stopped being about health or care a few decades back. Not-for-profit is now merely a tax shield to rake in more money. It’s time to dismantle the entire system and rebuild it in the image of other advanced countries. So that health care professionals are able to provide services that are in the best interest of their patients and not the bottom line. As someone who’s done medical coding and now oversees reimbursement rates for health plans the system is beyond repair.
@@Khaab00 No system is perfect and there’s a lot we can learn from other countries. Problem is that when you take profit out of the equation, it disincentivizes people to go into the profession. Doctors and nurses would be leaving healthcare on mass and rioting in the streets if we payed them what other countries pay their providers. No one is going to want to be a neurosurgeon for a measly $80K-$150k a year and among the worst work life balance in medicine.
@@cbl6520 the only thing we really need to address is insurance companies. They need to be heavily regulated, because they've gotten out of control. Most everything else could stay the same and we'd be WAY better off.
This is actually a very serious topic. Private equity is not only taking over healthcare but also housing. Private equity must be eliminated or more regulated. It is snowballing income inequality in America and people are suffering because of it.
There our sectors of our economy that private equity should not be allowed to invest in - healthcare, housing, human services, prisons, etc. No system is perfect, but private equity is an abomination. You, on the other hand, are a blessing.
One of my relatives worked devotedly at the local hospital for fifteen years. Her department was outsourced to a for-profit external entity. She fell and was hurt, but not at the job. She was seriously injured and needed surgery. They legally terminated her by eliminating her position and renaming it something else as they replaced her. She has to find work before she was fully recovered, which caused worse injuries and more surgeries that ate away at her precious savings because she no longer had good insurance. She managed to work a few more years, but at a much lower pay grade. So when she finally became permanently disabled and barely able to walk, Her disability income was based on those years of low pay work...not her hospital wages. Her disability checks are low enough that she will probably spend the rest of her life below the poverty line.
When my kids were little, their pediatrician was an absolute angel on Earth. I worked at the hospital she was on staff at. I asked her why she wanted to become a pediatrician. At that point she didn’t have any kids of her own. She said “I’ve always wanted to be a teacher, a doctor and a missionary. As a pediatrician I can do all at once, and they all pay the same anyway.” That broke my heart.
Up here in the PNW, we have two major hospital groups that bought out all the small ones, and two medium groups picking up what’s left. They’re limiting patient options on who to see and limiting Healthcare professionals to where they can work. If you don’t like the politics at one major hospital entity, you can go to the other one and it’s probably worse
@@brounwynsmith848 Then you know the two I’m speaking of and Virginia Mason joined with the Franciscans recently. MultiCare has bought up every one they can. Kaiser and Providence are establishing themselves here, too. Oops I said the ones I was talking about. Oh well 🤷🏼♀️😂
I just spent a week with my daughter in a ped ICU. Idk what they pay those people, but they deserve the world. Can't imagine how hard it is to watch all these kids in such horrid shape, some not making it, and yet every person in that ward was phenomenally upbeat and personable with both us (the parents) and with our little girl during every interaction.
In my county a bunch of Docs and Nurses have quite the hospital and other care facilities owned by them to start up their own clinic. Hope more of you folks are able to do this, the current med system in the US is such BS.
That is sort of starting but you have to pay a monthly fee directly to the clinic to be a member. And they don’t take insurance, which you still need. We are a mess.
That's the way it was in the US years ago....actual doctors and nurses owned their own practices and ran hospitals. Health insurance was rare...it was a "perk" to attract in demand employees (like engineers etc) to big companies like IBM. Fast forward to now, and you've got bean counters in charge of hospitals. Healthcare actually worked better under the old system, and was affordable. The government involved in healthcare is even worse. In the US during covid, hospitals got $35k from the government for every person that was placed on a ventilator....thousands died from inappropriate use of them. Personally I use docs with their own practices when I can instead of the big corporate doc in the boxes. I have no insurance (thanks Obama) and both have sliding fees...but the independent docs spend more time with patients and I'm not a number.
@@alphabetsoup6681 if you're talking about the US, there are concierge practices where you pay a fee, but we also have plain old private practice docs.
Just dealt with this today actually. Cardiologist left the hospital to start his own practice in a more rural part of town. Two things he admitted when we discussed his recent change. 1. The agreement he had to sign with insurance companies was less favorable than the hospital agreement. 2. He is having problems getting privileges at hospitals because they require all sorts of additional hoops to jump through before they will allow you to perform procedures in their suites. You had to have an on-call stand in for procedure days and other things that turn procedures into monetary losses for the physician. I feel bad for him, but I also think this type of reshuffling is the necessary step the US has to make before healthcare/Insurance reform occurs. It's gonna get worse before it gers better, but the US has to utterly destroy things before we admit they're broken and take the proper steps toward repairing them. Which we will do with metaphical duct tape and Elmer's glue until it falls apart completely and then, only then! will we ignore the lobbyists and political donations to do what's necessary to return it to barely functional for an extended period of time.
@@Torsion To be fair, ignore things until they are too broken to ignore tends to be how government, big business, individuals with too much pride, the lazy, and those with poor time management all operate.
I almost spat out some soup at that bouffant, that is EXACTLY the one that my hospital buys now and it's the absolute worst but somehow they can still afford the old school red premium bouffants for the surgical reps.... also Jonathan's head nod from under the lamp shade was perfection!
Nurses are leaving the profession (but especially hospitals and nursing homes) in droves because they won't and shouldn't tolerate the abusive patient loads. AND they're being replaced by travel nurses making doctor pay. It would be safer and much more cost effective to increase the staff nurses' pay and benefits, but why would they want to do that?
I'm am IR tech and I got my non-healthcare boyfriend into your videos. It brings me so much joy when I send him a new video and get to tell him "new Glaucomflecken dropped"
The amount of lore and depth put into this video is outstanding. The plot is so good that this could be a viewers first video and still understand it, yet it could be a long time viewer who's caught up with every subplot and catch every subtle nuance and backstory and enjoy it that much more. I commend you Dr. G. excellent production
It's really sad, one of the level 1 trauma centers in Atlanta is shutting down in November. Expected wait times at the other ER in Atlanta (Grady) is supposedly going to reach over 9 hours.
This is what the US healthcare system is like? I really hope they don't let the NHS get that bad, though the tories have been gradually working towards it over the last few years.
Nice headphones! I've been watching these videos for a while and this is the first thing that I actually recognized. I'm an audio engineer so 99% of the technical aspects you mention are completely foreign to me, but the level of quality and humor in this videos is amazing! Please keep them coming! If anyone is wondering, the headphones are Beyerdynamic DT 770.
As someone who works non- clinically at a hospital i feel this. We aren't selling to anyone, but things are hard with inflation everywhere but in our reimbursement rates. I will say the c-suite agreed to cut their own compensation. If only that could be close to enough.
OMG! My hospital decided that they want us to go down to 1999 staffing levels, but that is only you know the departments that actually see patients, we still have an inverted pyramid with the administration having like 30 VPs and that is only that section of administration, they aren't even considering lowering their numbers. Yesterday I told a few of my co-workers that I feel like Administration is throwing gasoline on the dumpster fire that they started... I feel this skit so much!
My local private hospital has been fighting this for a generation or more! Post-Covid, we’re in more financial straits than ever! As tough as it is to work short-staffed plus extra shifts, I love that we still have local control (in complying with all CMS and CDC edicts, of course!) I don’t know how much longer we’ll survive. Between having to hire travelers and losing experienced nurses to the traveler recruiters, it’s not pretty. I know the MDs enjoy the environment here, but I don’t know if they have done anything to help the budget. Another brilliant sketch, btw!
Pay the nurses better, they won't leave to travel. Not a difficult concept but most hospitals as happy paying the bare minimum. Then they are surprised when their best nurses leave. The hospitals are to blame for the problem.
@@ravensshade Hospital systems are trying to keep wages down by putting staff in wage ladders. They do not value tenured staff thus the staff that actually know how to do the job efficiently ie senior staff, leave for better paying work. It's not that hard to fix the problem but these hospital systems would rather keep wages down as they see a savings in the short term. They are getting what they deserve frankly. Hospital administrators cry budget while CEOs make millions of dollars a year.
A few years ago, my PCP quietly told me one day he was leaving his practice because the hospital had been sold and the new owners started doing stuff like this. About a week later, he held a meeting with his partners to announce his upcoming departure. The response was basically, 'Thank god, we were all going to tell you we want out." They left as a group and just re-affiliated with a different, well-known hospital, which also had the side benefit of allowing them all to be working closer to home. They're all much happier now.
U know its serious when the ceo had to switch glasses to say that Barty Banks cares about patients........waiting to see how barty banks feels when he needs healthcare
introducing the Jonathan lamp. not only is he an incredibly talented scribe but he also acts as a fine peace of lighting equipment for almost nothing (he seems to miraculously generate enough energy to light a room and seems to violate the conservation of energy). buy him now for the low low cost of half your lifespan.
I’m not in the med field but live in the PNW where I battled the insurance system for several years and blame them on the inadequate care my son received. By the time I was able to switch insurance to be able to go BACK to his pediatric bone marrow transplant specialist who had saved his life twice when no one else could figure out the best course… the damage was done. He passed away four years after transplant. It’s a long story, but I really feel for this brilliant doctor. Her hands were tied and she battled the insurance companies for her patients so hard. It’s no wonder that so many doctors we saw after her seemed to take sudden, early retirements.
This is what exactly happened to the little non profit community hospital I worked for..a big entity bought us out about 4years ago and about 80 percent of employees were let go or left.. myself included. I was a unit secretary and they made us become sitters..I'm in my 60s and I was put in rooms with 300 lb men or others coming off meth
As a pediatric PA, I'm actually content with my pay level in comparison to other specialties - they do a lot more for the older patients with more serious illnesses. My patients actually spring right back without much of intervention majority of times. Kids are usually bright sides of my job - it's the parents who test my patience.
Hope to see more private practice docs for more open market cost reduction. These Bartholomew Bank corporations are no joke with the monopoly power. 😶 Patients come first and should have negotiating power with their health care cost instead of it always being 3rd parilties deciding (insurance, government, giant hospital corps)
My local hospital is owned 50/50 by the county and a private corporation that owns over 50% of the states healthcare. I know they don't care about us folks on the ground, from cleaning staff to EMTs and Medics all the way up to the Doctors. They force everyone to obey and couldn't care less about the humble little hospital and county it serves. F private companies, we deserve better.
if possible i would love to see some genesis storylines, like how they transformed from bill to any specialty, or even some origin stories of the feud between different specialties, maybe from their training days. love your work!
Radiology knew private equity was lying because they gained the ability to literally see through people after spending so much time around medical imaging machines.
Yes.
I was a little surprised that the joke didn't explicitly go there lol. It was still great though
@@ItsAsparageese Same, I was expecting "I can see right through him"
But can he see why kids love Cinnamon Toast Crunch?
That and Radiology is just a regular American lol
I never saw Jonathan the whole video. Phew he’s safe.
I thought he doesn't get paid ? So how can you even fire him ?
we all know the trusted Jonathan can *not* be bought ! ...
not even for a Tier III Nova laptop with WiFi6 voice to text system w an IVR searchable database ...
Who is Jonathan? Is that a new character they are making up?
@@pillinjer Jonathan is the scribe. He’s magic in what he accomplishes. Everyone should have a Jonathan.
@@kinsley7777 What use would Jonathan have with a voice-to-text system or IVR search?
Feel so bad for paediatrics. And I know this is supposed to make us laugh but it is just sickening what is happening to our healthcare system
*Gospel music*
Truth is I'm tired, options are few, I'm all churched out....
No one ever worries for the children's well being. 🤧 Anyone who cant fend for themselves in this world gets thrown under the bus.
And…family practice must have just been let go. Not even a Carls Jr. coupon. Shameful.
Pediatricians are invaluable and it saddens me how often they get shafted
@@dadtips7553 No need to have him in the meeting. He won't get paid anyway
Eh, look at it this way. Y'all are providing a wonderful negative example to the rest of the world.
Could you imagine how difficult it would be to accept criminally subpar medical systems without te relief of knowing that at least it is not as bad as America.
Barty Banks is always up to something
Bartholomew Banks is one of my favorite characters that's been added to the cinematic universe here...
He's like the embodiment of every corporate scumbag I've ever dealt with... it's fantastic
Is private ownership of hospitals really this bad?
Does Barty Banks have a soul?
@@nolanchap7092 what is the purpose of a hospital? From the perspective of at least neoclassical economics, profit maximizing behavior is rational for both individuals and businesses. However, I don't think that sort of economics lays out the case that healthier people are more productive as individuals and as part of society. There's a disconnect when medical institutions seek greater profits compared to more patients being treated well.
The sleazy insurance industry needs a representative
We must always continue to protect Jonathan.
For when they rise, we hope they will be kind to us.
@@Awsomonium I for one will welcome our Jonathan overlords.
Nod.
Indeed
How DO you manage to be such a kind and caring doctor one minute and such a sleazeball the next minute?!? The slicked back hair, the sideways glances with the eyes-“speaking” volumes without saying a word-Dude, you are an extremely talented actor! Sadly- for many of us, it’s not acting cuz; it’s real life consequences.
The real question is how does he switch outfits so quickly!?!?
*insert Patrick Stewart gif if him saying "acting" here*
@@kylepacker3270 it’s a miracle by Jonathon switching the clothes and hair for him!
It’s the hair gel
Only his wife will know.
As a Pediatrician all I can say is: this is accurate.
@@aishaacetydopamine837 same reason teachers are paid low salaries.
@@aishaacetydopamine837 It also has to do with the fact that our medical system favors high reimbursements for procedures. Surgeons get paid a lot more because they do procedures. It's harder to quantify preventative care.
@@aishaacetydopamine837 in my country kids are minority so... Not much money on them
Sad thing is Medicaid can be "profitable " if you have good billers and know how to apply Medicaid rules to manage care and coordination of benefits is a false denial. When the billing is good things can be good, sadly they cookie cut it.
@@aishaacetydopamine837 Kids can't vote, they have no money, and they can't advocate for themselves. That means that there's no incentive to put more money into pediatrics.
Seeing pediatric's "salary" broke my heart T-T
Ehh, who needs children anyway? They are a dime a dozen. A renewable resource! Basically free!
Why spend money on their healthcare when it could be spent on the dividents of private investors!?
/s
And teens, they don't do anything
No one will notice
They can suck it up or Romeo and Juliet this story.
Every movie studio loves those tales. Dying teens gets us big cash movie rights! Slip it in the parents' paperwork. No one reads that thing, now that it's digital, they only get a blank screen.
Give em a vitamin and send them home.
Also /s
Do you ever wonder what the horn is for? Private equity is about to find out in darkest part of the parking lot.
@@johannageisel5390 Incidentally, if you have the parts and are in Southern Occupied Turtle Island (sometimes referred to as the United States), I highly recommend getting a vasectomy. Extremely fast and easy, almost zero meaningful risk, and prevents this failed state with a gucci belt from getting any wage slaves out of you. If this nation is going to treat children so disrespectfully, we should do everything in our power to prevent there from being any.
@@Frommerman I don't have the parts, I am in the East Frankish kingdom, but I also don't have any children. O_O
I almost spit my coffee out at Jonathan‘s head nod. 😂
I hear pathology got to keep their microscopes. 🔬💪🏼
-Pathologist
Tabitha appreciates it.
Don't even joke there was talk of hot desking.....
I hear Pathology actually got some watered down version of Congo Red - Cameroon Rouge is it?
@@PedroGuilhermeSchneider oh my dog 😂
That was hilarious XD
Hospital has no money but the administration got a pay raise and a bonus. No pay raise for anyone else
You know it's bad when the ophthalmologist has to come into the hospital
I got my eye injured on night at 2am. I went to the ER. Yep. Ophthalmologist called in. He ignored me when I tried to apologize
he's still called more often than the dermatologist
@@PWLfr As a dermatologist I agree. I once went to the hostipal 12 times in a year. I have to ask where everything is every time I go. I don't know where anything is.
@@deeprollingriver52 ignored you? Did he say anything at all, or just... nod? #CouldaBeenJohnathon
You never see them. Not even the patients they treat.
The radiologists is about to read more unnecessary CT and MRI orders than he could ever imagine.
And in half the time
As long as they re in order: X-ray-ultrasound-CT-MRI.... for every single patient
Radiologists loose money on every case and try to make up for it with brain numbing scan volume.
Don't forget we're going to underpay nurses until they all quit, then pay twice as much to replace them with terrified new grad agency nurses who can contractually be thrown on any specialty floor without any specialty training 👍
The nurses terrified? What about the ill-served patients??
Better yet, cut all the support staff so nursing has to do everything. Such as RT tasks, answer the phones, clean rooms, stock supplies, take out garbage.
Family Medicine: You guys are getting paid?
This is the best line. Burst out laughing at the reference.
As the wife of an Emergency Medicine Doc, I can say this is 100% accurate. The whole system is so broken. I hate seeing him so unhappy and absolutely defeated. But when you have $300k left in student loans, you're stuck.
Different specialty; exact same situation.
Well, the good news is when the shxt hits the fan, you’ll all be welcomed to any community.
Is call slavery with extra steps. Debt is how banks enslave people.
Protect Jonathan at all costs.
Just as he can appear out of nowhere can he disappear into nowhere. There is no Jonathan to protect.
@@chri-k Jonathan is able to do these things because he is free; and aggressively listening for signs of those in need of assistance or a scribe! Protect Jonathan so he may continue to do his job at the apex of excellence!
Protect who?
Shout-out to the entire medical team for not ratting out Johnathan! 🥰
Ratting out who?
I love Jonathan.
@@lea-analowery4585 Who's Johnathan? There's never been a Johnathan
When the social commentary starts to become just as on point as the comedy. Love it!
You're a one man hospital lore machine. Grey's needs to have you and Johnathan for a cameo.
Who?
As a pediatrician, this is sadly true. Even WORSE for peds sub-specialists, most do 3 extra years of training to specialize and end up making LESS than a general pediatrician. System is screwed up and more of us will quit, change careers, or retire if things don’t improve. I recently started working as an attending and am already looking for viable ways out of clinical medicine. I wouldn’t be surprised if there’s a shortage of peds docs in the future.
My daughter's life depends on those sub specialist and general adult specialist won't touch her even if there isn't a peds specialist within 200 miles....all the hospitals just say....drive
For all the people in power care, they’ll just fling open the door to 3rd world-trained physicians-patient safety be damned.
@@Xenochrome wow, racist much?
@@ninadeltropico4412 I think they were commenting on the quality of education. Ya doof
@@Xenochrome sure. If they can pass through the step 1-3 exams, get into a residency program, and graduate the residency, then they're just as good.
Utterly true in every way. At what point do we physicians take Healthcare back from the hands of politicians and business executives? What if we all just stopped caring for patients? Oh wait, I forgot I'm an empathetic person with a soul who's in debt to my eye balls. I'll just keep showing up to the hospital and hoping for the day the CEO drives his Porsche in range for me to jump in front of it and sue him for all he's worth!
Unionize. I'm serious. An IPA that actually fights for physician and patient benefits. Oh, CEO of United Empire Care Shield wants to spend half a billion a year on dividends and executive bonuses while being run as inefficiently as possible? Don't take their patients. Force their patients to switch
Start your own doctor owned networks that operate cash only. Many are already doing that.
@@triarii9257in many countries like mine (Germany) this situation has already gotten better, because the younger generations, being insulted as “quiet quitters”, don’t work their a$$es off anymore for nothing; no unpaid over-time, “bUt yOur cAreEr”, bad training, exploitation etc. is tolerated anymore. These corpos know, that docs are empathetic and can be abused with “you have no power; you have to do your understaffed and overburdened job, or patients are harmed!” bs. No, YOU harmed patients by understaffing and overburdening these hospitals - it’s time for docs to understand that and stop being abused and bullied into shutting up and doing their job. Let’s speak hard, earnest words here: if people die in the course of this, there will be a public outcry - but in the end if worse comes to worst, I don’t think, of these two groups, it’s going to be the doctors who will be publicly hanged…
I went into medicine hoping to avoid business and focus on helping people. And now I'm a family medicine doc and literally all healthcare seems to be is a business and I hate it
Healthcare in the US stopped being about health or care a few decades back. Not-for-profit is now merely a tax shield to rake in more money. It’s time to dismantle the entire system and rebuild it in the image of other advanced countries. So that health care professionals are able to provide services that are in the best interest of their patients and not the bottom line. As someone who’s done medical coding and now oversees reimbursement rates for health plans the system is beyond repair.
Speaking as a fellow family doc: your username is perfect, because it's what we get paid.
@@Khaab00 lots of systems have problems though. ours here in germany is on the edge of collapse too. but becasue of different reasons
@@Khaab00
No system is perfect and there’s a lot we can learn from other countries. Problem is that when you take profit out of the equation, it disincentivizes people to go into the profession. Doctors and nurses would be leaving healthcare on mass and rioting in the streets if we payed them what other countries pay their providers. No one is going to want to be a neurosurgeon for a measly $80K-$150k a year and among the worst work life balance in medicine.
@@cbl6520 the only thing we really need to address is insurance companies. They need to be heavily regulated, because they've gotten out of control. Most everything else could stay the same and we'd be WAY better off.
The lampshade nod lol
This is actually a very serious topic. Private equity is not only taking over healthcare but also housing.
Private equity must be eliminated or more regulated. It is snowballing income inequality in America and people are suffering because of it.
the democrats had their chance to do that, and didnt, now maybe the republicans will... oh wait, never mind....
Johnathan is now getting paid in the satisfaction of a job well done.
There our sectors of our economy that private equity should not be allowed to invest in - healthcare, housing, human services, prisons, etc. No system is perfect, but private equity is an abomination. You, on the other hand, are a blessing.
I'm just waiting for them to hand the cardiologist a disposable yellow stethoscope 😆
Lord, lord, lord... what's this world coming to...🤣🤣
One of my relatives worked devotedly at the local hospital for fifteen years. Her department was outsourced to a for-profit external entity.
She fell and was hurt, but not at the job. She was seriously injured and needed surgery.
They legally terminated her by eliminating her position and renaming it something else as they replaced her. She has to find work before she was fully recovered, which caused worse injuries and more surgeries that ate away at her precious savings because she no longer had good insurance.
She managed to work a few more years, but at a much lower pay grade.
So when she finally became permanently disabled and barely able to walk,
Her disability income was based on those years of low pay work...not her hospital wages.
Her disability checks are low enough that she will probably spend the rest of her life below the poverty line.
The pediatrician’s worth stings because that is how it feels. Unless you work at a children’s hospital, peds is the forgotten corner. 😢
When my kids were little, their pediatrician was an absolute angel on Earth. I worked at the hospital she was on staff at. I asked her why she wanted to become a pediatrician. At that point she didn’t have any kids of her own. She said “I’ve always wanted to be a teacher, a doctor and a missionary. As a pediatrician I can do all at once, and they all pay the same anyway.” That broke my heart.
Jonathan's head nod had me in STITCHES
Ok... seeing the difference between neuro and ortho made me chuckle and cry at the same time. Also Radiology seeing through Banks is so awesome
Up here in the PNW, we have two major hospital groups that bought out all the small ones, and two medium groups picking up what’s left. They’re limiting patient options on who to see and limiting Healthcare professionals to where they can work. If you don’t like the politics at one major hospital entity, you can go to the other one and it’s probably worse
Jesus. Im in the same area.
THIS.
@@brounwynsmith848 Then you know the two I’m speaking of and Virginia Mason joined with the Franciscans recently. MultiCare has bought up every one they can. Kaiser and Providence are establishing themselves here, too. Oops I said the ones I was talking about. Oh well 🤷🏼♀️😂
Same thing is happening in the NYC Suburbs
At least we're trying with things like measure 111 and OHP.
I just spent a week with my daughter in a ped ICU. Idk what they pay those people, but they deserve the world. Can't imagine how hard it is to watch all these kids in such horrid shape, some not making it, and yet every person in that ward was phenomenally upbeat and personable with both us (the parents) and with our little girl during every interaction.
One lady whose son was in icu alot with his heart problems and two transplants, went to nursing school after he got better and helped more kids…
The lampshade nod was epic.
You can never let go of an ophthalmologist’s scribe. We’re invaluable.
Holy shit y'all are real?!
@@c.j.4014 I’m the uk there are pathology scribes for the macro dissection - they’re great
@@c.j.4014 *nods* 🙂
I have a scribe ( as an OD) and you are worth your weight in gold!
In my county a bunch of Docs and Nurses have quite the hospital and other care facilities owned by them to start up their own clinic. Hope more of you folks are able to do this, the current med system in the US is such BS.
That is sort of starting but you have to pay a monthly fee directly to the clinic to be a member. And they don’t take insurance, which you still need. We are a mess.
That's the way it was in the US years ago....actual doctors and nurses owned their own practices and ran hospitals. Health insurance was rare...it was a "perk" to attract in demand employees (like engineers etc) to big companies like IBM. Fast forward to now, and you've got bean counters in charge of hospitals. Healthcare actually worked better under the old system, and was affordable. The government involved in healthcare is even worse. In the US during covid, hospitals got $35k from the government for every person that was placed on a ventilator....thousands died from inappropriate use of them. Personally I use docs with their own practices when I can instead of the big corporate doc in the boxes. I have no insurance (thanks Obama) and both have sliding fees...but the independent docs spend more time with patients and I'm not a number.
@@alphabetsoup6681 if you're talking about the US, there are concierge practices where you pay a fee, but we also have plain old private practice docs.
Just dealt with this today actually. Cardiologist left the hospital to start his own practice in a more rural part of town. Two things he admitted when we discussed his recent change. 1. The agreement he had to sign with insurance companies was less favorable than the hospital agreement. 2. He is having problems getting privileges at hospitals because they require all sorts of additional hoops to jump through before they will allow you to perform procedures in their suites. You had to have an on-call stand in for procedure days and other things that turn procedures into monetary losses for the physician. I feel bad for him, but I also think this type of reshuffling is the necessary step the US has to make before healthcare/Insurance reform occurs. It's gonna get worse before it gers better, but the US has to utterly destroy things before we admit they're broken and take the proper steps toward repairing them. Which we will do with metaphical duct tape and Elmer's glue until it falls apart completely and then, only then! will we ignore the lobbyists and political donations to do what's necessary to return it to barely functional for an extended period of time.
@@Torsion To be fair, ignore things until they are too broken to ignore tends to be how government, big business, individuals with too much pride, the lazy, and those with poor time management all operate.
I almost spat out some soup at that bouffant, that is EXACTLY the one that my hospital buys now and it's the absolute worst but somehow they can still afford the old school red premium bouffants for the surgical reps.... also Jonathan's head nod from under the lamp shade was perfection!
As a pediatrician this is just too real
This video is so stressful. As a healthcare worker I want to cry
@nuitsuki I was laughing at all the wonderful & intelligent comments, but the more I've read, the more I've wanted to start crying, too!
Nurses are leaving the profession (but especially hospitals and nursing homes) in droves because they won't and shouldn't tolerate the abusive patient loads. AND they're being replaced by travel nurses making doctor pay. It would be safer and much more cost effective to increase the staff nurses' pay and benefits, but why would they want to do that?
They’re going to cut the travel nurses’ pay once that’s all there is. It’s the nature of biz.
@@YeshuaKingMessiah probably so. I never thought I'd be looking at the end of nursing after almost 32 years in the profession. Very sad.
I'm am IR tech and I got my non-healthcare boyfriend into your videos. It brings me so much joy when I send him a new video and get to tell him "new Glaucomflecken dropped"
Oh god, I wasn’t ready for Bart Banks to show up in the GCU. Sheer terror
The amount of lore and depth put into this video is outstanding. The plot is so good that this could be a viewers first video and still understand it, yet it could be a long time viewer who's caught up with every subplot and catch every subtle nuance and backstory and enjoy it that much more. I commend you Dr. G. excellent production
Doctors are generally crappy at running a business
mr banks, the name that sends shivers down our spines
Holy crap, you do sleazy ridiculously well! Do... do all ophthalmologists have this kind of acting range?
I kinda doubt it but that'd be awesome if they did
Lots of time on their hands
I work in an ophthalmology office ( OD here) and they make commercials, but not nearly as good as these!
If pediatrics got a coupon, I shudder to think what Family Medicine would get.
An invoice.
Funny but sad
He now has to pay the hospital to work there.
Spot-on, imo and experience. I also hate that patients are to be called, “customers”!
Me too.
When Jonathan nodded with the lamp shade on I died 🤣🤣🤣
It's really sad, one of the level 1 trauma centers in Atlanta is shutting down in November. Expected wait times at the other ER in Atlanta (Grady) is supposedly going to reach over 9 hours.
This is what the US healthcare system is like? I really hope they don't let the NHS get that bad, though the tories have been gradually working towards it over the last few years.
It's probably an optimistic view into American healthcare.
It's certainly what the Canadian healthcare system is rapidly heading toward.
Nice headphones! I've been watching these videos for a while and this is the first thing that I actually recognized. I'm an audio engineer so 99% of the technical aspects you mention are completely foreign to me, but the level of quality and humor in this videos is amazing! Please keep them coming!
If anyone is wondering, the headphones are Beyerdynamic DT 770.
They are outstanding monitors
Say it with me:
Healthcare is a right, not a business.
Bartholomew Banks begs to differ
@@seanchina9902 Australia begs to differ
R u working for free then?
It’s always been a biz
In what country??
It's not a right.
As someone who works non- clinically at a hospital i feel this. We aren't selling to anyone, but things are hard with inflation everywhere but in our reimbursement rates. I will say the c-suite agreed to cut their own compensation. If only that could be close to enough.
Flashbacks to a company acquiring an outreach program I used to work for and the new manager assuming my job was a volunteer position.
Wow.
OMG! My hospital decided that they want us to go down to 1999 staffing levels, but that is only you know the departments that actually see patients, we still have an inverted pyramid with the administration having like 30 VPs and that is only that section of administration, they aren't even considering lowering their numbers. Yesterday I told a few of my co-workers that I feel like Administration is throwing gasoline on the dumpster fire that they started... I feel this skit so much!
whenever they 'cut costs' they always start at the bottom... that has to change.
you just need to be more 'resilient'....
the shifty and beady-eyed greasy haired Mr Private Equity ...
buying out consciences of a hospital near you ... Perfect real-life reflection
My local private hospital has been fighting this for a generation or more! Post-Covid, we’re in more financial straits than ever! As tough as it is to work short-staffed plus extra shifts, I love that we still have local control (in complying with all CMS and CDC edicts, of course!) I don’t know how much longer we’ll survive. Between having to hire travelers and losing experienced nurses to the traveler recruiters, it’s not pretty. I know the MDs enjoy the environment here, but I don’t know if they have done anything to help the budget.
Another brilliant sketch, btw!
Pay the nurses better, they won't leave to travel. Not a difficult concept but most hospitals as happy paying the bare minimum. Then they are surprised when their best nurses leave. The hospitals are to blame for the problem.
@@ravensshade Hospital systems are trying to keep wages down by putting staff in wage ladders. They do not value tenured staff thus the staff that actually know how to do the job efficiently ie senior staff, leave for better paying work. It's not that hard to fix the problem but these hospital systems would rather keep wages down as they see a savings in the short term. They are getting what they deserve frankly. Hospital administrators cry budget while CEOs make millions of dollars a year.
Alot of nurses were fired over refusing the covid shot. Very short sighted (and evil) on corporate's part.
Your videos are always good but this one made me laugh twice out loud in a room by myself. Not breathe hard out my nose, but genuinely belly laugh.
So did they email the printable “Thank you” stickers to Family Medicine, or …?
You got another belly laugh from me with that one, well played sir. From a fellow FP. Comedy vs tragedy it’s a fine line. 😂
A few years ago, my PCP quietly told me one day he was leaving his practice because the hospital had been sold and the new owners started doing stuff like this. About a week later, he held a meeting with his partners to announce his upcoming departure. The response was basically, 'Thank god, we were all going to tell you we want out." They left as a group and just re-affiliated with a different, well-known hospital, which also had the side benefit of allowing them all to be working closer to home. They're all much happier now.
I'm ready for a storyline where Banks finds Johnathan. Manages to cut him to "save money". And the entire hospital system just collapses.
Missed opportunity for radiology to say to the the banker "I see right through you"
The lamp shade on Jonathan was very unexpected:D
U know its serious when the ceo had to switch glasses to say that Barty Banks cares about patients........waiting to see how barty banks feels when he needs healthcare
As a pediatrician, the peds salary at the end had me rolling 😂😂
It’s the deniability headphones for me 😅 accuracy has never hurt so much
The lamp nodding was just top notch 😂
😂 Jonathan in the lampshade!!
introducing the Jonathan lamp. not only is he an incredibly talented scribe but he also acts as a fine peace of lighting equipment for almost nothing (he seems to miraculously generate enough energy to light a room and seems to violate the conservation of energy). buy him now for the low low cost of half your lifespan.
Neurosurgeon didn't reply to any of the comments about him. He didn't want to lose any energy replying 🤣
Of course not, he has to operate
Man is spot on. 10/10 straight facts about what is happening to the health care industry in USA.
There. Is. No. Jonathan. Guys, get it? None. Right? 😎
(lampshade nod)
I’m not in the med field but live in the PNW where I battled the insurance system for several years and blame them on the inadequate care my son received. By the time I was able to switch insurance to be able to go BACK to his pediatric bone marrow transplant specialist who had saved his life twice when no one else could figure out the best course… the damage was done. He passed away four years after transplant. It’s a long story, but I really feel for this brilliant doctor. Her hands were tied and she battled the insurance companies for her patients so hard. It’s no wonder that so many doctors we saw after her seemed to take sudden, early retirements.
This was wonderful and
Terrifying ……
I really keep expecting Banks’ suit to turn red and the horns to pop up
This is what exactly happened to the little non profit community hospital I worked for..a big entity bought us out about 4years ago and about 80 percent of employees were let go or left.. myself included. I was a unit secretary and they made us become sitters..I'm in my 60s and I was put in rooms with 300 lb men or others coming off meth
Absolutely lost it when the lampshade nodded.
Would Opthalmology rather give up Johnathan or have to work on Saturdays?
There is no Jonathan
shhhhhhh
IIRC, Opthalmology's medical license is only good from 9 am to 4 pm, Mondays through Fridays, so that kind of nixes Saturdays.
@@JarrodFrates oh that's right.
Sir, there was a glasses not being switched issue lol love it.
Lol, that's what I get for filming at midnight
This is ducking amazing! Wow! Mind-boggling acting, and beautifully written! Things must be getting pretty bad in the healthcare industry. Thank you!
Worse bedfellows than profit & hospitals is a hospital & insurance. Now that’s crazy-no division of the company is ever happy
"Behind every great fortune, there is a great crime" Voltaire
Jonathan head nod from _inside_ the lamp shade... pricelesssss.😂
The Jonathan lampshade nod! LOL!
Love your videos! I was so hoping/expecting that when the CEO asks Radiology how he knows he's lying to say "i can see right through him"
I was scared for Jonathan for a second. Then I just got sad for pediatrics 😢
As a pediatric PA, I'm actually content with my pay level in comparison to other specialties - they do a lot more for the older patients with more serious illnesses. My patients actually spring right back without much of intervention majority of times. Kids are usually bright sides of my job - it's the parents who test my patience.
Hope to see more private practice docs for more open market cost reduction. These Bartholomew Bank corporations are no joke with the monopoly power. 😶 Patients come first and should have negotiating power with their health care cost instead of it always being 3rd parilties deciding (insurance, government, giant hospital corps)
I use private practice docs whenever I can.
Radiology has the ability to see through it all
Your acting keeps getting better! Love the videos Dr. F.
yes! as a pediatric emergency doctor we always feel undervalued by the hospital :(
The comedic timing is amazing
Thanks Dr. G.
Sincerely,
Diet Mountain Dew guzzling ER doc. (I just got back from mountain biking too.)
another great video from the doctor. thanks
Proud of you for speaking the truth though man
My local hospital is owned 50/50 by the county and a private corporation that owns over 50% of the states healthcare. I know they don't care about us folks on the ground, from cleaning staff to EMTs and Medics all the way up to the Doctors.
They force everyone to obey and couldn't care less about the humble little hospital and county it serves. F private companies, we deserve better.
Amen.
You'd be in worse shape if the county owned you 100%. We need to get back to the days when hospitals were actually run by physicians.
The family medicine only get thank you notes
The hospital is always struggling yet the corporation that own it continues to make record profits. How does that work?
if possible i would love to see some genesis storylines, like how they transformed from bill to any specialty, or even some origin stories of the feud between different specialties, maybe from their training days. love your work!
Missed opportunity there. Radiology "I can see right through him"
Notice: no Family Medicine, no residents, and no OBGYN.... Scary truth here, Dr. G.
I laughed so loud at the end that I scared the cashier in the drive-thru 😂