Flipside. Everyone in the US - raise their hands if they were forced to wait 18 hours while having a heart attack in a hallway not yet even admitted to the hospital. Everyone in the US - raise your hands if they were forced to have a leg amputated because the wound specialist post operative doctor was unable to provide any service for 8 days. Everyone in the US - raise your hand if you were forced to wait 2 years for cancer surgery. Yeah - if that happened in the US those evil corporations you speak of would be sued into bankruptcy. But just go and look at what it looks like in countries with socialized health care. Just so you know - in those countries, all the wealthy have private doctors and hospitals. Oh, by the way, all those surgeons - raise your hand if your income is in the top 1-5% of all wage earners in the US. Pretty much all of them (go google 2024 statistica chart on surgeon wages by specialty). So sorry for you.
There is a lot of truth to your comment. A lot of good mixed in with a lot of bad. Cost/ quality/ access: Every society has to compromise on at least one of these parameters. This is an insurmountable problem, in my opinion. Something has to give. Thank you for your feedback, appreciate it.
It cost me $471 to see a doctor for 8 minutes. The doctor never examined me or looked at my medical records. The doctor said to come back in six months if I wasn't feeling better but it took me 7.5 months to get the first appointment. Now I'm planning a trip to Kuala Lumpur for a complete medical exam with all the scans and tests for less than my annual US insurance deductible.
They don't even look at you! They just stare at their stupid laptop screens. Their solution to any problem you have is to give you more prescription, recommend more precedures, or both.
Yeah, I just went to see the dr and the nurses were much more attentive to me and my talking. Look how much it costs to become a dr! Also the time expenditure which I think would be much better spent w hands on advising from experienced ppl. The hands on training would help these ppl learn how to diagnose these peeps much more efficiently. Also the more talented/inclined students could provide help to these overwhelmed professionals. The Nurse Practitioner I used to see was Very good at listening to my concerns/problems. Miss her now...
It's scary. 1. Benign small growth observed in colonoscopy. Surgeon wanted to remove half my colon. NCCN had 2 requirements for that but met none. I fired her. 2. Had a little fall. They rushed me to do a hip replacement. I looked at the x-ray myself and it didn't show a break. They finally agreed and i walked out. 3. Had a never healing sore on my leg. Saw a PA. "Oh it's an infection." Saw a dermatologist; "it's a 1.5 inch cancer." Surgery removed 3" patch of my leg. - I need the Healthcare system but i am also afraid of it. God help me.
Scary indeed. You had the wherewithal to think for yourself under such stressful situations, which is not common. Glad to hear that you were able to help yourself (when others couldn't). Thank you for sharing.
MEDICAL services ≠ HEALTH care. "Healthy people are those who live in healthy homes on a healthy diet; in an environment equally fit for birth, growth, work, healing, and dying... Healthy people need no bureaucratic interference to mate, give birth, share the human condition and die." - Ivan Dominic Illich
Faza533 , yes, healthy people shouldn't need medical care. When my provider says that a test (blood or otherwise) shows a problem, I study to find if there are recent research studies that counter it, if I need to change what I eat, etc. Except that medical care = health care when there is an injury, when despite our best attempts we encounter a virus or bacteria that our body does not have immunity to, etc.
You have to be your own advocate. If you don't feel you need a test, refuse it. When I told them I don't need a wellness exam and they insisted I just looked at the woman and said " What are they going to do kick me out of Medicare?" I also refused the covid vaccine and flu shots and their stupid Cologuard, Which showed up at my house. I didn't order it I didn't want it so when I called them and said I don't want it they told me to throw it away. The waste is unbelievable. My best friend went for her routine colonoscopy and they perforated her spleen and she almost died. I stay away from doctors unless absolutely necessary.
My neighbor used to have a private practice, family medicine doc, and took her time with each patient. She sold her practice to a corporation with the promise of taking the paperwork/admin off her hands, and instead they first let go her office manager who had worked there for years, and when she objected and petitioned for her employee, they fired HER. She sold her business and they fired her within a few years for not falling into line, so now she’s retiring. It’s horrific
If doctors became cooperative they could be at this,. 5 doctors could join together and hire one office manager that is experienced in fighting insurance companies. That would give them more control over the paperwork, but they would still have time for pts. Would this doctor be willing to help a coalition of worker-owned cooperatives build a medical branch?
@@bruces4515 this could be the future. cooperatives where the community owns it. similar to how we did in the past, the village took care of the docs - we all paid in. no middle man
@@micirenea If by 'nobody', you mean 'everyone in the working class', then yeah. Ain't no news station gonna talk about it. Ain't no wealthy hedge fund manager gonna talk about it. Ain't no major politician gonna talk about it. We talk amongst ourselves. We prep our vocal cords while the ruling class suggests we eat cake.
The even bigger problem is that while the insurance companies are screwing us, the corporatized care networks are screwing the insurance companies. Premiuns increase 10% every year like clockwork. Denials are increasing. Yet profits have been declining the past 2 years. In 2024, insurance company profits less investments will likely have been negative. Traditionally, insurance companies were a cost stabilizing force in the industry. They took massive undeserved profits, but at least most people could afford it with employer benefits. Because of care network consolidation and a growing portion of the population being on Medicare or Medicaid, insurance companies are now powerless to do their job.
American education is overly corporatized. American food is overly corporatized. American healthcare is overly corporatized. American housing is overly corporatized. American insurance overly corporatized. American research is overly corporatized. It is the United Corporations of America. Which is why I moved to outside of the country.
@@tj92834"Restrictive social welfare states"--restrictive to employers who don't want to pay their employees, restrictive to those who want to exploit others, etc, etc
@@tj92834Tell YOU what: When you get off your high horse, you can learn something about how people in the USA die unnecessarily from private healthcare companies every single day,(children, too... In case you ONLY care about the kids). And you can learn how people in countries that have universal healthcare, pay less taxes overall and don't get refused life saving care. Ah, maybe I'm just a sap who cares too much about people, but I'd rather be me than be someone who justifies a profit driven death machine that steam rolls human beings for fun.
In my country, Ecuador, I can get a 320-slice CT for $150 dollars, of which my insurance will pay 90%, once my $150 deductible has been met. So my out of pocket is $15 dollars. Less than going to Chic-Fil-A in the US. I had an ultrasound recently. Performed by an MD, read by an MD, and handed to me to take back to my GP. Total cost? $36, and I paid $3.60. An in-home visit by an MD, with zero insuance, is $25 dollars. Americans have been lied to. Healthcare isn't "that expensive". It's a scheme for profit, and US citizens are the mark. And it's never changing, there's too many rich people making too much money. They own the politicians, and they invest in the insurance/pharma/healthcare companies. Sad.
This is happening to veterinary medicine as well. Private equity is also buying up housing across the country and then renting them back at a high rent. Private equity/corporations have become the bane of society.
My beloved Maine Coon cat Thorin Thunderpaws developed ideopathic pyothorax disease last year. Simply diagnosing him and giving him three chest taps, antibiotics, oxygen, and ultimately euthanizing him, all in less than two and a half weeks, cost over $8,000. I miss him terribly every day and the loneliness is killing me. I used to own four cats and a dog, and now just have one 19 year old cat remaining (the least sociable of them all, as he was adopted at age eight from a hoarding situation). He'll be my last pet; they are simply unaffordable now.
@@GingerPeacenikMan the domino’s really are falling. What happens if people can’t buy pets? What happens to the animals? What happens to the workers? What happens to the facility? What happens to the veterinarians?
I had a wonderful doctor for 15 years that always took the time to listen to her patients and really get to know them. She was caring and kind and always followed up when I had a concern. I found out just a few days after my last appointment that she had died. I later learned that she had committed suicide. Her patients were all devastated. She worked for a large health care system. I don't know if her suicide had anything to do with the stress of her job, but I think it is very possible.
This is all true ! So where do we go from here 😢 My doctor sits behind his laptop and never gets close to me I asked him about my two blown eardrums and my tinnitus and the possibility of their having debris in the canals causing my ringing and loose of balance and said my ears are perfectly clear without him never even looking at me ? Shocking . WTF !
@@HarryKersey I don't know how people would feel about this, but my mom's cardiologist records the conversation and inputs the info later. That way he can pay attention to the patient during the visit. He did ask us if it was ok for him to record the conversation. I guess some people might object to being recorded.
The micromanagement of physicians by administrators is relentless, critical, based on maximizing profits over quality of care, and dehumanizing. When you're in the 98th to 99th percentiles for productivity and patient satisfaction in a large national organization, and it's still not good enough for hospital administration, something is very wrong, and that continuous behavior strongly encouraged my recent exit from highly specialized internal medicine in my mid-late 50s. I think it's quite likely that the relentless corporate micromanagement of your beloved doctor contributed to her suicide. MDs are now number one in suicide of all professions, and when you unwittingly become a pawn torn between your Hippocratic oath and corporate greed, something has to give. The Hippocratic oath and corporate medicine are eclectically opposed.
The real tragedy is that this video will never reach the minds of the people it was truly meant for, even on the internet. There are none so blind as those who will not see.
Thank you for stepping up and speaking out. When physicians are fearful of losing their jobs due to speaking out or even failing to meet their boss's demands, then how can they deliver quality health care to anyone? The entire population of the US, say at least 300,000 plus all medical workers, are unhappy, stressed, unfulfilled, and bankrupted. That's a whole lot of people involved in a single industry. How can we tolerate this?! We must dismantle this! Now!
@@SpineSurgeonSpeaks I've known many nurses in my long life and most of them have always complained about how the doctors treat them with disrespect. Of course, today, on top of that, the stresses are enormous, so it is absolutely no surprise to me and many others that they opt out. To my point above, you'd think fixing health care would be a winning issue for politicians on both sides. No one (with functioning brain cells) would object to any ideas to remedy this horrid situation (except politicians who are there to take bribes ongoing which is most of them). Health care workers need to at least unionize and speak as one voice to get what we all need. Individual doctors cannot afford to do it alone. Dr. Glaucomflecken (aka Dr. William Flanary) is an ophthalmologist/comedian on RUclips who is using excellent humor to target the current system with kindness and finesse. Influencers like this all over the place over time can prime society for change. He even names names; United Health Care is one of them.
@@MbisonBalrog Yes, but as he said, they have to be both a doctor and business manager and even bookkeeper at the same time. They get rid of all that, except being a physician, and get a ton of money if they sell to private equity which then owns them. Doctors don't seem to see that last part until it's too late. The computer programs they are forced to use make them do the accounting and "paper" work anyway while trying to be good doctors to their patients.
Finally someone who said it out loud! As an economist I can say that he is completely right that the system was designed to work exactly as it does. Insurance is literally the textbook example of what economists call market failure, meaning there are characteristics intrinsic to that market that mean that privatization and a competitive market can’t work and will instead result in exactly what we see now. There is nothing that wasn’t foreseen from the beginning.
Yes, as you probably know, the Nobel laureate economist Kenneth Arrow wrote an article explaining why a free market in health care is impossible. His main argument was that patients don't have enough knowledge to make informed decisions.
@@norman_5623 interesting idea, but I was referring to health insurance specifically rather than health care. Insurance is meant to spread risk over a group and is something that according to mainstream economic theory cannot be accomplished by private companies in a competitive market setting because of the way that profit is made (by not providing the service, or by taking some of the pooled money meant to be redistributed out of the system as profit). It's harder to explain than that, but there are certain industries- utilities is another example- that economists call "market failure" because the market just doesn't work in those cases. This is not controversial in economics, it is literally the textbook example. The whole idea of having private health insurance is a scam from the beginning.
I became a nurse in 1990. At that time, many physicians were in private practice. I watched the hospitals sell doctors on the "benefits of letting us run the practice and take care of the HR and problems for you so you focus on patients". Once a number of them did, things changed and the hospitals began controlling them more. Shorter visit times, quotas, etc. I watched the downfall of quality care. Of course, there were those who consistently began running late, worked more overtime and gave up their personal lives for their patients. The last few years, I am seeing a shift back to private practice. My doctor (who spoke on the steps of DC several years ago) is now in a DPC. I am fortunate to have her! We need more doctors like y'all. Thank you.
I became a nurse around the same time as a case manager. What I saw was many private practice physicians admitting patients (because hospitals controlled admitting practices)to the hospital who had no acute care needs. They would have a patients who they knew would not question their need for hospitalization and thus would make sure they had a number of patients to see at the hospital so that it was worth their time. I thought at the time that hospitals would be better off if they employed the doctors so this abuse would not happen. I was so naive.
I became a n RN in 1976. Retired in 2020. The changes in Healthcare were so depressing. I think it was in the '80's that Healthcare became a business and the insurance companies would start to take over 😢
When I worked for a non profit hospital. Board of directors were volunteer citizens to whom the CEO was responsible to. They decided ceo's pay. The patient was #1, staff#2, and CEO was last. No shareholders.
Unfortunately, one of our local not-for-profit hospitals is very greedy. They admitted my over-age-65 friend for vomiting and diarrhea, put her through a whole bunch of testing machines, admitted her to their hospital for 3 days "for observation", prescribed a medication to treat the vomiting and diarrhea but that had side effects of causing nausea and diarrhea, and started prescribing a bunch of pills without telling my friend what they were for. My friend started asking about the pills. One pill was for acid reflux which my friend never complained about and had never been prescribed before. Another pill was to increase blood pressure because my friend's blood pressure was testing very, very low. My friend gets plenty of exercise and eats very low carbohydrate, so has very low blood pressure to start. Then, there was probably low blood pressure due to dehydration from vomiting. Then, the nurses were taking her blood pressure while she was lying down.
According to economist Milton Friedman, corporate leaders have a fiduciary responsibility to maximize financial returns to their investors. Anything else would be unethical.
Most hospitals have a nonprofit status. I believe that they should lose that tax status and have to pay taxes on their profits like any other profit-driven corporation.
It is wonderful to hear the reality expressed so clearly and concisely. People don’t realize that physicians are also victimized by this system. The insurance companies just made y’all the lightning rod.
I worked in hospitals for 45 years, 38 as an RN. When the entrepreneurial capitalist came in, they couldn't wait to get rid of managing a practice, but did not see the insurance entrepreneurs coming. Now we have fascism, so it won't get any better. Nobody can afford it.
Canadian here. Having experienced 2 lung cancer operations, hernia repair, cataract removal and a ton of tests and doctor appointments the cost of parking is all I paid. The care was outstanding and professional. No worry about paying or starting a Gofundme page.
@@MbisonBalrog We pay VERY high taxes for our "free" health care. Our gov't is forcing the US system on us, and private clinics are expanding across the country. Doctors who work in the 'system' are forced to follow protocols. If they do not, they face penalties from the College (similar to medical board that certifies) and even losing the license. In addition, yes, there are long wait times, and a lot of patient abuse and neglect. Don't feed the troll.
@@jennifermarlow.What you classify as very high Canadian taxes are, in reality, just a few percentage points higher in the lower tax brackets than US taxes. For that we get universal healthcare and don't lose all our savings, our homes or our lives because we're under insured or not insured at all, like many in the US. My American friend is paying $1,500 a month for health insurance with a high deductible and high co-pay. She is also experiencing long wait times in California. She grew up in Canada is is planning to relocate back. You shouldn't make uninformed assertions without having facts to back them up. Canadian taxes are a bargain for what we get!
Her in America it would have cost every cent you’ve ever earned and more. You would die broke and leave your children nothing. I know, watched it with a couple family members. Lost everything at the end of their life. When I’m deathly ill I’ll choose to die and leave m6 family something.
We get to the point where we avoid doctors altogether at our own peril. My Dr seems like his greatest concern is getting me on as many meds as possible. I'm close to having zero prescribed meds. He thinks I'm seeing another Dr for a statin ( because my lipids are great). I lost 90lbs!
Hats off to you Sir! I applaud you for speaking out about this sick system that we have... all of your colleagues who feel the same should be as brave as you and start speaking out so that maybe the Big corporate sick system will listen and start making some changes!
Unfortunately, that's like asking a lion to become an antelope. We need to create new non-profit insurance agencies, because no for-profit insurance company is going to willingly decorporatize itself.
Pharmacist here. We knew where this was headed in the 2000s, when PBMs (pharmacy benefits managers) really took off with vertical integration and corporatizing healthcare. We saw our patients denied their medications on a daily bases, and the medications we were able to give them made it near impossible to stay in business, because the money went to right to third party middlemen. Independent pharmacies subsequently closed rapidly. A third are now gone, just within the last 10 years. We were canaries in the mine of what was to come for the rest of the healthcare system. Now those large PBMs are integrated into insurance companies, who have branched into MBMs (medical benefits managers). Hospitals have been eating one another to vertically integrate themselves into networks, as part of an arms race for corporate clout. As a result, doctors cannot run their own clinics, in the same way pharmacists could not run their own pharmacies. Nurses are understaffed and overworked. Patients go without care. Wall street has essentially enslaved healthcare providers across the system, and denied patients the care they deserve. None of this is sustainable.
Then don't help them by overeating, not exercising, drinking alcohol, not getting enough sleep, driving dangerously... Americans complain about the medical system, but are the unhealthiest society in the Western world.
I recently got diagnosed with pneumonia and went to get my prescription meds from CVS. Interestingly none of them were being covered by my insurance except for 1 which turned out to be codeine-guaifenesin. An opioid. Of course...
I wish. It's more poison our air, water, food and meds (and even education to keep us ignorant to how to even maintain health... sugar lobby created the false narrative that fat makes you fat, when it's always been carbs like SUGAR) prevention always beats cure) and _make us sick.,_ keep us sick with treatments that don't work and that maximizes profit. We can thank President Nixon that changed the law so doctors could "practice" medicine for a profit. That's when medicine stopped being about treating patients to make them healthy again, but to make them sick and keep them sick until they ran out of money, i.e., maximize profit. The richest country in the world has something like a 38th place in life span and health. Wonder why? I don't.
"Community" ones are the same. So are the "Access To Healthcare" "non-profits" that PBS pushes. It's a total disaster. They are trying to kill me, God help me.
Wish all physicians would band together and change this. I never get to see my PCP because of administration telling him he has to see so many patients in a day. He sees mostly just patients within the Hierarchial Condition Category. It's ridiculous and unacceptable what these corporations expect from physicians. Wish all physicians would have stayed independent.
Staying independent these days is quite challenging. Having said that, yes, it seems that having more options is better for patients (and society) in general.
@@priestessofkek2406 A long time ago, like a couple of decades or so, I read an account of how physicians tried to make an alternative to the AMA (which is a private organization), and somehow the AMA managed to put a stop to it.
For the fourth year in a row, I have to look for a new primary care provider. Every year, whoever the big corporate system assigned me to, has left the practice before I could have a second annual checkup. It's so frustrating.
I'm an expat, retired and living in Panama. I needed a hernia operation which Medicare would have covered if I returned Stateside. Instead, my wife and I flew to Medellin, Colombia for me to have the surgery. All in, airfare, Airbnb, food shopping/restaurants, taxis, lab tests, anesthesia and surgery... under $2,000. Modern medical facilities, wonderful, genuinely caring medical staff, and a competent surgeon who gave me his personal cell phone number. Plus, all of this coordinated by the hospital's bilingual International Patients office, all said and done three weeks after I first contacted the hospital. I avoid the American medical mill at all costs.
Got my mri and 2 X-rays when I experienced a severe sciatica issue (which turned out to be a stage 1 spondy) … for 160€ cash… consult with spine specialist and neurological surgeon… 100€…. Athens Greece
Corporation owns hospitals / doctors. It is the Hedge Fund Banker who says bluntly we expect ???? this much profit. It goes up every year. Then it is up to the hospital management to lower costs but increase revenue. This is the true face of healthcare. Both my brother and I retired but my career choice of healthcare/doctor is one I severely regret. In my area I say it is taken over by the Medical Mafia because to me it operates like that. Same for all healthcare services- physio,dental, nursing homes etc
tj92834 , which insurance corporation is paying you to try to talk us into remaining with the same evil USA health *crud* system? We are not stupid when it comes to publicly-traded corporations (PTCs). PTCs are all about greed and care nothing about employees, customers/patients, and the environment. Details below: When an entity (person, corporation , etc.) buys stock in a PTC, the entity is buying a part of that PTC and becoming part owner in that PTC. At the PTC's annual shareholders meeting, if the shareholders aren't happy with how much money the PTC gave them that year, the shareholders can: (1) Vote to have the board of directors (BOD) fire the CEO, (2) Vote to fire members of the BOD, or (3) Vote to sue the BOD. So all year long, the PTC's BOD, CEO, and other big cheeses are seeking to get more money for themselves and the shareholders by: (1) Finding ways to give employees even less in income and benefits, (2) Shipping more jobs to other countries where employees can be paid even less in income and benefits and where PTCs can damage the environment without stopping, (3) Giving customers/patients even less in service and product while making customers/patients pay even more, (4) Giving politicians "campaign contributions" and "speakers fees" to pass laws so that PTCs can become even more greedy, (5) Paying "fees" to the FDA and other government entities, and promising lucrative jobs to employees for when they retire from those government entities. PTCs are people-eating tigers.
You make some good points. My question is, why do Americans stand for this? I'm a Canadian and the American health care system horrifies us. (As well as every other OECD country.) Why don't Americans tell their elected representatives to change this? Is American politics that broken, that only the super rich make the rules and almost every industry is an oligopoly?
Yes that is exactly it.the people have no say the senators and congressman are there to give the illusion we have a choice. We don't it's a country run by corporations paying off government officials to pass bills that benefit them. Everybody wins except the people. We're not that smart in this country if we were to fight the system we'd be thrown in prison so we're brainwashed to accept what we are told it's not a democracy it's an oligarchy.
We had a very prominent politician attempting to change this and he had the plurality of votes in the primary election, but the "Democratic" party oligarchs united against him. Bernie Sanders would have fixed our country but now it's in ruins
We are behind you. I believe change is coming, big changes hopefully for the commons. But lots of pain will happen before this occurs. All in my opinion ofcourse Great presentation, Doctor.
I work as a travel MRI technologist. I've worked all over the country at various hospitals. The core issues are the same everywhere for the most part. The main difference I see is Union vs Non-Union. I'm from Atlanta, Ga. The conditions and pay are insanely bad compared to the rest of the country. Yet you walk into the hospital and they have 100ft ceilings and marble walls. The cost of living there is higher than when I was in NY, yet the pay is a little more than half as much. Labor unions are needed as these hospitals keep going unchecked. Emory University has over a 1 trillion in liquid assets and yet a ICU nurse isnt paid enough to be able to afford to live anywhere near the hospital because the wages are so low compared to the cost of living.
As a type 1 diabetic since 2 years old here are some things that i hate about the healthcare system: #1 ive ran out of insulin and went to the pharmacy only to be told my prescription isnt supposed to be filled yet, im the one telling you i dont have insulin and so i usually get upset at the pharmacist and they end up getting me insulin one way or the other. #2 since type 1 diabetes is an autoimmune condition triggered by toxic environment, it should be a socialized cost. #3 i have to go to a doctor at all to get insulin, im required to go and i hate going i know more about the disease than they do i live every second with it.
Patient experience in the U.S. medical-system is worsening year by year. I agree with you. Don't know where it's all going to end. Doctors need to speak up.
jt92834 , are you being paid by a USA insurance corporation to disparage other countries' healthcare systems? It's not working because, in the USA, even insured people have such high medical bills and insurance corporations have such high denial rates that USA people can't get medical help even with insurance. There are other countries that both pay for people to go to medical school and pay for patients' health care. Thus, their system has sufficient doctors and can give free medical help.
@@tj92834 that sounds like Parkland hospital in the US. Short staffed and rude. Dismissive at times, I literally had to tell the nurse to check my throat because they kept chalking my throat pain to COVID
As a 65 year old Canadian who has been around the block a couple of times I have to say that sounds like madness. Here in Canada medical bankruptcy is virtually unheard of, I don't know or have heard of anyone here that has happened too. Our system is not perfect by any means but then again what system is, but I can tell you that there are no Canadians (except for maybe for some corporate types) who would want to switch over to the American way of doing things. I can go to any hospital or doctors office that I want too anywhere in the country at any time and it will never cost me a dime out of pocket. OK maybe I might have to pay for parking and a Timmies but that's it. Yes sometimes we have to wait for stuff but if it is deemed urgent by a doctor then you are addressed first. Priority goes from most sick to least sick and I don't have a problem with that, if someone is worse off than me then I want them seen first. The American healthcare system belongs to the corporations, the Canadian healthcare system belongs to the people, that is the difference. Universal healthcare, we call it taking care of our own. P.S. I didn't even mention access to affordable prescription drugs which all Canadians also have access too. Ok there I did.
Oh wait I thought you were lying until I realized you're a boomer. All the boomers get to bag about their functioning system because they managed to benefit. This system they beat about does not any longer exist. The medical industry is failing in Canada for multiple reasons but none of the millennial I know have access to care unless they work in medicine. And I know for a fact if you're even a bit obese, you get back of the line service. All those street people are sick and we do not have the ability to treat them for pretty much anything. Giving them free housing has been mostly a failure because people do not improve their psychosis simply by giving them free stuff. But they did learn that giving them free drugs reduced crime, but the side effect is more drug induced suicide. Which they want. In a way, medicine has failed in Canada so immensely, they've legalized euthanasia as a remedy. But it's still illegal to attempt to self delete at home. Cl not to mention that, they complain that not enough foreign doctors are admitted to practice in Canada. But then you learn how many frauds immigrate, you realize the regulations are their for a reason. Considering that if you came from another country and was actually a doctor, you'd probably be able to afford the test to become certified. I'm impressed that the Canadian government, or just trudeau probably, just him, decided to import so many people who fell for immigration scams into the country. It's like they want everyone to be dumb and sick for some reason.
I lived in Canada and loved my doctor and had very good care. I'm sorry I came back to the US. It really sucks getting healthcare here and I now have medical trauma from it.
I recently went to a new primary health care physician and what really struck me about the visit more than anything else is that the doctor was late to meet with me and was rushed through the session so that he had to get on to the next patient. He spent no time actually getting to know me getting to know my history or learning anything about anything other than the one specific thing that I brought up first. I felt like a widget on a conveyor belt. And now I have other things I need to discuss and I have to set up even more appointments. I want to find a decent Doctor who will actually spend some time with me but I have no idea how to find that.
You frustration is understandable and all-too-common. I recommend looking for an independent physician practice, to get away from the medical-conglomerates. Good luck.
This is the second and final tier of the problem. Just like your home's major appliances, it is designed to not be fixed. We need to throw it out as a whole, and just get a new one. The state of affairs isn't something that accidentally drifted this way. It was intentionally engineered to be like this. Our capitalistim is different but no better than the communism we one denounced for it's propensity for corruption at the top and mass suffering at the bottom. Like a pyramid scheme. Just like trickle down economics. It was everything that was wrong with communism in a different skin.
Medicare has people making decisions about what is covered and what isn't. My wife and I are both on Medicare. I've been enrolled for 7 years, my wife for 2. Medicare Part B costs each person a minimum of $185 per month (rich people pay up to $600 a month each for Part B). Prescription coverage costs extra. Dental and vision is extra, too. Medicare doesn't pay the full cost of health care. We each pay over $300 for supplemental coverage to cover the charges, copays and 20% or so of hospital bills that Medicare doesn't pay. If you want free - or taxpayer funded free - health care you need to ask for that to be passed by Congress. Don't just ask for Medicare for all.
@@Singlesix6 Under M4A, that would change. At least under the proposed bills I have seen. Dental and vision would be covered. There would no longer be a Part B premium (which is closer to $180 every month now)
I very much appreciate you giving people the doctors experiences and point if view.I was not aware it was as bad as you described .At the same time,I feel very vindicated because I have been saying similar things for YEARS! I must be a genius.The practice of medicine is both science and an art.The relationship between a doctor and their patient is both professional and personal.You are a DOCTOR, not a health care provider.I am a patient,not a healthcare consumer .Healthcare cannot be commotized.Why are we as a country allowing a predatory bureaucracy to extract billions of dollars from a healthcare system while not providing any actual healthcare?Thankyou for speaking out.
Because Congress is also controlled by the corporations, Both get their money for running for office from corporations. Corporations that "donate = legal bribery) are considered persons by law and start the whole process going.
Well said. Nearing retirement as a generalist I've seen the evolution of this. Sadly for-profit hospital systems are only marginally worse than so-called 'non-profits'. I have managed to remain self-employed but that is becoming rarer and rarer.
I am so glad you spoke out about this topic. Most Americans are not aware of what is happening until they have a serious problem and cannot get the help they need. At that point they may suffer severe complications or even die because they are not getting the care they need. Aside from corporate interference, another underlying problem, as you mentioned, is that many medical professionals are leaving health care because they are overworked and burned out and because they are prevented from delivering the type of care they were trained for and want to give. AARP has an article in the current Bulletin that highlights the problem in detail. Unfortunately, it is only accessible to members. Ironically, AARP has a relationship with a for-profit health insurance company.
You are correct. Nobody wants to go down this rabbit-hole. I hope more people watch this video so that they care realize that the doctors are aware of this problem but are unfortunately limited in their ability to change the system. Thank you for reaching out, feel free to disseminate the video.
Years ago, I told my then-20-yr-old daughter, "Don't make the mistake of thinking that being smart or very well educated and/or informed will automatically make you happier. Often, you'll become aware of just how dangerous, difficult and nasty reality actually is. Many people find the loss of simplistic childhood Disneyesque fairy tales like "the sky is the limit, you can do any career you want!", "life is beautiful", "they got married, walked into the sunset and lived happily ever after" and replacement with more realistic internal models of reality to be painful and difficult, which is a major reason why many people prefer to hold on to their personal and/or cultural myths. However, being dumb and ignorant is an excellent way to become injured, victimized or killed." . The 1999 The Matrix movie laid this out rather well: do you want to mentally live in reality, which might be rather awful, or do you want to live in a psychologically comfortable fantasy? I"m disturbed by the number of people who prefer the illusory safety of their internal fantasy world.
1:29 Yep Thank you for being a hero and speaking out It is no longer OK to be silent I have been working hard for more than 20 years to educate my clients and the world about the evil corrupt sick care system
In NH, I can’t find any private practices anymore. It’s either Core Physicians or Appledore Medical Group. I waited a very long time for a much needed ACDF. I had to speed up the process by going to an ER with a “related” problem. I don’t want to clog the already tensioned system, but I was losing the ability to walk normal. Nowadays I go out of my way to “check in” with my doc. I always want to know how he’s doing because sometimes it feels like him and I vs the corporation.
I just graduated as a kinesiology student going into physical education and motor growth with people of different ages. The reason why I am saying this is that I’m worried I will not be able to help since i haven’t been heard from my doctors due to my back issues which is making me hesitant if I will ever get help. I’ve been going from treatment to treatment but never get to talk to the specialist or doctors because I get cut off from a conversation. I really want to get my career started at the age of 22. I’m a bit scared and sad about how things have been going. The healthcare system holds patients back for too long in my case and I feel like things won’t get better if I keep holding back. I’m loosing hope.
Thanks Dr. Khan! I am from UK, and I always thought highly of American healthcare quality, especially in comparison to NHS. It's saddening to see that due to the monopolisation of the market things haven't been going great recently
Thank you for your kind words. American HC system has its positives and negatives, just like the NHS. It seems that we just cannot get the best of both worlds, we have to pick-and-choose. A terrible dilemma.
I'm Canadian, never paid a dime in healthcare costs, no premiums, no copays, care is excellent. Like all systems it has its problems. One that we don't have is having to argue with an insurance company that we pay hundreds a month in premiums and get denied, and if we are approved we don't have to pay a deductable. that's called extra billing and its illegal in Canada. Create an affordable system made in the USA. make it happen. UHC...UNIVERSAL HEALTH CARE. FREE LUIGI.
Appreciate your honesty. As a former nurse, I would rather pick up cans than go back to working at a hospital . For all of the reasons you mentioned. Also, I believe most patients realize their Dr's hand are tied when it comes to the options offered. I don't feel like they have much choice when it comes to meds they prescribe, etc. The health insurance companies have taken Healthcare hostage & big Pharma has assisted. I completely empathize with Dr's who went to school and trained for years, only to have insurance dictate the care they can provide.
Your description reflects my experience which is why I went fully vegan, exercise like my life depends on it, and intentionally haven't seen my GP for 7 years. Thank you for your courage.
I moved out of US a year ago. ( I won’t tell you where beautiful I don’t want the rest of you to bring America with you.) I love my life. Besides supermarkets, Not a single chain stores, restaurants or businesses in sight. When I need to see a doctor I call a local doctor, he picks up the phone or calls me back shortly after and I get to see him the same day or a day or two later. I don’t have insurance yet. I paid out of pocket which is less than what my out of pocket was in US. I have insurance as of yesterday, at a cost of $2000/year. No deductibles nothing. If I want to see a private doctor I can still pay out of pocket (less than my deductibles in US) and I get immediate treatment. I live in a major European country, not a 3rd world country. US, by comparison felt like a 3rd world country.
I've considered moving out of the US but I'm worried I will lose my social security and I don't want to work past 65. At 38 I'm not sure if I'd be working in the new country long enough to get their version of social security. Ideally I'd retire early 55-60 and move to another country when I retire but I've heard many countries don't take retirees. Financially how do you survive in another country? Is working the only way?
I am lucky, I live in a small rural town, that has a good local hospital, but, most of my care comes from my local clinic. I never fear asking my doc questions, never feel rushed by him or the staff. We all know each other, and, our system is owned by the providers, and, the public, not a corporation. I live about 125 miles from a major medical center, and, we do go their for major things, but, like my local providers, I feel that the care and attention is great. I am lucky to have Medicare, both parts, and, a basic supplemntal policy, so, I have few problems or worries about my care. We need Medicare for All in this country, we need to eliminate the grift of Medicare Advantage plans as well. Until we get the corporations out of our health care system we are going to pay too much for too little.
I'm glad you said grift for Medicare advantage. After a 2 week stay in a major hospital, upon release, she received a call for Medicare advantage plan. We scheduled a home visit to see the difference. I got my mom off of it in less than 9 months, for they say zero out of pocket expense, but they do not tell you they siphon it out of your social security monthly payments. I called social security directly to switch my mom back to traditional Medicare, and the wonderful lady said it is such a shame that they are ripping elderly off and that it needs to stop. Federal government doesn't stop it either. Just plain sick!
I had a kidney stone. I went to a CareNow. They put me in an ambulance that drove down the highway at the speed limit with no lights seven miles to a hospital. The ride was maybe fifteen minutes and the charge was $1,500.00
That's why I crawled to my car after fracturing my left ankle since I didn't know what the ambulance would cost/whether it would be in or out of network. Just over six months later - after surgery, six weeks of non-weightbearing, four months of physical therapy, a trip to Jordan, another surgery to remove the screws - I was canvassing door-to-door in two states where I don't even reside for Bernie Sanders.
Thank you, appreciate the comment of a colleague 👍 Interestingly, the number of docs who have commented on this video has been surprisingly small so far 🤔
What also needs to be addressed is one of the reasons why doctors can no longer afford to be independent of these private equity corporate behemoths is the skyrocketing costs of professional liability insurance premiums. There has been an explosion of wealth among private attorneys who specialize in just one area.......medical malpractice. The only people who never make mistakes are the ones who do nothing. And doctors are no exception.
I grew up in Canada and my 74 year old sister and 95 year old mother still live there. They are very well taken care of, have a choice of doctors and if something serious happens (as it did when my mother had a heart attack) they are transported to a larger city for excellent care. I’ve seen them through cancer treatments, hip replacements, etc and it has all been excellent care. Their taxes might be a little higher but they aren’t at the mercy of a healthcare system that could bankrupt them. BTW I’m retired in Costa Rica.
Thank you Dr. Khan. Speaking truth to power. I am sorry that you too are prevented from caring for patients in the manner you know is necessary for optimizing healing. Also, please know that few physicians ever acknowledge that nurses and others are getting a raw deal and have left the direct care system. I certainly have. The predatory endemic abusive and hostile work environment where corporations, fellow nurses and the vast majority of the doctors are thrilled to throw the next nurse under the bus, chronic criminal short staffing, poor wages, substandard benefits, no support or protection from abusive and violent patients/families/friends is utterly IMPOSSIBLE to foster any retention/prevent turn over or completely quiting nursing. No thank you...I will not lose myself, my integrity, my license to rampant corporate slavery rife with unbridled abuse and toxicity. It is no way to life. It destroys the soul.
Keep it in case you really get into a life threatening situation (automobile or some other accident). It's very hard for them to deny claims where your life is in obvious immediate danger.
Thank you for speaking up about this. We need more people like you in healthcare to advocate for patients and for better conditions for your fellow doctors as well.
"Sick and tired"-literally. 😢 Had an amazing doctor and asked her why she accepts Medicare and Medicaid if the pay is low. "Because I don't have to deny my patients care." She then said, "The government always pays-always. Private insurers almost NEVER pay."
This is 100% True. People who go into medicine to treat patients want to care for and help other people. People who go into for-profit insurance and corporations, want to take peoples’s money and pocket it for themselves regardless of outcome of patients. Our system is broken because corporations and MBA’s broke it.
I’m a retired nurse who was married to a physician for twenty years before he died of a heart attack at age 49. What is said in this video is the exact thing my husband said before he died. He is spot on! The only thing I would add is the reluctance to provide any test or treatment not covered by insurance.
Thanks for speaking up! All providers must stop “just taking it”. They need to get a spine and start practicing as they were taught! They should not harm their patients. By allowing hospital systems and insurers interfere with your care, you are hurting patients.
Unfortunately, most patients can't afford medical help without insurance. Patients would have to stop using insurance so that doctors could stop taking insurance.
Physicians for a National Health Program is a single-issue, non-profit organization advocating a universal, comprehensive, single-payer national health program. PNHP has more than 25,000 members, and chapters across the United States.
A co-worker of mine moved to the US as a surgeon residing in Shanghai. She took a look at US healthcare and abandoned medicine in favor of high tech. Our company won, but society lost. That is the state of healthcare in the US.
THANK YOU SO, SO MUCH for speaking this TRUTH doctor. I am a retired nurse & I have NO FAITH in what I now call the corrupt & very evil "medical industrial complex." I recently found out that I should have been referred for a surgical procedure some time ago, but the doctor responsible for diagnosing & referring me FAILED to do so in a competent & timely manner. Now I have a condition that puts me at a higher risk of having a complication & a less than optimal surgical outcome.
Thanks for speaking out, my brother. The house of medicine used to be networks of enduring, caring relationships. Then just caring people. Now mostly interchangeable widgets easily replaced. MBAs only see countable things and therefore everything unique has been fading from significance, including bonds of the heart and shared memories. But those bonds are how grace reaches us. How can we build a cooperative future recognizable as something like heaven without that grace?
My humble opinion is that Healthcare should be totally fundedby the government and available to all in this country. Our military budget should be drastically reduced, and that money should go towards taking care of the people, the infrastructure, etc.. I also think that in order of something like this to happen there must be a critical mass of protest.
I'm a veteran and afraid of privatization of the VA Health Care system. While the VA has some serious issues that need attention, privatization would make it worse.
Right. There was an article in JAMA Internal Medicine by Eddie Blay which compared survival rates for major conditions at VA and non-VA hospitals, and found that VA hospitals performed better; for example the death rate for acute myocardial infarction was 9% VA hospitals, 14% non-VA hospitals.
Flipside. Everyone in the US - raise their hands if they were forced to wait 18 hours while having a heart attack in a hallway not yet even admitted to the hospital. Everyone in the US - raise your hands if they were forced to have a leg amputated because the wound specialist post operative doctor was unable to provide any service for 8 days. Everyone in the US - raise your hand if you were forced to wait 2 years for cancer surgery. Yeah - if that happened in the US those evil corporations you speak of would be sued into bankruptcy. But just go and look at what it looks like in countries with socialized health care. Just so you know - in those countries, all the wealthy have private doctors and hospitals. Oh, by the way, all those surgeons - raise your hand if your income is in the top 1-5% of all wage earners in the US. Pretty much all of them (go google 2024 statistica chart on surgeon wages by specialty). So sorry for you.
There is a lot of truth to your comment. A lot of good mixed in with a lot of bad. Cost/ quality/ access: Every society has to compromise on at least one of these parameters. This is an insurmountable problem, in my opinion. Something has to give.
Thank you for your feedback, appreciate it.
I hate the health care in the USA.
I agree with you. I miss my personal relationship with my Dr
Thanks for the truth
@@tj92834 Willing AND ABLE which many are not able to afford it.
@@tj92834She is paying for it already.
@@tj92834. I agree.. but willing does not equal able… which shouldn’t be a thing.
@@tj92834 You are an angry person.
@@tj92834 Does he want me to pay above what I've already paid. This has become criminal. We Need Help. Please.
When a spine surgeon knows exactly what is going on and is brave enough to speak out, you know how bad it is.
Notice you'll NEVER se a cardiologist dot he same....
I can't find a single one that isn't a lyin' pos.
You make it sound like spine surgeons don’t know that much about the healthcare system 😂
I mean they work on them and study them constantly so I would assume that they have a spine as well.
It cost me $471 to see a doctor for 8 minutes. The doctor never examined me or looked at my medical records. The doctor said to come back in six months if I wasn't feeling better but it took me 7.5 months to get the first appointment. Now I'm planning a trip to Kuala Lumpur for a complete medical exam with all the scans and tests for less than my annual US insurance deductible.
They don't even look at you! They just stare at their stupid laptop screens.
Their solution to any problem you have is to give you more prescription, recommend more precedures, or both.
Yeah, I just went to see the dr and the nurses were much more attentive to me and my talking.
Look how much it costs to become a dr! Also the time expenditure which I think would be much better spent w hands on advising from experienced ppl. The hands on training would help these ppl learn how to diagnose these peeps much more efficiently. Also the more talented/inclined students could provide help to these overwhelmed professionals.
The Nurse Practitioner I used to see was Very good at listening to my concerns/problems. Miss her now...
The system is a disgrace. Governments don’t care.
Revolution time
I want to go to Kuala Lumpur
It's scary.
1. Benign small growth observed in colonoscopy. Surgeon wanted to remove half my colon. NCCN had 2 requirements for that but met none. I fired her.
2. Had a little fall. They rushed me to do a hip replacement. I looked at the x-ray myself and it didn't show a break. They finally agreed and i walked out.
3. Had a never healing sore on my leg. Saw a PA. "Oh it's an infection." Saw a dermatologist; "it's a 1.5 inch cancer." Surgery removed 3" patch of my leg.
- I need the Healthcare system but i am also afraid of it. God help me.
Scary indeed. You had the wherewithal to think for yourself under such stressful situations, which is not common. Glad to hear that you were able to help yourself (when others couldn't). Thank you for sharing.
JustaReadingguy, thank you for the details. It educates me. Now I know some of the things to look for if I get some results back on any future tests.
MEDICAL services ≠ HEALTH care.
"Healthy people are those who live in healthy homes on a healthy diet; in an environment
equally fit for birth, growth, work, healing, and dying... Healthy people need no bureaucratic interference to mate, give birth, share the human condition and die." - Ivan Dominic Illich
Faza533 , yes, healthy people shouldn't need medical care. When my provider says that a test (blood or otherwise) shows a problem, I study to find if there are recent research studies that counter it, if I need to change what I eat, etc. Except that medical care = health care when there is an injury, when despite our best attempts we encounter a virus or bacteria that our body does not have immunity to, etc.
You have to be your own advocate. If you don't feel you need a test, refuse it. When I told them I don't need a wellness exam and they insisted I just looked at the woman and said " What are they going to do kick me out of Medicare?" I also refused the covid vaccine and flu shots and their stupid Cologuard, Which showed up at my house. I didn't order it I didn't want it so when I called them and said I don't want it they told me to throw it away. The waste is unbelievable. My best friend went for her routine colonoscopy and they perforated her spleen and she almost died. I stay away from doctors unless absolutely necessary.
My neighbor used to have a private practice, family medicine doc, and took her time with each patient. She sold her practice to a corporation with the promise of taking the paperwork/admin off her hands, and instead they first let go her office manager who had worked there for years, and when she objected and petitioned for her employee, they fired HER. She sold her business and they fired her within a few years for not falling into line, so now she’s retiring. It’s horrific
God, that's AWFUL!!
😮😮 she was fired from her own previous practice?! Wow...
If the corp fire doctor all they left is rent they have pay for the office. Pretty stupid of them.
If doctors became cooperative they could be at this,. 5 doctors could join together and hire one office manager that is experienced in fighting insurance companies. That would give them more control over the paperwork, but they would still have time for pts. Would this doctor be willing to help a coalition of worker-owned cooperatives build a medical branch?
@@bruces4515 this could be the future. cooperatives where the community owns it. similar to how we did in the past, the village took care of the docs - we all paid in. no middle man
And we are victims of fraud as insurance companies deny claims that we PAY monthly for coverage for.
Revolution time
But nobody talks about that.
We are the targets of a predatory system, which incentives parasitic corporations to suck struggling American families dry, while laughing at you.
@@micirenea If by 'nobody', you mean 'everyone in the working class', then yeah. Ain't no news station gonna talk about it. Ain't no wealthy hedge fund manager gonna talk about it. Ain't no major politician gonna talk about it. We talk amongst ourselves. We prep our vocal cords while the ruling class suggests we eat cake.
The even bigger problem is that while the insurance companies are screwing us, the corporatized care networks are screwing the insurance companies. Premiuns increase 10% every year like clockwork. Denials are increasing. Yet profits have been declining the past 2 years. In 2024, insurance company profits less investments will likely have been negative.
Traditionally, insurance companies were a cost stabilizing force in the industry. They took massive undeserved profits, but at least most people could afford it with employer benefits. Because of care network consolidation and a growing portion of the population being on Medicare or Medicaid, insurance companies are now powerless to do their job.
American education is overly corporatized. American food is overly corporatized. American healthcare is overly corporatized. American housing is overly corporatized. American insurance overly corporatized. American research is overly corporatized. It is the United Corporations of America. Which is why I moved to outside of the country.
@tj92834 what? 😅😅😅
@@tj92834"Restrictive social welfare states"--restrictive to employers who don't want to pay their employees, restrictive to those who want to exploit others, etc, etc
how did we get so greedy
WASP Values
@@tj92834Tell YOU what: When you get off your high horse, you can learn something about how people in the USA die unnecessarily from private healthcare companies every single day,(children, too... In case you ONLY care about the kids). And you can learn how people in countries that have universal healthcare, pay less taxes overall and don't get refused life saving care. Ah, maybe I'm just a sap who cares too much about people, but I'd rather be me than be someone who justifies a profit driven death machine that steam rolls human beings for fun.
Retired RN here. Couldn't agree with you more!
Revolution time
In my country, Ecuador, I can get a 320-slice CT for $150 dollars, of which my insurance will pay 90%, once my $150 deductible has been met. So my out of pocket is $15 dollars. Less than going to Chic-Fil-A in the US. I had an ultrasound recently. Performed by an MD, read by an MD, and handed to me to take back to my GP. Total cost? $36, and I paid $3.60. An in-home visit by an MD, with zero insuance, is $25 dollars. Americans have been lied to. Healthcare isn't "that expensive". It's a scheme for profit, and US citizens are the mark. And it's never changing, there's too many rich people making too much money. They own the politicians, and they invest in the insurance/pharma/healthcare companies. Sad.
❤❤❤❤❤❤❤❤❤❤❤❤❤ do some research and discover what insurance is really for …… versus what insurance is now
This is happening to veterinary medicine as well. Private equity is also buying up housing across the country and then renting them back at a high rent. Private equity/corporations have become the bane of society.
My beloved Maine Coon cat Thorin Thunderpaws developed ideopathic pyothorax disease last year. Simply diagnosing him and giving him three chest taps, antibiotics, oxygen, and ultimately euthanizing him, all in less than two and a half weeks, cost over $8,000. I miss him terribly every day and the loneliness is killing me. I used to own four cats and a dog, and now just have one 19 year old cat remaining (the least sociable of them all, as he was adopted at age eight from a hoarding situation). He'll be my last pet; they are simply unaffordable now.
@@abzygirl We are seeing that in our bills.
@@GingerPeacenikMan the domino’s really are falling. What happens if people can’t buy pets? What happens to the animals? What happens to the workers? What happens to the facility? What happens to the veterinarians?
What in the world are we giving chemo or insulin to a cat for? People love their pets, but it's a money grab.
Tbh no fks left to give about your veterenarians
I had a wonderful doctor for 15 years that always took the time to listen to her patients and really get to know them. She was caring and kind and always followed up when I had a concern. I found out just a few days after my last appointment that she had died. I later learned that she had committed suicide. Her patients were all devastated. She worked for a large health care system. I don't know if her suicide had anything to do with the stress of her job, but I think it is very possible.
That is terrible to hear. The rates of depression amongst MDs/RNs are indeed quite high. Not surprising though.
That's devastating.
This is all true ! So where do we go from here 😢 My doctor sits behind his laptop and never gets close to me
I asked him about my two blown eardrums and my tinnitus and the possibility of their having debris in the canals causing my ringing and loose of balance and said my ears are perfectly clear without him never even looking at me ? Shocking . WTF !
@@HarryKersey I don't know how people would feel about this, but my mom's cardiologist records the conversation and inputs the info later. That way he can pay attention to the patient during the visit. He did ask us if it was ok for him to record the conversation. I guess some people might object to being recorded.
The micromanagement of physicians by administrators is relentless, critical, based on maximizing profits over quality of care, and dehumanizing. When you're in the 98th to 99th percentiles for productivity and patient satisfaction in a large national organization, and it's still not good enough for hospital administration, something is very wrong, and that continuous behavior strongly encouraged my recent exit from highly specialized internal medicine in my mid-late 50s. I think it's quite likely that the relentless corporate micromanagement of your beloved doctor contributed to her suicide. MDs are now number one in suicide of all professions, and when you unwittingly become a pawn torn between your Hippocratic oath and corporate greed, something has to give. The Hippocratic oath and corporate medicine are eclectically opposed.
The real tragedy is that this video will never reach the minds of the people it was truly meant for, even on the internet. There are none so blind as those who will not see.
We can all share it. It needs to get out to everyone.
Thank you for stepping up and speaking out. When physicians are fearful of losing their jobs due to speaking out or even failing to meet their boss's demands, then how can they deliver quality health care to anyone? The entire population of the US, say at least 300,000 plus all medical workers, are unhappy, stressed, unfulfilled, and bankrupted. That's a whole lot of people involved in a single industry. How can we tolerate this?! We must dismantle this! Now!
The level of discontent among healthcare workers is surprisingly high; I think the nurses get the worst of it. I should make a video about it.
Nationalize with real intent to cure.
@@SpineSurgeonSpeaks I've known many nurses in my long life and most of them have always complained about how the doctors treat them with disrespect. Of course, today, on top of that, the stresses are enormous, so it is absolutely no surprise to me and many others that they opt out.
To my point above, you'd think fixing health care would be a winning issue for politicians on both sides. No one (with functioning brain cells) would object to any ideas to remedy this horrid situation (except politicians who are there to take bribes ongoing which is most of them). Health care workers need to at least unionize and speak as one voice to get what we all need. Individual doctors cannot afford to do it alone. Dr. Glaucomflecken (aka Dr. William Flanary) is an ophthalmologist/comedian on RUclips who is using excellent humor to target the current system with kindness and finesse. Influencers like this all over the place over time can prime society for change. He even names names; United Health Care is one of them.
Can’t physicians open own practice?
@@MbisonBalrog Yes, but as he said, they have to be both a doctor and business manager and even bookkeeper at the same time. They get rid of all that, except being a physician, and get a ton of money if they sell to private equity which then owns them. Doctors don't seem to see that last part until it's too late. The computer programs they are forced to use make them do the accounting and "paper" work anyway while trying to be good doctors to their patients.
Finally someone who said it out loud! As an economist I can say that he is completely right that the system was designed to work exactly as it does. Insurance is literally the textbook example of what economists call market failure, meaning there are characteristics intrinsic to that market that mean that privatization and a competitive market can’t work and will instead result in exactly what we see now. There is nothing that wasn’t foreseen from the beginning.
Very well said, thank you for your incisive comment 👍
Yes, as you probably know, the Nobel laureate economist Kenneth Arrow wrote an article explaining why a free market in health care is impossible. His main argument was that patients don't have enough knowledge to make informed decisions.
@@norman_5623 interesting idea, but I was referring to health insurance specifically rather than health care. Insurance is meant to spread risk over a group and is something that according to mainstream economic theory cannot be accomplished by private companies in a competitive market setting because of the way that profit is made (by not providing the service, or by taking some of the pooled money meant to be redistributed out of the system as profit). It's harder to explain than that, but there are certain industries- utilities is another example- that economists call "market failure" because the market just doesn't work in those cases. This is not controversial in economics, it is literally the textbook example. The whole idea of having private health insurance is a scam from the beginning.
@@sierraansleyOnce you see it you can't unsee it.
I became a nurse in 1990. At that time, many physicians were in private practice. I watched the hospitals sell doctors on the "benefits of letting us run the practice and take care of the HR and problems for you so you focus on patients". Once a number of them did, things changed and the hospitals began controlling them more. Shorter visit times, quotas, etc. I watched the downfall of quality care. Of course, there were those who consistently began running late, worked more overtime and gave up their personal lives for their patients.
The last few years, I am seeing a shift back to private practice. My doctor (who spoke on the steps of DC several years ago) is now in a DPC. I am fortunate to have her! We need more doctors like y'all.
Thank you.
I became a nurse around the same time as a case manager. What I saw was many private practice physicians admitting patients (because hospitals controlled admitting practices)to the hospital who had no acute care needs. They would have a patients who they knew would not question their need for hospitalization and thus would make sure they had a number of patients to see at the hospital so that it was worth their time. I thought at the time that hospitals would be better off if they employed the doctors so this abuse would not happen. I was so naive.
I became a n RN in 1976. Retired in 2020. The changes in Healthcare were so depressing. I think it was in the '80's that Healthcare became a business and the insurance companies would start to take over 😢
It's the same result as attempting to unionize everything. Who knew.
@@dallassegnothat’s idiotic
When I worked for a non profit hospital. Board of directors were volunteer citizens to whom the CEO was responsible to. They decided ceo's pay. The patient was #1, staff#2, and CEO was last. No shareholders.
Unfortunately, one of our local not-for-profit hospitals is very greedy. They admitted my over-age-65 friend for vomiting and diarrhea, put her through a whole bunch of testing machines, admitted her to their hospital for 3 days "for observation", prescribed a medication to treat the vomiting and diarrhea but that had side effects of causing nausea and diarrhea, and started prescribing a bunch of pills without telling my friend what they were for.
My friend started asking about the pills.
One pill was for acid reflux which my friend never complained about and had never been prescribed before.
Another pill was to increase blood pressure because my friend's blood pressure was testing very, very low. My friend gets plenty of exercise and eats very low carbohydrate, so has very low blood pressure to start. Then, there was probably low blood pressure due to dehydration from vomiting. Then, the nurses were taking her blood pressure while she was lying down.
According to economist Milton Friedman, corporate leaders have a fiduciary responsibility to maximize financial returns to their investors. Anything else would be unethical.
@@norman_5623This is why I despise Milton Friedman. I follow the MMT economists.
Most hospitals have a nonprofit status. I believe that they should lose that tax status and have to pay taxes on their profits like any other profit-driven corporation.
@@norman_5623
Thats only his personal perspective, thats not static reality, we can construct our own truth.
It is wonderful to hear the reality expressed so clearly and concisely. People don’t realize that physicians are also victimized by this system.
The insurance companies just made y’all the lightning rod.
I worked in hospitals for 45 years, 38 as an RN. When the entrepreneurial capitalist came in, they couldn't wait to get rid of managing a practice, but did not see the insurance entrepreneurs coming. Now we have fascism, so it won't get any better. Nobody can afford it.
But but Ben shapiros wife doesn't want to help people by force, and neither does the rest of her family and extended family.
Canadian here. Having experienced 2 lung cancer operations, hernia repair, cataract removal and a ton of tests and doctor appointments the cost of parking is all I paid. The care was outstanding and professional. No worry about paying or starting a Gofundme page.
How long did you wait?
@@MbisonBalrog We pay VERY high taxes for our "free" health care. Our gov't is forcing the US system on us, and private clinics are expanding across the country. Doctors who work in the 'system' are forced to follow protocols. If they do not, they face penalties from the College (similar to medical board that certifies) and even losing the license. In addition, yes, there are long wait times, and a lot of patient abuse and neglect. Don't feed the troll.
@@jennifermarlow.What you classify as very high Canadian taxes are, in reality, just a few percentage points higher in the lower tax brackets than US taxes. For that we get universal healthcare and don't lose all our savings, our homes or our lives because we're under insured or not insured at all, like many in the US. My American friend is paying $1,500 a month for health insurance with a high deductible and high co-pay. She is also experiencing long wait times in California. She grew up in Canada is is planning to relocate back. You shouldn't make uninformed assertions without having facts to back them up. Canadian taxes are a bargain for what we get!
Her in America it would have cost every cent you’ve ever earned and more. You would die broke and leave your children nothing. I know, watched it with a couple family members. Lost everything at the end of their life. When I’m deathly ill I’ll choose to die and leave m6 family something.
Canadian medical system is corrupt and has mass harmed us all, ended hundreds of thousands of lives too early.
We get to the point where we avoid doctors altogether at our own peril. My Dr seems like his greatest concern is getting me on as many meds as possible. I'm close to having zero prescribed meds. He thinks I'm seeing another Dr for a statin ( because my lipids are great). I lost 90lbs!
Finding the right doctor (who not only listens to you but also does the right thing for you) is surprisingly more difficult than it should be.
@@SpineSurgeonSpeaks I've given up. I will never willingly see a doctor again.
Im in your path too. looking to be med free.
Hats off to you Sir!
I applaud you for speaking out about this sick system that we have... all of your colleagues who feel the same should be as brave as you and start speaking out so that maybe the Big corporate sick system will listen and start making some changes!
Thank you, appreciate it.
Unfortunately, that's like asking a lion to become an antelope. We need to create new non-profit insurance agencies, because no for-profit insurance company is going to willingly decorporatize itself.
Pharmacist here. We knew where this was headed in the 2000s, when PBMs (pharmacy benefits managers) really took off with vertical integration and corporatizing healthcare. We saw our patients denied their medications on a daily bases, and the medications we were able to give them made it near impossible to stay in business, because the money went to right to third party middlemen. Independent pharmacies subsequently closed rapidly. A third are now gone, just within the last 10 years.
We were canaries in the mine of what was to come for the rest of the healthcare system. Now those large PBMs are integrated into insurance companies, who have branched into MBMs (medical benefits managers). Hospitals have been eating one another to vertically integrate themselves into networks, as part of an arms race for corporate clout. As a result, doctors cannot run their own clinics, in the same way pharmacists could not run their own pharmacies. Nurses are understaffed and overworked. Patients go without care. Wall street has essentially enslaved healthcare providers across the system, and denied patients the care they deserve. None of this is sustainable.
Thank you for sharing your experience. We are all in the same boat, but it is unclear where it is headed 🤔
And it feels like futility to try and change anything. They have complete control with no fear.
it is called for-profit sick care, keep them sick for more profit
Then don't help them by overeating, not exercising, drinking alcohol, not getting enough sleep, driving dangerously...
Americans complain about the medical system, but are the unhealthiest society in the Western world.
Correct! Patients are nothing more than numbers… keep them down and dependent.
I recently got diagnosed with pneumonia and went to get my prescription meds from CVS. Interestingly none of them were being covered by my insurance except for 1 which turned out to be codeine-guaifenesin. An opioid. Of course...
No repeat business with cures. And healthy people DO NOT NEED HEALTHCARE.
I wish. It's more poison our air, water, food and meds (and even education to keep us ignorant to how to even maintain health... sugar lobby created the false narrative that fat makes you fat, when it's always been carbs like SUGAR) prevention always beats cure) and _make us sick.,_ keep us sick with treatments that don't work and that maximizes profit. We can thank President Nixon that changed the law so doctors could "practice" medicine for a profit. That's when medicine stopped being about treating patients to make them healthy again, but to make them sick and keep them sick until they ran out of money, i.e., maximize profit.
The richest country in the world has something like a 38th place in life span and health. Wonder why? I don't.
Luigi finally shed light to this massive problem. I hope future New York jurors see this.
Even many "Charitable" hospitals are corporate. Some of them have CEOs who make millions a year.
"Community" ones are the same.
So are the "Access To Healthcare" "non-profits" that PBS pushes.
It's a total disaster.
They are trying to kill me, God help me.
It's almost like living longer is the most valuable thing in life.
Believe it or not, there was a time when hospitals in America were non profit.
Thx you for being Truthful
Wish all physicians would band together and change this. I never get to see my PCP because of administration telling him he has to see so many patients in a day. He sees mostly just patients within the Hierarchial Condition Category. It's ridiculous and unacceptable what these corporations expect from physicians. Wish all physicians would have stayed independent.
Staying independent these days is quite challenging. Having said that, yes, it seems that having more options is better for patients (and society) in general.
Physicians banding together into the AMA cartel is what started this avalanche, then government got in and every step of the way made it worse.
@@priestessofkek2406 A long time ago, like a couple of decades or so, I read an account of how physicians tried to make an alternative to the AMA (which is a private organization), and somehow the AMA managed to put a stop to it.
So true, Dr Khan. Great analysis!
Thank you, appreciate it 🙏
For the fourth year in a row, I have to look for a new primary care provider. Every year, whoever the big corporate system assigned me to, has left the practice before I could have a second annual checkup. It's so frustrating.
This is going to be the new normal, unfortunately. Sorry to hear about your experience. Maybe look for an independent PCP instead?
I'm an expat, retired and living in Panama. I needed a hernia operation which Medicare would have covered if I returned Stateside. Instead, my wife and I flew to Medellin, Colombia for me to have the surgery. All in, airfare, Airbnb, food shopping/restaurants, taxis, lab tests, anesthesia and surgery... under $2,000. Modern medical facilities, wonderful, genuinely caring medical staff, and a competent surgeon who gave me his personal cell phone number. Plus, all of this coordinated by the hospital's bilingual International Patients office, all said and done three weeks after I first contacted the hospital. I avoid the American medical mill at all costs.
Amazing
Got my mri and 2 X-rays when I experienced a severe sciatica issue (which turned out to be a stage 1 spondy) … for 160€ cash… consult with spine specialist and neurological surgeon… 100€…. Athens Greece
Corporation owns hospitals / doctors. It is the Hedge Fund Banker who says bluntly we expect ???? this much profit. It goes up every year. Then it is up to the hospital management to lower costs but increase revenue. This is the true face of healthcare. Both my brother and I retired but my career choice of healthcare/doctor is one I severely regret. In my area I say it is taken over by the Medical Mafia because to me it operates like that. Same for all healthcare services- physio,dental, nursing homes etc
tj92834 , which insurance corporation is paying you to try to talk us into remaining with the same evil USA health *crud* system?
We are not stupid when it comes to publicly-traded corporations (PTCs). PTCs are all about greed and care nothing about employees, customers/patients, and the environment. Details below:
When an entity (person, corporation , etc.) buys stock in a PTC, the entity is buying a part of that PTC and becoming part owner in that PTC.
At the PTC's annual shareholders meeting, if the shareholders aren't happy with how much money the PTC gave them that year, the shareholders can:
(1) Vote to have the board of directors (BOD) fire the CEO,
(2) Vote to fire members of the BOD, or
(3) Vote to sue the BOD.
So all year long, the PTC's BOD, CEO, and other big cheeses are seeking to get more money for themselves and the shareholders by:
(1) Finding ways to give employees even less in income and benefits,
(2) Shipping more jobs to other countries where employees can be paid even less in income and benefits and where PTCs can damage the environment without stopping,
(3) Giving customers/patients even less in service and product while making customers/patients pay even more,
(4) Giving politicians "campaign contributions" and "speakers fees" to pass laws so that PTCs can become even more greedy,
(5) Paying "fees" to the FDA and other government entities, and promising lucrative jobs to employees for when they retire from those government entities.
PTCs are people-eating tigers.
@@tj92834 this is simply a lie and you need to stop blaming the pawns for the choices of the player.
@@tj92834 Bullshit and lies! You are a troll.
@@tj92834 Which corporate medical mafia do you work for tj2834?
“ nursing home” industry is corrupt… Administration ugh
You make some good points. My question is, why do Americans stand for this? I'm a Canadian and the American health care system horrifies us. (As well as every other OECD country.) Why don't Americans tell their elected representatives to change this? Is American politics that broken, that only the super rich make the rules and almost every industry is an oligopoly?
👍
Yes that is exactly it.the people have no say the senators and congressman are there to give the illusion we have a choice. We don't it's a country run by corporations paying off government officials to pass bills that benefit them. Everybody wins except the people. We're not that smart in this country if we were to fight the system we'd be thrown in prison so we're brainwashed to accept what we are told it's not a democracy it's an oligarchy.
We had a very prominent politician attempting to change this and he had the plurality of votes in the primary election, but the "Democratic" party oligarchs united against him. Bernie Sanders would have fixed our country but now it's in ruins
Yes. The answer is yes.
Unfortunately, the answer to your question is, Yes.
100% right. Retired RN, the hospital’s priority is profits. Patients are a commodity to be passed around.
Videos like this is why government will stop platforms like this.
Yep. Too many people might start to see the truth and join together to force change.
Exactly.
The government at the command of our oligarch overlords.
Lol no. You chose to be a domestic animal. The government didn't force you. You chose.
@dallassegno RUclips censorship is controlling your channels algorithm & it's the government controlling RUclips. What choice 🤔.
I’m a nurse and we need a huge change!
It has become Mc Medicine .
If only it was as cheap and safe...
You want fries with that?
Like everything in America.
We are behind you. I believe change is coming, big changes hopefully for the commons. But lots of pain will happen before this occurs. All in my opinion ofcourse
Great presentation, Doctor.
I work as a travel MRI technologist. I've worked all over the country at various hospitals. The core issues are the same everywhere for the most part. The main difference I see is Union vs Non-Union. I'm from Atlanta, Ga. The conditions and pay are insanely bad compared to the rest of the country. Yet you walk into the hospital and they have 100ft ceilings and marble walls. The cost of living there is higher than when I was in NY, yet the pay is a little more than half as much. Labor unions are needed as these hospitals keep going unchecked. Emory University has over a 1 trillion in liquid assets and yet a ICU nurse isnt paid enough to be able to afford to live anywhere near the hospital because the wages are so low compared to the cost of living.
thank you for speaking up about this❤
As a type 1 diabetic since 2 years old here are some things that i hate about the healthcare system: #1 ive ran out of insulin and went to the pharmacy only to be told my prescription isnt supposed to be filled yet, im the one telling you i dont have insulin and so i usually get upset at the pharmacist and they end up getting me insulin one way or the other. #2 since type 1 diabetes is an autoimmune condition triggered by toxic environment, it should be a socialized cost. #3 i have to go to a doctor at all to get insulin, im required to go and i hate going i know more about the disease than they do i live every second with it.
Patient experience in the U.S. medical-system is worsening year by year. I agree with you. Don't know where it's all going to end. Doctors need to speak up.
@@tj92834 Sounds just like the US system from my own experience. Why are you so keen on disparaging European health care as worse than that in the US?
jt92834 , are you being paid by a USA insurance corporation to disparage other countries' healthcare systems?
It's not working because, in the USA, even insured people have such high medical bills and insurance corporations have such high denial rates that USA people can't get medical help even with insurance.
There are other countries that both pay for people to go to medical school and pay for patients' health care. Thus, their system has sufficient doctors and can give free medical help.
@tj92834 that's not what my family in Germany thinks.
@@tj92834 that sounds like Parkland hospital in the US. Short staffed and rude. Dismissive at times, I literally had to tell the nurse to check my throat because they kept chalking my throat pain to COVID
As a 65 year old Canadian who has been around the block a couple of times I have to say that sounds like madness. Here in Canada medical bankruptcy is virtually unheard of, I don't know or have heard of anyone here that has happened too. Our system is not perfect by any means but then again what system is, but I can tell you that there are no Canadians (except for maybe for some corporate types) who would want to switch over to the American way of doing things. I can go to any hospital or doctors office that I want too anywhere in the country at any time and it will never cost me a dime out of pocket. OK maybe I might have to pay for parking and a Timmies but that's it. Yes sometimes we have to wait for stuff but if it is deemed urgent by a doctor then you are addressed first. Priority goes from most sick to least sick and I don't have a problem with that, if someone is worse off than me then I want them seen first.
The American healthcare system belongs to the corporations, the Canadian healthcare system belongs to the people, that is the difference. Universal healthcare, we call it taking care of our own.
P.S. I didn't even mention access to affordable prescription drugs which all Canadians also have access too. Ok there I did.
Oh wait I thought you were lying until I realized you're a boomer. All the boomers get to bag about their functioning system because they managed to benefit. This system they beat about does not any longer exist. The medical industry is failing in Canada for multiple reasons but none of the millennial I know have access to care unless they work in medicine. And I know for a fact if you're even a bit obese, you get back of the line service. All those street people are sick and we do not have the ability to treat them for pretty much anything. Giving them free housing has been mostly a failure because people do not improve their psychosis simply by giving them free stuff. But they did learn that giving them free drugs reduced crime, but the side effect is more drug induced suicide. Which they want. In a way, medicine has failed in Canada so immensely, they've legalized euthanasia as a remedy. But it's still illegal to attempt to self delete at home. Cl not to mention that, they complain that not enough foreign doctors are admitted to practice in Canada. But then you learn how many frauds immigrate, you realize the regulations are their for a reason. Considering that if you came from another country and was actually a doctor, you'd probably be able to afford the test to become certified. I'm impressed that the Canadian government, or just trudeau probably, just him, decided to import so many people who fell for immigration scams into the country. It's like they want everyone to be dumb and sick for some reason.
I lived in Canada and loved my doctor and had very good care. I'm sorry I came back to the US. It really sucks getting healthcare here and I now have medical trauma from it.
I recently went to a new primary health care physician and what really struck me about the visit more than anything else is that the doctor was late to meet with me and was rushed through the session so that he had to get on to the next patient. He spent no time actually getting to know me getting to know my history or learning anything about anything other than the one specific thing that I brought up first. I felt like a widget on a conveyor belt. And now I have other things I need to discuss and I have to set up even more appointments. I want to find a decent Doctor who will actually spend some time with me but I have no idea how to find that.
You frustration is understandable and all-too-common. I recommend looking for an independent physician practice, to get away from the medical-conglomerates. Good luck.
Good luck.
Thank you for speaking up and out to the public.
🔥🔥🔥🔥🔥🔥🔥🔥
Bless you for having the courage. ......and had enough of this corporate nonsense...how do we fix it?
This is the second and final tier of the problem. Just like your home's major appliances, it is designed to not be fixed. We need to throw it out as a whole, and just get a new one.
The state of affairs isn't something that accidentally drifted this way. It was intentionally engineered to be like this. Our capitalistim is different but no better than the communism we one denounced for it's propensity for corruption at the top and mass suffering at the bottom. Like a pyramid scheme. Just like trickle down economics. It was everything that was wrong with communism in a different skin.
Medicare for All, screw this corporatized industrial medical complex. I am not a robot
Medicare has people making decisions about what is covered and what isn't. My wife and I are both on Medicare. I've been enrolled for 7 years, my wife for 2.
Medicare Part B costs each person a minimum of $185 per month (rich people pay up to $600 a month each for Part B). Prescription coverage costs extra. Dental and vision is extra, too.
Medicare doesn't pay the full cost of health care. We each pay over $300 for supplemental coverage to cover the charges, copays and 20% or so of hospital bills that Medicare doesn't pay.
If you want free - or taxpayer funded free - health care you need to ask for that to be passed by Congress. Don't just ask for Medicare for all.
@@Singlesix6Medicare for all would still be a hell of a start. That said, the voters just decided that even that was not something they wanted
Everyone wanted medicare for all when Obama was in charge, and we got privatized insurance and denial of care.
@@Singlesix6 Under M4A, that would change. At least under the proposed bills I have seen. Dental and vision would be covered. There would no longer be a Part B premium (which is closer to $180 every month now)
Health care and the stock market should never be in the same sentence.
First do no harm! We have harmcare in the us, not healthcare!
I very much appreciate you giving people the doctors experiences and point if view.I was not aware it was as bad as you described .At the same time,I feel very vindicated because I have been saying similar things for YEARS! I must be a genius.The practice of medicine is both science and an art.The relationship between a doctor and their patient is both professional and personal.You are a DOCTOR, not a health care provider.I am a patient,not a healthcare consumer .Healthcare cannot be commotized.Why are we as a country allowing a predatory bureaucracy to extract billions of dollars from a healthcare system while not providing any actual healthcare?Thankyou for speaking out.
Because Congress is also controlled by the corporations, Both get their money for running for office from corporations. Corporations that "donate = legal bribery) are considered persons by law and start the whole process going.
Amen Brother,You are preaching to the choir.You must be a genius.@@CliffRichey-nk2gr
I keep myself healthy in every possible way I am able. I stay away from the healthcare system.
That is the best way indeed.
That's my strategy as well.
Well said. Nearing retirement as a generalist I've seen the evolution of this. Sadly for-profit hospital systems are only marginally worse than so-called 'non-profits'. I have managed to remain self-employed but that is becoming rarer and rarer.
I am so glad you spoke out about this topic. Most Americans are not aware of what is happening until they have a serious problem and cannot get the help they need. At that point they may suffer severe complications or even die because they are not getting the care they need. Aside from corporate interference, another underlying problem, as you mentioned, is that many medical professionals are leaving health care because they are overworked and burned out and because they are prevented from delivering the type of care they were trained for and want to give. AARP has an article in the current Bulletin that highlights the problem in detail. Unfortunately, it is only accessible to members. Ironically, AARP has a relationship with a for-profit health insurance company.
Thank you so much for this public video. Every doctor should follow in your footsteps! And under the next administration it can only get worse!
Thanks for being brave enough to tell the truth
RN for 35years in Australia. After looking at what my fellow healthcare workers in the US endure I would NEVER practice in your country.
Omg I don’t even want to go down this rabbit hole Doc…
You are correct. Nobody wants to go down this rabbit-hole. I hope more people watch this video so that they care realize that the doctors are aware of this problem but are unfortunately limited in their ability to change the system.
Thank you for reaching out, feel free to disseminate the video.
@@SpineSurgeonSpeaks I
I sure will Doctor! This topic while “painful “ is SO important and angering
Years ago, I told my then-20-yr-old daughter, "Don't make the mistake of thinking that being smart or very well educated and/or informed will automatically make you happier. Often, you'll become aware of just how dangerous, difficult and nasty reality actually is. Many people find the loss of simplistic childhood Disneyesque fairy tales like "the sky is the limit, you can do any career you want!", "life is beautiful", "they got married, walked into the sunset and lived happily ever after" and replacement with more realistic internal models of reality to be painful and difficult, which is a major reason why many people prefer to hold on to their personal and/or cultural myths. However, being dumb and ignorant is an excellent way to become injured, victimized or killed."
.
The 1999 The Matrix movie laid this out rather well: do you want to mentally live in reality, which might be rather awful, or do you want to live in a psychologically comfortable fantasy? I"m disturbed by the number of people who prefer the illusory safety of their internal fantasy world.
1:29
Yep
Thank you for being a hero and speaking out
It is no longer OK to be silent
I have been working hard for more than 20 years to educate my clients and the world about the evil corrupt sick care system
In NH, I can’t find any private practices anymore. It’s either Core Physicians or Appledore Medical Group. I waited a very long time for a much needed ACDF. I had to speed up the process by going to an ER with a “related” problem. I don’t want to clog the already tensioned system, but I was losing the ability to walk normal. Nowadays I go out of my way to “check in” with my doc. I always want to know how he’s doing because sometimes it feels like him and I vs the corporation.
In a few years private practices are going to all... surrender. You should enjoy it while it lasts.
I just graduated as a kinesiology student going into physical education and motor growth with people of different ages. The reason why I am saying this is that I’m worried I will not be able to help since i haven’t been heard from my doctors due to my back issues which is making me hesitant if I will ever get help. I’ve been going from treatment to treatment but never get to talk to the specialist or doctors because I get cut off from a conversation. I really want to get my career started at the age of 22. I’m a bit scared and sad about how things have been going. The healthcare system holds patients back for too long in my case and I feel like things won’t get better if I keep holding back. I’m loosing hope.
Refuse to leave the room until they answer your question. I had to do this for my mother at the end of her post-foot-surgery appointments.
Thank you for this video. I will be rewatching it with my wife tonight. I have subscribed to your channel. Please keep posting.
Thank you for your kind words and encouragement. Appreciate it.
Thanks Dr. Khan!
I am from UK, and I always thought highly of American healthcare quality, especially in comparison to NHS. It's saddening to see that due to the monopolisation of the market things haven't been going great recently
What propaganda have you been consuming. The NHS is and has always been far superior to the U.S. system.
Thank you for your kind words.
American HC system has its positives and negatives, just like the NHS. It seems that we just cannot get the best of both worlds, we have to pick-and-choose. A terrible dilemma.
Very clearly and pleasantly explained. Thank you.
Thank you for watching, appreciate the compliment.
Thank you so much for speaking out about this subject...yake care and God bless you
Lol....take care
Yes! It is the physicians who need to stand up! Nothing will change until you guys do it. 🙏
I'm Canadian, never paid a dime in healthcare costs, no premiums, no copays, care is excellent. Like all systems it has its problems. One that we don't have is having to argue with an insurance company that we pay hundreds a month in premiums and get denied, and if we are approved we don't have to pay a deductable. that's called extra billing and its illegal in Canada. Create an affordable system made in the USA. make it happen. UHC...UNIVERSAL HEALTH CARE. FREE LUIGI.
And we Americans pay for your autonomy and freedom so Russia doesn't invade yourass. Time for Canada to pay its own way.
Thank you for helping to educate your fellow citizens on the crime of corporate healthcare.
You are exactly right. Thank You 🙏
Illuminating in light of the recent LM related events
Appreciate your honesty. As a former nurse, I would rather pick up cans than go back to working at a hospital . For all of the reasons you mentioned.
Also, I believe most patients realize their Dr's hand are tied when it comes to the options offered. I don't feel like they have much choice when it comes to meds they prescribe, etc. The health insurance companies have taken Healthcare hostage & big Pharma has assisted. I completely empathize with Dr's who went to school and trained for years, only to have insurance dictate the care they can provide.
Thank you for your testimony Dr. Khan. Please encourage your colleagues to also post their experiences. We appreciate your viewpoint.
Thank you for your encouragement, appreciate it.
Truth.
And unfortunate for most of us.
Your description reflects my experience which is why I went fully vegan, exercise like my life depends on it, and intentionally haven't seen my GP for 7 years. Thank you for your courage.
Six months and still waiting for a surgery date! It is so hard to get any answers, diagnosis or workable plan, meanwhile health problems get worse.
Wishing you the best of luck. It is not easy being a patient in this day and age.
I moved out of US a year ago. ( I won’t tell you where beautiful I don’t want the rest of you to bring America with you.) I love my life. Besides supermarkets, Not a single chain stores, restaurants or businesses in sight. When I need to see a doctor I call a local doctor, he picks up the phone or calls me back shortly after and I get to see him the same day or a day or two later. I don’t have insurance yet. I paid out of pocket which is less than what my out of pocket was in US. I have insurance as of yesterday, at a cost of $2000/year. No deductibles nothing. If I want to see a private doctor I can still pay out of pocket (less than my deductibles in US) and I get immediate treatment. I live in a major European country, not a 3rd world country. US, by comparison felt like a 3rd world country.
Incredible. Best wishes.
I've considered moving out of the US but I'm worried I will lose my social security and I don't want to work past 65. At 38 I'm not sure if I'd be working in the new country long enough to get their version of social security. Ideally I'd retire early 55-60 and move to another country when I retire but I've heard many countries don't take retirees. Financially how do you survive in another country? Is working the only way?
I am lucky, I live in a small rural town, that has a good local hospital, but, most of my care comes from my local clinic. I never fear asking my doc questions, never feel rushed by him or the staff. We all know each other, and, our system is owned by the providers, and, the public, not a corporation. I live about 125 miles from a major medical center, and, we do go their for major things, but, like my local providers, I feel that the care and attention is great. I am lucky to have Medicare, both parts, and, a basic supplemntal policy, so, I have few problems or worries about my care. We need Medicare for All in this country, we need to eliminate the grift of Medicare Advantage plans as well. Until we get the corporations out of our health care system we are going to pay too much for too little.
I'm glad you said grift for Medicare advantage. After a 2 week stay in a major hospital, upon release, she received a call for Medicare advantage plan. We scheduled a home visit to see the difference. I got my mom off of it in less than 9 months, for they say zero out of pocket expense, but they do not tell you they siphon it out of your social security monthly payments. I called social security directly to switch my mom back to traditional Medicare, and the wonderful lady said it is such a shame that they are ripping elderly off and that it needs to stop. Federal government doesn't stop it either. Just plain sick!
I had a kidney stone. I went to a CareNow. They put me in an ambulance that drove down the highway at the speed limit with no lights seven miles to a hospital. The ride was maybe fifteen minutes and the charge was $1,500.00
Just... wow!
@@PhilipHood-du1wk and those EMTs get paid horribly. Makes you wonder where the money went.
That's why I crawled to my car after fracturing my left ankle since I didn't know what the ambulance would cost/whether it would be in or out of network.
Just over six months later - after surgery, six weeks of non-weightbearing, four months of physical therapy, a trip to Jordan, another surgery to remove the screws - I was canvassing door-to-door in two states where I don't even reside for Bernie Sanders.
In VT I had a 10k bill.
Doctor wake up! Capitalism is the crisis!!! Single Payer Now!
Very well stated sir. I’m a 27 year veteran surgeon that shares you feelings. Thank you for posting.
Thank you, appreciate the comment of a colleague 👍
Interestingly, the number of docs who have commented on this video has been surprisingly small so far 🤔
What also needs to be addressed is one of the reasons why doctors can no longer afford to be independent of these private equity corporate behemoths is the skyrocketing costs of professional liability insurance premiums. There has been an explosion of wealth among private attorneys who specialize in just one area.......medical malpractice. The only people who never make mistakes are the ones who do nothing. And doctors are no exception.
I grew up in Canada and my 74 year old sister and 95 year old mother still live there. They are very well taken care of, have a choice of doctors and if something serious happens (as it did when my mother had a heart attack) they are transported to a larger city for excellent care. I’ve seen them through cancer treatments, hip replacements, etc and it has all been excellent care. Their taxes might be a little higher but they aren’t at the mercy of a healthcare system that could bankrupt them. BTW I’m retired in Costa Rica.
Thank you for speaking out!
Thank you Dr. Khan.
Speaking truth to power.
I am sorry that you too are prevented from caring for patients in the manner you know is necessary for optimizing healing.
Also, please know that few physicians ever acknowledge that nurses and others are getting a raw deal and have left the direct care system. I certainly have.
The predatory endemic abusive and hostile work environment where corporations, fellow nurses and the vast majority of the doctors are thrilled to throw the next nurse under the bus, chronic criminal short staffing, poor wages, substandard benefits, no support or protection from abusive and violent patients/families/friends is utterly IMPOSSIBLE to foster any retention/prevent turn over or completely quiting nursing.
No thank you...I will not lose myself, my integrity, my license to rampant corporate slavery rife with unbridled abuse and toxicity.
It is no way to life. It destroys the soul.
Thank you ❤️
Is there any point in having health insurance if they deny needed care?
Happens all the time.
@@tj92834 Are you a troll or just not paying attention?
Keep it in case you really get into a life threatening situation (automobile or some other accident). It's very hard for them to deny claims where your life is in obvious immediate danger.
Thank you for speaking up about this. We need more people like you in healthcare to advocate for patients and for better conditions for your fellow doctors as well.
"Sick and tired"-literally. 😢 Had an amazing doctor and asked her why she accepts Medicare and Medicaid if the pay is low. "Because I don't have to deny my patients care." She then said, "The government always pays-always. Private insurers almost NEVER pay."
Thank you Dr. spine and all Doctors and Nurses and Staff...👍🇺🇸👍🇺🇸🙏🙏🙏🙏
Thank you ❤️
This is 100% True. People who go into medicine to treat patients want to care for and help other people. People who go into for-profit insurance and corporations, want to take peoples’s money and pocket it for themselves regardless of outcome of patients. Our system is broken because corporations and MBA’s broke it.
You're being very truthful. Thank you for this video. God bless!!!
Ty for speaking out !!!
I’m a retired nurse who was married to a physician for twenty years before he died of a heart attack at age 49. What is said in this video is the exact thing my husband said before he died. He is spot on! The only thing I would add is the reluctance to provide any test or treatment not covered by insurance.
Thanks for speaking up! All providers must stop “just taking it”. They need to get a spine and start practicing as they were taught! They should not harm their patients. By allowing hospital systems and insurers interfere with your care, you are hurting patients.
Unfortunately, most patients can't afford medical help without insurance. Patients would have to stop using insurance so that doctors could stop taking insurance.
Thank you for having the courage to create this video and talk about these topics.
Physicians for a National Health Program is a single-issue, non-profit organization advocating a universal, comprehensive, single-payer national health program. PNHP has more than 25,000 members, and chapters across the United States.
I agree 200% with all the points you spoke on.
A co-worker of mine moved to the US as a surgeon residing in Shanghai. She took a look at US healthcare and abandoned medicine in favor of high tech. Our company won, but society lost. That is the state of healthcare in the US.
THANK YOU SO, SO MUCH for speaking this TRUTH doctor. I am a retired nurse & I have NO FAITH in what I now call the corrupt & very evil "medical industrial complex." I recently found out that I should have been referred for a surgical procedure some time ago, but the doctor responsible for diagnosing & referring me FAILED to do so in a competent & timely manner. Now I have a condition that puts me at a higher risk of having a complication & a less than optimal surgical outcome.
Thank you for your kind words; wishing you the best of luck and the best of health ❤️
Thanks for speaking out, my brother. The house of medicine used to be networks of enduring, caring relationships. Then just caring people. Now mostly interchangeable widgets easily replaced. MBAs only see countable things and therefore everything unique has been fading from significance, including bonds of the heart and shared memories. But those bonds are how grace reaches us. How can we build a cooperative future recognizable as something like heaven without that grace?
Thank you for taking the time to give a reference frame of time for things have changed.
Thank you for telling the truth ❤
Your presentation is clear, concise, wonderful. You speak so well. Truth
You are too kind. Thank you.
My humble opinion is that Healthcare should be totally fundedby the government and available to all in this country. Our military budget should be drastically reduced, and that money should go towards taking care of the people, the infrastructure, etc.. I also think that in order of something like this to happen there must be a critical mass of protest.
Thank you for sharing. More advocacy brings us closer to the change we want.
I'm a veteran and afraid of privatization of the VA Health Care system. While the VA has some serious issues that need attention, privatization would make it worse.
Right. There was an article in JAMA Internal Medicine by Eddie Blay which compared survival rates for major conditions at VA and non-VA hospitals, and found that VA hospitals performed better; for example the death rate for acute myocardial infarction was 9% VA hospitals, 14% non-VA hospitals.