Thank you for posting again. I always enjoy your insights as I am a gen x'er like you. I'm living in Canada, your northern neighbor and I can totally relate to your moral distress as a fellow health care provider and citizen. As a younger person, I always felt certain that the health care system was "there for me" and for all of us, but it's not. Our publicly funded system is in chaos just as much as your micromanaged private insurance system. Your "private" system scares us Canadians $$$$ as our system may be broken but we do not have to fear financial ruin. Yet, our provincial government seems to be pulling us in that direction. I feel your pain(:.
I'm tired of being told by the medical industry to "advocate for yourself" with the medical industry. We pay unaffordable sums of money for the assistance from doctors and hospitals that we have no way to know about unless we also possess a medical education. We need them and their expertise. How do we know how sick we are or what we need! We need help and we pay dearly for it, but have to "advocate" to get it on top of paying so much money for it. The whole thing is a royal mess! How do we fix this and when? Do something!
@@CricketGirrl The people there (doctors, nurses, staff, etc.) are victims of the present system as much as the patients are. Don't blame them. It's the corporatization of health care and the insurance industry and Big Pharma that are all our enemies.
It was brave of you to point out your own areas where you could’ve done better for your patient. Hopefully, other medical professionals will learn by your example.
Retired RN here. Worked as a nurse for 37 years. The first half in hospital. It was rough back then. Feast or Famine was the saying. I noticed what I perceived as negative changes at the beginning of my career with DRGs. The doctors didn't like it and it was hard for many smaller hospitals to stay open. Eventually corporations took over and that was big. Then hospitalist. When you have a primary doctor, he or she knows you, your history, your family and it is a relationship. I know the docs worked hard in their clinic all day and then rounded at the hospital but it was better care. I hope a review is done by actual practicing physicians and nurses for the problems in the system but it will probably be the ivory tower types that never worked much in a clinical setting. I feel bad for people working in healthcare. Some should not be there but there are lots that have the heart for it. You are appreciated.
Agreed! My daughter visited three ED (DHMC-Lebanon, NH, Concord Hospital, NH and Cheshire Medical-DHMC KEENE, NH and every time she was sent back home. Then she went to her APRN who diagnosed a blood clot after having Covid and breaking her rib from all the coughing. Thank God for her APRN…she saved her life…my daughter was actually in STAGE FOUR HEART FAILURE with an EJECTION FRACTION of 23!!!
I am currently going to nursing school and your story was very enlightening I appreciate you sharing it. The current state of healthcare is scary and both patients and healthcare workers are suffering due to an outdated system. As the population continues to grow there will be more geriatric patients than ever before. At the same time, there will be insufficient healthcare workers available to treat the growing population. As I've read on another comment, the issue of healthcare in the U.S. is that people do not receive continuous care due to the cost of seeing a PCP and the medications they may prescribe. To lower the number of patients in hospitals, it is necessary to make healthcare more accessible and address issues that become emergencies in the future.
It's not that the systems are outdated. It's that health care has become all about extracting as many dollars from it as possible by greedy investors and insurance companies. They've turned it into a business model for private equity and wealthy people at the top. Thank you for becoming a nurse. I wish you well and hope to don't burn out quickly in the face of evil greed.
You are so accurate that the system is broken. You are pointing out only part of the problem. The cost keeps many people from care. In my opinion, the insurance companies are a great place to start. The make billions a year in profit. They add NO value. Getting them out of health care would free up money to train more doctors and nurses. Then you would not be too tired to check on a patient. We pay about twice what most developed countries do for health care with far worse results. It is NOT the fault of the doctors and nurses. They make about the same amount under both systems.
I agree Insurance companies are not helpful. What about the hospital CEO'S like the one for Stewart Hospitals in MA who profited while his Hospitals went bankrupt
Will, what do you think are the root causes? I’m in a smaller community ED on Long Island, but we still have 50+ beds/chairs and on a typical night, only 6-7 nurses, that includes the charge and triage nurse. Is it this lack of staffing? Perhaps it’s the fact that I can count a dozen + hospitals that have closed with 25 miles over the past 2 decades? Perhaps it’s all the CYA nonsense ordered by providers to protect themselves from malpractice suits? Maybe it’s the same nonsense ordered to pad the bottom line of the facility? Maybe it’s the 15 minutes of BS assessments that are mandatory to obtain on every patient? I don’t think there is one singular cause, it’s more like death by a million paper cuts. I’m just starting to lose any faith that it is recoverable at this point. I think your sentiment is the correct one, that you need to look out for your own interests because the healthcare system has its own interests at heart, and they don’t include the patients.
As a European I carefully voice the opinion that your problems with your healthcare stem from capitalism. If your hospitals and healthcare providers weren't run like a god damn for profit organisation you wouldn't see those kinds of problems. Because if general physicians and medication wouldn't cost a fortune ppl would address problems earlier and therefore not need a hospital bed. If your hospital wouldn't need to pad the pockets of executives they could afford more room, more staff (at better pay) and better ed management. Besides gsw are a USA problem in the developed world so think about changing some things like the doctor said, wouldn't hurt anybody besides ppl with already to fat bank accounts that evade tax like the plague. With friendly regards from Germany
I think that if the medicare payroll tax was raised just slightly then maybe the health care system could be paid a better rate and more workers would stay and doctors might get paid an amount that would at least cover the cost of seeing that patient. We have an aging population that will continue to increase in numbers. An aging population that continues to be sicker than the last generation.
My worst experiences in medicine have been in EDs. Don't make the mistake of thinking the people who work there mean well. Go read the patient reviews of Kaseman Presbyterian Hospital in Albuquerque, NM, and reconsider that statement. From 1997, when an RN told me while I was in active labor that I didn't deserve an epidural because I "didn't know what pain was" to 2024 when I was told by the charge nurse that I'm not disabled and was refused a wheelchair after being brought in by ambulance WITHOUT my reclining wheelchair, these people are rotten to the core. Rotten, rotten, rotten.
I fell down my porch steps full weight on both knees on concrete....couldn't put weight on rt knee and barely on left. Son took me too urgent care where a cursory exam yielded torn LCL rt and "concerning" left knee. Gave me crutches and advised ER visit. (Under his breath he said don't go there). I have no faith in corporate medicine, no dr, no routine care, no insurance ( on soc sec). Can't afford MRI or xray. Went home, took OTC pain killers..... after 3 mo I'm walking fine tho i do have residual pain. But i still own my house and car (haven't sold them to pay hospital bills) and who's to say I'd be any better off? Just pumped full of drug$.....sorry drs.....i don't trust you at all.
My daughter spent 2hrs in an ER with severe abdominal pain and was ignored. It was in a small rural area where she attends college. They lied about having an ultrasound machine which they didn't after 5pm. The lied about getting my daughter's blood work. I begged her to get a friend to drive 90 min to a better city hospital. She did and then waited another 6 hrs to get the full evaluation and got better care. These hospitals are full of illegal immigrants and drug addicts seeking to get high and lots of gun shot/violence. It is beyond broken.
Did your daughter specifically say that the reason she couldn't get treatment in her small rural area was because of illegal immigrants and drug users? Two hours is nothing.
topic aside...In a previous video, "Managing Stress the Old Way," of going to a bar and forgetting about it. I think you should rethink that. You sound like you have second-victim syndrome. I mean that from a place of caring and not as a pejorative. I know you feel you have the coping mechanisms that comes with age and experience, but there's a limit to that. It takes strength and guts to reach out and talk to a mental health professional, and you should try it. I wish you well and love your channel
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Thank you for posting again. I always enjoy your insights as I am a gen x'er like you. I'm living in Canada, your northern neighbor and I can totally relate to your moral distress as a fellow health care provider and citizen. As a younger person, I always felt certain that the health care system was "there for me" and for all of us, but it's not. Our publicly funded system is in chaos just as much as your micromanaged private insurance system. Your "private" system scares us Canadians $$$$ as our system may be broken but we do not have to fear financial ruin. Yet, our provincial government seems to be pulling us in that direction. I feel your pain(:.
I'm tired of being told by the medical industry to "advocate for yourself" with the medical industry. We pay unaffordable sums of money for the assistance from doctors and hospitals that we have no way to know about unless we also possess a medical education. We need them and their expertise. How do we know how sick we are or what we need! We need help and we pay dearly for it, but have to "advocate" to get it on top of paying so much money for it. The whole thing is a royal mess! How do we fix this and when? Do something!
Yes! You can advocate for yourself all you want, but it won't change the people there.
@@CricketGirrl The people there (doctors, nurses, staff, etc.) are victims of the present system as much as the patients are. Don't blame them. It's the corporatization of health care and the insurance industry and Big Pharma that are all our enemies.
It was brave of you to point out your own areas where you could’ve done better for your patient. Hopefully, other medical professionals will learn by your example.
Retired RN here. Worked as a nurse for 37 years. The first half in hospital. It was rough back then. Feast or Famine was the saying. I noticed what I perceived as negative changes at the beginning of my career with DRGs. The doctors didn't like it and it was hard for many smaller hospitals to stay open. Eventually corporations took over and that was big. Then hospitalist. When you have a primary doctor, he or she knows you, your history, your family and it is a relationship. I know the docs worked hard in their clinic all day and then rounded at the hospital but it was better care. I hope a review is done by actual practicing physicians and nurses for the problems in the system but it will probably be the ivory tower types that never worked much in a clinical setting. I feel bad for people working in healthcare. Some should not be there but there are lots that have the heart for it. You are appreciated.
Agreed! My daughter visited three ED (DHMC-Lebanon, NH, Concord Hospital, NH and Cheshire Medical-DHMC KEENE, NH and every time she was sent back home. Then she went to her APRN who diagnosed a blood clot after having Covid and breaking her rib from all the coughing. Thank God for her APRN…she saved her life…my daughter was actually in STAGE FOUR HEART FAILURE with an EJECTION FRACTION of 23!!!
thanks for sharing this story. Also, happy to see you are posting again.
I am currently going to nursing school and your story was very enlightening I appreciate you sharing it. The current state of healthcare is scary and both patients and healthcare workers are suffering due to an outdated system. As the population continues to grow there will be more geriatric patients than ever before. At the same time, there will be insufficient healthcare workers available to treat the growing population. As I've read on another comment, the issue of healthcare in the U.S. is that people do not receive continuous care due to the cost of seeing a PCP and the medications they may prescribe. To lower the number of patients in hospitals, it is necessary to make healthcare more accessible and address issues that become emergencies in the future.
It's not that the systems are outdated. It's that health care has become all about extracting as many dollars from it as possible by greedy investors and insurance companies. They've turned it into a business model for private equity and wealthy people at the top. Thank you for becoming a nurse. I wish you well and hope to don't burn out quickly in the face of evil greed.
You are so accurate that the system is broken. You are pointing out only part of the problem. The cost keeps many people from care. In my opinion, the insurance companies are a great place to start. The make billions a year in profit. They add NO value. Getting them out of health care would free up money to train more doctors and nurses. Then you would not be too tired to check on a patient. We pay about twice what most developed countries do for health care with far worse results. It is NOT the fault of the doctors and nurses. They make about the same amount under both systems.
I agree Insurance companies are not helpful. What about the hospital CEO'S like the one for Stewart Hospitals in MA who profited while his Hospitals went bankrupt
Will, what do you think are the root causes? I’m in a smaller community ED on Long Island, but we still have 50+ beds/chairs and on a typical night, only 6-7 nurses, that includes the charge and triage nurse. Is it this lack of staffing? Perhaps it’s the fact that I can count a dozen + hospitals that have closed with 25 miles over the past 2 decades? Perhaps it’s all the CYA nonsense ordered by providers to protect themselves from malpractice suits? Maybe it’s the same nonsense ordered to pad the bottom line of the facility? Maybe it’s the 15 minutes of BS assessments that are mandatory to obtain on every patient?
I don’t think there is one singular cause, it’s more like death by a million paper cuts. I’m just starting to lose any faith that it is recoverable at this point. I think your sentiment is the correct one, that you need to look out for your own interests because the healthcare system has its own interests at heart, and they don’t include the patients.
What are your thoughts of CEO and board of directors salaries ? Can that money be redistributed to help?
As a European I carefully voice the opinion that your problems with your healthcare stem from capitalism.
If your hospitals and healthcare providers weren't run like a god damn for profit organisation you wouldn't see those kinds of problems.
Because if general physicians and medication wouldn't cost a fortune ppl would address problems earlier and therefore not need a hospital bed.
If your hospital wouldn't need to pad the pockets of executives they could afford more room, more staff (at better pay) and better ed management.
Besides gsw are a USA problem in the developed world so think about changing some things like the doctor said, wouldn't hurt anybody besides ppl with already to fat bank accounts that evade tax like the plague.
With friendly regards from Germany
You have it exactly right. If only you also had a solution. We can't seem to find one.
I think that if the medicare payroll tax was raised just slightly then maybe the health care system could be paid a better rate and more workers would stay and doctors might get paid an amount that would at least cover the cost of seeing that patient. We have an aging population that will continue to increase in numbers. An aging population that continues to be sicker than the last generation.
My worst experiences in medicine have been in EDs. Don't make the mistake of thinking the people who work there mean well. Go read the patient reviews of Kaseman Presbyterian Hospital in Albuquerque, NM, and reconsider that statement. From 1997, when an RN told me while I was in active labor that I didn't deserve an epidural because I "didn't know what pain was" to 2024 when I was told by the charge nurse that I'm not disabled and was refused a wheelchair after being brought in by ambulance WITHOUT my reclining wheelchair, these people are rotten to the core. Rotten, rotten, rotten.
I fell down my porch steps full weight on both knees on concrete....couldn't put weight on rt knee and barely on left. Son took me too urgent care where a cursory exam yielded torn LCL rt and "concerning" left knee. Gave me crutches and advised ER visit. (Under his breath he said don't go there). I have no faith in corporate medicine, no dr, no routine care, no insurance ( on soc sec). Can't afford MRI or xray. Went home, took OTC pain killers..... after 3 mo I'm walking fine tho i do have residual pain. But i still own my house and car (haven't sold them to pay hospital bills) and who's to say I'd be any better off? Just pumped full of drug$.....sorry drs.....i don't trust you at all.
My daughter spent 2hrs in an ER with severe abdominal pain and was ignored. It was in a small rural area where she attends college. They lied about having an ultrasound machine which they didn't after 5pm. The lied about getting my daughter's blood work. I begged her to get a friend to drive 90 min to a better city hospital. She did and then waited another 6 hrs to get the full evaluation and got better care.
These hospitals are full of illegal immigrants and drug addicts seeking to get high and lots of gun shot/violence. It is beyond broken.
Did your daughter specifically say that the reason she couldn't get treatment in her small rural area was because of illegal immigrants and drug users? Two hours is nothing.
topic aside...In a previous video, "Managing Stress the Old Way," of going to a bar and forgetting about it. I think you should rethink that. You sound like you have second-victim syndrome. I mean that from a place of caring and not as a pejorative. I know you feel you have the coping mechanisms that comes with age and experience, but there's a limit to that. It takes strength and guts to reach out and talk to a mental health professional, and you should try it. I wish you well and love your channel