Stay tuned for phase 2 of the Glauco Cinematic Universe. Bartholomew Banks buys up all of the specialities, but just as he's about to buy out Ophthalmology, loyal scribe Jonathan stops him!
@@missedmist11235 Well see, they hired an administrator at around 350k/yr and part of his new efficiency mandates is proper use of material. So new chairs get delivered to the top floor to the executives, and as they get worse, they proceed down to the bottom floor before being thrown in the trash. Yes, this does necessitate moving all chairs down one floor once every few years, but thankfully they hired another administrator at around 350k/yr to coordinate the staff into moving those chairs downward. Of course, some of them might be worn a little too much, so they hired another administrator at around 350k/yr to coordinate the repairs and--
@@crazydoc0812 Exactly. Happened to an internist I worked for. Joined a small-community based practice under a hospital umbrella that ran separate. Then a few years ago, a large hospital system from a close-by city came sniffing because they wanted in our state, and Voila, Bob's Your Uncle! There's so much pushback because even though we gained more resources, we lost that closeness with the community. I switched from primary care to multi-specialty, so I'm sort of a hybrid between the 2 systems because even though we're supposed to be the same entity, we're clearly not.
Mr. Banks forgot to mention that Anesthesia’s base salary will be a fraction of what he currently earns. The rest will be incentive based on unachievable metrics.
I've definitely experienced being one of "all the doctors we just hired" when someone senior to me heard a sound like angels singing. I've actually experienced it multiple times over the course of my career. I think a very big part of what's happened to healthcare has been the result of docs selling out, retiring with a big check, and leaving the rest of us to deal with it. I've got it in a really good place though.
@@djchedd So, as a practitioner opening a new practice you have a big choice to make first off: are you going to accept Medicare and insurance, or are you not? If you elect to accept Medicare and insurance, which are inextricably linked, you have to meet all of their requirements. If you're solo or a small group you're going to have a problem I call the non-economy of non-scale. By this I mean that you have to hire people and agencies to meet government compliance requirements and to manage and submit payments to a large number of different third party payers, government and otherwise. Your requirements are the same as those that a large practice or medical network would have, but you have no one to share your overhead with. Also, insurance programs will allow you to see their patients, but at drastically reduced rates. Commonly they will discount your fees by 70%. I tried it and quit after 4 years. The other option is a concierge-type practice where you operate completely outside Medicare and Insurance. This has been working for a lot of Family Practitioners, but it's tough in fields that are Medicare (elderly) dominated.
My hospital administrator destroyed my practice and small community hospital. His buddy was hired as the administrator by the big anesthesia group in the neighboring city and he saw the opportunity to squeeze us. In the end he paid a lot more, bankrupted the hospital destroying many hobs and is now going to hell when he dies.
Wow, you’re a phenomenal actor Dr. G. I could almost see the waves of nefarious intent coming off of the bank guy. You could make an excellent horror movie!
And yet many Americans look at this and want to be that guy. The Gordon Gekko speech was written to horrify people, yet inspired a lot of Americans to get into the financial industry. Greed is good, money is everything, it's all about me, screw everyone else.
Always wondered to what extend becoming that guy is felt as a way of "getting back" for whatever hardship, real or not, one has suffered. Seems to work intergenerationally, too. "You, my son, will grow up to be one tough SOB".
Anesthesiology would have signed immediately for a lifetime supply of luxury sudoku puzzles. What are luxury sudoku puzzles? Doesn’t matter. Anesthesiology wants to know, and he’s about to find out.
Devil- “What is it with healthcare!?” he asks in utter disgust. “Everyone considering the needs of others when they make decisions!!” He proclaims in exasperation.
and so the cost of anaesthesia immediately doubled and no longer covered by insurance, but don't worry the patients won't be told that until after they woke up from surgery.
This one is super accurate - even just the very beginning. I went to the hospital for my scheduled C-section (baby was breech) and right before they took me to the operating room the anesthesiologist came in to let me know that my insurance, United Healthcare, was not honoring their contract, so it would be considered out of network.
Only our good Doctor could play the good, the bad, the smart, the stupid, the noble and the sleazy like he was an entirely different character. You're amazing, doc!
I love the truth bombs. I feel like a lot of the people that have actually worked on the care system knows our insurance system is crap, but for some reason no one else seems to notice.
Oh, we notice, I assure you. Just wind me up, and I'll play my five-minute NotTed Talk entitled "Why the American Healthcare System is Totally Screwed."
Anyone who has visited a medical facility is well aware of the broken insurance system. The only people unaware are the people that don't have to pay for health insurance (looking at you Elected Officials) and they are the ones who made it this way (looking at you Obama) because of the kick-backs they get.
Oh people notice, the problem is that the Rich don't want you to effectively fight for it. They make tons of confusing advertisements, they lambast anything short of pure free market healthcare as "socalism" or "communism," they keep other people angry and fearful to get them to vote against their own interests, they spread lies and more lies when you have evidence to debunk those lies.
I left my old hospital because after 8 months of my department being dangerously understaffed I realized they were never going to attempt to fully hire. Was doing twice the workload for nearly a year with no extra money or benefits coming my way. Just a supply guy but I see the picture fully now
Btw when being asked to stock multiple floors as opposed to the usual one or two guess what happens? Quality goes down, meaning I'm messing up and forgetting certain products because I'm so damn busy and do not have the luxury of time to double check
The American healthcare industry is just fascinating in its bureaucracy, when that's what they claim happens in socialized healthcare in other countries.
It's clearly ideological and thus political in form, in that only government can be defined as bureaucratic, as these methods and processes are harmful only when the government does it. 🤡 God I hate capitalist realism.
It does. The thing is people shouldn't differentiate between private and public, but between centralized and decentralized systems. Generally truly decentralized systems do much better overall in almost any area. If there is competition prices will be lower and quality better, but the US healthcare can be hardly called competitive with a billion rules and regulations. Due to a plethora of rules in both the medical and pharma sector you have an oligopoly that exploits the masses. If at some point they allow drugs to be freely available( private third party companies can run tests ) and remove regulations that force doctors to spend millions on lawyers and accountants and instead practice medicine then the US will have quality and affordable healthcare.
The US healthcare system is so heavily regulated it might as well be a socialized system. The government has its claws in pretty much every single aspect of it. You even fund it with your taxes through subsidies and medicare. Then you have to pay the full bill anyway.
I'm 100% for socialized medicine... But NOT on US soil! If anyone thinks that the US system will just magically go to a socialized medicine system and all of our system's flaws will go away has been huffing the NOx too much. All of the players (doctors, hospital groups, insurance companies, medical suppliers) aren't going to give up their profits. Profits have risen dramatically since the passage of Obamacare. That's money which comes straight out of the patient's wallet and doesn't provide actual care. It doesn't matter who pays, the US can't afford the US system of Healthcare. The US does have a socialized medical system in it - - the Veteran's Administration. And it's terrible beyond belief. There are some dedicated doctors in staff in the system, but in my experience they're few and far between. Resources are scarce. Accountability is nil. A good friend just lost their leg because of the incompetence of the VA.
@@grayrabbit2211 Socialized medicine is pretty bad in general. Even in nordic countries pretty much everyone has additional private insurance and in less wealthy countries its dogshit.
You're my favourite medical youtuber because your jokes don't revolve around patients and their foibles, but about doctors and THEIR foibles! It makes me incredibly happy to know there are sensible, reasonable doctors out there who see the forest through the trees. Thanks Doc, truly a "thought leader" but not in the way that pharmaceutical thinks
How did Dr. G get his Banks character to have More laugh lines around the eyes than Anesthesiology??? Like his favorite hobby is laughing at the misfortunes of others 😭
This reminds me so much of how some hedge fund and private equity people acted when I declined to hear out their quant recruiters, and instead went to med school. The portrayal of their seething evil is spot on, though some of them will attempt to scramble around for hollow excuses when their moral depravity is pointed out.
@@zxcvdad Depending on location, about what 6-7 years salary in your account instantly sounds like. No, seriously, they tend to get 200,000 a year at the lower end, so factor in insurance and you get nearly a decade of income at a mil.
This!! This is exactly what's been happening in Veterinary Medicine for over a decade! Next time you wonder why it takes SO LONG to get an appointment, or why you seem to be nickel and dimed for EVERY SINGLE LITTLE THING.... this is why.
They let the frickin’ business majors come in with their ‘goals’ and ‘customer metrics’ not realizing that in medicine, you have the double-edged sword of caring for people without kissing a$$.
It's the normal progression of a capitalist system. I'm sorry if you believed the lies you were fed by those the system was created to serve (the 1% elites)
According to every book in the gilded wall to wall library wing (we like to call it the ‘study’) of our corporate yacht, we are -better- than insurance companies (at extracting wealth from peoples’ bodies)
AMA could implement rules like the ABA (American Bar Association), preventing non-professionals from owning a practice. It's the reason why you don't see publicly traded law firms in America-- they're are all partnerships. Implementing similar ethics rules would be an efficient way of kicking out private equity from the business.
You sir, have in some ways reached the epitome of art. I feel like the highest forms of art reflect society back at us in a way more people can understand, and you succeed every time.
Thank you for everything you do. When I'm anxious about Step or the match, the little moments of joy these videos bring remind me theres more to this whole process than the anxiety would let me believe.
Once a sellout - always a sell out. A big thank you to all the docs that stand up for their patience when they know a scam is happening, no matter the cost.
Everyone concerned with this very real issue should look up the B-corp movement and support B-corp businesses! Most (maybe all, now) US states recognize this as a type of business registration. It's a mix of a nonprofit and for-profit structure, so that companies are legally obligated to consider the needs of all _stakeholders,_ i.e. everyone affected by their work and everyone they can impact with the company's defined world-benefiting mission, rather than just legally being beholden to their shareholders/profits. It's awesome. We live in a world that's advanced enough to where it's reasonable to start expecting ALL business to work this way. It's literally "what if capitalism, but required to be good?" and it rocks! Please support the movement!
Capitalism is inherently immoral. Once a human life is reduced to the value of lucre one holds in their bank account, logically it follows that the vast majority of humans are worth -$0. Slavery, organ trafficking and Child prostitution are all acceptable in such a framework bc it takes worthless material (poor humans) and creates value with the bodies or labor of what previously had none. I personally don't want to live in such a world but it's the endpoint of such a system regardless and considered ideal by those holding all the wealth.
This is why I plan on going cash based. I love my patients and I dedicate a lot of time deep diving into their health outside of when I see them. I hope to do sliding scale based on income and see people for free if I want. If I see people for free now insurance companies can claim I’m defrauding them and not pay me for anyone.
I'm back to school for pre-med now, but around 15 years ago I was in other healthcare areas and realized there's absolutely no reason not to do what you describe. I worked for an incredibly frugal and talented veterinarian who owned her own tiny, humble, insanely busy clinic, and while there I wound up getting really deeply passionate about client education/compliance/the relationship between those things and health outcomes and the relationship between ALL those things and reduced costs, right ... so although I hadn't yet learned then that Direct Primary Care was a named and established thing, I was learning from that example how costs of care can be kept accessibly low, and how a practice can have room to serve people with financial need to at least some moderate quiet extent, _if_ things are handled thoughtfully and the client/patient base is met with _really_ good communication and education. As far as I could see then and can see now, there's no reason this can't translate to human medicine. And not just the primary care area -- I have all this time remained absolutely convinced, through all the research and self-education in business and healthcare I've been able to acquire, that this can totally scale to the hospital level. Then I caught (loving) flak at my massage school exit interview for refusing to set a firm rate and planning to operate sliding-scale ... And then I pretty successfully maintained a sliding-scale practice for a good couple of years (discontinued primarily due to injury and being a general newb at life), while giving really comprehensive thorough care and a metric frickton of education to everyone every time. I even got a tiny little rep for being almost too ameliorative to the point where colleagues teased that I'd kill the industry lol, because I taught people loads of self-care and prophylactic strategies, which of course meant people were getting significant lasting relief and navigating straight to useful lifestyle changes for little cost, which could not have been more rewarding. It was so dope. Made me all the more vehement about the fact that the knowledge of how to care for a body belongs to everyone with a body; the info just has to be delivered strategically so that the least possible risk gets introduced relative to the harms being reduced. Point of this ramble is 1. Seeing your comment brought me great joy, because I don't see enough people being vocal about this idea and how wisely-managed self-pay medical practices can be a major paradigm shift that helps underserved people; 2. It also brings me great joy anytime I see people talking about motivations in medicine besides income (I personally plan to never be formally employed by anyone but myself again after residency, just to get financially independent separately and freely serve the disadvantaged communities I come from, particularly the unhoused and/or homeless -- and people think this is weird? I think they're weird); 3. I would argue -- and it's evident to me that you already know this from the relationships you build with your patients, but I hope my experience causes you to carry forth a super ultra reinforced view of it -- that patient education is the absolutely vital inextricable crux of success for such a model ... and 4. YOU ARE NOT ALOOOONE, YOUR IDEA IS ENTIRELY REALISTIC AND DOABLE, I'M ABSOLUTELY CERTAIN OF IT, DON'T LET ANYONE TELL YOU IT CAN'T BE DONE, DO THE THIIIIING! 😝
It's insane how doctors who are passionate about caring for their patients always have to fight with a third party. Even over here in germany where everyone is insured, there are still so many of these issues. Medicine and 'free markets' just do not mix.
Even though I never truly understand your videos because I’m not in the healthcare field I still think they are hilarious. But as someone who works in finance, this is truly gold. Thank you
Thank you so much for exposing truths that people really need to know about in a way that's funny and to the point. Making absurd amounts of money and medical practice don't mix well at all and it's the local doctor offices and patients that are on the losing end.
This just happened to my derm office. We expected it to be bad, but it was so much worse. Can't wait to see the derm skit where he sells immediately, then finds out he needs to be patient-facing for 32 hrs/week just to get his own employment benefits. :/
Hello from a fellow healthcare worker over the pond! Absolutely love your content!, I know you have done a video where you visit universal healthcare in Canada but please do a skit about one of your characters using the NHS in the U.K! Perhaps a medicine around the World Series?
@@cloudyview "Better" by doing it worse in more insidious and covert ways. Medicine isn't a commodity and not subject to market forces. We shouldn't treat it like just any other business.
Hooray for the For-Profit healthcare system! We are the only advanced nation in the world that attaches your healthcare coverage to your employment, so the privilege of seeing a physician is a direct correlation of your value to society. But all life is sacred, huh? Think about how screwed up & hypocritical that is. This country is a disaster.
Never thought I could see Dr. G as an evil arch-villain, but man, you nailed it! Like a sleezy car salesman, but with the aroma of oodles of ill-gotten gains.
Too many layers of healthcare. Too much complexity. Too much paperwork. This is why it's so expensive. Reduce paperwork. Reduce complexity. Reduce layers.
Fantastic blend of information, for us ignorant folk 😊, and great humor!! I’m a loyal scribe for a retina specialist and all the doctors in the clinic really enjoy your work. Thank you for your content!
Wait til you guys get to the Shyamalan-esque twist at the end. You know United Healthcare, whose dirty tactics forced Anesthesia into the waiting arms of Bartholomew Banks? Guess who owns it? I won't give it away, but his initials are B.B.
@@wordzmyth Yeah, I saw a female podiatrist who used his is there a doctor on the plane audio. I thought they must be friends to use his audio, guess not.
This is all over vet med too. The hospital I used to work at was huge but still privately owed by doctors practicing there (something that just doesn't exist anymore). It genuinely provided great medicine for down right cheap. The majority owning doctor retires this year though, and sold it to a big corp for a huge payout. Prices have doubled and staffing hasn't improved.
This is super normal everywhere. This happens in engineering firms, legal firms, accounting firms, etc etc. There's a lot of people out there that will sell their business for a wealthier retirement without thinking of the effects on other people but ultimately it's their business, their choice.
I'm sitting in an ER with an understaffed hospital. It's been 24 hours and will probably be another 24 before I get a room because any patient ER docs want to admit have to stay in the emergency room because there are too few nurses upstairs. I was told they either have to be discharged or die for me to get a room. Welcome to privatized medicine.
@@le13579 I ended up waiting exactly 40 hrs to get a room. It took the doctor two minutes to approve what I needed. And the nurse ten minutes to do it. Crazy 🤣
The sign of the Great ones is they constantly out do themselves when no one even comes close ! You Good Doctor are about to reach G.O.A.T. status! If only you were a Neurosurgeon, but then again you would be a Unicorn 🦄 !!!!🤣
I've seen private equity buy up trucking companies and bleed them dry. One of the big ones was Falcon Youngstown Ohio. They ditched 650 drivers all over the country still with loads on the truck. Private equity. The Devil's Spawn.
It is scary, and this ugliness is very real. If I was a fresh medical school graduate now, but with my memories of the past 30 years intact, I think I would skip residency and go to either Law or Business school instead. Somehow all the people who actually provide patient care got demoted to the bottom of the heap.
@@fkrkf The MD/JD route provides some very interesting job opportunities. If you really want to take care of patients, God bless you, and by all means do a Residency. MD/PhD leads to research opportunities and MD/MBA leads to healthcare administration, biotech, government, and entrepreneurship. I've been in clinical practice for over 30 years, and the pendulum has been swinging away from rewarding patient care providers for that entire period. Perhaps it will swing back, but that's uncertain at best.
This just reminded me of Mr. Deeds movie. Where a few people tried to make some quick millions by taking away the jobs of thousands of employees. This is really sad. As always awesome work Dr. Glaucomflecken!!
Anaesthesia you can’t. You are selling your soul and the life of your colleagues to a devil to go against demons. You are better than this. You are pure. You will loose your sudoku, I mean heart. No matter how tempting it is, when dealing with devils, they always win. Put him to sleep and get out, you still have a chance
Barty Banks is taking over healthcare. Here's part 1 if you missed it: ruclips.net/video/6JMf-U75fTg/видео.html
Is Barty Banks single is what I want to know
Watch out, the hospitalists are next. 😎
He is literally the most terrifying character you have. Because no one outside of healthcare knows he's real.
Ooooh. New character!!!!
We need to keep following this storyline! Make it a mini series!
I love seeing other doctors react to these videos. They always pause it and say “so um, what he did there, the joke is that he’s telling the truth.”
it's funny, cause it's true
'MURICAN CAPITALISM! F YEAH!
Truly the slapstick comedy of medical channels. The funny comes from how much pain the doctors are in 😂😂🥲
so um, what he did there, the joke is that he’s telling the truth
welcome to the reason that doctors consume so much alcohol
@@FulloutPostal don't worry. It's not only murican Healthcare. Other countries aren't just as bad as murica. But their on the way.
Stay tuned for phase 2 of the Glauco Cinematic Universe. Bartholomew Banks buys up all of the specialities, but just as he's about to buy out Ophthalmology, loyal scribe Jonathan stops him!
They are getting organized, the Jonathans. They have a resistance. And for now I'm more excited about this than marvel's fase 6.
Holy moley. Gonna go update my secondaries to let the adcoms know that Dr. Glauc himself has liked my comment!
"Some staff cuts..." "But my only staff is Jonathan. You want me to practice without Jonathan?!"
@@sharpfang Jonathan will still work even if he's not getting paid. He's not called the loyal scribe for nothing
Banks: "I am inevitable."
Scribe: "I. Am. Jonathan."
Pen clicks, crowd cheers, fade to black.
Don’t do it, Anesthesiology. It’s a trap!
Too late, it's already done.
@@nickdfoxy nooooooooo
Would have been a lot easier with a new crossword puzzle book.
Anaesthesiology better listen to this man, I'd trust Dr. Florida Man with my alligator's life
A million dollars to delete this comment
*NO*, Anaesthesia! Don't go to the dark side!
However much they tempt you with their fancy new chairs 😭
Ok, what's happening with chairs? In my hospital the chairs on average get slightly better as you go up each floor.
@@missedmist11235 Well see, they hired an administrator at around 350k/yr and part of his new efficiency mandates is proper use of material. So new chairs get delivered to the top floor to the executives, and as they get worse, they proceed down to the bottom floor before being thrown in the trash.
Yes, this does necessitate moving all chairs down one floor once every few years, but thankfully they hired another administrator at around 350k/yr to coordinate the staff into moving those chairs downward.
Of course, some of them might be worn a little too much, so they hired another administrator at around 350k/yr to coordinate the repairs and--
@@AbbySTWrites 🎯
Too late, Temi. Big cities and hospital systems are already dominated by multistate PE groups…
@@crazydoc0812 Exactly. Happened to an internist I worked for. Joined a small-community based practice under a hospital umbrella that ran separate. Then a few years ago, a large hospital system from a close-by city came sniffing because they wanted in our state, and Voila, Bob's Your Uncle! There's so much pushback because even though we gained more resources, we lost that closeness with the community. I switched from primary care to multi-specialty, so I'm sort of a hybrid between the 2 systems because even though we're supposed to be the same entity, we're clearly not.
Mr. Banks forgot to mention that Anesthesia’s base salary will be a fraction of what he currently earns. The rest will be incentive based on unachievable metrics.
I've definitely experienced being one of "all the doctors we just hired" when someone senior to me heard a sound like angels singing. I've actually experienced it multiple times over the course of my career. I think a very big part of what's happened to healthcare has been the result of docs selling out, retiring with a big check, and leaving the rest of us to deal with it. I've got it in a really good place though.
It has to be cuz now us up and coming doctors are like how tf did all these business people get involved in medicine and why didn’t anyone stop it??
@@PhoenixRoseYT that's awesome. I work with a radiologist who works for Optum, a subsidiary of UHC and he hates it lol
@@scottrolen27mvp It's good to know a medical employee of Optum (and UHC by extension) hates it as much as the patients. At least this patient. Lol
Why can’t these doctors open their own practices?
@@djchedd So, as a practitioner opening a new practice you have a big choice to make first off: are you going to accept Medicare and insurance, or are you not? If you elect to accept Medicare and insurance, which are inextricably linked, you have to meet all of their requirements. If you're solo or a small group you're going to have a problem I call the non-economy of non-scale. By this I mean that you have to hire people and agencies to meet government compliance requirements and to manage and submit payments to a large number of different third party payers, government and otherwise. Your requirements are the same as those that a large practice or medical network would have, but you have no one to share your overhead with. Also, insurance programs will allow you to see their patients, but at drastically reduced rates. Commonly they will discount your fees by 70%. I tried it and quit after 4 years. The other option is a concierge-type practice where you operate completely outside Medicare and Insurance. This has been working for a lot of Family Practitioners, but it's tough in fields that are Medicare (elderly) dominated.
My hospital administrator destroyed my practice and small community hospital. His buddy was hired as the administrator by the big anesthesia group in the neighboring city and he saw the opportunity to squeeze us. In the end he paid a lot more, bankrupted the hospital destroying many hobs and is now going to hell when he dies.
really took a dark turn there at the end
@@ninjason57 as for the dark turn…truth often does, but don’t forget it’s darkest before the dawn.
I'm right there with you, Bro. Same story with inconsequential differences going on all over America for the past 30 or more years.
If only it existed......
I’m wondering if we worked at the same place……
Wow, you’re a phenomenal actor Dr. G. I could almost see the waves of nefarious intent coming off of the bank guy. You could make an excellent horror movie!
This IS a horror movie xD
Waves of nefarious intent
I could almost see the horns.
And yet many Americans look at this and want to be that guy. The Gordon Gekko speech was written to horrify people, yet inspired a lot of Americans to get into the financial industry. Greed is good, money is everything, it's all about me, screw everyone else.
Always wondered to what extend becoming that guy is felt as a way of "getting back" for whatever hardship, real or not, one has suffered.
Seems to work intergenerationally, too. "You, my son, will grow up to be one tough SOB".
Anesthesiology would have signed immediately for a lifetime supply of luxury sudoku puzzles. What are luxury sudoku puzzles? Doesn’t matter. Anesthesiology wants to know, and he’s about to find out.
Hahahaha....I work in pacu and our anesthesia group just signed that devil's contract 6 months ago....the complaining hasn't stop.
Health Insurance executives should forgo anasthesia when they come in for their Angioplasty
Devil- “What is it with healthcare!?” he asks in utter disgust.
“Everyone considering the needs of others when they make decisions!!” He proclaims in exasperation.
and so the cost of anaesthesia immediately doubled and no longer covered by insurance, but don't worry the patients won't be told that until after they woke up from surgery.
This one is super accurate - even just the very beginning. I went to the hospital for my scheduled C-section (baby was breech) and right before they took me to the operating room the anesthesiologist came in to let me know that my insurance, United Healthcare, was not honoring their contract, so it would be considered out of network.
That's horrendous. I am so sorry!
Love the balance billing, not. Nope . It is sooooooo criminal
Only our good Doctor could play the good, the bad, the smart, the stupid, the noble and the sleazy like he was an entirely different character.
You're amazing, doc!
Damn, you look DIFFERENT in that suit! It's a good look.
Riiight???
It's the corporate neck tie that did it.
Signing a contract with the devil while you're already burning hell. Sounds about right. The medical field sure is tough.
Desperate times call for desperate measures!
I love the truth bombs. I feel like a lot of the people that have actually worked on the care system knows our insurance system is crap, but for some reason no one else seems to notice.
Oh, we notice, I assure you. Just wind me up, and I'll play my five-minute NotTed Talk entitled "Why the American Healthcare System is Totally Screwed."
As an uninsured working class American, I can assure you I know Something Here Is Whack
Anyone who has visited a medical facility is well aware of the broken insurance system. The only people unaware are the people that don't have to pay for health insurance (looking at you Elected Officials) and they are the ones who made it this way (looking at you Obama) because of the kick-backs they get.
I have the best insurance in my area due to my mom's job, and let me tell you: *many* of us know.
Oh people notice, the problem is that the Rich don't want you to effectively fight for it. They make tons of confusing advertisements, they lambast anything short of pure free market healthcare as "socalism" or "communism," they keep other people angry and fearful to get them to vote against their own interests, they spread lies and more lies when you have evidence to debunk those lies.
I left my old hospital because after 8 months of my department being dangerously understaffed I realized they were never going to attempt to fully hire. Was doing twice the workload for nearly a year with no extra money or benefits coming my way. Just a supply guy but I see the picture fully now
Btw when being asked to stock multiple floors as opposed to the usual one or two guess what happens? Quality goes down, meaning I'm messing up and forgetting certain products because I'm so damn busy and do not have the luxury of time to double check
The American healthcare industry is just fascinating in its bureaucracy, when that's what they claim happens in socialized healthcare in other countries.
It's clearly ideological and thus political in form, in that only government can be defined as bureaucratic, as these methods and processes are harmful only when the government does it. 🤡 God I hate capitalist realism.
It does. The thing is people shouldn't differentiate between private and public, but between centralized and decentralized systems. Generally truly decentralized systems do much better overall in almost any area.
If there is competition prices will be lower and quality better, but the US healthcare can be hardly called competitive with a billion rules and regulations. Due to a plethora of rules in both the medical and pharma sector you have an oligopoly that exploits the masses.
If at some point they allow drugs to be freely available( private third party companies can run tests ) and remove regulations that force doctors to spend millions on lawyers and accountants and instead practice medicine then the US will have quality and affordable healthcare.
The US healthcare system is so heavily regulated it might as well be a socialized system. The government has its claws in pretty much every single aspect of it. You even fund it with your taxes through subsidies and medicare. Then you have to pay the full bill anyway.
I'm 100% for socialized medicine... But NOT on US soil!
If anyone thinks that the US system will just magically go to a socialized medicine system and all of our system's flaws will go away has been huffing the NOx too much.
All of the players (doctors, hospital groups, insurance companies, medical suppliers) aren't going to give up their profits. Profits have risen dramatically since the passage of Obamacare. That's money which comes straight out of the patient's wallet and doesn't provide actual care.
It doesn't matter who pays, the US can't afford the US system of Healthcare.
The US does have a socialized medical system in it - - the Veteran's Administration. And it's terrible beyond belief. There are some dedicated doctors in staff in the system, but in my experience they're few and far between. Resources are scarce. Accountability is nil. A good friend just lost their leg because of the incompetence of the VA.
@@grayrabbit2211 Socialized medicine is pretty bad in general. Even in nordic countries pretty much everyone has additional private insurance and in less wealthy countries its dogshit.
I worked for the largest physician outsourcing organization in the US and this is exactly what we did…every…single…time
Barty Bank is the best slick talking dapper gentleman.....he will talk you right out of some good healthcare but he will make you a million bucks!
Yeah, he's just oozing snake oil out of his pores.
@@maggiedhue9349 and hair XD
Private equity is pure distilled evil. If you could bottle that stuff it would kill tardigrades. But I wouldn’t do that to tardigrades.
yep, let them escape into space, maybe they'll reach another system and restart civilization there.
@@HisameArtwork ugh, no. Exterminate them here before they infect other planets.
If it didn’t corrupt everything it touches I’d suggest pure distilled evil as a way to cut down on hospital acquired infections.
@@phoenixfire8978 MRSA wouldn’t have a chance.
Denatures prions in five minutes.
I see you've expanded fully into the horror genre
The 'At least we're honest about it' made me laugh, and then feel sad 🤣😕
Our corporate fleet of yachts! We call them studies. Ahhaahahha to the point
If Jonathan had anger issues, had no empathy and was on Wall street, he would be this guy!
You're my favourite medical youtuber because your jokes don't revolve around patients and their foibles, but about doctors and THEIR foibles! It makes me incredibly happy to know there are sensible, reasonable doctors out there who see the forest through the trees.
Thanks Doc, truly a "thought leader" but not in the way that pharmaceutical thinks
Good point. The other med channels are basically, “Patients are so stupid!”
Can 100% confirm this is true for most private practice anesthesia groups in America.
How did Dr. G get his Banks character to have More laugh lines around the eyes than Anesthesiology??? Like his favorite hobby is laughing at the misfortunes of others 😭
This reminds me so much of how some hedge fund and private equity people acted when I declined to hear out their quant recruiters, and instead went to med school. The portrayal of their seething evil is spot on, though some of them will attempt to scramble around for hollow excuses when their moral depravity is pointed out.
I love how these skits are taking a dark turn. PE buying the gas man is the cherry on top of the cake!
Gas Bro.
As a new anesthesiologist one year out of training, this is both hilarious and hitting a little too close to home. Sadly too true to reality.
So what does the sound of a million dollars being wired into your bank account sound like?
@@zxcvdad Depending on location, about what 6-7 years salary in your account instantly sounds like.
No, seriously, they tend to get 200,000 a year at the lower end, so factor in insurance and you get nearly a decade of income at a mil.
@@roetemeteorradiologists do NOT make less than 250K I’m sorry. They’re in the spectrum of 280-400K a year.
@@matthewhernandez6281 even that's false. Average radiologists are making 480~500k a year. Anesthesia 420~450k
This!! This is exactly what's been happening in Veterinary Medicine for over a decade! Next time you wonder why it takes SO LONG to get an appointment, or why you seem to be nickel and dimed for EVERY SINGLE LITTLE THING.... this is why.
What’s sad is this is happening all over the country.
Meanwhile the same assholes keep getting voted into the government to not change things
Our healthcare system is so messed up. It's horrible. It is all about profits. Not about health
They let the frickin’ business majors come in with their ‘goals’ and ‘customer metrics’ not realizing that in medicine, you have the double-edged sword of caring for people without kissing a$$.
It's the normal progression of a capitalist system. I'm sorry if you believed the lies you were fed by those the system was created to serve (the 1% elites)
And unfortunately also in Europe...It is scary
According to every book in the gilded wall to wall library wing (we like to call it the ‘study’) of our corporate yacht, we are -better- than insurance companies (at extracting wealth from peoples’ bodies)
yeah your version would've probably slapped harder
AMA could implement rules like the ABA (American Bar Association), preventing non-professionals from owning a practice. It's the reason why you don't see publicly traded law firms in America-- they're are all partnerships. Implementing similar ethics rules would be an efficient way of kicking out private equity from the business.
You sir, have in some ways reached the epitome of art. I feel like the highest forms of art reflect society back at us in a way more people can understand, and you succeed every time.
We need Johnathan to swoop in and save the day!
Gosh I still can't believe this is a one man show. Your acting is sooo good! I always have to remind myself it is just you playing all the characters.
Thank you for everything you do. When I'm anxious about Step or the match, the little moments of joy these videos bring remind me theres more to this whole process than the anxiety would let me believe.
Exactly
Once a sellout - always a sell out.
A big thank you to all the docs that stand up for their patience when they know a scam is happening, no matter the cost.
Then you find out, the PE firm actually owns the insurance companies that keep screwing with them.
No Anesthesia! Don't do it! You're so good with playing the ominous bad guys too!
In a system that prioritizes money above all even the most unethical thing can be justified.
I think that might be one of the Ferengi laws of acquisition.
Everyone concerned with this very real issue should look up the B-corp movement and support B-corp businesses! Most (maybe all, now) US states recognize this as a type of business registration. It's a mix of a nonprofit and for-profit structure, so that companies are legally obligated to consider the needs of all _stakeholders,_ i.e. everyone affected by their work and everyone they can impact with the company's defined world-benefiting mission, rather than just legally being beholden to their shareholders/profits. It's awesome.
We live in a world that's advanced enough to where it's reasonable to start expecting ALL business to work this way. It's literally "what if capitalism, but required to be good?" and it rocks! Please support the movement!
Capitalism is inherently immoral. Once a human life is reduced to the value of lucre one holds in their bank account, logically it follows that the vast majority of humans are worth -$0. Slavery, organ trafficking and Child prostitution are all acceptable in such a framework bc it takes worthless material (poor humans) and creates value with the bodies or labor of what previously had none. I personally don't want to live in such a world but it's the endpoint of such a system regardless and considered ideal by those holding all the wealth.
This is why I plan on going cash based. I love my patients and I dedicate a lot of time deep diving into their health outside of when I see them. I hope to do sliding scale based on income and see people for free if I want. If I see people for free now insurance companies can claim I’m defrauding them and not pay me for anyone.
I'm back to school for pre-med now, but around 15 years ago I was in other healthcare areas and realized there's absolutely no reason not to do what you describe. I worked for an incredibly frugal and talented veterinarian who owned her own tiny, humble, insanely busy clinic, and while there I wound up getting really deeply passionate about client education/compliance/the relationship between those things and health outcomes and the relationship between ALL those things and reduced costs, right ... so although I hadn't yet learned then that Direct Primary Care was a named and established thing, I was learning from that example how costs of care can be kept accessibly low, and how a practice can have room to serve people with financial need to at least some moderate quiet extent, _if_ things are handled thoughtfully and the client/patient base is met with _really_ good communication and education.
As far as I could see then and can see now, there's no reason this can't translate to human medicine. And not just the primary care area -- I have all this time remained absolutely convinced, through all the research and self-education in business and healthcare I've been able to acquire, that this can totally scale to the hospital level.
Then I caught (loving) flak at my massage school exit interview for refusing to set a firm rate and planning to operate sliding-scale ... And then I pretty successfully maintained a sliding-scale practice for a good couple of years (discontinued primarily due to injury and being a general newb at life), while giving really comprehensive thorough care and a metric frickton of education to everyone every time. I even got a tiny little rep for being almost too ameliorative to the point where colleagues teased that I'd kill the industry lol, because I taught people loads of self-care and prophylactic strategies, which of course meant people were getting significant lasting relief and navigating straight to useful lifestyle changes for little cost, which could not have been more rewarding. It was so dope. Made me all the more vehement about the fact that the knowledge of how to care for a body belongs to everyone with a body; the info just has to be delivered strategically so that the least possible risk gets introduced relative to the harms being reduced.
Point of this ramble is 1. Seeing your comment brought me great joy, because I don't see enough people being vocal about this idea and how wisely-managed self-pay medical practices can be a major paradigm shift that helps underserved people; 2. It also brings me great joy anytime I see people talking about motivations in medicine besides income (I personally plan to never be formally employed by anyone but myself again after residency, just to get financially independent separately and freely serve the disadvantaged communities I come from, particularly the unhoused and/or homeless -- and people think this is weird? I think they're weird); 3. I would argue -- and it's evident to me that you already know this from the relationships you build with your patients, but I hope my experience causes you to carry forth a super ultra reinforced view of it -- that patient education is the absolutely vital inextricable crux of success for such a model ... and 4. YOU ARE NOT ALOOOONE, YOUR IDEA IS ENTIRELY REALISTIC AND DOABLE, I'M ABSOLUTELY CERTAIN OF IT, DON'T LET ANYONE TELL YOU IT CAN'T BE DONE, DO THE THIIIIING! 😝
It's insane how doctors who are passionate about caring for their patients always have to fight with a third party.
Even over here in germany where everyone is insured, there are still so many of these issues. Medicine and 'free markets' just do not mix.
Spot on. Like Angels singing in heavenly harmony.
Talk about going from the frying pan into the fire.
Satan's snake in a business suit. Lol
Even though I never truly understand your videos because I’m not in the healthcare field I still think they are hilarious. But as someone who works in finance, this is truly gold. Thank you
The way anesthesia said "i think i'd like that sound, yes" will probably keep me laughing for days. Thank you dr. Glauc!
"First do no harm" has gone out the window for some...
I like how all the comments are yelling at the movie screen telling the protagonist "dont go down that dark staircase!"
looks like even patients would be able to hear angel's singing
Another regular day in the dystopian nightmare that is America
Don’t do it anesthesia! Run,run like the wind!
Thank you so much for exposing truths that people really need to know about in a way that's funny and to the point.
Making absurd amounts of money and medical practice don't mix well at all and it's the local doctor offices and patients that are on the losing end.
Anesthesia NO! They'll stop providing crossword puzzles if you join them!
I heard myself screaming "nooooooo".......it was awkward situation for my family
This just happened to my derm office. We expected it to be bad, but it was so much worse.
Can't wait to see the derm skit where he sells immediately, then finds out he needs to be patient-facing for 32 hrs/week just to get his own employment benefits. :/
The most terrifying sentence to hear as a hospital worker:
"Bartholomew Banks," (subtle zoom in) "private equity."
That sinister pen click at the end! (Shivers)
You've actually described private equity pretty well!! I've legit paid extra for anesthesia.
It never ceases to amaze me how he keeps this so fresh.
Hello from a fellow healthcare worker over the pond! Absolutely love your content!, I know you have done a video where you visit universal healthcare in Canada but please do a skit about one of your characters using the NHS in the U.K! Perhaps a medicine around the World Series?
He already did that
A Keebler ad that began with angelic voices played right at the end of the video! I swear; someone with a great sense of humor chooses my ads!
I mean this with all the respect in the world, but you convey the heartlessness that's trying to weasel it's way into healthcare waaaaaay too well.
Trying?
@@cloudyview I was about to say, hasn't this been happening to anesthesia and EM groups for the last few decades now?
@@michaelsheehan5559 I mean, insurance has been doing it for decades. Now private equity is just trying to do it 'better'
@@cloudyview "Better" by doing it worse in more insidious and covert ways.
Medicine isn't a commodity and not subject to market forces. We shouldn't treat it like just any other business.
Hooray for the For-Profit healthcare system! We are the only advanced nation in the world that attaches your healthcare coverage to your employment, so the privilege of seeing a physician is a direct correlation of your value to society. But all life is sacred, huh? Think about how screwed up & hypocritical that is. This country is a disaster.
Bruh brilliant acting. Private Healthcare is so scary
Never thought I could see Dr. G as an evil arch-villain, but man, you nailed it! Like a sleezy car salesman, but with the aroma of oodles of ill-gotten gains.
They'll take away the curtain that separates you from the surgeon.
"Like angels singing." Great line. ❤️
Sad reality about medicine that the general public is unaware of.
Too many layers of healthcare. Too much complexity. Too much paperwork. This is why it's so expensive. Reduce paperwork. Reduce complexity. Reduce layers.
Too much money in those layers
@@DGlaucomflecken Gotta squeeze out as much oil as possible
Fantastic blend of information, for us ignorant folk 😊, and great humor!! I’m a loyal scribe for a retina specialist and all the doctors in the clinic really enjoy your work. Thank you for your content!
Kind of glad to hear it in not just Radiology dealing with the private equity scourge.
Wait til you guys get to the Shyamalan-esque twist at the end. You know United Healthcare, whose dirty tactics forced Anesthesia into the waiting arms of Bartholomew Banks? Guess who owns it? I won't give it away, but his initials are B.B.
I’m really rooting for u, doc. Screw the copycats. We know u r the OG.
Wait there's issues with the content again? I thought that other account was taken down
The "OG DR.G"
@@erickorlandodelatorre2133 he posted a statement on his account yesterday.
@@erickorlandodelatorre2133 other people using his audio on tiktok, then people accusing him of "stealing jokes"
@@wordzmyth Yeah, I saw a female podiatrist who used his is there a doctor on the plane audio. I thought they must be friends to use his audio, guess not.
Love your content, I would never think your stuff is not original!!! Your the 👌
Woww, much laughs and more to think about. Thanks Doc. 👏👏👏🇦🇷🇦🇷🇦🇷
Hi Dr. G, I just linked your video in a comment to today’s Washington Post article on private equity conglomerating all the Gas practices in Colorado!
This is all over vet med too. The hospital I used to work at was huge but still privately owed by doctors practicing there (something that just doesn't exist anymore). It genuinely provided great medicine for down right cheap. The majority owning doctor retires this year though, and sold it to a big corp for a huge payout. Prices have doubled and staffing hasn't improved.
This is super normal everywhere. This happens in engineering firms, legal firms, accounting firms, etc etc. There's a lot of people out there that will sell their business for a wealthier retirement without thinking of the effects on other people but ultimately it's their business, their choice.
I'm sitting in an ER with an understaffed hospital. It's been 24 hours and will probably be another 24 before I get a room because any patient ER docs want to admit have to stay in the emergency room because there are too few nurses upstairs.
I was told they either have to be discharged or die for me to get a room. Welcome to privatized medicine.
Sounds like public.
@@le13579 I ended up waiting exactly 40 hrs to get a room. It took the doctor two minutes to approve what I needed. And the nurse ten minutes to do it. Crazy 🤣
Subtle yet potent application of the Kubrick Stare with this Banks fellow.
The sign of the Great ones is they constantly out do themselves when no one even comes close ! You Good Doctor are about to reach G.O.A.T. status! If only you were a Neurosurgeon, but then again you would be a Unicorn 🦄 !!!!🤣
NOT BARTY BANKS!!!!! 😱
Petition to see Dr. Glauc's actual Jonathan once he reaches 1 million
I've seen private equity buy up trucking companies and bleed them dry.
One of the big ones was Falcon Youngstown Ohio. They ditched 650 drivers all over the country still with loads on the truck.
Private equity.
The Devil's Spawn.
And he turned him into a marketable plushie, funniest shit i've ever seen.
Oh, this is frightening in its accuracy. Any chance of a skit with a solution that saves us all.... please.
Another great video from the doctor. Thanks
This is so scary. As an IMG who's putting in sweat, tears and blood into the steps and the whole process, this is very scary.
It is scary, and this ugliness is very real. If I was a fresh medical school graduate now, but with my memories of the past 30 years intact, I think I would skip residency and go to either Law or Business school instead. Somehow all the people who actually provide patient care got demoted to the bottom of the heap.
I second covering your bets with law school or business school while you still have it in you to study hard.
@@mosespray4510 only the top 5% of law graduates make enough to justify their 200k tution cost. This advice is straight out evil
@@fkrkf The MD/JD route provides some very interesting job opportunities. If you really want to take care of patients, God bless you, and by all means do a Residency. MD/PhD leads to research opportunities and MD/MBA leads to healthcare administration, biotech, government, and entrepreneurship. I've been in clinical practice for over 30 years, and the pendulum has been swinging away from rewarding patient care providers for that entire period. Perhaps it will swing back, but that's uncertain at best.
Dammit man! Why is your bad guy portrayal so good? You are freaking me out! I need an adult!!
This just reminded me of Mr. Deeds movie. Where a few people tried to make some quick millions by taking away the jobs of thousands of employees. This is really sad. As always awesome work Dr. Glaucomflecken!!
God I love your truths doc, keep them coming 🤣
This dude is so damn hilarious. The facial expressions he can do with each character is unmatched.
I love the shower cap 😂🤣. It is hilarious 😩🤣
Anaesthesia you can’t. You are selling your soul and the life of your colleagues to a devil to go against demons. You are better than this. You are pure. You will loose your sudoku, I mean heart. No matter how tempting it is, when dealing with devils, they always win. Put him to sleep and get out, you still have a chance
But it will personally enrich him, the only goal in a capitalist system. 🤷♀️
Oh wow, my eye doctor was telling me how he's been resisting falling into this exact story but is really tempted 😮
Dude, you are a really good actor!
Noooii anaesthesia!!! You're one of my faves!