The only unrealistic part of this video is that someone regularly receiving multi-million dollar bonuses would wear that shirt. (Coming from me who wears yoga pants to work)
They all have to be sociopaths. There's no way you could exult in your "customers'" financial devastation caused by your vile business practices if you had any semblance of a conscience.
Wow. It's as if the general public were being forced at gunpoint to go through insurance companies and simply can't pay the market rate with cash pay if they wanted to *eyerolls*
@@SamianHQuazi so- funny thing. I actually know numbers since I receive a large stack of Explanation of Benefits forms every year and I actually read them. My medical insurance company, I've been told, "pays well". Apparently, that means that generally paying 25% of a bill is very good. Have you ever pumped a tank of gas and said, "naw, 25% is what I'll pay". Me, neither. If I go cash pay, what do you think the odds of getting a 75% discount for cash will be? I know that, too! The answer is absolutely zero- medical insurance companies contractually require all businesses that contract with them to not provide the same discounts to cash pay as they receive. At best, I've managed to get 25% or so discounted for cash payments. Some doctors who feel bad sort of work around the problem by throwing in freebies they'd usually charge for, but I think they'd get the side eye from insurance companies over the practice. I truly hope you were trying be funny because if you weren't, your comment is borderline hateful. This world has plenty of hate already- why don't you try to be more unique and be positive and uplifting instead?
@@a.humanbeing8171 So you do the math with your own budget and decide if you want to pay the bills in cash or pay out with insurance. Maybe you should take your beef out to this celebrity ophthamologist (himself paid to be one of the top 0.1% of Americans) and get him to go cash pay only. He loves to whine about health insurance companies but doesn't dare bring up the alternative - telling all doctors to just forego insurance - because he knows that having the masses pay out of pocket would shift the ire from the insurers to the wealthy as hell physicians.
@@a.humanbeing8171 to be fair, (in the US) doctor's offices and labs charge more to insurances than to patients paying out of pocket - but might still receive less money. For my last surgery, my insurance deemed part of it not medically necessary (granted, I guess men can live without nipples), so I paid for 1 hour OR time, anesthesia and surgeon fee out of pocket, while the insurance payed the remaining 3 hours. Now, I paid the surgeon 1150 dollar for that hour. He billed my insurance around 38,000 for the 3 hours and received 750 dollar. So my out of pocket invoice was much lower than his hourly rate to the insurance (12,500 bucks vs 1150), but he still got more money from me for 1/3rd of the time than he got from my insurance. Same for labs, a colleague of mine had her Dutch insurance cover emergency stuff in the US, but when she got pregnant while being in the States, those costs were not covered. She called the lab to discuss the costs for bloodwork she got. Once they found out she pays out of pocket without insurance reimbursement, they cut the costs down to 20% of their initial fees.
@@SamianHQuazi well, good luck with your go fund me campaign when you end up in the ICU after an accident. Can't plan everything in life, and those unexpected hospital bills add up quickly (even if they charge you less than they'd charge your insurance).
The most fantasy part of this skit is the CEO even talking to someone who doesn't say yes to everything he thinks of. Or believing that anything he is doing could ever possibly be considered "incorrect" in any way shape or form.
At my last job we had a year of pay freezes and hiring freezes. We were understaffed in our ED every day and later found out that almost all of us made less than our equivalents at other hospitals. That same year the CEO of our “not-for-profit” got a $22 million bonus. Glad I was able to help you get that, boss.
Providence healthcare system has over 4billion dollars on liquid assets and they fought tooth and nail to keep an imaging lab from unionizing because they chose to gut healthcare and time off benefits. all not for profit
I actually had a insurance company ask me "why do you need to go outside?" When i requested a wheelchair that wouldn't electrocute me if i for caught in a light mist.
But but but the free market brings efficiencies that sOcIaLiZeD mEdIcInE can't! Look how much lower our per capita health care expenditures are, and how much cheaper drugs are, and how much better our outcomes are! /s
@@TD32333 Oh, well, I am all for both, socialized medicine and private medicine. That way private medicine has to at least be best than socialized to compete. The problem is that private medicine attack and tries to destroy socialized medicine every single day if you do that.
I feel like the older generation grew up with the propaganda that socialized medicine is bad. The younger generation is not afraid of that term and sees how it works for other countries and that it’s not so evil. Hopefully we can overcome this mess of a system that we have now. I ❤️ Jimothy
Never forget, physicians reimbursements going down or are stagnant while patients are continuously paying more. The money’s going somewhere, and that somewhere is right in the hands of bloated administration costs and insurance.
Doctors make a ton of money… that is a fight between rich people to overcharge for their services, both the doctors and the insurance companies overcharged
My hospital's former CEO got a 49 million dollar severance after sending out an unsolicited email to literally every employee about how masks weren't necessary after having COVID. We're told to be thankful for a 50 cent raise outside of negotiations because somehow it's unions fault we don't make more 🤷🏻♂️
@@abberss health care should for sure be a right!!! That being said,, big businesses are gonna get their lobbying in and find a way to show the government how to eff it up for all of us. We need to start with limiting and having all transparency on lobbying of our US government officials imo
@@nmc1859 no he didn't. That was inaccurate. I've personally had COVID 3 times and only when I had been exposed because someone didn't have a mask and i wasn't wearing an N95. We knew quite early on that reinfections were possible. This is what happens when a business major runs a hospital. He spouts fox news instead of what we've been trained on with infectious disease.
@@dannibble no offense, but have you 'had covid' following repeated vaccination ?? Naturally acquired immunity against covid is 7 to 13x more effective than vaccination
Meanwhile at a hospital board meeting Let's give nurses and techs raises for all they have done for the hospital and patients, na let's give them a pizza party and give the hospital ceo a 10M Christmas bonus instead.
I don't deserve pizza. Just give me another plastic cup, with the company logo on it. Our scrub techs got rubber duckies one time. No joke. Cute, if you're four years old.
@@pmarie2003 I'll tell you what my hospital told me when they were mandating vaccines; you don't have to work in health care, that's your choice :) karma's a bitch :D
My headcanon is that like, Jimothy is the son of the CEO's mistress and if the CEO doesn't keep him employed, they'll tell his wife or something - there is no simple explanation for why Jimothy still has a job there at this point!
Thank you Jimothy for your honesty. It is about time someone stands up to big insurance companies and hospitals. Especially administration and CEOS. While they are making bank, people can.not afford their bills and are going to be put on payment plans or collection services. Enough is enough!
GP here, I feel sorry for every victim of this corrupt system. Our country (Finland) has very different healthcare system with its own problems, but at least we are able to help everyone despite their socio-economic backgrounds and job-status (even though it means sky high taxes).
I am so happy to be living in Canada. As a healthcare worker seeing these videos makes me appreciate our system so much more. I can provide care to my patients without any concerns of bills or costs they might incure from whatever therapy is decided upon.
Thanks for bringing awareness of the healthcare system! You need to watch Congressman Katie Porter grill a CEO from a health insurance company! It’s awesome! Love Jimothy!!
So true. And HAP insurance is sending out letters with an automated system to “find out whether someone else should be paying for your healthcare.” They ask questions related to other insurances- home, auto, workman’s comp- as if that hadn’t already been covered by the staff at the front desk of the provider’s office.
I got one of these from another very large insurance company. My favorite part was that it was mandatory that I fill it out and return it or I would be denied coverage. Thanks for looking out for me, big insurance!
Health insurance should be the default coverage unless there is a good reason it shouldn't be like someone got in a car accident so then auto insurance takes care of it
I swear, the number of times I've gotten a bullshit denial reversed just by raising hell with the insurance company. I had a pre-authorization denied for a major procedure and they refused to schedule the P2P before my surgery date, so I told them I was moving forward with surgery while my appeal was pending and would sue them to get my money back if necessary. They miraculously changed their minds and approved it. 🙄
Anyone else notice the person in the red jacket is always nice? Or seems more human? JImothy wears it. Bill wears it in the sketch with his mom. Dr. G wears it when he's being himself. The red jacket shields the heart from being hardened
@@abberss sounds great but not always. I’ve a friend who is a surgeon from Canada. He now practices in the US. He said there are multiple Canadians who have to come to the US to get healthcare in a timely manner. Canadians get heart blockage and need coronary artery bypass graft. It can take over a year to get the surgery and people die before they can get the surgery. Come to the US, and get the surgery immediately and Canada pays. Many meds or surgeries are Denied or delayed so long that people have major problems. Lots of Canadians get knee and hip replacements in the US. They’d have to wait years in Canada. My Canadian surgeon friend Recently removed a man’s appendix. “In Canada,” my surgeon friend said, “this guy would have died. He ‘didn’t meet the criteria’ for appendectomy,” but once the surgeon actually did the surgery, the man had an appendix that was ready to burst.
@@charesepelham7682 Yeah, the long waiting lists are a trouble everywhere, but you can still get past them by going private if needed. Also, every healthcare is as good as resources that they have and long waiting lists are results of many different reasons. It is not a good system's fault if the serious staff shortage makes it harder to get the treatment in timely manner. I am living in Ireland and the waiting lists in here are years. But if you are serious enough, you will get immediate FREE treatment and else you just hang on or go private. But it does guarantee that EVERYBODY do get treated eventually. And that people on lower income do not die for not receiving the treatment at all. Or that any income level, you do not go bankrupt if you or somebody from your family becomes seriously ill. It is humain to take care of your sick and elderly. It is minimum requirement for healthily functioning society. If the society abandons the sick and elderly, it is a sign of extreme dysfunction.
I love your sense of humor 😆 I would love to see Surgery make the same joke a surgeon of mine did once just as I went under anesthesia. I’m in to have a cyst removed from my finger, strapped down like I’m about to be crucified. Just as the knockout juice kicks in, he pulls out a pen, clicks it, and asks which finger is it? He meant to mark it with the pen, I think, but it was the last thing I heard and saw when I passed out. When I woke up my hand was wrapped up and I thought he’d cut off my finger and sewed it back on 😂
Thanks for fighting the good fight, Doctor G. You're using your platform for the highest purpose. We all know what you've been through to earn your place.
So sad. Yet, so true. I’m going to help spread the word of your channel to get you to 10 million subscribers so people can be educated about the healthcare system while being entertained. Dr. G for Congress!
I'm happy of the blissful ignorance that being born in a country with free Healthcare has given me about the issues presented in this shorts. Can't help but wonder how do you feel putting life and healthcare behind a paywall like you'd do in a video game
Yeah, "free" healthcare. I'm sure the doctors and nurses and lab techs and rad techs and support staff and administrative staff don't all get paid. Oh wait, they do? Then the money must come from somewhere. Oh, it comes from the government? Well we all know they wouldn't spend their own hard earned money on your care... so it must come from somewhere else. Oh, you mean it comes from the taxes that they collect from their citizens? Huh. Guess it's not actually "free".
@@boogeyratt you're nitpicking, you're just stating facts. Of course we all know that, what I meant is that we don't need to pay money whenever we walk in the ER for something, our taxes does it. Say what you will, but you're literally acting as if I'm clueless of how things work lmao
I would love for you to cover PBMs and their predatory practices on both independent pharmacists and patients. They can literally force pharmacies to fill rx’s for less than it costs them to buy the drug from the distributor. They can decide to arbitrarily claw back $ they paid later because they make retroactive policy changes. And pharmacists can’t complain and have little recourse because of gag clauses and the risk of being dropped from the policy, losing all their patients. Independent pharmacies make so little, they’re forced to sell all those otc meds and front-end crap just to make ends meet. And it’s the patient that gets screwed in the end when all the independents are forced to close and we’re stuck in the overlording, legislative, monster hands of CVS and co. Seriously, they’re the biggest scam in our country right now that most people haven’t heard of. Fuck insurance companies and fuck PBMs especially 😡
Shall we add: the inferiority of generic drugs pushed as reliable equivalents, manufactured by drug makers in China + India not well-monitored by the FDA, repeatedly fined for egregious lapses in standards upon the occasional inspection? Or, generic mandates and the higher margin of profit for the pharmacy managers, shared with pharmaceutical companies in the form of rebates that were *supposed* to go to comsumers in the form of lower prices?
Non-physicians viewing this, if it's not already 100% clear this channel is professing some profound truths. You already hear this everyday Dr. Flanary, but I'm going to say it again-- your videos are a bright spot in the day for many of us physicians trying our best everyday to deliver effective, compassionate and cost-effective care to our patients in a system that everyday continues to find ways to make it harder and harder to do that. Please sir, keep it up. Don't let up. And thank you so much for bringing some laughter along the way.
I’m so tired of these insurance companies making money off of us poor people. Ever since I lost my job I have to use Obamacare insurance which sucks. Coming from a PPO I cannot believe the change in quality of care I have now, losing access to all the great doctors I used to see.
Exactly!!! I am so sick of these health insurance companies trying to tell doctors how they can treat there patients. A lot of my patients are being denied for tests they actually need. Cancer patients being denied PET scans!
Im glad i work in a country with free healthcare and education. I pay 30% tax on a nursesalary but thats ok, i work in ophtamology and Jonathan does most of my work.
I've said it before and I'll say it a million times more so people really get it - I have welfare insurance. "Premium" welfare insurance due to physical disability. This insurance no longer covers my ostomy supplies, because they don't cover "non-durable medical supplies", only "durable" supplies. Fucking _ostomy supplies,_ which are literally needed in order to function and survive. They cost well over $100 for a months' supply on Amazon, which I can't always afford, so I'm destroying my skin in trying to make them last way longer than they're ever supposed to. Just to note, that in case you don't know what an ostomy is it's what we all know as a shit bag, sooo I'm sure you can imagine why that's medically necessary -_-
Ha! Speaking of bonuses... if you exceed your RVU target, you can get a "clinical bonus"... but it's not a reward, it's just getting paid for extra work you did!
I can already see a Congressional hearing testimony. Possible video idea in future? Keep bringing issues to light, calling them out and share your solutions.
❤ ❤ ❤ ❤ These frighteningly accurate depictions of 'big industry leadership' the most! Big pharma and big insurance are ruining our fields of work more than helping. It's take take take ..with VERY LITTLE in return for patients and front line workers
This one hits hard!!!! So damn true!!!We need to do better and hold our greedy senators accountable. How did we manage to let these monsters grow. What happened to the America that stands up to injustice?! Oh thats right!They are still waiting on an auth to get the procedure they need so they will be healthy enough to protest.
I hate prior auths so much. My patient has 8/10 RLQ pain, fever, n/v, white count is 15, and crp is 120 but no, im sure I can wait 2 days for insurance to approve the CT I ordered on a Sunday at 3pm in UC so the patient didn't have a $500 ER copay at the outset. I do the P2P calls later to "justify" this test at least 3-4 times per month now. I had to get an xray obstruction series covered in P2P when the patient had an actual obstruction that required surgery to fix. SMH for insurance companies.
last year i was given a special bone machine to fix my fractured ankle faster. United Healthcare initially rejected the claim because “it wasn’t that serious of a break” UM. Obviously serious enough for my orthopedist to prescribe it?? I was afraid I would have to pay the 2K- still had to pay a lot out of pocket but thankfully not the full amount
