Just out of fairness , JAMA is owned by AMA, which might have a conflict of interest . The AMA has received criticism for selling prescribing data to big pharma for marketing purposes (marketing to docs). PE with their formulary takeaway physician power. I work with PE, and as a healthcare provider. PE is just an ownership structure . It can do good and bad just like any other organizational structure. The firm I work for has a few owners with helathcare background so maybe we might be more balanced than some group.
I hate sentiments like this. It’s too simple of an answer. They aren’t evil they’re just doing their jobs. I hate what they’re doing and their work is destroying millions of lives but they aren’t evil they’re just doing what capitalism tells them is best which is all anyone else is doing. Let’s stop saying “capitalism bad” and start fucking doing something about it.
"I was told to come here because there were costs that I could cut, but I don't see any nurses" GOD it's so true I don't know whether to laugh or cry deeply
This enrages me beyond words. The fact that this is the current state of our healthcare and so many people are ok with it is beyond me. The fact that lobbying is a thing that allows this to happen is even more messed up. Usually your skits make me laugh but this one just ticked me off. Which goes to show that you're very good at what you do.
@scalylayde8751 I mean, same, but it's become such a politicized issue that whenever you see someone online talking about universal healthcare or at least cheaper healthcare crappy people come out the woodwork arguing against it. You know? Plus, the people who should really care, the ones representing all of us and who should have our best interests at heart, clearly care more about lining their own pockets more than they do about the collective well-being of the population. The US spends more on healthcare, overall and per capita, than any other country in the world, yet has this shit quality of a healthcare system. It's not right and we deserve better. No one should have to go bankrupt for seeking healthcare, no one should have to ration their medicines or live in fear of needing medical attention or ambulance services, and doctors, nurses and all other healthcare providers deserve to be treated better and to practice medicine more freely and with less burnout. All of that is wishful thinking though.
@@scalylayde8751 You don't talk to many republicans, do you? Sure, they might say that things aren't the best they could be, but if you suggest any way of improving it they cry havok.
@@akrinornoname2769yeah they’ll call it socialism or something 💀 like damn if socialism means getting rid of POS private equity people in healthcare then damn, I love socialism!
As a nurse who was fired by a private equity firm when they were cost cutting in my pediatric neurological PT/OT/SLP specialty office I agree with this. They said I was too “kind and thoughtful” when scheduling patients for therapy sessions and we didn’t make enough with the Medicare patients who we saw. You know little kids who were hit by cars or who were abused and had strokes….
WHAT. Where was this? Not trying to get you in trouble... It's just that what you described is appalling beyond words... Hope you found a better place. ❤
@@tojirohI personally have changed drs multiple times after practices got bought out. They inevitably fired all the competent and decent human beings, just kept one lazy MA and a receptionist making minimum wage, and they keep whichever doctor is more of an insufferable ass. For instance, the new dr at the pain clinic i used to visit, the FIRST WORDS out of his mouth to me where "why are you here, it costs the taxpayers way more money than if you just went to a primary care doc"(i have medicaid). I informed him that no primary care doctor would EVER write for long term pain medicine, or for specialised treatments like botox or CGRP inhibitors for migraines. And then started looking for a new dr on the sly. I could fill a page with the incompetence of that guy. I fought with them for 4 months because they kept failing to get a prior auth for something vital. Eventually we got a patient health advocate, who called the insurance. And was appearently the first one to do so on my behalf because less than an hour later I was at the pharmacy waiting for it. Cause they just needed the documentation of prior therapies.... Also, one of the alternatives he tried to give me was Topamax. I am allergic/react badly to it. Its on my chart. Fortunately I knew that topiramate was the generic name for it. Most patients wouldnt have...
Bart won't be in any circles . Assuming he gets past the admissions department ( not likely , given Barts extreme degree of overqualification and drive to exceed ) , Bart would be an executive level demon . Circles are for the poor people .
@@kaboom4679 well, there is the ninth circle, where Hell hath frozen over, reserved for history’s worst traitors where said souls are tortured personally by Satan himself.
@@josephengel2091 Satan is being punished there too. He's partially frozen in a block of ice and every time he flaps his wings to try escaping it makes the ice colder and increases his suffering.
So happy to see Drs starting to unionize; hope this catches on as a trend. Hopefully that will signal to PE that the profession is at a tipping point. Good luck to everyone in healthcare and hope you find time for your much needed therapy sessions 😉
no. No. NO! Collective Bargaining is so badly abused by grifters, it is often every bit as evil as Mr. Banks! Unions start out with altruistic intentions... but inevitably morph into every stereotype you've ever heard about unions. Stereotypes are stereotypes for a reason.
@demial4 Showing yourself as soft and easily triggered with full-blown TDS isn't a wise move for you! If you think the current administration is successful... dear GOD, I hope you have NOTHING to do with the health care field! 🤣
Wooooooooow that ending. The way you said “Look at that, enlightenment. Nice therapy session Doc.” Conveyed the “smug” with “I don’t give a damn and there’s nothing you can do about it” so well.
I love the way you bring to life the "equity in hospitals". I wish more people knew how businesses are destroying hospitals. I used to work in the refineries, and when somebody died, they would load them on the ambulance with someone "attempting to use CPR" therefore they were not pronounced dead inside the the refinery.
Disney World does the exact same thing. They have a deal where paramedics don’t officially pronounce people dead until they’re outside of Disney property.
The question is, what can we do as regular people to fight back against this sort of thing? Obviously in times of emergency you might not be a position to choose your hospital but it's so frustrating seeing Private Equity destroying so many aspects of what used to be considered normal.
Focus on getting the millionaire money out of politics. Congressional candidates have to have opinions that big donors like. That’s the reason we can’t have nice things.
Yep, write your Representative and Senators, and get other people to do it too. Attend town halls and ask questions. Pay attention to local politics and get involved. It's a grind, but it's the only thing that works.
at this stage?? revolution, there are to much systems in place to revert the course of change, to try the "legal" way of voting and protesting hasn't had results in a long long time. hell! just look how the gains that unions got halve a century ago have been erode and strip from the workers.
@@BlackCanary87It never works. Have you actually written to a representative in the last few months? All you get is a chat gpt written generic message. A Princeton study found that public opinion has a “near-zero” impact on policy. America is not a Democracy anymore, and it’s time to start acting like it.
@@Vmac1394OG Scrooge did a lot more than that. They go in depth as to his character. However, I agree that Scrooge isn’t heartless enough a comparison.
@@captainsavemWhile NOT paying premiums, copays, coinsurance, in vs out of network rates, and a lot of cases ambulances are free. Everyone knows the tax rates up front and can vote on who sets those rates, instead of waiting for their employers to all separately negotiate multiple different levels of costs for all of those things then announce the prices that individuals have no say in.
You know I was excited to see PE recognized the error of his ways but then I realize that would be absolutely counter to his character and reality so make sense that he just went all in lol
Honestly very good therapy session 😂 it realigned him and helped him accept his values. I mean if you’re going to be a bastard at least recognize it and make it your actual mission statement. Selling me the beatings as a kindness is a lot harder to swallow 😅.
The question, then, is whether it is better to condemn people who abuse money for their abuse, or changing their environment so they are less likely to abuse money.
Nothing I love more when working in urgent care when I have to tell a patient to go to the emergency department than trying to determine which one they can go to that their insurance prefers. Because it's not me or the ED attending who decide if that person's "emergency" was "legitimate". It's the insurance company's call.
You sir, are an expert at toeing the line between infuriatingly realistic and still comedic. Everything about private equity angers me, but I somehow feel the same comedic terror from Barty Banks walking away realizing he is evil as I do when Ortho walked out of Therapy to go manage diabetes.
Well the second step is making them admit that being evil is bad (especially if being non-evil* rises costs by 0.3%), for that you need the three ghosts who visited Ebenezer Scrouge and they are sadly fictional. *I can't even imagine what it would take for them to turn actually good
This makes no sense when you first think about it - more infections costs more money to treat, reducing profits! Then you remember that all the costs get shifted onto the patient even though it's the hospital being more careless or using substandard methods, and they don't care cause the patient (patient's insurance) just keeps paying more and more. What are you going to do, not pay and just die?
And all the while the insurance is doing everything that they can legally do to not actually pay out for anything, because if they actually had to follow though with their claims, where are the obscene profit margins going?
@leadpaintchips9461 And all this leads back to why healthcare is so expensive in the US in the first place. Insurance denies, the healthcare facility writes off the balance and increases their prices the next year to try to account for the costs. Yes, some claims are denied to patient responsibility, but a large portion are denied by insurance in a way that the facility can't even bill the patient... And then you get a billing office with 100+ employees and managers and directors and VPs to manage the denials, appeals, etc. So much wasted money (and hell, I work in medical billing. I'd likely lose my job/career as a whole if we moved to healthcare for all, but I still recognize that it's the right thing for patients).
"If I find out you calculated a p value on company time so help me..." C'mon, we all know Private Equity switched to a business major from the STEM track because the math was too hard. He doesn't know that p-values are calculated, if he even knows what they are.
"You are evil and beyond redemption!" Were not an anticipated part of Barty's day .. Glad he figured out 'evil' - if not "beyond redemption" - for himself. First I thought Psychiatry had drawn the short straw, then I realised he'd volunteered! Go Psychiatry!!!!
I know you probably won't see this but I wanted to say how much respect and admiration I have for you and others who pursue the medical profession. I always knew doctors had to study and master deeply intricate concepts but it wasn't until I was doing career searching that I realized just how much you have to do. That is to say nothing of all the stressors you undergo during your practice. You and your ilk are truly among humanity's best and you have my everlasting thanks for all that sacrifices you've made and all the people you've helped.
Some evil admits itself because it doesn't make a difference - they know they can be upfront about it and still get away with it. Private equity doesn't mind admitting what they do. They know it's evil and do it anyway because they don't care and know they'll get away with it. They're protected. What they do is legal because they changed the laws in their favor and if they get caught and prosecuted for doing what is illegal it means a relatively small fine aka no consequence. Their whole m.o. is "what are you going to do about it?" Because they know the answer is nothing. And know how far they can deliberately push things - and that's farther and farther every time.. That's the same m.o. of a certain former u.s. president / current candidate too btw. Except his m.o. is to also not only not admit anything but blatantly argue he's doing the exact opposite of what he's doing while accusing others of what he's doing himself - because he knows he can get away with that too. After all, he did say "I could s*oot someone in the middle of fifth avenue (NYC) and get away with it" - he knows his followers will hear and see only what they want to and allow him to twist any wrong into some kind of right - they'll even come up with justifications themselves. Didn't mean to go down that direction but there are similarities.
My bf mentioned his jesuit hospital that is one of the only ones to admit a patient with this rare terminal disorder in order to manage his symptoms because his death will mess with other place’s statistics
@@louisazraels7072It is but 1. The patient has to be willing to accept the fact that they’re essentially dying and go the palliative route 2. If the patient is too critical and still requires critical care then most hospices will refuse admission
@@louisazraels7072Lovely concept, but just a fairy tale in the US, where "hospice" is a certified nursing assistant sent to your house with a few doses of morphine
The tension you have with yourself in unparalleled. Also I noticed The Psychiatrist rearranged his office furniture, or had a new office? Boy, Private Equity could sure use some court mandated empathy training.
"I was told to come here because there were costs that i could cut... but i don't see any nurses, so.. what's going on?" This was hilarious. Also we love you, nurses! Please don't let private equity discourage the wonderful work you all do for patients each and every day. We patients super appreciate the care you selflessly give. And we're sorry the big corporations and PE are always trying to target you for cost cutting. They suck and you all rock!
Man, i wish my therapist was as straight forward! I believe they aren't generally allowed to express opinions that aren't your own, such as "You are evil and beyond redemption." 😂
It's been happening for some time in certain areas. It wasn't common but happened all too often in one long-term acute care facility I know of to expect an acute care hospital transfer patient (transfer planned but not reported to the receiving facility that the patient was becoming increasingly unstable over the last few hours) only to have the transport team 'dump and run' immediately upon arrival. There would be a code and sometimes there was a successful outcome and then sometimes... All because the sending hospital didn't want their stats to be affected by a death in their "four walls". Pack 'em up, load 'em up and ship 'em, clean the bed, admit new and start the higher rate insurance billing clock.. Is this skit funny? It is in some ways, but thank Heaven, someone is pointing out a dark, absolute truth within the healthcare system. The humor allows for learning and this installment is fact.
And the increased risk of falls and infections eliminates 40% of those expensive older people who use up our resources. Thank you, Feelings Bro. You compassionately expressed the dire straits all of our bros are in, while we do our best to…you know…practice medicine well and alleviate suffering. Mr Banks does the opposite. He’s everywhere.
Looove this video. Plus as someone who was researching patient outcomes in a private healthcare setting and was laid off by the private equity owners - could you add some skits about researchers in healthcare?? Loved the line you dropped in here and i want more 😂
"Nuh-uh" - the reply of someone with quality answers. Love the harshness of the psychiatrist and ugh'ed at the private equity "patient". Those stats are so painful and the reaction so believable. Always great stuff, Dr. G.!
It is soooo evil, that whole system of making profit. Thank you so much for your contribution in bringing such topics up - and in your wonderful humerous way.
"You do know all of these cost saving measures are inefficient and actually lose us way more money than they save us in the long run, right?" "Yeah, but the board wants to see the income line go up, and the spending line go down, so, lmao, fuck you."
When I saw Psychology come out and say, "Yes! Yes! Bartholomew Banks, Private Equity!", I knew something was about to go down! Also, I thought: SLAY Psychology! SLAY!! 😁👍👍❤️❤️❤️
Our local hospital has a retention pond outside, adjacent to the hospital grounds, and when we see them doing practice runs with the LifeFlight they always pause over where the retention pond is before coming in to land The running joke is that they found out the person in the LifeFlight didn't have insurance and tossed them in the pond. "Not in OUR hospital walls!"
Could you please make more of these. The data / research backed storylines coupled with the humor to shed some light on what’s going on with PE takeover in healthcare is super helpful. Thank you 🎉
Bravo! This is exquisite. I’m a veterinarian and I own my clinic. Vet care is still a bit behind human health care in regards to how much private equity and corporations are changing how medicine is practiced. And we don’t have deal with insurance companies like you do. But corporate owned/private equity vet clinics are definitely pressuring their staff to improve their bottom line at the expense of patient, client, and employee well-being.
I have a friend finishing up...I think a residency?...at a vet hospital and they are losing *so much staff* due to cost cuts and mismanagement by administration. He's stressed and frustrated that his education suffered. It's definitely coming. :(
I went to my doctor last week. I was telling the nurse, who was glued to the computer why I was there, when she suddenly got up and walked out. When I called to her, she laughed and said "sorry, your time is up!" She then laughed hysterically. Fortunately, my doctor was. It reading from her script. What is happening to health care in America????
I watched a coworker break every single rib in some woman's chest when she coded in our outpatient cath lab. They kept her alive long enough for the EMTs to close the door on the back of the ambulance. The only fatalities at that doctor's office were the hopes and dreams of any employee foolish enough to stay for a second W2 form.
As somebody who’s worked in the NHS for almost 14 years now, the ever growing creep of private firms trying to get a foothold in our healthcare system scares the hell out of me. What’s worse, our politicians are actively complicit and encourage it. Our healthcare system’s on its knees not because universal healthcare is bad or unworkable, but because of deliberate sabotage and poor policy from central government. In 2010 the NHS was ranked 1st in the world for health outcomes and cost per capita, now it’s in tatters and haemorrhaging experienced clinicians. It’s desperately sad.
I lived in France and Germany, both countries with public health systems, I had health problems in the past, I had several MRIs/Scans and treatments, I never paid anything in both countries. In fact, no one thinks about the cost of medical care. Of course we pay for this with taxes, but it's indexed to income and because it's a public system it's not designed to make a profit so it costs society less. And because health problems are detected early (people are not afraid to go see the doctor), it also costs less than if the diagnosis is delayed. Come on Murica, you can do it too !
