Radiology knew private equity was lying because they gained the ability to literally see through people after spending so much time around medical imaging machines.
we all know the trusted Jonathan can *not* be bought ! ... not even for a Tier III Nova laptop with WiFi6 voice to text system w an IVR searchable database ...
*Gospel music* Truth is I'm tired, options are few, I'm all churched out.... No one ever worries for the children's well being. 🤧 Anyone who cant fend for themselves in this world gets thrown under the bus.
Eh, look at it this way. Y'all are providing a wonderful negative example to the rest of the world. Could you imagine how difficult it would be to accept criminally subpar medical systems without te relief of knowing that at least it is not as bad as America.
Bartholomew Banks is one of my favorite characters that's been added to the cinematic universe here... He's like the embodiment of every corporate scumbag I've ever dealt with... it's fantastic
@@nolanchap7092 what is the purpose of a hospital? From the perspective of at least neoclassical economics, profit maximizing behavior is rational for both individuals and businesses. However, I don't think that sort of economics lays out the case that healthier people are more productive as individuals and as part of society. There's a disconnect when medical institutions seek greater profits compared to more patients being treated well.
@@aishaacetydopamine837 It also has to do with the fact that our medical system favors high reimbursements for procedures. Surgeons get paid a lot more because they do procedures. It's harder to quantify preventative care.
Sad thing is Medicaid can be "profitable " if you have good billers and know how to apply Medicaid rules to manage care and coordination of benefits is a false denial. When the billing is good things can be good, sadly they cookie cut it.
@@aishaacetydopamine837 Kids can't vote, they have no money, and they can't advocate for themselves. That means that there's no incentive to put more money into pediatrics.
How DO you manage to be such a kind and caring doctor one minute and such a sleazeball the next minute?!? The slicked back hair, the sideways glances with the eyes-“speaking” volumes without saying a word-Dude, you are an extremely talented actor! Sadly- for many of us, it’s not acting cuz; it’s real life consequences.
Ehh, who needs children anyway? They are a dime a dozen. A renewable resource! Basically free! Why spend money on their healthcare when it could be spent on the dividents of private investors!? /s
And teens, they don't do anything No one will notice They can suck it up or Romeo and Juliet this story. Every movie studio loves those tales. Dying teens gets us big cash movie rights! Slip it in the parents' paperwork. No one reads that thing, now that it's digital, they only get a blank screen. Give em a vitamin and send them home. Also /s
@@johannageisel5390 Incidentally, if you have the parts and are in Southern Occupied Turtle Island (sometimes referred to as the United States), I highly recommend getting a vasectomy. Extremely fast and easy, almost zero meaningful risk, and prevents this failed state with a gucci belt from getting any wage slaves out of you. If this nation is going to treat children so disrespectfully, we should do everything in our power to prevent there from being any.
As the wife of an Emergency Medicine Doc, I can say this is 100% accurate. The whole system is so broken. I hate seeing him so unhappy and absolutely defeated. But when you have $300k left in student loans, you're stuck.
@@PWLfr As a dermatologist I agree. I once went to the hostipal 12 times in a year. I have to ask where everything is every time I go. I don't know where anything is.
As a pediatrician, this is sadly true. Even WORSE for peds sub-specialists, most do 3 extra years of training to specialize and end up making LESS than a general pediatrician. System is screwed up and more of us will quit, change careers, or retire if things don’t improve. I recently started working as an attending and am already looking for viable ways out of clinical medicine. I wouldn’t be surprised if there’s a shortage of peds docs in the future.
My daughter's life depends on those sub specialist and general adult specialist won't touch her even if there isn't a peds specialist within 200 miles....all the hospitals just say....drive
@@chri-k Jonathan is able to do these things because he is free; and aggressively listening for signs of those in need of assistance or a scribe! Protect Jonathan so he may continue to do his job at the apex of excellence!
I went into medicine hoping to avoid business and focus on helping people. And now I'm a family medicine doc and literally all healthcare seems to be is a business and I hate it
Healthcare in the US stopped being about health or care a few decades back. Not-for-profit is now merely a tax shield to rake in more money. It’s time to dismantle the entire system and rebuild it in the image of other advanced countries. So that health care professionals are able to provide services that are in the best interest of their patients and not the bottom line. As someone who’s done medical coding and now oversees reimbursement rates for health plans the system is beyond repair.
@@Khaab00 No system is perfect and there’s a lot we can learn from other countries. Problem is that when you take profit out of the equation, it disincentivizes people to go into the profession. Doctors and nurses would be leaving healthcare on mass and rioting in the streets if we payed them what other countries pay their providers. No one is going to want to be a neurosurgeon for a measly $80K-$150k a year and among the worst work life balance in medicine.
@@cbl6520 the only thing we really need to address is insurance companies. They need to be heavily regulated, because they've gotten out of control. Most everything else could stay the same and we'd be WAY better off.
Utterly true in every way. At what point do we physicians take Healthcare back from the hands of politicians and business executives? What if we all just stopped caring for patients? Oh wait, I forgot I'm an empathetic person with a soul who's in debt to my eye balls. I'll just keep showing up to the hospital and hoping for the day the CEO drives his Porsche in range for me to jump in front of it and sue him for all he's worth!
Unionize. I'm serious. An IPA that actually fights for physician and patient benefits. Oh, CEO of United Empire Care Shield wants to spend half a billion a year on dividends and executive bonuses while being run as inefficiently as possible? Don't take their patients. Force their patients to switch
@@triarii9257in many countries like mine (Germany) this situation has already gotten better, because the younger generations, being insulted as “quiet quitters”, don’t work their a$$es off anymore for nothing; no unpaid over-time, “bUt yOur cAreEr”, bad training, exploitation etc. is tolerated anymore. These corpos know, that docs are empathetic and can be abused with “you have no power; you have to do your understaffed and overburdened job, or patients are harmed!” bs. No, YOU harmed patients by understaffing and overburdening these hospitals - it’s time for docs to understand that and stop being abused and bullied into shutting up and doing their job. Let’s speak hard, earnest words here: if people die in the course of this, there will be a public outcry - but in the end if worse comes to worst, I don’t think, of these two groups, it’s going to be the doctors who will be publicly hanged…
Up here in the PNW, we have two major hospital groups that bought out all the small ones, and two medium groups picking up what’s left. They’re limiting patient options on who to see and limiting Healthcare professionals to where they can work. If you don’t like the politics at one major hospital entity, you can go to the other one and it’s probably worse
@@brounwynsmith848 Then you know the two I’m speaking of and Virginia Mason joined with the Franciscans recently. MultiCare has bought up every one they can. Kaiser and Providence are establishing themselves here, too. Oops I said the ones I was talking about. Oh well 🤷🏼♀️😂
There our sectors of our economy that private equity should not be allowed to invest in - healthcare, housing, human services, prisons, etc. No system is perfect, but private equity is an abomination. You, on the other hand, are a blessing.
This is actually a very serious topic. Private equity is not only taking over healthcare but also housing. Private equity must be eliminated or more regulated. It is snowballing income inequality in America and people are suffering because of it.
I almost spat out some soup at that bouffant, that is EXACTLY the one that my hospital buys now and it's the absolute worst but somehow they can still afford the old school red premium bouffants for the surgical reps.... also Jonathan's head nod from under the lamp shade was perfection!
I just spent a week with my daughter in a ped ICU. Idk what they pay those people, but they deserve the world. Can't imagine how hard it is to watch all these kids in such horrid shape, some not making it, and yet every person in that ward was phenomenally upbeat and personable with both us (the parents) and with our little girl during every interaction.
One of my relatives worked devotedly at the local hospital for fifteen years. Her department was outsourced to a for-profit external entity. She fell and was hurt, but not at the job. She was seriously injured and needed surgery. They legally terminated her by eliminating her position and renaming it something else as they replaced her. She has to find work before she was fully recovered, which caused worse injuries and more surgeries that ate away at her precious savings because she no longer had good insurance. She managed to work a few more years, but at a much lower pay grade. So when she finally became permanently disabled and barely able to walk, Her disability income was based on those years of low pay work...not her hospital wages. Her disability checks are low enough that she will probably spend the rest of her life below the poverty line.
In my county a bunch of Docs and Nurses have quite the hospital and other care facilities owned by them to start up their own clinic. Hope more of you folks are able to do this, the current med system in the US is such BS.
That is sort of starting but you have to pay a monthly fee directly to the clinic to be a member. And they don’t take insurance, which you still need. We are a mess.
That's the way it was in the US years ago....actual doctors and nurses owned their own practices and ran hospitals. Health insurance was rare...it was a "perk" to attract in demand employees (like engineers etc) to big companies like IBM. Fast forward to now, and you've got bean counters in charge of hospitals. Healthcare actually worked better under the old system, and was affordable. The government involved in healthcare is even worse. In the US during covid, hospitals got $35k from the government for every person that was placed on a ventilator....thousands died from inappropriate use of them. Personally I use docs with their own practices when I can instead of the big corporate doc in the boxes. I have no insurance (thanks Obama) and both have sliding fees...but the independent docs spend more time with patients and I'm not a number.
@@alphabetsoup6681 if you're talking about the US, there are concierge practices where you pay a fee, but we also have plain old private practice docs.
Just dealt with this today actually. Cardiologist left the hospital to start his own practice in a more rural part of town. Two things he admitted when we discussed his recent change. 1. The agreement he had to sign with insurance companies was less favorable than the hospital agreement. 2. He is having problems getting privileges at hospitals because they require all sorts of additional hoops to jump through before they will allow you to perform procedures in their suites. You had to have an on-call stand in for procedure days and other things that turn procedures into monetary losses for the physician. I feel bad for him, but I also think this type of reshuffling is the necessary step the US has to make before healthcare/Insurance reform occurs. It's gonna get worse before it gers better, but the US has to utterly destroy things before we admit they're broken and take the proper steps toward repairing them. Which we will do with metaphical duct tape and Elmer's glue until it falls apart completely and then, only then! will we ignore the lobbyists and political donations to do what's necessary to return it to barely functional for an extended period of time.
@@Torsion To be fair, ignore things until they are too broken to ignore tends to be how government, big business, individuals with too much pride, the lazy, and those with poor time management all operate.
When my kids were little, their pediatrician was an absolute angel on Earth. I worked at the hospital she was on staff at. I asked her why she wanted to become a pediatrician. At that point she didn’t have any kids of her own. She said “I’ve always wanted to be a teacher, a doctor and a missionary. As a pediatrician I can do all at once, and they all pay the same anyway.” That broke my heart.
I'm am IR tech and I got my non-healthcare boyfriend into your videos. It brings me so much joy when I send him a new video and get to tell him "new Glaucomflecken dropped"
The amount of lore and depth put into this video is outstanding. The plot is so good that this could be a viewers first video and still understand it, yet it could be a long time viewer who's caught up with every subplot and catch every subtle nuance and backstory and enjoy it that much more. I commend you Dr. G. excellent production
Nice headphones! I've been watching these videos for a while and this is the first thing that I actually recognized. I'm an audio engineer so 99% of the technical aspects you mention are completely foreign to me, but the level of quality and humor in this videos is amazing! Please keep them coming! If anyone is wondering, the headphones are Beyerdynamic DT 770.
It's really sad, one of the level 1 trauma centers in Atlanta is shutting down in November. Expected wait times at the other ER in Atlanta (Grady) is supposedly going to reach over 9 hours.
My local private hospital has been fighting this for a generation or more! Post-Covid, we’re in more financial straits than ever! As tough as it is to work short-staffed plus extra shifts, I love that we still have local control (in complying with all CMS and CDC edicts, of course!) I don’t know how much longer we’ll survive. Between having to hire travelers and losing experienced nurses to the traveler recruiters, it’s not pretty. I know the MDs enjoy the environment here, but I don’t know if they have done anything to help the budget. Another brilliant sketch, btw!
Pay the nurses better, they won't leave to travel. Not a difficult concept but most hospitals as happy paying the bare minimum. Then they are surprised when their best nurses leave. The hospitals are to blame for the problem.
@@ravensshade Hospital systems are trying to keep wages down by putting staff in wage ladders. They do not value tenured staff thus the staff that actually know how to do the job efficiently ie senior staff, leave for better paying work. It's not that hard to fix the problem but these hospital systems would rather keep wages down as they see a savings in the short term. They are getting what they deserve frankly. Hospital administrators cry budget while CEOs make millions of dollars a year.
Nurses are leaving the profession (but especially hospitals and nursing homes) in droves because they won't and shouldn't tolerate the abusive patient loads. AND they're being replaced by travel nurses making doctor pay. It would be safer and much more cost effective to increase the staff nurses' pay and benefits, but why would they want to do that?
As someone who works non- clinically at a hospital i feel this. We aren't selling to anyone, but things are hard with inflation everywhere but in our reimbursement rates. I will say the c-suite agreed to cut their own compensation. If only that could be close to enough.
OMG! My hospital decided that they want us to go down to 1999 staffing levels, but that is only you know the departments that actually see patients, we still have an inverted pyramid with the administration having like 30 VPs and that is only that section of administration, they aren't even considering lowering their numbers. Yesterday I told a few of my co-workers that I feel like Administration is throwing gasoline on the dumpster fire that they started... I feel this skit so much!
This is what the US healthcare system is like? I really hope they don't let the NHS get that bad, though the tories have been gradually working towards it over the last few years.
introducing the Jonathan lamp. not only is he an incredibly talented scribe but he also acts as a fine peace of lighting equipment for almost nothing (he seems to miraculously generate enough energy to light a room and seems to violate the conservation of energy). buy him now for the low low cost of half your lifespan.
Don't forget we're going to underpay nurses until they all quit, then pay twice as much to replace them with terrified new grad agency nurses who can contractually be thrown on any specialty floor without any specialty training 👍
Better yet, cut all the support staff so nursing has to do everything. Such as RT tasks, answer the phones, clean rooms, stock supplies, take out garbage.
As a pediatric PA, I'm actually content with my pay level in comparison to other specialties - they do a lot more for the older patients with more serious illnesses. My patients actually spring right back without much of intervention majority of times. Kids are usually bright sides of my job - it's the parents who test my patience.
if possible i would love to see some genesis storylines, like how they transformed from bill to any specialty, or even some origin stories of the feud between different specialties, maybe from their training days. love your work!
My local hospital is owned 50/50 by the county and a private corporation that owns over 50% of the states healthcare. I know they don't care about us folks on the ground, from cleaning staff to EMTs and Medics all the way up to the Doctors. They force everyone to obey and couldn't care less about the humble little hospital and county it serves. F private companies, we deserve better.
I’m not in the med field but live in the PNW where I battled the insurance system for several years and blame them on the inadequate care my son received. By the time I was able to switch insurance to be able to go BACK to his pediatric bone marrow transplant specialist who had saved his life twice when no one else could figure out the best course… the damage was done. He passed away four years after transplant. It’s a long story, but I really feel for this brilliant doctor. Her hands were tied and she battled the insurance companies for her patients so hard. It’s no wonder that so many doctors we saw after her seemed to take sudden, early retirements.
A few years ago, my PCP quietly told me one day he was leaving his practice because the hospital had been sold and the new owners started doing stuff like this. About a week later, he held a meeting with his partners to announce his upcoming departure. The response was basically, 'Thank god, we were all going to tell you we want out." They left as a group and just re-affiliated with a different, well-known hospital, which also had the side benefit of allowing them all to be working closer to home. They're all much happier now.
This is what exactly happened to the little non profit community hospital I worked for..a big entity bought us out about 4years ago and about 80 percent of employees were let go or left.. myself included. I was a unit secretary and they made us become sitters..I'm in my 60s and I was put in rooms with 300 lb men or others coming off meth
Hope to see more private practice docs for more open market cost reduction. These Bartholomew Bank corporations are no joke with the monopoly power. 😶 Patients come first and should have negotiating power with their health care cost instead of it always being 3rd parilties deciding (insurance, government, giant hospital corps)
This is exactly what’s happening at the hospital I work for. Luckily, no layoffs in my department, but we are incredibly short-staffed and we don’t seem to be hiring anyone. Also, I’m in rad tech school atm. I hope I gain the ability to see right through people just like Radiology.
Truly insightful portrayal of "Cohort" in medical world. From seasoned nurses (who work tirelessly), to family medicine, primary, specialists, super-specialists, corporate controller$. Dr. G genius in concept, writing, acting, intuitive ability accurately delivers succinct, relatable message. Kudos to Mrs. DrG ..... this successful effort is not without your invisible contributions! 😉
yep. sold a well run public hospital for billions to a corporation, in a few years the people who sold the hospital (who had no business doing so IMO) will then pay themselves out of those billions.... property taxes stil go up, alal taxes still go up. the only people who profit are the ones that sold it, and they arent even the ones that made it into what it became...
Did you know that the healthcare executives now have their own Academy? The American Academy of Healthcare Executives. Picture 300 Bartholomew Banks at their annual convention.
U know its serious when the ceo had to switch glasses to say that Barty Banks cares about patients........waiting to see how barty banks feels when he needs healthcare
