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.
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...
"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
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.
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.
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! 🤣
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.
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 😅.
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.
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.
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).
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.
"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.
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.
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.
"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!!!!
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!
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.
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." 😂
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 😂
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.
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!! 😁👍👍❤️❤️❤️
"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.!
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!"
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.
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.
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????
"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."
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 !
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. :(
Calls him evil to his face but still shocked by the idea he's evil. How precious. Psychiatry knows he's evil but still hopes he's not... no, I'm not going to call him "naive". That's one of those hundred dollar words, PE wouldn't approve.
Here’s a link to the article on PE I’m referencing: jamanetwork.com/journals/jama/fullarticle/2813379
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.
And this is why I show up for your fact-based perfection! ❤
PE now owns approximately 40%of dental practices and aims for 60% “market”. It’s everywhere.
@@jeffreyregelin4170 And the Healthcare system is in a shambles.
Loved the point about not doing research, I remember being told that doing your own research was bad.
"You are evil and beyond redemption"... I've been wanting to see it since 30 days of healthcare and I love it...
redemption
👏👏👏
Best. Line. Ever. 🥲
Reminds me of Arthas' line in Warcraft 3:
"You are past redemption." 😆
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.
Almost like healthcare is an inelastic demand inherently incompatible with private enterprise driven by market forces... or something. Weeeeeird.
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.
I've never met a single person who is okay with it. I think the only people who are okay with it are the ones making the money
@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.
@@akrinornoname2769 _bUt ThAt WoUlD bE sOsHuLiZm!_
@@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. ❤
@@tojirohdon't be naïve. It is everywhere in the US. "You don't have patients any more, you have customers", is what everyone is being told
@@janelliot5643 So demanding accountability equals naiveté? That's a great way of keeping the state of things, Miss Debbie Downer. 🤨
@@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...
@@janelliot5643Isnt that the way it has always been with private hospitals
"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
I felt this in my soul
You could do both. We'll both end up doing both.
Yeah that one hurt for real
Less staff. More overworked remaining staff. More infections from burnt out staff. Cut more corners. More infections. Etc.
@@jenkiehle4282 Our union vote is in TWO DAYS. I'm trying to hold myself together right now, I'm so anxious and excited.
So Barty Banks now moved from the 4th circle of Hell (Greed) to the 8th circle of Hell (Fraud). Dante himself would've been terrified.
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 let’s hope ol’ Barty ~ Boy ends up there!! 🔥🔥🔥🔥🔥🔥
It's only a stop on the way to the 9th circle (Traitors) for convincing people the hospital is there to help them.
@@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.
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.
You know he's good because that character genuinely made me seethe with anger
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 😉
I didn't know that was legal in usa, good for them. best unionize before they outlaw it.
“Oh….the u word”
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.
@@CR500Rwho would take advice from someone with that icon?
@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! 🤣
The therapist might need therapy after this one
But where will Jonathan get therapy?
@@BlackCanary87 Jonathan never needs therapy, but can take over for the psychiatrist while that guy gets some help.
@@BlackCanary87One of the e other Jonathans.
"I made a promise that nobody would die within these walls; they have to die some place else."
That's absolutely, deliciously evil.
It’s 100% true sadly
@@Oushiro17 I know. That's what's so titillating about it. That it was the truth and it was put to words.
Really nicely sums up their strategy, and everyone needs to keep it in mind when they ever try to brag about patient outcomes or even their profits!
Private equity is aware but doing anything about it affects profit margins and it’s cheaper to lobby against government run healthcare.
I hope one day you realize that this corps vs gov thing is a smokescreen and that they’re all on the same side. The side you aren’t on.
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.
that's not an either/or@@HolyKhaaaaan
Can’t hate the player, only the game
I can and i will hate both@@Anymonous246
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.
CAMPAIGN FINANCE REFORM. If limits are placed for congressional members donations, then they are less likely to be swayed by corporations.
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.
Private Equity is like ebenezer scrooge without the redemption. Europe has citizens who live longer and yet they spend less on Healthcare
Scrooge was a villain for making an employee work on Christmas. That doesn't qualify you as a villain worth writing about these days.
@@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.
they spend less on healthcare also because they get taxed at really high levels
@@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.
Marley's ghost: I WEAR THE CHAINS I FORGED IN LIIIIIFE
Bartholomew Banks, private equity: Aaaah, so you CAN take it with you!
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 😅.
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.
😮😢 that’s horrible 😢
What is a Refinery? I guess I got out of standard medicine before I saw one of those
@@drironmom6815It depends, it's basically a factory that turns raw materials into goods with value, including but not limited to, an oil refinery.
@@drironmom6815 😅😂
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.
THAT FIRST SENTENCE ABOUT NURSES IM DEAD thank you
Edit: ok hold up that research is actually mega concerning
And the ending is too real 😢
DID YOU JUST USE THE R WORD
@@kylekillgannon😆 good one
"Have you *met* an orthopedic surgeon?"
Dayum. That's gonna leave a mark. Someone get the Therapist 500mg of prohylactic ancef. 😂
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.
I mean... getting an evil person to admit they're evil is a feat in and of itself. So I feel like this is still sort of a victory?
The psychiatrist may actually get to keep his job.
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
And then you realize this is just inner dialogue and no evil money Banks guy is ever going to care.
A hollow victory, but it's a start
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).
Therapy: words are vital to...
Jonathan: *nods*
Getting Doctor Who vibes
"Bartholomew Banks, private equity."
"Yes, we know who you are."
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.
"but i don't see any nurses" Bruh that's so accurate.
"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.
That is an excellent point. Bravo
These guys run basically everything these days, which is why everything is so fun and pleasant
It is grotesque how easily you can summarise this as the exchange between Jiminy Cricket and Jack Horner. XD
Pure genius. I can’t think of a more effective way to distribute this Absolutely vital information.
I have a sinking feeling in the pit of my stomach that the person who laughed the hardest at this video is someone who works in PE for healthcare.
I love how therapy didn't even TRY to help or be nice, just laid in
It really does cut right down to the bottom line.
The people who want privatized healthcare just plain believe that the poor don't deserve to have it.
“If they want healthcare they gotta EARN IT 🦅🦅🦅🦅🦅🦅🦅
Wanna earn the right to live? Make money 🦅🦅🦅🦅🦅”
@@djsaidez271 "Poor? Just die, pleb."
"Oh okay." *dies*
"How dare you stop generating my profits, that's so selfish of you!"
If I had a nickel for every time UHC started shit over me trying to get therapy while being ND, I'd be able to pay for out-of-network therapy.
ND?
@@nursewithanoseringNeurodiverse
the "have you met an orthopaedic surgeon?" and psych having a pause of a minute made me laugh so much 😂. but also, private equity is beyond evil.
No private equity EVER admit they're evil. Evil (unfortunately) doesnt come with accountability
Just accountants.
@@itsthevoiceman was about to say that lmao
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.
@@tinaperez7393well said. No semblance of decency is even required anymore
I was waiting for the "Would you rather hear about our studies -- our growing fleet of yachts?"
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 random hospital charged me $800 because I watched this video.
"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!!!!
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
Are hospices for palliative care not common in your country?
@@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
@@louisazraels7072 Most hospice programs in the US are home based. Once the patient knows they are terminal, they rarely want to stay in a hospital.
@@louisazraels7072Hospice is generally only for people with less than 6 months to live, here in the US.
@@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
Where I live, outside PHILADELPHIA, private equity buys hospitals and then CLOSES THEM. Just what we need, less hospitals in a pandemic!!
The fact that the couple hundred that he held a s a prop is more what the average Nigerian doctor makes in a whole month is depressing AF
I hope you mean in Nigeria and not in the US.
@@virginiamoss7045that would be illegal, in the US. We may not have any more health care but we still have laws about discrimination
@@janelliot5643 What would be illegal?
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 don't think that went the way Therapy thought it would. But, it did end in a breakthrough on the patient's part. So . . . a good session?
“but I don’t see any nurses” OOF that one hurt 😂 time to organize, unionize, and strike in this country y’all !!
"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!
You can tell the gloves are off given that this is one of his longest skits ever
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.
❤️🩹 Heartbreaking... to think of those people who could've lived if they had just kept receiving care makes me want to cry
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 is terrifying how accurate this is.
That moment you're cooking, and the first thing you see is an angry Dr. G. 😂😂
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 😂
BRO! I’m a nurse and the beginning definitely hit me in the feels
I lost it with the Bon Jovi line 😂😂😂😂😂😂😂😂😂
He could have worked 'Livin' on a Prayer' reference into the mix if he wanted to for those who can't afford healthcare.
I suspect this is only a few mm away from reality and I fear we in the UK are rapidly catching up. Are there no limits or limitations to wanton greed?
Tories and Republicans answer " not on our watch". Dems and Labor look the other way.
What about this is not firmly realistic? This is only a comical piece because it is so completely accurate that if we didn't laugh we'd cry
As a biostatistician, I appreciated 'calculate a p-value'.
"Have you ever met an orthopedic surgeon?"
Only valid point Bart made this whole skit.
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.
The voice work here is incredible
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!! 😁👍👍❤️❤️❤️
"Have you met an orthopedic surgeon??" 😂😂😂
Have you met an ortho?
I was hoping he'd just respond
"Broooo~"
hahahahah love it
As a nurse, I can attest to this personally.
"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.!
God I can't get enough of this 😂
And I am suddenly just as angry as I had been at the end of the September stretch.
So accurate.
Cheers for the awesome videos, Doctor G!
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!"
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.
But the joke is on mr banks. He now owes $180 co-pay because his own insurance won’t cover it. 😅
"I made a promise not to let any patients die within these walls...they have to die somewhere else" 😂
this felt good to watch
as somebody with a port that keeps me alive, that statistic about the line infections is truly terrifying
You play the bad guy so well it almost scares me as much as private equity!
I was VERY confused on how someone got Private Equity to go to therapy, but then it made more sense that he was tricked there. Well done, Dr. G
Wow, not even psychiatry can break through to private equity
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.
Now do private equity nursing homes!!! Spot on!
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????
They're all being told that they no longer have patients, they are now customers
When ur health is a business, business people will take control.
I damn near choked from laughing so hard at the end Doc!!
"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."
Short term gain, buy high sell low 😎😎
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 !
I am so glad you are doing this. Thank you, Dr. Glaucomflecken.
Your videos always inspire me to never give up on my dreams! No matter how funny or goofy, the make me feel like I can't put in the effort. Thank you
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 🎉
I don't have much to say, but I hope this interaction helps this get shown to more people. Thanks for making it!
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. :(
Oh, how I have been waiting for this one! Just perfect, right down to the greasy hair.
"Enlightenment" got me
Thank you this is one of you top ten for sure!
And thank you for illuminating us
My god, your histrionic ability and expressiveness is off the charts, Doctor.
This was both painful and awesome.
These videos are like 21st century analogs of Martial’s Epigrams, targeting the US healthcare system. Bravo!
‘Have you met an orthopaedic surgeon?’ 😂😂😂
Thanks for the laugh. It reminds me of the realities.
One thing that Ortho likes about Private equity is ‘word limit.’ Too many words frustrate and confuse Ortho.
I need to see the followup appointment from this psychiatry has to have with another therapist not himself to understand what just happened to him.
Showing the true colors of these people! Well done.I love it 👏🏻👏🏻😍
Not gonna lie I was half expecting the therapist to pull out a gun after the "you are beyond redemption" line
Calls him evil to his face but still shocked by the idea he's evil. How precious.
Psychiatry knows he's evil but still hopes he's not... no, I'm not going to call him "naive". That's one of those hundred dollar words, PE wouldn't approve.