Why Are Doctors Quitting? This Physician Says They Are Demoralized | Amanpour and Company
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- เผยแพร่เมื่อ 19 ก.พ. 2023
- America's doctors are leaving the profession in growing numbers, creating a crisis in the U.S. healthcare system. Some 117,000 physicians left the field in 2021, and one in five doctors say they will soon do so. In a recent op-ed for The New York Times, political anthropologist and physician Dr. Eric Reinhart explained fatal flaws in the country’s health system that led to this worrying trend. He shares with Michel Martin some potential solutions.
Originally aired on February 20, 2023.
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Amanpour and Company features wide-ranging, in-depth conversations with global thought leaders and cultural influencers on the issues and trends impacting the world each day, from politics, business and technology to arts, science and sports. Christiane Amanpour leads the conversation on global and domestic news from London with contributions by prominent journalists Walter Isaacson, Michel Martin, Alicia Menendez and Hari Sreenivasan from the Tisch WNET Studios at Lincoln Center in New York City.
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After 32 years as a surgeon I am happily retiring in 4 months. I spend far more time on the computer than with the patient. Insurance companies increasingly control care: deny defer and delay, often dishonestly and unethically, counting on the docs being to busy to appeal. It’s entirely about money. Depressing. We need a single payer system.
thank you for your statement. As a patient since I was three with no platelets, I used to be admired by doctors in that somehow I lived. I have all sorts of tricks to stay healthy both mentally and physically. Recently the doctors just deny I am in pain. Amedia stinal thyroid tumor doesnt hurt if you don't have one. And my doctorwanted me to take toradol. They told me Toradol doesnt cause gut aches and doesnt come in pill form, it was toradol or pain, I have accepted Toradol before, never again. I took pain and I'm moving to Mexico.
So very sorry, I hope you are able to somehow find the help you need. The system is very broken, and I too have been through such a nightmare with this system for over 30 yrs., I'm not afraid of death, I'm afraid of having to deal with more of this.
Thank you. Your. Comment should be heard in Congress.
We've needed it for decades. But at this point, I can only conclude that need does not, nor ever will, lead to change. Too many people are making fistfuls of cash, and the voting populous doesn't have the frontal lobes to vote for change. I've seen more than one gofundme for medical care from people that consistently vote GOP.
Congratulations on your retirement 🥂
Imagine going to college for 8 years, only to have the insurance companies make all medical decisions for you. 💔
A clerk in Phoenix on a computer rejecting everything.
More like 4 yrs of college, 4 yrs of medical school, and 4-7 yrs of residency training...
More than that! In the US at least add a year of internship rotations and 3 or more years Residency like my son-- just did so the WHO (UN) run by a non-expert bureaucrat could order him around!
Government will also do that.
Doctors write prescriptions. No conversations with patients about health.
I left mainstream medicine after nearly 30 years of practice. A major hospital system bought our breast cancer clinic (I voted against the sale, but 8 of my partners voted to sell). Overnight it became a corporate practice with an emphasis on money. My nurse of over 10 years was forced out, because she was at the high end of the pay scale, and had to be replaced by TWO nurses. (She was that talented). I was treated horribly even though I was a founding member of the practice and knew what to do to deliver stellar care. I left after 2 years and reinvented myself as a health coach. I now help people achieve a healthy weight, eliminate medications and reverse diseases such as diabetes and hypertension with proper diet and lifestyle. I am making a huge impact without expensive prescription drugs or crazy recommendations such as bariatric surgery. I'm saving lives and reducing people's healthcare costs!
Fantastic!! Thank you for truly caring
Thank you for practicing what my family calls "real medicine"- you are making people well
Sounds great! Do you currently work with cancer patients also?
That's what we need, not the commie-care the two clowns above are shilling for. -Sincerely, Ms. S. Burke.
Is what you are doing now be considered Value-based Care? Value-based care is centered around the idea of improving healthcare quality for patients and preventing problems before they start. This focus on prevention lowers the need for expensive medical tests, ineffective medications and unnecessary procedures.
I am American but have lived overseas for many years. As I watch trends in America, it seems very clear that the USA is drowning in costs, and ultimately greed. And it's not just the medical profession. Housing, politics, the unjustified costs of groceries, gasoline. It is destroying the middle class and has created a "haves and have-nots" culture. It's becoming easier to see why America is on the decline.
🎯
Same!
We are run by an “elite “ society. Every politician is in the upper wage category after a couple of years in office. All the laws regulations etc are made to benefit them and those in same category. It’s almost impossible for someone without a law degree or wealth to run for office we are generally screwed
And turn off your TV s because it's all lies from them. Get your news from many platforms and sites on the net.
usa is owned by big business. they own everything.
I am 60. My doctors, of over 10-20 years have all quit. They all told me they quit because they are not allowed to practice medicine the way they want to. It is all about the insurance companies and the billable hours. This is awful. We need a change.
Why is it that ppl who live in socialistic healthcare countries are all so much happier and live longer than us? Because those countries like Sweden, Finland, Norway, Denmark, etc...treat their citizens with equal respect and simple humanity, instead of ONLY respecting the rich, like US does.
It's the greedy rich who now own politicians to buy laws allowing only the rich to benefit. 5 rightwing judges on SCOTUS in 2010, a case called Citizens United said, "Money is speech."
So now private equity firms/banks own health insurance companies. Lots more $$$$ to be grifted by taking over Medicare & turning it into a for-profit market.
45 allowed that to happen when he was at the helm! Now, older & disabled Americans have to pay rising Medicare premiums, not to mention, if they sign up with "Medicare Advantage" plans, they could get the notorious "denial letters" all for-profit ins companies send out whenever they just don't want to pay claims. Plus higher co-pays, deductibles, premiums--just like any other private, for-profit insurance company does. There goes the slow destruction of our precious Medicare system!!!
And with the ACA, still 10s of millions of Americans are left uninsured. 500,000 Americans every year still having to file medical bankruptcies, too.
And our life expectancy is getting shorter.
Greedy rich. This is the world they wanted.
Yes, it’s all about insurance companies but it’s also about pharmaceutical companies, making huge profits by only giving dollars to research to treat symptoms rather than research to cure or prevent. What a sick system we have!
Not true. They beg for care and their government offers assisted suicide. You see, government doesn't create anything so it has to manage dwindling resources like Canada and the UK are doing. Biden wants to get us where they are, even worse. He wants to give our resources to 3rd world countries in the name of esg.
This is why, We need Universal Healthcare & to RID Ourselves of profit-driven, Insurance Corporations, but We will need to have courageous Leaders & Politicians, to help Us, to make that happen & We will have to be srong-willed & driven in this pursuit. We have to remove the financial barriers ( full stop). ------Psalms 23
Bingo. My point exactly.
Corporate Greed is 100% the root of the problem. I’m a nurse who’s worked in the acute care hospital in my city for 17 years. It has only gotten worse. Thank God more doctors are coming forward.
I agree. The monetization of health care changed things dramatically. The shortage of medical staff is one of the consequences.
Yet sadly misguided and lied to Americans are putting the blame on ....the "others"...the "things" and "people" that really are not the problem..
Corporate Greed? Okay; “agreed,” but greed and profiteering are at the roots of most of our problems... the whole world over...
People love “making” money way too much at the expense of most everything else.
I agree with the heart of your message. But I CHALLENGE ALL OF US to take a step back and realize the answer is NO! 40% of the problem is Corporate America, 40% of the problem are the politicians and lack of accountability and transparency (politicians have to take the lobbyist money in order for the gambits of Corporate America to succeed), and 20% is the silence and tacit permission by the individual healthcare providers THEMSELVES inherent in silent complacency.
Greed is what is wrong with EVERYTHING.
I am 28 and a family medicine physician in my last year of residency seeing my patients. I’d say my 10 years on this journey taught me how much of our health system is a scam. I come home sometimes just wanting to scream cause I’m someone that went into this field cause I cared, simply wanted to help people. But now I feel used as a pawn by higher corporate powers that charge my patients their money and leave me working 80-120 hours/week, finishing notes that need to be essays long to cover all the legal requirements. Patients file into the clinic like sardines, overbooked to the max with the same logic airlines use with flight tickets. But this has become a business that robs lives and leverages on people suffering. And you’re the face of blame, while the admin constantly reminding you to move faster so they can eat the majority of the pie
As a patient I have experienced the aftermath, as a patient I have medical issues untreated because of government regs and insurance. I am sorry for all of us.
well,doctors are part of the system. Salaries are the highest in the world for the same work as any other doctor would do in any other country. Every one work for profit: Doctors ,insurance comp,hospitals.
@@ina-wo2xl and I bet that at most hospitals make a LOT more than the MDs on staff at those hospitals
😥😥😥
@@ina-wo2xl Doctors don't make the same money, or have the same level of respect, as they did decades ago. After paying huge malpractice insurance rates, their medical school loans, and all of their office staff, they don't make that much, especially in states like California with mostly HMOs. Some docs earn a lot, but those are mostly certain specialists. And everything is dumped on the PCPs.
This is completely accurate. I’ve been an ICU and ED registered nurse for nearly 40 yrs. I can’t get out of healthcare fast enough. Hospital CEOs and board of directors are getting rich off of the sick. COVID most definitely added to this already horrible situation. My hospital absolutely profited from the pandemic. Federal money did not assist the individuals whom deliver care, nor did it ultimately benefit patient’s. MDs and nurses need to come together to fight for patient’s…and themselves.
I agree 100
When I was in the hospital last year, one if my nurses was the best. She was probably in her 60’s, very patient and calm. She always had a smile on her face. I was always so glad to see her!
100% correct! That's why I left nursing in September of 2021, and I'm not looking back 😊 My life is better now, and it's hard to feel bad for those who didn't stand up with the few of us. They sold out humanity for money. Two certain medications would've saved thousands, if not millions, of lives, but doctors couldn't prescribe it and pharmacies weren't allowed to fill those particular scripts. I'm not going to live with blood on my hands. Those people were pretty much quietly murd€red. And God help anyone who did the hokey pokey. I'll NEVER do the hokey pokey! It's the hill I will die on if need be!
Resident and Fellow doctors do a lot of work in hospital and earn a little money (approx $3-4000 after tax), specially in the Northeast states which have the highest income tax burdens. The young doctors spend 50% or more of their income on housing near the hospitals. The hospitals did not provide them housing assistance. The riches are the hospital CEO, board members and financial advisors etc.
I work in a hospital in SC and let me tell you it’s so terrible it’s a shame I really feel bad for these patients that come in and have to be seen sometimes the wait time is eleven hours 🥺
When the insurance industry makes the actual decisions of medical care instead of the doctors leads to demoralization. Makes sense.
Y G: Exactly. My stepfather was a doctor, saw this HMO model coming decades ago. He said that if it did, bureaucrats, instead of doctors, will be making health care decisions. Boy was he right.
This started back in 1985 when the diagnostic grouping were established by the insurance companies who could over rule a doctor’s opinion about care. The insurance companies incentivized the hospitals to provide less care.
It's not just the insurance companies. "Standard of Care" makes doctors conform to treating symptoms in 15 minute increments rather than root causes of illness. It makes them into drug pushers for Big Pharma and companies that sell expensive medical devices that focus on the downstream effects of poor nutrition, stress and toxic environments.
And now politicians bully their way into the exam room.
Agreed! And politicians making decisions about healthcare instead of doctors with their patients also must lead to doctors feeling like all their training and experience is worthless. It's not good for Americans that so many ethically-oriented doctors have left and are leaving the profession. Who will care for us?? 😞
Our 22 year old daughter was told she would die because our insurance would not pay for her orphan disease cancer surgery because it was too rare and untested treatment. Instead the insurance company did approve---now she has been in remission for 15 years. Without this surgery she would have been dead. When we were waiting we asked if we could sell our house and pay---we were told no, that would take too long. Need the money now---OMG the system is so broken.
I'm so sorry to hear your story. Good heath for your daughter.
@@karenjohnson5271(and health as well)
It is evil! And even more heartbreaking? Some version of this story happens multiple times a day. Often without the happy ending. Our "for profit" system needs not to be reformed, but completely abolished and rekindled from scratch.
@@BlueBearOne yes yes yes it does.
It is not broken. It is working exactly the way it was designed to work: minimize care to maximize PROFIT. That's why our healthcare system is garbage.
The for profit healthcare system in the US is repulsively unethical. Love this guy, am sure a lot of doctors feel this way.
Yes, I am sure a large number of doctors feel and are experiencing this way. Healthcare is a sham-scam.
Most hospitals in the US are not-for-profit though.
@@cisium1184 The so-called "not-for-profit" hospital system is part of the problem and even though they are called "not-for-profit," they make loads of money (usually from taxpayer dollars) which is then funneled to administrators, pharmaceutical companies, and insurance companies. Medical professionals are usually left out of the loop and certainly, patients are left out and genuine healthcare is the least of their considerations. "Profits over people", should be the motto of the US healthcare system.
You would not want to live in a government controlled health System. Ask those who have lived in developing countries.
And people living in countries with socialized medicine come to the US for care if they have a lot of money .
Why is this ?
Totally agree. I am a physician and I recently quit. The corporate quest for profit completely took all of the gratification away for me. I realized that I was giving up my own health and well being and no was going to care for the patients or the physicians. It is not all about the money.
As a nurse this doc absolutely gets it and shared absolute truths that Americans need to hear. Well done! 👏🏾👏🏾🔥🔥
As a nurse I second your comment.
thanks Dr Reinhart for bringing this fundamental FLAW in US HEALTHCARE to everyone's attention. As with other corruption in America, US Healthcare
corporations only
care for it's profits, patients be damned.
Me third
Me 4th.
Me 5th.
The best way I've heard it put is "I didn't study and train for 12 years just to have some guy with a business degree tell me what to do".
The bullies are in charge.
Soooo true!!
Spot on !!!
This is one of the best interviews regarding the US "health care" system I've yet seen. I currently have the benefit of living in my other home country of Costa Rica. This after basically been bankrupted by my late husband's chronic illness within the US system. Costa Rica is a little Central American country but it has had universal care for decades. Covid did not wipe us out, and our health care workers were overwhelmed for a very short period of time. The country worked 24/7 for 2 months before Covid arrived preparing dedicated hospital floors and spaces in anticipation of patients. Not only did the country charter a jet to bring in sufficient PP supplies at the onset, they brought in the equipment needed to produce things like masks to ensure supply chains. We never ran out of these supplies or any food (or toilet paper!). If a small, poorer democratic country like Costa Rica can do right by its people, the US should be able to. FYI, I am a certified holistic care giver who long ago recognized the severely compromised corrupt US health care system. I agree 100% with everything Dr. Reinhart is saying. The problems are widespread and virtually nothing about the US system is meant to improve health and well-being. Thank you for this validation of problems few are willing to speak out about.
My preferred hospital for treatment is in SE Asia. It's a privately owned hospital. Total costs (without insurance) are comparable to the cost of maintaining my car. I don't need insurance. Quality is outstanding. This fact should help guide us in revamping our own system in the USA. So long as we don't address this discrepancy, we will never fix our system. The media and our government studiously avoid mentioning anything about these glaring cost discrepancies. Amanpour tries to inject race issues. Utterly laughable.
I was a nurse for 40 years and over that time, witnessed the system quickly turn to financial gain instead of proper patient care. Even in private duty care. I saw the insurance companies determining what medicals supplies / equipment they felt were necessary , without ever meeting the clients! And that’s not even the whole of it…! It felt shameful to work in this field, knowing it was almost impossible to give the proper care.
My son became a doctor in 2019 he graduated from a very good medical school and then tested out at the top of his residency class. The hospital system he was working for offered him a generous 3 year contract. He loved his work at first, but he began to think about leaving this system. He was seeing more and more interference from non medical administrators telling him how to practice in his practice. He is experiencing doubts about his profession and considering another path. From the time he was a young boy he always wanted to be a doctor
It's maddening to see the for profit side of medicine dictating the practice of medicine. I am sad to see him going through this, such a waste of talent and compassion.
foriegn country is in his future if hes high morals
Tell him to investigate functional medicine. There may be a niche in there for him.
It's shocking he did not know that before he went into it. Everyone knows that corporate greed is a disruption to patient care.
@@jellybellyfun3288 many just ignore the nature of this ginormous trap that is Rockefeller corporate medicine and plunge right ahead even after being warned, thinking that they are somehow going to be the ones to change the nature of this beast.....or that the juggernaut is going to step aside to accommodate whatever sensibilities they have left after completing Med School, an internship and a residency...
Alta med is for the people
I’m a primary care physician. It is just horrible practicing traditional primary care. The horrific destruction I see every day in our healthcare by these greedy systems are mind blowing. You cannot prescribe even a generic medication for your patient without a prior authorization. You can’t order a test without a prior authorization. Coupled with patients who go to the ER only to be sent home with Follow up with your primary care. You are so emotionally drained because of regulatory demands and also fear of always being sued. Frivolous lawsuits driven by lawyers. You are almost forced into employment because you can’t pay the bills of the clinic. EMRs that were supposed to help us, send us into countless hours way beyond your office hours, spent to complete charts. The medical record is now weaponized by every one. Family relationships are affected because you are so drained. Through it all I still wake up and return because I love what I went into medicine to do, take care of patients. Something has to change and fast!
How old are you? This isn't the traditional primary care....
Thank you so much...😘💖🌹 for all you do for your fellow man...
I think physicians & patient need to unite & form an organization to confront the issues both politically & within the system. We need some inspiring people to organize a multifaceted approach to confront &
@@brownfeather865 ??? What is your definition?
@@nimekupata Let it be known that I don't have a definition.... I never came up with one! What word do you want defined?
Insurance is legal mafia and a nightmare to deal with. I am robbed of my future due to exorbitant premiums that don't cover much anyway, but there is a fear of disaster without coverage. I wouldn't have it except for my family and we're getting older. Been 3 years since my dental bridge fell out and I can't afford implants. As a mental health counselor I see that insurance barely covers client fees and only wants to pay $60 for a private practice session. After 33% taxes it wouldn't cover rent. I wish voters would wake up but they seem to like suffering so they can own the libs.
So,much truth here.
When I was a kid (I’m 77), doctors had no interaction with insurance companies, and took the time to,talk to patients.
They knew what social issues were in play, what economic issues there were - could they afford decent housing, healthy food, enough food, family stresses.
They didn’t just throw a pill at their patients.
My primary care doctor doesn’t have the time to even look at all symptoms and put the big picture together.
As a physician who left the field two decades ago out of dissatisfaction with an earlier stage of the destructive revisioning of American healthcare as an industry, please take Dr. Reinhart seriously. We once bragged (falsely for disadvantaged communities) of having the best healthcare system in the world. Now the results of the business transformation are so obvious that not even its defenders have the nerve to pretend anymore.
But raise a glass to the financial health of the captains of the industry. They're feeling fine.
It's a scary world now. It's really hard to get decent medical care in the U.S. nowadays. It just seems to be getting worse.
@@wordswordswords8203 A lot of us have just given up even seeking "medical care" we get 0% benefit and a burdensome bill if we do so. (not to mention wasted time and psychological stress)
@@Melinda_Ross exactly and so many dumb Obama voters never GOT that was beyond me. Plus Doctors never stood up against BObama using white jacket-clad nonphysicians for that Rose Garden stunt.
@@wordswordswords8203 no if you have MONEY exactly as in the UK you can get good medical care!
@@poigmhahon I agree. It usually causes more harm that good.
Didn't come into this one expecting much, but this guy's testimony was compelling and razor-sharp. Here's hoping leadership pays attention
When the "leadership" is bought and paid for by the health insurance companies, the leadership IS the insurance companies. The foxes are in charge of the henhouse. No need to "listen". They've created today's healthcare system and have no incentive to change it. ALL of healthcare should not be a business, where the profit motive is the only incentive and deciding factor.
Leadership already knows. They are the ones invested in the insurance companies. Things will not change until all US citizens stand up and demand that their representatives start actually representing the citizens instead of themselves when legislating.
@@jadeh2699 I tend to agree with all of that. This time, though, I wonder if headlines of plummeting life expectancy will put a fine enough point on the issue to prompt them to act. It's kinda hard to imagine a more radioactive ballot issue than dying sooner, but then again, we regularly vote against our best interests...
Leadership won't do a thing. They do not want to risk upsetting their donors.
They won't.
My insurance company, continually tries to undermine my Physician's diagnosis as if they know better than he. He is on their list of approved docs, so....? If this keeps up, I may just show up at the insurance company since they "know" so much to treat me there. I would change companies but they all are problematic.
My primary care physician just chose to leave her practice in a clinic setting, will be teaching in the Medical school at the local university.
She was one of the best physicians I've ever had, served the medical needs of many individuals & families who were unable to access healthcare for lack of insurance, understanding of the U.S. healthcare system. It was a very difficult decision for her, a great loss for her patients, but necessary for her own mental and physical health.
Way to nail it, sir! Who to blame? Profiteering insurance companies AND the politicians they lobby and pay off are disgusting and should carry the blame.
You left something out..... which you'll remember, the next time you end up in the hospital and they charge you $10 per bandaid.
Term limits!
We need freedom from the insurance companies, we need menu-style pricing, we need to overthrow the doctor's union that is artificially restricting the number of doctors, we need to stop the influence of big pharma on pill pushing doctors, etc.
I drew up a business plan with my step brother to run a store that offers X-ray and MRI services. No diagnoses, just the scans, that they can take to their doctors. We found we could be profitable in a year, and making money like crazy after that, charging only $20/x-ray, and $40/MRI. But it is illegal for us to operate separate from a hospital. That's anti-capitalist behavior that is Preventing affordable competition to the market, driving up prices.
True medicine is affordable out of pocket, if we overthrew the anti-capitalist pro-monopoly forces at play.
@@marycontrary6216: the cost of band aid has gone up because it has been moved into an upper tier. Patients are being gouged by the basics being shifted into a more expensive tier.
How about making these politicians pay out of pocket for the SAME care that we receive? Don't forget, the US taxpayers fund their healthcare - and it's 24K gold standard care too!
As a former med student whose class lost 25% of its students (myself included) we just can’t do it anymore after covid bc of how our population reacted and then we go back to this screwed up system. I’m glad someone is talking about this. Maybe one day we can come back to medicine and put our passion to work for others once more.
I am sorry to see once passionate- about-medicine ppl leave the field. What US really needs are both medical experts, like yourself and all regular Americans fighting to obtain Universal Healthcare, once & for all.
Even with the ACA, it doesn't insure all Americans--10s of millions of Americans are still left out in the cold. It's still "for-profit" insurance companies we all have to deal with &
it hasn't stopped about 500K Americans from having to file for bankruptcy EVERY year!
ACA was never going to be the real solution. No surprise. Our problem is greedy CEOs! Just look up the billions!! the insurance CEOs are making year after year!
And now, private equity companies are getting into the greedy act to take "Medicare Advantage" and turn all of traditional Medicare into "for-profit" insurance!! We already have a 20% gap in coverage drilled in by who?
Greedy politicians & lobbyists for health insurance companies!!
The sociopathic greed of the very rich is killing Americans. And rightwing politicians & rightwing SCOTUS judges with their Citizens United decision, 2010, this IS the result.
This Doc is right, healthcare is political!!
I'm not sure what you mean by "how our population reacted". Considering the long and storied history of pharmaceutical lawsuits, illegal governmental experiments, and corruption of the medical process at every level in the system by SOMEONE who'll take advantage of the opportunity, it's no surprise that the population has become jaded and cynical and deaf to the "dog whistle".
How did our population react?
@@tomunderwood4283 50% of the population became virus and vaccine experts overnight after reading facebook posts and youtube videos made by people in a state of psychosis.
Because you LIED and pushed the Covid J A B on people. YOU DID not listen to those of us who had reservations and when we had complications you said it was nothing
Here in France the public health system is very large & good, there is also private sector medicine. I feel the combination is very fruitful overall in controlling costs and keeping techniques current. I feel very grateful to be able to live with this system.◇
My physician of 20 years commented once that he can only write prescriptions according to standard doses established by pharma in clinical trials because of his liability insurance rules.
I have since rejected the meds and am regulating my health using carefully researched nutritional principles. I feel much better.
I am NOT anti-science. I was given 15 university credits in science by examination and took an additional 8 science courses.
But I rejected what the standard prescriptions produced. They did NOT produce improved well being.
I met an occupational medicine physician who was about to give up medicine because the field was anti workers. However, the physician made a last ditch application to FEMA and was hired and reported that FEMA allowed physicians to help the public.
I have worked in the corporate world for 3 decades. I have not found any exceptions to the observation that the more a company efficiently aligns with its profit motive, the more inhumane it is toward workers and customers. It is immoral to put profits before people, yet our economic system only values profit and all of us are conditioned to believe this is how it should be. More of us need to challenge this.
We are indoctrinated from birth to idolize the rich/getting rich. The system can work when only SOME individuals/corporations/industries sacrifice service for profit. But, the scales have tipped. Now ALL individuals/corporations/industries operate this way. It’s causing our systems to collapse.
we must challenge it all especially because of the extreme covid abuses we must punish the people at the top responsible for this huge breach of ethics that made people die with out treatment, standard of care was stay at home till you need a ventilator and no drugs I got covid before the madness of the protocols and it was treated like the broncial infection it was I was given antibiotics so it would not go into pneumonia. It did not. I used steam treatments and expectorants and in a few weeks was fine again. All at home under dr guidance by phone.
@@johnnysilverhand1733 I live in Canada where healthcare is single payer. It's not perfect but I love it and so do my fellow Canadians. I'm fairly conservative too but some things simply should not be privatized. Education and healthcare are a citizen's right, and privatization does not make it better. Education is privatized and the quality is steadily declining. You clearly haven't listened to the other DOCTORS on here who actually have decades of experience as experts in this field who also say the quality has been declining due to privatization. Capitalism only works for making products for consumers to buy. Education and healthcare are not products, imbecile
You hit the nail on the head.
@@johnnysilverhand1733 Sadly it is you who are clueless. And deeply unconscious. Profit, money, wealth and economies are constructs created by humans to facilitate our most basic need of survival. They are nothing but tools for us to use. Placing them as more important than human life, or any life for that matter, shows how profoundly you have fallen for illusions and sadly, how little you care for life itself.
The economy requires regulations to ensure it works for the good of society and not just for the few who can control its levers. Healthcare is a right because human life is not an means to an end as you profit-lovers want to think. It is an end to itself and has no need to justify its existence.
Living in the U.S. and growing older I am seeing every aspect of our lives being monetized, including our health, housing and education. These are conscious decisions being made by those with the power to do so. Government, business and capital. This is all consuming and extremely destructive to the fabric of society. It's unsustainable.
Im currently a medical lab student on pause simply bec i got cornered during the PLANNEDemic and be forced to take the C-19 (corruption) jab or get rejected to cont in school n allowed to trained in healthcare facilities. From everybody in mmy class to include instructors, myself n a teacher n staff clerk refusd to take the jab bec we refused to destroy our morality (medical oath) over money (profit). its called NE-GLI-GEN-CE when u harm patients , right Pfizer, moderna?
2 Timothy 3:1-5
Yes unsustainable - thats why they want to reduce the population.
Under our traditional understanding of what our system was about. But those in power wish a far worse one on us, so they don't care if the system breaks. They look forward to it.
@@noeldeal8087 this stuff doesn't even depress me like it use. I'm just waiting for the Saviors return. This Earth and life is not what it seems. I don't understand why people are so attached to it.
The transparency here is heartfelt .. I worked in healthcare for 6yrs and it tore into the depth of my soul as time revealed a pattern within this particular career field and what seemed to me unethical on so many levels .. I stand in solidarity for the dismantling of any systematic roles that has tried or continue on that may block practitioners, dentists, etc., as they should freely uphold the education of their position that assist in life regarding healthcare .. It is Done .. Peace and Blessings❤💕
In 2021, my dentist, my gynecologist, my ophthalmologist, all retired early. My primary care physician is retiring this year. My dermatologist died of Covid in 2020. I wish I were kidding or exaggerating but I’m not. I have a whole new set of doctors and I wonder how long before they quit too.
😅oh Ms Brooks all the best...sounds like a Jane Austen tragedy
I don’t have any doctors at all. 😂
I just have to research things myself and use herbs.
I’m living the third world life in America.
What a brilliant and moral doctor.
What’s brilliant? BLACK doctors have advocated for equity in medicine.
@@jacquelinepeoples379 Everything this doctor said was true and perfectly stated. Why bring up race?
I love the way he makes his points. A very insightful understanding of right and wrong. True brilliance indeed.
Or he's just an average person working in healthcare with just basic common sense and basic ethics. His take isnt exceptional, it's logical and what I expect any normal person with basic sense and decent would feel working in the field.
@@jacquelinepeoples379 ... it's obvious that black & white & Asian & brown doctors of all denominations are going to have to work together to get this job done. Yes, black & brown doctors and communities are the canaries in the coal mines, but there have always been some white doctors, nurses, and of course, Jewish Bernie, who have stood tall beside blacks & browns screaming for a more just system. ... perseverance furthers ...
I’m a RN and I am on hiatus and I don’t think I’ll go back. It hurts me to give up my passion, but corporate hospitals care more about money over medicine. It’s gross.
What are you going to do? I’m an RN also I’ve considered going back to school for another career, maybe accounting. I’m 37 and hopefully that won’t hold me back. Praying about what direction to go in.
Hellooo can’t you be a naturopathic nurse?!
@@Actavella - I’ve been thinking about massage therapy. Do you have a BSN? If I had mine I’d go to Chiropractic school
@@LaSmoocherina I do have my BSN. Chiropractic school sounds cool, possibly more loans . Not sure what direction to go in. We’ll see
@@Actavella - but you can open your own practice. I say partner with an NP. Full care
I retired in 2018 after 40 years as an RN, 25 in hospital, 15 in clinic as a triage nurse for eight cardiologists. The hospital work was grueling. No time to go to the bathroom or eat lunch or complete all your tasks. The nurses mad at each other for what the previous nurse could not do. In the clinic, the cardiologists having to justify every test ordered, to some insurance agent far away. Once, this agent wanted to know why one of the cardiologists wasn’t ordering one test instead of another. The cardiologist told her, “because I am a cardiologist and you are not.” He was completely fed up. All this because of the profit motive in healthcare. I understand healthcare dollars have to be allocated. The sky is not the limit, but the insurance companies and the pharm industry are killing the system. It needs to be socialized, with private practices for those who wish to pay extra.
As a pharmacist of nearly 40 years, too many non-healthcare providers (business managers) are managing healthcare. Their only concerns are 'numbercare' -- dollars and volumes -- maximizing profits at the expense of employee and patient concerns. Healthcare has always been inordinately demanding and incredibly regulated. but, as of late (maybe, it's my age), I have noticed it has become extremely draconian. Merry, I'm right behind you. And, thank you and your colleagues for your years of dedication and service.
I think a lot of doctors like the medical system the way it is. Doctors are a narcissistically disturbed and traumatized bunch and think they are innately better than all others because they memorized things for years and took it up the behind with a smile from sadistic attendings for about 6-8 years. "If non-doctors get ripped off while I get paid hundreds of thousands Good for them! They are beneath us and I hate my patients; let's not pretend we are equals here; you are the moron patient, and I am the doctor cupcake". Why do Doctors also seem to have the same generic buzz feed personalities.
Overall, most Doctors identify with the medical system the way it is because they think it is the right and natural order of things. That's why they don't protest much at all... they have sadomasochistic personalities and it's more than just about money for them.
This is such an important discussion. Was an RD for 30 years working in the hospital for 15 years. I saw hospitals transform from non profit to for profit and it was gut wrenching. The major focus was no longer on optimizing patient outcomes but maximizing profit. And then when such a large amount of published research became unreliable we all felt the rug come out from under us as healthcare providers. At first we could still rely on research done at a University, and then eventually much of the University research became tainted by industry funding and company-affiliated board members. I left the hospital in 1997. Thank you for shining a light on this infected national wound. We need universal healthcare/Medicare for all. The affordable healthcare act was helpful to many but it wasn’t enough by far.
I practiced medicine for almost 30 years. I remember the first lecture in medical school where we were told the most important rule was that anything we do we always do for the patient. I graduated at the top of my class and did a fifth year to learn how to evaluate medical studies and data. I spent my entire career in rural Healthcare because that was where care was needed the most. I saw private equity infiltrate medicine turning it into an industry that guts quality and safety of care placing profit as the only goal. I was outspoken about this when it hit our community since I wads one of the few independent physicians remaing. I was crushed and my career was ended because of this. The public would be appalled if they understood how much of medicine is geared toward expensive and ineffective treatments and how they are viewed as only modules of profit.
Thank You!
Thank you for being an agent of good. ❤
As a patient I avoid the medical establishment at all cost and pray my loved ones never get sick.
I’m an RN and was fired just before covid for speaking up about corruption in healthcare! I didn’t use the word corruption in my speaking out, I use it now as a general term for the many unethical, immoral, deceitful actions within healthcare. I keep my license up to date but have not returned to healthcare, Im not sure I want to be a part of such a system :(
Yes. Under capitalism EVERYTHING AND EVERYONE is viewed as an equation on a balance sheet aimed at profit. No system in this country can operate outside of this fact. Human widgets.
We have a great system in Canada not perfect but still fantastic . My opinion is that medicine should be a service not a business
As soon as you apply Capitalism to it, and fees, it becomes a game of how to extract the maximum fees for each and every patient you treat.
Our Canadian system isn't perfect. I'm always amazed by the lies Americans believe about socialized medicine. I'm sure American insurance companies spend millions (billions) perpetuating the myths about Canadian medical care.
@@MortgageRadio And in reality Canadian model isn't socialized medicine. It is single payor. NHS (although really not in its current state anymore and is rapidly degrading by the conservative movement to completely privatize) is truly socialized. All hospitals and clinics and healthcare workers are owned and run by the NHS and services are paid for by the NHS. I have heard rumors that in some Canadian provinces there has been increased pressures to privatize. Please don't be like the US
Have you ever lived anywhere else? The choices are not either 1. waiting in Canada for months for a specialist appointment or procedures such as cataract surgery or 2. bankrupting your citizens to cover a basic human need in the US. Other countries do better than either Canada or the US.
In Canada my husband has waited over a year for hernia surgery and the other day we got a letter saying he will have to wait another 23-44weeks. Another relative has waited 3 years to see a neurologist!!!! Our doctors are also controlled by government and hospital administrators.
I’m glad he addressed the fact that many (not all) doctors’ greed and focus on money has contributed to our broken healthcare system. One of the major drivers of healthcare costs are physician billings/salaries as well as most doctors choosing being “specialists” to maximize their revenue, as well as hospital costs & drug costs. When I say costs it’s “per unit costs.” Meaning, a doctor’s bill for a per hour visit is extremely higher (not sustainable) than any other rich nation. Same goes for the cost of drugs…we get charged 300% (as an example) of the cost that another rich country pays for the SAME drug?! WTH? Hospitals are poorly run and their bills to Medicare, Medicaid and private insurers are significantly overblown bc they can’t manage their costs or they have excess capacity at their buildings. When we started using telehelath more during the pandemic, I was disgusted with a PCP charging me the SAME Dr visit cost for a video call vs. in-person. With a video call, we should see a significant reduction in the price of a visit. We’re not taking up space at a clinic, the Dr can just logon to a computer w/minimal costs & they don’t have to involve an ancillary health prof (Med asst, NP, etc). This ALL needs to be nationalized while allowing private players to participate with certain profit caps-it’s fine to make a profit for a service or product you provide but “profiteering” in healthcare should NEVER be allowed.
Thank you for this discussion- confirms what I already knew caring for my aged parents
I’ve been a physician for 50 years and it was a glorious profession. We did so much good with so little and as we treated our patients with respect they respected us.
Unfortunately everything has gone upside down. We have many more tools to help people but the non-system and our government and industries are in a race to deny us the opportunity to care for our patients as they deserve. Our government and our industries do their best to see that we spend as much time as possible typing, documenting, complying etc that we have neither the time nor the tools to help people.
Going forward it’s a catastrophe for those who follow. The best and the brightest no longer choose medicine. Why would you? With 18 months of a 24 hour week you can become a nurse practitioner and get paid the same and not take either responsibility nor night call. Compare that with 7+ years of an 80 hour week to become a doctor.
Respect? Nearly none. The unit secretary tells you what to do. Likewise the insurance person at the call center.
I love medicine but in good conscience I can no longer recommend it as a satisfying career choice.
It's gotten a lot longer in school and residencies to practice now. 7 or 8 years med school and 3 or more residency at the least
Seems like Physicians are now run by AI in Healthcare systems that value profit over wellness. It's more of a sick care system treated with pharmaceuticals and surgeries. Not sustainable or satisfying.
Please don't point your finger at the NPs, we absolutely don't get paid the same as doctors and rarely understand what we are getting into. It made sense to me that I could take the skills and whole-person focus of Nursing to mid-level practice to free up the doctors to manage the most complex patients. I didn't understand that once I finished my education and started working I would be thrown into the deep end. Employers love us because we are cheap to plug in. Suddenly I was managing inpatients who were so much more acutely ill than my education prepared me for. Instead of experiencing the step up in ability to care for my patients in an effective and holistic way that I had hoped to achieve, I found that I was expected to do the work of a physician with little support for the learning curve. Nursing education is a joke played by the ivory tower of people who write the standards and haven't touched a patient in years. I did have to take call. I did have to work 80+ hours a week. I would be willing to accept all of that if the system would actually prioritize care based on acuity. I am instead expected to fill the shoes of a much more highly trained clinician because the company can pay me much less yet expect me to have the same level of productivity. That's not what I thought I was getting into. Now I have nearly $200k in student loans hanging over my head and I can't afford to take a lower-paying position providing outpatient care. I am demoralized too. Providing health care should never have become a for-profit industry. We need a single payer system.
Your opinion of NP’s is antiquated and unfair.
Yes@Michael Plunkett. However, wise younger doctors who truly care about the sick are carving out practices specializing in preventative care and rejecting the model to foster sick care instead of true HEALTH care. A number of them have grateful, smart patients because those patients purposely seek them out.
As Americans, we need to stand up against corporate bullies. If enough people did this the evil would collapse in on itself. Giving up isn't the answer.
Refresh the tree of Liberty.
@@mgc7199 Yes indeedy!
these bullies are there to please their shareholders by maximizing profits...it's a well oiled system...got a 401k? that's the problem
@@zu0832 That's true! They've done it all at the expense of others.
Unfortunately, corporations and the wealthy in general, own Congress
I can’t think of another industry in which you’re not informed of the cost until later, that’s the problem. I remember when people actually paid their own medical care and it did work because we had high deductible policies in case of serious illness. Corporations and government got between doctors and patients in order to get their increasingly larger slice of the pie.
If more doctors speak our relentlessly I believe we can see change. Never stop speaking up. Especially as a doctor your words holds weight. Universal Healthcare is far cheaper and has better outcomes for everyone.
Doesn’t seem so great in the UK these days.
@lilygazou atleast u don't get charged $200 for your doctor googling your symptoms and are forced to caugh up the cash since he is no longer in your network of doctors.
I think a lot of doctors like the medical system the way it is. Doctors are an arrogant, narcissistic bunch and think they are innately better than all others because they memorized things for years and took it up the behind with a smile from sadistic attendings for about 6-8 years. "If non-doctors get ripped off while I get paid hundreds of thousands Good for them! They are beneath us and I hate my patients; let's not pretend we are equal here; you are the stupid patient, and I am the doctor cupcake". Doctors also seem to have the same, shitty, narcissistic, and consumerist buzz feed personalities.
Overall, most Doctors identify with the medical system the way it is because they think it is the right and natural order of things. That's why they don't protest much at all... they have sadomasochistic personalities and it's about more than just about money for them.
I can be a witness in this understanding. I remember being pregnant with my 3rd child and my OBGYN diagnosed me with Crohn's Disease. I was prescribed medication and after taking it 1 time I refused to continue with the medication. I kept this secret from my Dr. At 7 months pregnant my Dr then decided he was opening his own practice at another State. At our very last interaction he then advised to me that I never had Crohn's Disease, it was something he was required to advise as a way of billing and getting money because I was on Medicaid. Since then I have refused nearly all prescriptioned treatment for any illness because I don't trust our healthcare system any longer.
That's basically terrifying.
Wow! And he didn't give a toot that if you believed him, you could've taken unneccary medication WHILE PREGNANT.
This comes off really elitist to me. I know some doctors who don't want anything to do with patients who use medicaid because they look down at them. Snobby af
Yes and Medicaid is socialized medicine just like they have in other countries. This guy has some valid points, but a lot of Ppl from those countries go to the US for healthcare. As a hospital provider, I see ppl from all over the world coming to US for better healthcare. And millions coming illegally from South America right now are in the ERs every day courtesy of the US taxpayers. In England the working ppl pay 50% of their income in taxes to pay for healthcare. And the healthcare care is no better, even worse. And under socialist medicine, if you are deemed too old for a certain treatment you are relegated to death due to statistically managed care. So there is good and bad in both systems. Not sure what the answer to it all is.
This is chilling!
@@speakdiam OMG, You DO know the answer! We have the highest standard of healthcare in the world. Socialized medicine sucks for all the reasons you mentioned. Half my family is from a country with socialized medicine, and its great for minor problems, and horrible for anything serious. I don't know how it is currently, but the cut-off age for a person who needed regular dialysis was 50!... Sorry! No more money for you. Gotta save it for other younger people. Now you die. My aunt needed a critical heart surgery as she was in heart failure/decompensation. "Sorry! Wait time is 1 1/2 years. We'll see you then if you make it." THAT is what socialized medicine is.
This man is 10000% correct!! I have now lost 2 of the best doctors I’ve ever had! They’re done … due to the constant control, by insurance companies and not what their patients actually need. It’s unethical and such a tragedy.
I just found out this week, a woman on Medicare (regardless of having any supplemental insurance) can no longer a pap from her gynecologist!!! She can only get one from her primary care physician IF Medicare approves that -OMG!!!!! I’ve had the same incredibly brilliant and compassionate gynecologist for almost 20 years. Now I can no longer see him unless I need surgery or have an approved genealogical problem - according to MEDICARE?!?!? WHAT?!?!?!
Older women can no longer receive care from the very physicians whose specialty should be valued and respected, unless she pays for the charges herself. I’ve worked my entire life and am now retired. I pay hundreds of dollars each month for Medicare and a supplemental insurance plan. And now I’m being told I can’t continue with my doctor who knows me, has helped me, did life saving surgery on me 4 years ago, who I deeply respect and appreciate his expertise and care. I am OUTRAGED!
The system is broken. Doctors are understandably leaving if they can. My beloved gynecology is now retiring after decades of being at the top of his field, when he had no plans to do so. But he can no longer see the very patients he’s cared for for decades, all because Medicare has said, “no.” So now I will have to see my primary doctor - who takes at most 12 minutes per visit with her patients, because she has “a quota” to meet. Is that really care?
This is a BROKEN SYSTEM!!!!!! This HAS to change.
Are you on an Advantage plan? These insurance companies have more than half of Medicare members hoodwinked into signing up for an Advantage plan. Advantage plans dictate which doctors you can see, and what is covered via an insurance company. Regular Medicare allows you to see any doctor you want. Be careful when choosing to go on Medicare or an Advantage plan. Advantage plans are replacements for Medicare, not supplemental to Medicare.
@@jadeh2699 no, I am not on and Advantage plan. This new decision about routine Pap smears not being able to be paid if they’re done by a gynecologist was made effective 1/1/23. I can certainly see a gynecologist for a regular/annual pap, but Medicare will not pay for it and thus, since it’s not Medicare approved, my supplemental plan will not pay for it either. I am truly outraged by this - and have it confirmed that this is indeed the case. It’s wrong, so wrong.
@@papabear2515 America hates it’s women.
@@denisemcallister2586 I know. Terribly sexist and unfair!
@@hollywood6471 yup ..totally agree!
I worked in this field, clinical and systems of health care my whole career, and I have written about these issues, and this physician is spot on!
I think also the rules that were imposed during Covid have had something to do with this.
As someone that went through covid during residency and now practicing general medicine as an internist and pediatrician in a Federally Qualified Healthcare Center, I can attest to the frustrations my colleagues and I encounter on a daily basis with insurance companies. Insurance companies are private, thus for money entities and not for the wellfare of the population. It's demoralizing not being able to prescribe medications or get studies done because the insurance does not cover them or I have to make patients go through other plans of care that are suboptimal. We definitely need a public healthcare system and also revamped our medical education system, from how expensive it is to become a physician, to how we are compensated.
You mean... we need a NOT FOR PROFIT system. That (a 'for-profit' system), in itself, is unethical. WHY do we put up with it?
I’ve never understood how insurance can deny diagnostic studies. All it does is lead to missed diagnoses and spending more on care down the line. Can also lead to shortened life span or even death.
@@jillengel4124 All true. It IS NOT ABOUT OUR HEALTH. It IS about money. We need a whole new system.
@@jillengel4124 Sad to say, I think part of the current insurance plan, is the hope that some patients may die before coverage is finally approved.
@@andreaandrea6716 Americans have been brainwashed into thinking it's the only way. Any other system would be COMMUNIST ! (Courtesy of GOP)
Working 120 hours a week means sleep and social deprivation. That compromises function.
The BEST overview of US "health "care" system. Going to download to share with others. Thank you for a most informative presentation. Blessing .
Tough questions and excellent uncompromised answers. As always a greatly informative show.
Most of our systems are collapsing... we are in decline. It's tragic.
Really it's justice, things haven't been working for a long time. Let's hope things can be made better not worse for humanity.
... and we're gonna re-build it better. We're finally entering the new age of Aquarius. The old age has got to break down ... It's a struggle, but we're gonna make it better - together.
@@violetatcontentboutique7188 Well said. These horrible systems have got to go to make way for something better than we can ever imagine. It's going to be a bumpy ride for a bit but we will get there.
True. Only two nations currently fall in the “decline” category by geopolitical factors: Brazil and the United States
I have 2 friends who are married and both physicians who went to New Zealand about 10 years ago on an exchange program with doctors there.
After this experience, they sold their home here in the states and are working there quite happily. They told us that they are actually practicing the kind of medicine they trained for without the insurance companies interfering.
great that they found a solution but New Zealand went full bonkers covid Nazis with the shots. hard to escape tyranny just traded it for another variety
Yeah. New Zealand has great human rights. Not. Remember cops beating people for not wearing masks outside? Yes. They are so progressive and righteous.
Wow amazing
Without the Wall Street interference...Its pretty horrible that our healthcare system is the most expensive in the world, does not cover 20% of the people and has stupid outcomes...
Truth is so appreciated. Thank You Doctor Reinhart
That is an impressive young man. When I see and hear people from the younger generation like him, I think there is hope for society. It is just a shame the mess that has been left for them by us who proceed them and are still in the way of getting these problems addressed.
As a nurse my day to day care of patients is often dictated by insurance company decisions. Im a nurse, I shouldn’t have to even think about insurance, yet there it is, everyday, in every way. Ive seen homeless drug addicts get months of free care and then we can’t even help a veteran get a prosthetic limb. I dont know the answer, but something is really messed up.
I am a physician, license 50 years and 10 years ago when the insurance CEO called me up and told me I was forbidden to help people, I was only allowed to drug them… I told him he could go to hell because I earned the right to practice medicine and he never earned the right to bully me. I have been in practice since but I do not take any insurance and I’m much happier! Bio resonance cures people so as physicians we should all do everything possible to get people away from insurance!
I can't help but sympathize. But my sympathy also goes to all those who can't afford your services out of pocket.
We have a dentist like you in our tiny town of Tehachapi, CA, and God Knows I wish I could afford to see him. He would have saved my upper teeth by re-building my jawbone around them. ... Of course that kind of care is nor covered with any kind of insurance. :(
Glad to hear your response. Personally, I've had so many successful outcomes using Homeopathy and Acupuncture, I've had no use for Allopathic medicine. But it is very useful for trauma care and surgery when needed.
naturopaths have been a great addition to my health team they are much better dealing with chronic conditions than big pharma I got rid of the need to for repeat out patient surgical treatments with inexepensive suppements half a teaspoon of a powder and a lozenge daily solved my problem and no more surgeries. amazing.
Thank you for telling them to go to hell 😂greedy bastards
Thank you to Dr Reinhart for this interview, and for speaking to the reality of the current healthcare system in the U.S. It is very concerning to be someone who is just entering my aging years, which is a time that any of us need to feel we have a healthcare system we can depend on if/when needed. Not a system that is driven primarily by profit!
It’s in Canada and UK too. I know at least some here in Cda are leaving from policy and how the last 2 yrs was handled. They face discipline if they say what they think or report certain side effects. I think the truth of why they’re leaving won’t be public for a few yrs.
The subject that can’t be discussed.
I called my doctor's office to be seen for an infection in a wound.
I couldn't get in for 4 weeks.
I ended up in ER before I could even get to the doctor. ER gave me meds and sent me away. The antibiotics didn't work, and the infection got worse. Still, my family doctor couldn't get me in.
Long story short, after trying to get into my doctor's office for a simple infection, I ended up being hospitalized for IV antibiotics.
I have health insurance. I have money. I'm completely done with the medical care system.
Antibiotics is all your doctor was going to do too.
@RichardsLadder I couldn't even get in to get the antibiotics. I couldn't get in anywhere for a month. Infections don't wait a month. They get really bad really fast. I guess doctors don't give a fuck.
Make sure you restore your gut biome. Antibiotics really mess that up. Probiotic foods.
How did a doctor prescribe meds without you being seen by a doctor?
This man is a wonderful human being. Thank you doctor!
God bless you sir. You have such courage to speak the truth. You say it all so eloquently as well. You are am example of what a true doctor should be!
I broke my wrist and arm at least four times and never went to a doctor because it costs me a weeks pay to see one for like two minutes. I had no mercy for that until I read all the comments from doctors unable to help patients and even forced to lie to patients by insurance companies. Now I understand why life expectancy has declined in America as it rises elsewhere.
I'm demoralized too, but I'm not a doctor, I'm a well-insured patient. Dealing with the system is so frustrating (and even counterproductive) that I find myself avoiding it. At the moment I'm being hounded to have my annual medicare checkup, and as anyone who's ever had one knows, it's a total waste of everyone's time. No meaningful lab tests, just cookie-cutter questions, another opportunity to record my white-coat-fever blood pressure and current meds incorrectly, and to being talked down to by unmotivated and uninformed support staff. I keep an up-to-date, just-the-facts=ma'am 5-page status and history of my health and meds, but no one is interested in the information in it even though it could save me (and the malpractice folk) from a fatal omission or error. Cleveland Clinic has taken over our local hospital and turned into a corporate exercise in managerial incompetence and destruction of independent physician practices. May The Great Pumpkin save and protect us from Big Medicine and "the system".
Wow, I've had very similar experience. Very well put. It's so scary. I don't even want to go to the doctor anymore. I don't feel it is good for my health, mental or physical. In fact, I fear that it isn't even safe they are so uninvolved and incompetent. Good luck.
Completely agree. There is nothing I despise more than a visit to the doctor. They will not listen, if you express a desire for a certain test, ie; NMR for a better look at your blood , or anything for that matter they refuse, because it's not standard practice, others just don't know what the test is yet .Other doctors rush you through an exam and if you tell them you don't feel well, they just want to medicate you. Most doctors I have encountered have zero interest in exploring why you may be sick or trying to improve your health through other more benign means. I don't hear any mention of the thousands of dollars doctors accept from big pharma for cramming you full of their pills. No denying I have had a very few EXCELLENT doctors, but now that I am 70 and may need really good doctors they are nowhere to be found. I'm to the point that I go to a different doctor for every annual physical, just trying to find one that shows some genuine interest in my health. I can't imagine how people who are ill manage. I know my husband's doctor is just slowly killing him. He brainwashed him into believing type 2 diabetes is incurable, that he can drink diet colas all he wants because they are diet and that as long as he takes all the pills he prescribes he'll be OK. He told him MUST take statin drugs for the rest of his life. I also found the names of all the doctors in his practice on the list of doctors that get kickbacks from big pharma. They're not even ashamed that they are on those public lists. Sorry but I don't feel all that sorry for doctors.
@@Cocora22 Hi! Wow, I feel so bad for you and I totally understand. I recently came across a funny very informative channel on youtube call "Talking with docs" It has great info on all kind of stuff including diabetes. The doctors hosting really seem to care. Not the same thing as going in in person but it's something. I hope your husband can be informed that he can do something about his diabetes with lifestyle changes. Yes, it's really scary as you get older and if you are ill esp. to not have a doctor you can trust or count on. good luck.
This is so true. Disgusted with how patients are being treated by sometimes incredibly ignorant doctors who just blindly go along with the party line
Cleveland clinic saved people in my family. The doctors in the area we lived could not give us good alternative care, Cleveland clinic can’t even see people from our area now because private insurance won’t cover Cleveland Clinic second opinion. Don’t talk Cleveland Clinic lies.
My brother was a family practice doctor all his career in small rural clinics in West Virginia. He intentionally went there to help the coal miners and their families. (We were born and raised in the steel mill ( area of West Virginia - higher incomes and financial security.) He had continual rants about the insurance companies and the last 'manage/director' he worked under. She had NO medical background and put alarms on the exam rooms to tell doctors that their 15 minutes with a patient was up, which he ignored. It got so bad that when he had symptoms of a heart attack, he ignored them because dying from the heart attack was the only way he knew to get out of the messed up system. He was 60 years old. That was in 2009, and as his younger sister, I miss him every day. He was the one who got me interested in science as a child, and he helped proofread my doctor
doctoral dissertation in science and adult education. Her wouldn't eat lunch (was diabetic) because he needed to write up his patient notes during that time. As for pay, I was making the same $78,000 as he was. Many doctors are over worked, under paid and under appreciated by medical management.
Shocking to hear this.
@Saskia Visser unfortunately most people only hear about the brain surgeons or cosmetic surgeons or celebrity doctors, not the regular family doctors. Yes, some them them make good money, but out of their pay comes staff wages, supplies, rent, and medical insurance, which is outrageous. People asked me why I didn't become a doctor. I tell them that I heard all his stories about med school and residency and decided it wasn't my path, and I wouldn't have put up with the nonsense he did.
Here in Canada, physicians from non European countries have been sexually assaulting and fake billing the government.
Not all universal health care systems are free from abuse.
@@FaithPetrov there will be "bad apples " no matter which profession you talk about. Some people are "just not wired correctly" and will take advantage of people and rules.
That’s why you don’t become a dr for the money
Black doctors have been saying everything he said. Thanks for saying this!
Thank you for your caring and understanding ❤
So true. As an American who has lived in Hungary for 23 years and has 5 kids I can honestly say that even in a middle income country like Hungary the universal health care system is far preferable to the American for profit system. It is far, far less bureaucratic and more efficient and fairer. It’s been great for my kids as well.
Agreed; I lived with my family in the UK for a while, was impressed with how the NHS cares for everyone. NO "Insurance" companies, No malpractice lawsuits, NO sky-high drug prices, just a patient centered system.
The Dr right I'm a retired nurse we need more teaching g and practice more on preventive medical care
I lived briefly in US for work and honestly could not wait to leave. It's such a soulless place.
@@DGill48 sounds like a dream a fairytale. If only we had that here in the so called greatest country in the world. NOT.
1000$ a month insurance ..bloodsuckers?
I worked as a nurses aid for 5 years following high school graduation. The next 25 years I worked in a hospital as a Cardio-Pulmonary Tech. I liked my co-workers, I loved the patients, I HATED my job. What was once an environment of "Caring for the sick", became an environment of numbers/ number of patients=$$$$$. During those 30 years, the hospital where I worked, eliminated the Pediatrics floor, closed the OB/nursery dept, drasticly reduced the Intensive Care unit, cut back on surgery procedures, and .................emphasized out-pt procedures.
As a patient, an outsider, my care is reduced to "MY Chart", I haven't seen a DOCTOR in ages, and as a nearest relative to my 80 something yr old aunt who lives in an assisted living facility, she's lucky to see a PA maybe once a year. Her "care " is provided by "MY Chart". This is for a person with excellent insurance coverage, and the means to pay for medical care..........................What's WRONG with this picture? I hear this doctor/I read him loud and clear.
I too am a nurse and I’ve seen huge changes in just the past 15 years. Our hospital closed a pedi unit, staff to pt. Ratios are too high to ever be safe, Drs. Face problems without a prior for “ too many” MRIs, then COVID hit and I decided to go into cosmetic nursing. It was always a stressful field but not as stressful and dangerous. I agree something has to change. In one hospital near me literally everyone on staff is a traveling nurse or MD. There is no accountability. I loved patient care but something has to change.
"The Trickery of Usury ((RIBA)) is the Misery of Slavery... it's why Lady Liberty 🗽 has chains on her feet!" -
Why are student loans not permitted to be included in a bankruptcy?
Prophet Mohammad pbuh prophecied that a huge sign of the End Time's will be when the satanic system of RIBA will have engulfed the World and if anyone wanted to avoid it they will have even touched it's dust....
May ALLAH اللة ✨ protect us ALL!
th-cam.com/video/_2b73KAzx1c/w-d-xo.html
Pharmaceutical drugs I had been given are deadly. Even eye pressure drops combigan made me faint, pass out to where I crashed my car. Gabapenten makes you stupid, Lexapro causes glaucoma attacks, steroids bleeding lip, and so many more deadly side effects. Don't do it! I don't believe in vaccines, thank God! I ended up with a potassium deficiency. I am now treating me for this. Doctors don't know about potassium deficiency. Now, all those drugs I didn't need that kill. Even the dentist doesn't know how potassium causes gum receding and bleeding gums, more! I can't drive now. I was told if I didn't take the blinding Lexapro the doctor wouldn't see me anymore. Threatening. The doctor now who I like asked me if I took the vaccine? I said no I don't want to die.
Let's talk about the fact that boards that include drug company representatives have made unrealistic standards for certain drugs. Everybody's on blood pressure meds or cholesterol lowering meds. It's ridiculous. And doctors have to prescribe them because if they don't and something happens to go wrong with a patient who wasn't over-prescribed, the doc will get sued. The same goes for a mammograms and so much else in the practice of medicine.
And the drugs have side effects.
Since the 1970s, the number of nurses and doctors has remained fairly stable while the number of managers and administrators has grown exponentially. There are people in the equation who do not add to the care of patients but pull from the resources that could go toward patient care.
Thank Obamacare.
These people do not want to work. They want to boss, shadow others, fault find, anything but work and support their colleagues. Totally corrupt.
Exactly! We must stop it
The Controllers which do nothing but control and cause problems.
Don't forget the death panels. Depopulation is real and doctors are not innocent. Patients suffer.
The Affordable Care Act has actually become quite unaffordable for many people. One way we can begin to create a more equitable system is to continue to expand Medicaid programs.
Really? The Affordable Care Act is the only reason I can afford health care insurance. By the way, I am NOT subsidized by tax payers. I AM A TAXPAYER, and I pay out-of-pocket for my individual medical insurance.
@@julierogers1155 Then you’re quite fortunate that you can pay the premiums. Many people can’t, even with tax subsidies.
@@jenesoleil3922 My point is that WITHOUT the Affordable Care Act my premiums would become unaffordable for me - not to mention the pre-existing conditions insanity that would follow with the undoing of the ACA.
Insurance companies have simply worked around by creating astronomically high deductibles. This situation is not sustainable. And yet we know damn well we will never have the political will to change it, and even if we did, there're pretty good odds the SCOTUS would kill it.
Many states have the opportunity but their state governments turned it down. In Missouri the people voted to expand it, but their legislature overruled. They hate the poor and non white
Thank you for recognizing the National Medical Association (NMA) which has been fighting for access to quality medical for everyone. He is correct that the system hires/buys out the most vocal dissenters and ends up silencing them. My mother was the first woman president of the NMA, after 75 years of their organizing. She had to fight racism, sexism, classism and greed to get basic care for those in most need.
Former Certified School Nurse. Left the
professional demoralized and broken.
Your average citizen would rather innocents get infected (and sometimes die) than comply with standardized quarantine measures.
I am an RN (retired). I am glad that I have the knowledge to advocate and navigate for myself and family when we need the system. I left morally injured and still am recovering from the stress of the job. I hope I have helped a few patients along the way.
I hear you..still doing it for 36 1/2 years now
I’m a new nurse (almost 5 years this December) and if I could do something else I would. It’s awful! I worked covid for two years and still struggling.
Amen. I retired after 30 years, when I was threatened with termination, because I refused the Jab. I was a remote worker with no patient contact, so there was no need to get it.
I haven't worked for a year, due to the toll that the stress, has taken on me. I am just getting to the point, where I feel that I can return to work force. However, I have let my license expire, and am a looking for a job outside of the healthcare system.
Totally agree. All patients need an advocate who understands “ the system”. As a retired RN who has had some serious illness in recent years I am only here today because I had a good advocate by my side. Cause I was too sick to keep track of it all. I have acted as an advocate for many family members and friends over the years. But NOW it is even more important!! And do not get me started on insurance companies and hospital CEO’s.
I'm a Physician, and I dropped down to a PA .....cardiology post op care. I have weekends off make less money and spend much time away from the Hospital 5 more years to retire...It was a great move for me....
Many doctors have sold out to Private Equity, which is one of the most amoral forces in healthcare.
In many areas sadly PE is the only options for MD employment because PE has completely taken over the entire region health care. Older MD practices will sell out to PE and retire and leave the young docs a shit show and then they all leave soon after. PE are vultures and should be banned from health care... I have heard not much positive from MDs working for PE at all. Its horrid for them.
Not just healthcare, everything they touch.
@@writerconsidered Yes, housing too.
Dr Z Dogg has talked about this over and over again. It's a shame that this is happening. It's all about greed in these systems that are abusing and exploiting these health care professionals.
Love this guy. Thank you, Dr. Reinhart, for letting those of us who are not in the field know what is going on inside. Keep preaching, please.
As a side note: "Working together" is what we all, as Americans, need to do to cure our so many ills.
Nurse of 30 years here, experienced same demoralizing control. Doctors, I appreciate all that you do!
Thanks doctor for speaking out. Many doctors who speak out are punished by the industry in dreadful ways. They are forced to do things they don’t agree with.
Ethel, does someone have a gun to their heads? Has anyone thought to organize doctors. They are the industry, or should be.
Not enough physicians are brave enough to speak out like this guy. Physicians are pressured to follow the status quo, or else they find themselves jobless, or labeled a heretic or worse…
I think a lot of doctors like the medical system the way it is. Doctors are an arrogant, narcissistic bunch and think they are innately better than all others because they memorized things for years and took it up the behind with a smile from sadistic attendings for about 6-8 years. "If non-doctors get ripped off while I get paid hundreds of thousands Good for them! They are beneath us and I hate my patients; let's not pretend we are equal here; you are the stupid patient, and I am the doctor cupcake". Doctors also seem to have the same, shitty, narcissistic, and consumerist buzz feed personalities.
Overall, most Doctors identify with the medical system the way it is because they think it is the right and natural order of things. That's why they don't protest much at all... they have sadomasochistic personalities and it's about more than just about money for them.
We're handling all of society's issues they don't want to deal with (homeless,drug use, poverty) in the ER while c suite is making millions
I’m a retired educated business owner. If I have a medical crisis at 69 I’ll be bankrupt. Every good dr I've had has been driven out of their practices and must charge 150. Private pay to belong to their practice and continue to see them. After losing three jobs Covid and being almost 70, I am treated so differently as a poor person than I was when I was working and paid 500 a month for my health coverage. My family had great health care growing up. My widowed mother didn’t go broke from my dad’s drs bills. The insurance companies purposely turn down coverage if services and drs are only allowed 10 min at best with each patient . My new dr never looked up from her iPad at me ran in ordered tests ran out . That’s not healthcare .
I am an American who was in the French system of healthcare for 10 years from 1990 to 2000.
One day, I called the clinic nearby to schedule my annual (and first one in Paris) breast exam. They said why schedule? Come down this afternoon! I was flabbergasted! I didn't know what to do since I always had to wait weeks in advance for this!
I arrived a day or so later at the clinic - one I could have easily walked to. There I received a manual exam by two different doctors, an ultra sound and x-rays. Six radiologist were sitting in the room next to the exam room. The door was open and I watched them for awhile. Wow! 6 different radiologists studying my film!
I waited in the waiting room for a short time for my results and was handed a beautiful folder with a letter explaining what the x-ray showed, my x-ray films (in case I wanted to take them with me to another clinic in the future) and my ultra sound pictures and all of the information about where they were taken. They said, "They're yours - take them!!!
I cried on the bus on the way home because I had never seen my breast exam x-rays or ultra sounds. I called my sister and she too was flabbergasted by my recounting the experience.
After returning to the States and going for my annual exam, I asked the doctor why they didn't do an ultra sound. He said where did you get that idea, that's only in special cases. I said, "It was part of my annual exam when I lived in France."
He said, "Oh, they have too many doctors there!"
My French exam cost me almost nothing.
So why on earth would you come back to this god forsaken hellhole? If I lived in Europe I would never come back here.
Viva France!
US healthcare is barbaric.
France's health care is universal
Thom Hartmann explained this: The AMA (Cerberus for the insurance companies) have instructed med schools NOT to issue enough licenses to satisfy need to keep doctors' salaries bloated. Med schools are almost unaffordable unless you're born rich. Doctors have clinics that double and triple dip the system much like hospitals for testing (Sam Seder learned this when he began getting colonoscopies because cancer runs in his family). This serves only shareholders, CEOs, and the GOP.
I am a RN and left the profession in September of 2021. Even though I make a little less money now, I have zero regrets! My family and I are much happier, and life is peaceful again. No more sacrifices for us because it's not worth it. If I want to be a yuppie and get a yuppie job in the city, I could do just that and make way more than I ever could as a nurse. I don't want to though. It was never about the money. Live life enjoying the simple things and being thankful for what you have rather than being a slave to your debt for all the material things you want. That's the secret to a happy healthy life 🙂 The medical system is one major event away from total collapse, so start figuring out now how to control your own health and treat things natural ways with the plants God gave us.
I left primary care in the US last year, best decision I made.
I learned the hard way about medicine, and that humans have little to no value unless they have fantastic insurance and lots of money. Exactly what this physician is sharing I had to learn as a patient the hard way, and frankly it taught me as far as they are concerned I have no value, and that was a painful thing to learn. Just to be clear, I only feel that way when seeking medical support, I know I have value outside of medicine. Excellent conversation, one that needs more attention, and I sincerely applaud this physician.
I feel that way too.
There is no "fantastic" insurance in this system. With the exception of Medicare it is all garbage. Even Medicare is in the process of becoming privatized, while President Biden looks the other way. Grotesquely disgusting.
yep.
Yes. All my doctor friends have quit, sold their practices, or are planning to retire. Some early, some in their 70s and love what they do, but have had enough. I don't blame them one bit. We've destroyed our incredible medical system in the US, and those who claim they can fix it, are the very people that caused this collapse of trust. No wonder physicians are not interested anymore in the BS.
Absolutely true. Those who "claim" they can fix the medical system either know nothing about medicine, don't care about people or have their minds bent toward $$$ only. Put that all together and you have BS on steroids.
So true and the patients are noticing. Especially the elderly. It’s as if I’m ignored if I don’t fit into the formula that the doctor has to follow I was told recently, by my doctor that “it’s a game” he has to play with the health care system to give care to his patients.
It’s a big ball of wax for sure….I hope you are writing a book in language that we can all understand, not just your peer group. We, in countries with social medicine are also having difficulties. The pandemic just brought it all to a head. In any case, keep going…I am glad to see such a motivated young person as yourself.
I'm a nurse, but I can see how Insurance Companies harm patients by going against Dr recommended practices and leave Physicians in the lurch when a patient's condition worsens. Not to mention the large health care companies that gobble up Dr like some kind of Medical Mafia. It's so sad that Physicians feel they have to quit, but I certainly understand why.
My HMO made 8 billion in profits last year. SURELY they could operate making 4 billion a year! But instead continue to cheat us out of our care in favor of stock buybacks.
Insurance companies have perfected their game of extracting premiums and denying claims! The Adam Smith invisible hand of the market is touching me inappropriately!
@Tennessee Jed
This whole interview is heartbreaking and anger inducing, but I could keep from laughing out loud at your comment lol. It's quite simply perfect!
@@cherylalt101 Gallows humor is always a hit! We are krill for the Wall Street whales, is another one of my favorites. As well as, the carrot on the string hanging from a stick is made of plastic but the stick is damn real.
@@TennesseeJed You’re a poet and a philosopher lol, fabulous!
@@TennesseeJed Adam Smith was not wrong, but he did not count on was corporatism. Which is NOT capitalism, it's financial cancer, consuming profits with no respect of the host its feeding from.
Medicine was ruined in the 1980s when the insurance companies started diagnosis related reimbursement. Them the businessmen became hospital administrators. Doctors and Nurses lost all input into patient care. The the conglimerates bought out the hospital, making medical professionals employees beholding to the corporate stock holders. Lets go back to doctors running their own offices and independent hospitals and kick the greed of the business of medicine to the curb!
maximizing revenue and profit.👎 this needs to change in the USA.
As a former public health doctor I could see the marked difference when the doh switched from free service to charging for services (even if patients didn't have to pay).
I agree that the profit motive for health care is making it impossible to get good health care.
What is doh?
@@writerconsidered department of health
I Love this Doctor! I worked in the medical profession for years and he is telling the honest truth!
Absolutely the most objective discussion on this subject I have ever experienced.
My prayers and compassion goes out to the Medics🙏🙏
I just left a healthcare job of 7 years, that I tried to make work and all of this is true. Please don't forget the PTs, OTs, SLPs who are also being mistreated by for- profit healthcare systems all across the nation. The strategy is to use us up, and replace us in 2 years. Therapists are a critical and over-looked part of the system. When you have a stroke, brain injury, car accident, get stabbed, etc, etc, it is us who get you out of bed, and back home. We have necessary knowledge and skill. We are not human lifting machines. We work till we drop, we are given less and less time, less help, more patients. Recovery from a moderate to severe stroke is NOT 3 weeks; It is 3-6 months. We can do A LOT to improve peoples lives, but our hands are tied as we are being used as tools for profit. We are leaving because we aren't using our skills, people are suffering, we are being asked daily to bill unethically. The problem is not lack of people willing to do this work, it is a lack of people willing be an overworked clog in a system where we CAN'T do our work. Thanks for reading.
Fyi, I heard that DMSO soon after a stroke is lifesaving...
Thank you SO much for all your hard work. Us patients love you so much! 🙋🏻♀️😘❤🤗
As a CNA, I'm right there with you. And even in a no-lift facility, we're lifting constantly. Within a year of starting, I was in an ambulance from bulging disks.
@@dingfeldersmurfalot4560 You have my sympathy, DS. No different than the situation 50 yrs ago. The agony took me to the edge of suicide before a relative w/ connections got me a Boston surgeon who knew my problem before i got in the office door on crutches--one leg hanging useless. Spine damage undiagnosed for almost a year. That leg was dead in the water. Surgeon saved my life. He knew I would be a suicide if not repaired. Gave up being an LPN. Too risky. It startd the day i had to move a humongous patient in the years. before glutonny became a fad and the first lifting machanisms were just getting started in hospitals. In mine, the new lifts were inadequate for the overweight.. Went to college and changed my career.
Pharmaceutical drugs I had been given are deadly. Even eye pressure drops combigan made me faint, pass out to where I crashed my car. Gabapenten makes you stupid, Lexapro causes glaucoma attacks, steroids bleeding lip, and so many more deadly side effects. Don't do it! I don't believe in vaccines, thank God! I ended up with a potassium deficiency. I am now treating me for this. Doctors don't know about potassium deficiency. Now, all those drugs I didn't need that kill. Even the dentist doesn't know how potassium causes gum receding and bleeding gums, more! I can't drive now. I was told if I didn't take the blinding Lexapro the doctor wouldn't see me anymore. Threatening. The doctor now who I like asked me if I took the vaccine? I said no I don't want to die. I had three injections in my need that didn't work. I took a potassium pill. Now everyday I am well. Knee doctor doesn't know that all these seniors may just need potassium. Even my hair stopped falling out.