Why are so many doctors leaving medicine?
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- เผยแพร่เมื่อ 10 ธ.ค. 2022
- In this video, Dr. Webb talks about why so many doctors are leaving medicine.
Background: Surgeons are facing a nearly 4.5% cut to the Medicare conversion factor (CF). Without immediate congressional action these cuts will take effect January 1, 2023.
Status: Congress must pass legislation stopping the 4.5% cut - addressing anything less than the full cut jeopardizes surgical practices and Medicare patients.
Call to Action: Write your Senators/Representative today and tell them to protect Medicare patient care by stopping the full 4.5% Medicare payment cut.
www.surgicalcare.org/take-act...
WASHINGTON, November 3, 2022 - Members of the Surgical Care Coalition commend efforts by a bipartisan group of over 40 U.S. Senators, led by Sens. Debbie Stabenow (D-Mich.) and John Barrasso, MD (R-Wyo.), who are working to prevent Medicare cuts by the end of the year. The 46 Senators recently authored a letter to Senate Leaders Chuck Schumer (D-N.Y.) and Mitch McConnell (R-Ky.) expressing their serious concern regarding the stability of Medicare payments and calling on Congress to address this vital payment challenge. The letter follows the introduction in the U.S. House of Representatives of H.R. 8800, the Supporting Medicare Providers Act of 2022, which addresses the nearly 4.5% cut to the Medicare conversion factor (CF) anticipated to take effect on January 1, 2023.
“There are serious risks facing millions of seniors’ access to surgical care in less than two months-cuts to surgical care will affect how the surgical care team is able to care for patients across the country,” said Michael Dalsing, MD, President of the Society for Vascular Surgery. “As this threat looms near, it is now vital that Congress advance H.R. 8800 to protect those most at risk from the threats posed by the continued withdrawal of investment in surgical care across the country.”
The letter acknowledged the significant financial hardship providers are facing, stating, “financial uncertainty due to pending payment cuts will only compound these challenges” and “it is essential in the coming weeks that we make sure providers have the resources they need to keep their doors open for seniors and families.”
Without congressional action, surgeons, anesthesiologists, and other physicians face a nearly 8.5% Medicare cut, which includes the nearly 4.5% cut to the Medicare CF and a 4% Medicare cut stemming from the Statutory Pay-As-You-Go (PAYGO) Act. This is on top of the 2% Medicare sequestration cuts that were reinstated this year and the staggering increases in medical inflation that health care providers across the country are facing.
www.surgicalcare.org/2022/11/...
To see Dr Webb as a patient, please contact:
Antonio J. Webb, MD
Orthopedic Spine Surgeon
South Texas Spinal Clinic
9150 Huebner Road Suite 290
San Antonio, Texas 78240
Office: 210-614-6432
Fax: 210-293-4171
www.spinaldoc.com
antoniowebbmd.com
Dr. Webb's new book, Overcoming the Odds (ranked 5 STARS!) is available NOW at: amzn.to/2hV3MtR
MEDICAL DISCLAIMER
The information provided is not intended to be a substitute for professional medical advice, diagnosis or treatment. Never disregard professional medical advice, or delay in seeking it, because of something you have read on this website. Never rely on information on this website in place of seeking professional medical advice.
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Surgeons are facing a nearly 4.5% cut to the Medicare conversion factor (CF). Without immediate congressional action these cuts will take effect January 1, 2023.
Status: Congress must pass legislation stopping the 4.5% cut - addressing anything less than the full cut jeopardizes surgical practices and Medicare patients.
Call to Action: Write your Senators/Representative today and tell them to protect Medicare patient care by stopping the full 4.5% Medicare payment cut.
www.surgicalcare.org/take-action/
“why are so many doctors leaving medicine?”
Maybe it’s because they’ve been treated like garbage after an annoying orange a-hole lied about a pandemic because he thought it would make him look weak until it became a deadly pandemic and then kept lying and attacking doctors until moronic right-wingers turned our pandemic responses into a political thing instead of a health issue AND THEN exhausted our healthcare workers by coming to hospitals when they get the virus and putting other doctors and nurses at high risk, doctors and nurses who aren’t getting paid enough to deal with these lunatics…
And then (while persecuting Dr Fauci and other epidemiologists who really want to save people’s lives instead of a-hole evil scumbags like Donald Trump who proves through his actions that he only cares about his money and himself like all Republican Conservatives), they try to poison themselves by drinking household chemicals and non-prescribed medicines that aren’t even anti-viral medicines because of blah blah blah “science award” or something.
And after ALL OF THAT, after all of the abuse and death after being led in circles for nearly HALF A DECADE from these MORONS, doctors and nurses are dealing with ANOTHER MAJOR WAVE right in front of them. And they gotta make a choice:
Are these morons worth another six months of neglect and abuse? Or should we quit and find a better job?
I don’t feel sorry for antivaxxers. They don’t deserve doctors or nurses. Maybe they should stick to their guns and redneck medicines instead.
man as a business major. One of the downside of cutting the medicare and local state medical is cutting things down and other things.
Thanks for sharing this advice as it beneficial and informative. Here is another option for healthcare professionals…..
www.usphs.gov/explore-opportunities/
Thanks for posting. I have a small business and I'm a dentist. We see the trend happening in dentistry as well . It might be good for all the healthcare providers (MD, DMD, PharmD, DPT, etc) to unite and have the collaborated voices. I'm in the organized dentistry (American Dental Association) but I'm not sure where to begin. -Eugene.
@@duenow1 Totally agree. We all are affected in some way and I don’t see it changing in the near future.
My dad was a pediatrician and retired 43 years ago. This is important to note because when I asked him if he is going to miss it. He angrily said,‘I’m tired of working for insurance companies’.
This is part of the controlled demolition of the country. Fewer Doctors, more sicker patients...catastrophes ahead.
My last check a decade ago was the M.D. I was seeing had to maintain million dollar liability insurance.
@@Bob_Shy_132 I worked at a CPA firm 30 years ago which serviced mostly MD accounts. At that time the liability insurance premiums were well over 100k.
@@noellecms I guess he was referring to the policy itself.
What specific problems he had with insurance companies?
To all physicians, physician assistants, nurses, nurse practitioners, CNAs, therapists- everyone in the healthcare field: thank you for all that you do.
Thank you. Registered Dietitian
Thanks so much. Nurse Practitioner here. Appreciate your comments 🙏.
Thank you! Certificate Registered Central Service Technician here 👋. Off to becoming a Registered Cardiovascular Invasive Specialist!!
Thanks from pharmacy
Thank you..an RN since 1968!
My heart doctor quit. I really miss her. I felt she didn't just shove a lot of prescription medicines at me. I was floored when she told me to take magnesium! Here is a doctor who was prescribing something other that drugs, something that helped my body be stronger, not torn apart by side effects from drugs.
I also met a real Dr years ago. I was so sad when she retired. I had a problem with obesity along with some other issues. She was very creative, and wrote a prescription on a walk 2 a day, she looked at Google maps, and made two different routes for me, starting from my house. She also told me max 2 spoons of sauce instead of 5 - 6. Mc donalds max 2 per month. Five years later I'm down 101 pounds so far. Slow but surely ; Without dieting. God do I miss her. I don't need my blood pressure meds any longer and I am feeling great. _She gave me the confidence that I COULD DO IT. That loosing weight takes time, and that dieting wasn't a long time solution._
That’s a real doctor …
@@phdnursepractitioner she clearly is not searching for real medicine, dont bother explaining
@@phdnursepractitioner
I really hope you reply. What are the best magnesium supplements in the market? I see so many, but I'm not sure which ones are authentic.
Medication is an answer. True medication is found in healthy eating.
You hit the nail on the head!! Nurse of 29 years here. It is now a bureaucratic mess. What I studied takes a back seat to laws. These laws written by folks that never engaged in active care. The burn out is real!! I will be leaving also. I understand how these doctors feel.
Same!! Been a RN 22yrs and I am out as soon as I can!
So you guys still pushing boosters or you finally learned you got tricked? Maybe if you guys weren't so braindead things wouldn't be so bad for you. You can't think on your own.
@@ykonratev Actually, I was fired and out of nursing for refusing vaccine. I did my research, far from your brain dead comment. It's best for YOU to do exactly what you accuse me of:: find out first instead of judging. That's the precise meaning of brain dead, and " unable to think for yourself". Tuche!!
Same here. RN for 36 years. Retiring early. Burned out. Totally understand why docs are leaving. The cons outweigh the pros.
Bad news: Every field is dominated by laws written by folks that never engaged in that field. The developed world is choking itself on regulations.
I’m a resident. A close friend reached out to me just yesterday about quitting her residency program due to toxic work culture. It broke my heart.
We need you guys…
@@louisburbank4622 we are trying 🙏🏾
As a premed this makes me question whether I want to become a doctor.
@@annaloboda3540 Something very important that eludes many people nowadays is the fact that in order to heal, you must be healed yourself. How are heathcare workers providing any form of healing when they are working in a toxic environment?
@@annaloboda3540 Honestly, you should question it. That’s not a bad thing. A career in medicine requires a lot of hard sacrifices. Many of which you don’t even think about until you’re making them.
My best advice is to make sure you’re passionate about being a doctor. Know your “why” b/c when it gets roughy it’ll be what you have to lean on to continue the path. I’m not sure of your religious preference or if you’re religious at all but try to find the connection b/t your divine purpose and a career in medicine. That’ll help you through the tough times as well.
And keep in mind that everyone’s path is different. I train at an amazing university hospital where I’m supported and feel welcome. So don’t let the stories of anyone deter you. Just use their information to make better decisions about where you chose to train for med school and residency.
I wish you all the best on your journey. Remember that life always has a way of working out… most times better than you’ve imagined. Work hard and trust the process 🫶🏾
Malignant cultures in residencies coupled with ungodly and unfair work hours/call and lack of sleep/personal time. Change is coming.
I will say that COVID really changed a lot of residency programs. When I was interviewing this year, I was pretty surprised at how much call schedules and other perks were added due to the realization that the old system isn't sustainable. Most places have even gotten rid of 24 hour call schedules.
I agree
Issues at hand, certainly
@@ronaldstewart6332 Uh, I assure you the 24h hour call schedule is still very much a thing
@@ronaldstewart6332 there are definitely still 24 hour call schedules...
@@ronaldstewart6332 many residency programs especially surgical, have been known to violate those rules….
5 years ago I left. Went into Direct Primary Care after 24 years. Opted out of Medicare and refuse to go back to accepting insurance. I spend an hour with my patients and have time to educate. The struggle to get people to understand that insurance does not mean better quality primary preventive care is real. Medicine has changed. I got tired of diagnosing and treating disease and prescibing medication. I tell patients insurance companies dont care about me or you. I love being a doctor, i hate what I had to do to get here and the way they treat you as an employed physician.
Thanks for sharing doc!
Dr. Southerland- do you have an recommendations for current medical students thinking about going into DPC? I’m definitely leaning that way (current OMS2) and would love to hear about your story, experiences, and recommendations!
@@antoniowebbmd Back at you. It can get crazy out in this medical field😊
You are one doctor i would pay to see out of my pocket as a patient as well as one I would work for as a nurse! Thank you! For years I've been trying to tell people that insurance companies are not there to care about you or be your friend. They are unnecessary middle men who collect a big portion of the pie for doing absolutely nothing other than throwing up barriers to quality healthcare. Medicare and medicaid are the same garbage. They all drive up costs while severely crippling quality and patient outcomes. Now the very social health program that I'm forced to pay taxes into was weaponized against me in my career, so I left. Medicare and medicaid are the reason mandates by gvt were allowed in healthcare.
I've waffled back and forth on not getting insurance and just doing DPC but what happens when you break a leg, get into a serious accident, or need lab tests, etc.?
I’m a doctor and ill tell you why because it sucks as a profession.
Declining reimbursement, loss of autonomy, corporatization of medicine, medical/legal hassles, lack of a real advocacy organization for the profession (the AMA is a joke that actually works against the profession) and I could go on for paragraphs.
But lets be honest with ourselves the biggest problem we have is with ourselves. We don’t stick together, we turn on our fellow physicians for the almighty buck and we sell out our junior colleagues.
Its amazing to me how a group that is so intelligent and literally holds life and death in its hands is so weak politically and allows itself to be manipulated so easily.
The day I leave medicine will be one of the best days of my life!
It is so sad for all of us that it's like this. Thank you for all you have done for your patients.
This is so sad to hear. The problem with so much of America is corporate greed. We put profits before people. I receive Medicare, but I also have a secondary insurance too. That helps some of the docs with their reimbursements. I got a joint replacement a few years back. After viewing the paperwork and seeing just how little the surgeon was paid by Medicare, I thanked him for taking care of us old folks. it’s disgraceful that physicians who desire to be in private practice are having to become employees. There is always added stress when someone is looking over your shoulder and telling you what to do. And to add insult to everything else, those who are telling you what to do may very well hold no kind of academic or professional degree. Thank you, Physicians, for all that you do.
Thanks to both of you for your kind comments
absolutely right!, Physicians in a way let this became the problem and it all started with us accepting insurance companies which prevented us from being a free market. We need to all join together and quit insurance all together.
Gilbert you have a good point.
We also need to join together and have an organization that really advocates politically for our patients and our profession.
My wife is an attorney in comparison they are far more cohesive as a profession and advocate so much more effectively for their profession and clients.
Only an attorney can own a legal practice its a law.
Isn’t the medical profession and what we do for our patients as important as legal work?
Why don’t physicians have a similar law? A medical practice should be owned by a physician not greedy hospitals, private equity groups, and garbage low quality corporations.
As part of my plans to leave medicine I have gotten involved in agribusiness. It so refreshing to see how farmers work together through organizations like farm bureau to defend their profession.
Looking very much forward to spending less of my time on medicine and more of my time producing corn and soybeans!
The overall medical healthcare system is so broken.... Our general surgeon (works at the local hospital) faces a surgery schedule of 8 to 10 surgies one right after another all day long on surgery day. This has to be absolutely exhausting. I watched our surgeon go from looking young, happy and fit to looking exhausted, drawn and gray in the 10 years we have known him. I don't know how anyone can maintain this without burning out. My heart goes out to him....
The system is not broken. It's designed 2 make profit. Profit is not concerned about the people involved that provide the services. If u can find a system that is created by people who r genuinely concerned about people, u will c a change. Until then, the system is doing what it is designed 2 do.
@@mistermilkmanyea socialist system work so well 🤣
@@cooldudecs It's about balance. I work n healthcare. It's become more profit based due 2 greed. People support the greed until their n the hospital & need help & it's lacking. They r the 1st 2 say, "hire more people." Every1 is not certified or licensed 2 do these jobs. They r also the 1st 2 say, "if u don't like it, quit." When people quit, it gets ugly fast. A system doesn't have 2 b 1 or the other. If u only c it working 1 way, that's a problem. We'll have more people dying @ the expense of greed.
@@mistermilkman countries with more socialized systems are having the exact same issues.
It's a demographic issue primarily. How much of your time in health care is dedicated to keeping bored old people alive for a few more years?
@@frankvonfrauner That's most of my time when @ work. Like I said, it's about balance. If u believe it should only b 1 way, say that. If u push 4 strictly profit, keep that energy when u &/or ur loved 1s need help & r slighted bc helping them costs too much.
In the 1970’s a questionnaire was sent out to doctors asking if they thought they’d made the right decision in choosing medicine as their profession. 75% said yes, they felt they’d made the right choice. More recently, (pre-Covid), the same questionnaire was sent out and 75% of doctors felt they’d made the wrong decision. One of their main complaints was that they felt like little more than pill pushers for the pharmaceutical corporations! ‘Yeah, We got a pill for that!’
Pharma has infiltrated all aspects of care they should be only ancillary
Yes, and this is why I believe that being a doctor may be a dying profession. Statistically, anyway, it is shown that any profession a female integrates in becomes devalued. We willl move to enhancing our nutritional knowledge for healing.
@@joannevans9629 Well… It’s especially bad in America. Many years ago there were several cases of doctors murdering their wives. Pretty twisted cases! They asked a professor about this at one of the med schools and he said that in America where being a doctor carries so much prestige, (My daughter married a DOCTOR!) and they are so highly paid, that the medical profession attracts a lot of characters that would be better suited for a career on Wall Street. So many guys are simply in it for the money. This helps explain why so many doctors are known to have such terrible bedside manners. They really don’t care! “You have stage four cancer and it’s spreading like wildfire and there’s nothing more we can do. You have only two months to live. Bye…”
I met an English lady doctor in California years ago. She was visiting her brother who was studying at a med school there and he was just finishing up his studies at the time. She attended a party there with her brother and his med school colleagues and she said they were sitting around drinking beer and calculating how much they were worth, how much money they’d be able to make. She was absolutely appalled. She said that she earns a modest salary as a doctor working for the National Health Service in the UK. And when I lived in Japan I met many doctors and nurses and I learned that they too just earn modest salaries. Nurses actually earn very low salaries in Japan. So the medical profession in these other countries don’t attract sociopaths looking to get rich.
Of course I’m NOT saying this applies to all doctors in America. Of course not! But there is this element in American society where doctors are placed high up on a pedestal and they are very highly paid and the profession does indeed attract some of these characters.
@@jmseipp I have to laugh. Today my daughter told me about her friend who has ovarian cancer. I go into wanna fix it mode. Over the years I had one boss tell me I should have been a doctor and my daughter has said it many times. The abuse I've endured as a woman in STEM has been been bad enough. I can't imagine how much worse it would be to on top of that have someone to be responsible for. Nurses endure a LOT of abuse.
@@joannevans9629 Yes, I know. I have friends who are nurses and most of them can’t wait to get OUT of the profession! My mother is an RN and she didn’t like working as a nurse either.
I'm an electrician. Was heading to medical school and had quite the realization. Glad I got out when I did.
lucky
Smart choice
The trades seem full of opportunities
Wish more young people would realize that
One of my besties is a family physician. She used to get cranky often. She quit in August and now is a happy stay at home mom. When I asked why she left her 6-figure job, she said her life was full of pushing paper and finding billable codes for needed care. She felt like the big insurance companies were her boss when her patients needed her first and foremost. But now, just a few months in to her new life, she's less cranky and the Mary I once knew has returned 🥳
I'd like to see a total strike. The insurance companies and corporate hospitals have to go.
how would you coordinate strike when there are people dying in beds though
@kennypowers2341 the corporate physician replacements (aka nurse practitioners) can take care of them 🤣 lol good luck
Insurance companies has too much control. My plan has denied my back surgery three times. So I’m living with additional back pain. I will be sending this to my representative today. Thanks Dr Webb
It's even worse when patients like yourself have neurological symptoms that need to be addressed but the insurance companies won't help. Or even chronic back pain that needs for evaluation.
Mama plz don’t get back surgery. Rethink that decision.
@@courtneyparrish8576 who are you to say? what if it's a huge help?
@@stpedro-ht9ng
The thing is, most people with back pain won't/haven't been shown daily stretching and strengthening routines that can alleviate most symptoms. A strong core built-up through 10-15 minutes of daily exercise can do wonders for the majority of back pain sufferers.
Actually consider your self lucky. You are rolling the dice of you expect surgery to fix your pain.
I have a terrific doctor, very kind and thorough. One day at the grocery store I was shocked to see her standing in line to buy lottery tickets. Now I know why.
What was the main reason?
@@Silver6533I would assume to hit it rich and quit!
The government has it set so you can't really win that money! I have played for years and in this last 21/2 years I have seen to much, I know they will not let you win!
Former medical student here: i went to IT field and making the same or more than a FM in my field. Best decision I've made. The US medical system is in a path of self destruction for the reasons this doctor has said.
I'm sure with way less debt too
I agree. I am now in the financial market. The time and money you invested in medicine is not worth the return if you're not genuinely about helping and saving lives. Of course the extra hurdles post covid compound the difficulties of the profession even more.
Controlled demolition of Healthcare. The current system is completely broken!
Im in IT too and it’s pretty awesome good pay and remote work are hard to beat.
@@scottdorsey8220 and banking system to maybe NWO.
My wife is a nurse and their experiencing the same thing…shortages of nurses, burnout, to much paperwork, etc….she comes home sometimes just bogged down and super emotional due to workplace toxicity…the medical field here in the US will definitely suffer mightly in the years to come….
It’s been like that for years. Covid made it worse
It's time to pray and ask Jesus to show you the way.
Okay yeah but all these idiots were fine with people refusing shots being fired and banned from society right??? Right??? Now they gonna turn around and say how much their jobs suck? They deserve it all absolute morons, how many people have these doctors and nurses killed with ventilators or drugs they didn't need?? O no now you're gonna cry how much you're job sucks wow
@@mrike5651 yeah well Jesus NEEDS to show the insurance and bosses the WAY as WELL!
I’m so sick of these lawless insurance companies!
Insurance in general is the biggest and most damaging racket ever conceived.
Most of the country paying 10k+ per year on insurance even if they're never sick, and somehow the pay doctors receive only goes down? Where is the money going? Into the pockets of executives and senators, of course.
I was a primary care general internist and I retired almost 10 years ago at 64. Even then the interference from insurance companies, the ludicrous electronic medical records and incompetent administrators was making my life hell. When I graduated from med school in 1980 I had only $22K of debt for all of my education. I was fortunate to have a good pension and other retirement benefits. I believe I entered medicine at the end of the golden era for primary care doctors, and therefore for patients. What is apparent to me in retrospect is that the whole system was falling apart during my entire career. Covid is just the last straw. Now as I age the problem is finding care for myself.
These changes have not occurred since the COVID pandemic. They have been occurring for years. I entered private practice almost 20 years ago and I remembered back then encountering Medicare cuts, private equity buyouts and hospital takeovers. I think what is happening now is the fact that all of these factors have hit the breaking point. And just wait when AI advances to the point that software replace physicians. I implore physicians to be entrepreneurs and be their own bosses.
My doctor, very excellent private practice doctor that I loved, gave up her practice because she got fed up with fighting with insurance companies and being unable to keep her practice going. Great doctor gone right when I had a family crisis going on and no time to find another one. I ended up sick and having to go to a clinic managed by a huge conglomerate. It's okay, but my doctor is young a has little experience with long term complaints. I am trying to manage my own health with supplements and looking up how to manage my health problems online with natural remedies instead. I have less and less faith in the medical establishment.
@@drewav8r I've been a professional software engineer for about 12 years and have also noticed that the new generation of candidates and young hires seem much more single-mindedly focused on maximizing their salaries than on the actual craft of building software. They accept a hiring offer with a predetermined plan to quit in 2 years or less so they can switch to a different company at a higher salary. And it's hard to blame them for gaming the system like that when the system has so clearly been designed to reward them for it.
But the fact that this generation seems to care less about the underlying craft and finding purpose in the work they chose to dedicate their careers to, and only view it as a vehicle to maximize their high score in some net worth competition - this does not bode well for the long term prosperity and well-being of our society. But frankly, I think it is driven by their recognition of how broken our current system already is, and a belief that their best hope is to do whatever it takes to make it onto the winning side of the class divide by amassing as much wealth as possible as quickly as possible. Again, it's hard to really blame them for this attitude.
@@rdean150 plus the amount of student loan debt new doctors come out of school with is astonishing. The only way they can begin to pay any of these down, is by maximizing their income, by whatever means necessary, or they’ll never be able to pay the loans off, and be able to afford a family, a nice home, and reliable transportation to get them back and forth to the job. Once you miss loan payments, your credit is destroyed, and you can’t get your head above water!
@@kimjane927 I'm sure this is a well established reality to those in the medical profession, but from the perspective of those of us in totally unrelated fields... It is really quite mind bending to realize that the profession we all grew up considering the shining pinnacle of success, respect, and guaranteed wealth is actually an elaborate, multi-decade trap.
So many extra years in school, working so hard, just to graduate and find yourself in a grueling job with insane hours that you can't quit because of the ungodly amount of debt crushing you. Then throw in the bureaucracy of your chronically understaffed hospital being run by a private equity firm that only cares about profits, insurance companies requiring mountains of tedious paperwork, and oh yeah you have to watch people die and both console the families and make sure they don't sue you for any mistakes you may have made in your sleep-deprived, overstressed state. Oh and the service you render is now the #1 cause of bankruptcy and financial ruin in your patients, thanks to this whole arrangement having driven prices up to outlandish levels that are impossible for individuals to afford on their own, which fosters distrust, which delays care, which leads to worse outcomes, and on and on.
I find it shocking that parents encourage their children to want to be doctors when they grow up. It sounds like hell.
Correct and then Covid just took it over the edge
Growing up, my next door neighbor was a cardiologist. I had seriously considered going into medicine. He said that you should ONLY do it if you were passionate about helping the sick - as the working conditions often sucked. Anyway, I went into computer science, and retired when I was 34 with a $5 million net worth.
did all that money come from working for companies as a developer or did you write some software that you sold for a lot?
Smart move. You probably would have been in debt at 34 doing medicine.
I call it..CAP.😁
@@georgemartyn5268 I worked for a large company and invested a lot of my salary, started my own company when I was 27 where we developed custom solutions for people, and I sold the company when I was 34 (last year). I was planning on going a few more years, but I want to be available to spend time with & care for my elderly grandparents. I haven't ruled out working again, but it's nice to be able to focus on my family without worry.
@@PsRohrbaugh any advice for a 27 year old with a (useless) liberal arts degree that is looking to get into software/tech with no previous experience or skills in that field? my goal is to be like you and not have to worry about money (and not have to work jobs that I hate to that end)
As a RN (registered nurse) I'm not afraid of loosing my job or quiting my job because I learnt how to save to invest putting my money back to work to make more money. I'm not just after the money but the freedom to live on my own terms
@@Karty-wq8dkYeah I make 3k as extra income from my investing trying so hard to build more side hustle and extra income
There's a lot of investing options real estate, crypto ETFs but my best advice get a professional lead you into profitable one and make good financial decisions
That's a great idea, an expert will help you make the best decisions about investing
I can't just wait on my 9_5 job. I do more to earn $$ I think everyone should too
Yeah I work with Rachel Blanc, she's a great expert and has been influential in my financial journey, I recommend her to everyone
My primary care physician told me that she's tired of insurance companies telling her how to practice medicine. Also the cost of malpractice insurance is a killer. I'm in sales with a 2 year associates degree, and I bring home more money than her at the end of the year. So sad.
when I was an adolescent with the desire to study medicine, a doctor told me to forget that and to not to study medicine. I went ahead of course and after my first year being working as a doctor mainly at the emergency department I was burnout, suffering from gastritis and desiring to retire hehehe.. now I have been a doctor for around 12 years, but I usually quit my job from time to time to get a rest for a couple of months, taking into account also that in my country, we dont have holidays, so working straight during 10+ years is not an option for me. I love learning medicine, studying, reading, I love helping people with what I know, but the practice doesn't help my health at all, it´s stressful, there is anxiousness, fears, the highest feeling of responsibility, hours without eating, without sleeping, thinking processes very fast and accurately, people relieving their anger and frustrations on you, risky situations, deprivation from the family, missing meaningful dates in life, etc , pluuuussss the bad health care systems and its barriers against the proper practice,.. so you graduate excited for practicing what you learn but you ended up doing what you are allowed to do which is not what is the best for the patients,, many barriers, many problems, lot of corruption and suffering for the patients and their families.. that´s not the stress in an office from finishing an inform or losing money, there is stress from losing lives, which is completely different, unimaginable for people outside the field and is repetitive. I have thought about abandoning medicine, but the gaps I take from time to time make me recharge to continue and because anyway I love medicine, not the practice at all , but the field, and of course the rewarding sense of doing good for others and their gratitude (even when they are not grateful). However, I know my goal is to retire earlier to open a shop of candles, to paint (my hobby), and to be a farmer for myself and my family of course 😌 in a faraway house surrounded by just animals and peace, without noisy cities or people 🤩
I have been informed about a patient who had a fairly routine surgery and who left the hospital the next day. After the patient's surgeon and anesthesiologist were paid, the patients was billed $51,000.00 by the hospital for one night in the hospital. A registered nurse often doesn't make make $51,000.00/ yr after medical insurance is deducted. The U.S. health care system is broken. My question is why are so few health care providers and patients speaking out? Most of us just seem to go along and to say nothing.
I quit my private family medicine practice in October 2021. I was tired, burned out and disappointed in the healthcare system. I made more money in 2020 than I had in ages but the insurance company told me I was not a team player because I refused to recommend the C-jab.
I am a doc that jumped ship to open my own direct primary care office. It is tough. I am surround by the mega groups and I am going to work two Urgent Care jobs on the side to continue to practice. I left the corporate world after 15 years of being in it and being like a doctor puppet. I am primary care and I was burned out in the "system". Now that I am on my own, I will, God willing, make it with my own small solo practice.
In Missouri or Kansas,
You will do well. My aunt opened her own dpc in atlanta and hit 7figure revenue by year 3. That was 14yrs ago. She has made 7figures ever since and has employed 2 other doctors so she is not there all the time
Antonio is a good doctor and a honest man with integrity. I'm so proud of him for speaking the truth.
You make being a doctor look cool. I decided not to go into medicine but I still follow your channel. It is great that you are also using your platform to impact change.
best decision of your life....trust haha
@@13325poop definitely not true. Whatever works for him is the best decision
@@salifusadat3002 Yeah, true. But I just wanted them to know they arent missing much not going to med school haha
@@13325poop Because of the money and the name, your name will be a Doctor, that’s why. To most students thats the real reason in the back of their mind, most Doctors are not making people healthy nowadays, it’s all about the Money.
@@vidalskyociosen3326 healthcare is a for profit joke
I think that after the physician leaves they are replaced with nurse practitioners and physician assistants. Might be very dangerous
I heard many people going to PA and calling them their doctors. Seem like they are conglomerating the PA/NP them as physicians, which is a huge mistake. There is a ploy to not pay doctors as much as they deserve because some of their jobs can be done by an NP/PA who has far inferior knowledge than a physician. If they had the same amount they would be doctors too. I hope these people's lawyers are on standby because I know some NP/PAs who are just as arrogant as physicians that think they are better than physicians; in which I see lawsuits compiling in some hospitals.
PA encroachment is an issue in certain specialties like ER from what I've heard. It really depends. As long as their is a physician staffed to monitor decisions being made, it can definitely work. However, it's more of a risk when a PA is being forced to make medical decisions that require more extensive training to manage complex patients.
@@ronaldstewart6332 no one (at least I’m not) disregarding your education and experience. And, yes, you are just as liable with your license. What I’m saying is that there are times when people are placed in situations where that responsibility needs a higher titled person. Not every PA may think as critically, be as responsive and think as quickly.
I watched a documentary (actually here on TH-cam) where a family practice nurse practitioner was working in the ER and misdiagnosed signs and symptoms of a 21 year old female having difficulty breathing and chest pains. She was on birth control pills. The NP somehow was alone in this ER, and overlooked this. Patient died. Maybe this NP was incorrectly assigned to this place? Not sure. In over her head? I guess so…
@@ronaldstewart6332 I’m not confusing the PA to NP. The NP role seems more limited in their clinical hours of training and the scope seems narrower. But I don’t think that either can fully replace a physician.
@@ronaldstewart6332 Lol why would your training be tougher than a physician's? You're a PA after all and went to PA school not medical school. Everybody knows medical school and residency, which you also did not do, are tougher than anything any PA goes through, or PAs would be the authority in healthcare rather than physicians and paid accordingly. But they are not, because the PA roles are there to extend/assist physicians rather than the other way around. Drop the ego, as this is part of what the above commenters were talking about, i.e. some midlevels not staying in their lane and acknowledging that they have less education than physicians. It's dangerous for patient care. If you didn't want lesser training than a physician then you should have gone to medical school and become a doctor instead.
Gone are the days where it was just you & your doctor. A whole corporate/gov't healthcare apparatus sprung up to be the middleman nobody asked for and absolutely complicate the lives of doctors & patients.
@@jimbell3242 By attaching hulking HMO's & corporate interests to doctors, they gov't has made healthcare costs much more expensive & lessened doctors income. They should've called it the Unaffordable Healthcare Act!
thank you for sharing this. My primary Physian has cut his time from 5 to 3 days a week.
It is very overwhelming. I work in medical reimbursement and I truly do hope I find a way in helping solve the issues in Healthcare. I think about this daily. I have so much respect for the medical staff. Sending you all love and respect.
As a patient, I am living with shoulder pain because some non physician in a room somewhere decided that my treatment plan is not medically necessary. My physical therapist is amazing and went above and beyond to squeeze out a few more appointments, but that is time she spent away from patients to do that. It’s insane.
My nurse practitioner did the same as well when I asked I have a problem with my back and a Uti he says take a Tylenol but when I enterrupted and said do I need PT or a urologist he said oh I'm too young for that; and I don't need it.
Would you be willing to consider chiropractic or acupuncture for your pain? These practitioners generally have uninsured or insurance doesn’t cover cash rates, and they provide excellent care.
Try red light therapy. Do your research. Photobiomodulation. Far and near infrared light therapy. Infrared saunas.
That is despicable! Thank goodness for a dedicated physical therapist.
Don't accept that you need professional help. You can do it yourself. There is a world to discover of DIY health and we are all going to have to become familiar with it. Don't just give up.
The Affordable Care Act (2010) required the formation of accountable care organizations, which resulted in tipping the scales in favor of hospitals rather than single specialty medical groups. The medium sized single specialty groups ( 10 -20 clinicians) were much more people oriented and flexible than the behemoths that gobbled them up. Many of us retired early rather than finish medical careers which were unsatisfying. You're correct about the static Medicare reimbursements - my final 13 years saw no increase in reimbursements. Thirty seven years in medicine was enough.
“We voted for it”
Im a primary care physician in Florida. I can say that as much as insurance companies controlling how I practice sucks, it is not why I want out. For me, I am burnt out due to my schedule of working 8 to 5, Monday through Friday seeing up to 20 patients a day just to fill the pockets of a corporation. I am tired of being 1 person who is responsible for over a 1000 patients and growing. Think about just that fact alone. It will hit you once you think about it for a while. I am tired of not only seeing patients in clinic, but also listening to their complaints virtually. Yes, doctor's have to respond daily to messages from patients in between seeing patients. Many times these messages are a waste of our time, but must be answered per corporate policy. And lastly, the patients themselves. The entitlement, the demands, the disrespect, the family members who come with patient to observe you/judge you. This alone, makes me wish to leave this field. Doctors sacrifice so much to be where they are in life. Take on so much debt, delay their lives, give so much time. All this, just to have ungrateful patients that only want to extract from their doctors. I've been working for over a year and have over a 1000 patients. I try to do my best every day. In that time, I have only received 1 gift from a patient. A coconut water. It's sad. Not like the old days anymore. Doctors are just tools to be used until they dull.
That's true, but take into account your bedside manner, the time you spend with patients and their personalities. I went to the derm once, she didn't even want to come near me and tried to dx me from a distance, I didn't even have a flare up. I didn't like her personality, her bedside manner was trash, I cancelled my follow up appointment and never went back to her. I went to another derm to check out a mole for cancer, he told me there was another pt whose condition was worse than mine that he was attending to. He spent, maybe 2 minutes with me. I understand your experience. You became an MD with expectations. When patients and their families go to see you, they have expectations also. Just something to think about.
Simple. Joe Brandon Biden and the Marxist FUBAR "health care legislation.* Anything Brandon promotes results in chaos, ineptitude, and Marxist SNAFU health care dystopia.
I appreciate your work
I am not an HCP, but I can see the insane problems building up in healthcare. . You don't owe anyone, There is no point in working yourself to an early grave. One option is to consider is to just limit your hours to 40 a week or to the level your not getting burned out. What ever you decide to do, I wish you the best!
@@culluts2755 Yea, considering the fact we are paying an arm and a leg and probably had to wait for an appointment it’s no surprise that they are excepting their problems to be addressed to their liking. People are dying and have all sorts of health problems that often get ignored or treated like it’s some case of just take this medication and go home without feeling like they’re even being listened to. That leads to people seeing medical professionals in a more judgmental light. You can literally feel the level of apathy a lot of doctors have towards their patients and their concerns.
I don't understand how insurance companies can make decision above their pay grade. I remember years ago I was up late end ended up on C-SPAN. There was a doctor, I think cardiologist but not positive now, anyway she had to go to the emergency room for heart issues. The ER prescribed a particular med and when she got to the pharmacy they told her that her insurance said no that she had to take this other med. She said had she not been a doctor and known that med the insurance told them to give her it would have killed her if she had taken it. Sounds like this problem has only gotten worse.
Unfortunately most people can get away with the generic form. Sometimes they can't like in that dr's case.
Luckily most medicine companies have vouchers to get their meds very cheap. The problem comes in with insurance. I know even with the voucher my insurance tries to block me from using it.
Decisions by insurance companies are backed up by physicians who know the effectiveness and relative costs of different approaches according to research.I don't think the average physicians are tuned into this viewpoint. The insurance company is trying to lower their premuims for the patients who can be totally lost as a consumer. This needs to be addressed also in discussions. It's more than just CEO'S wanting to be rich.
I honestly think it’s time for each of us to take our health into our own hands. We run to pills 💊 for everything and very few are willing to make any lifestyle or dietary changes to facilitate healing. The decrease in general practitioners may force people to take better care of themselves.
Also the vast majority of what allopathic medicine does for chronic illness is actually detrimental to one's health.
@@naturalsleepcoach42 Who cares about that stuff, we’re talking about proper diet and exercise here.
Just because the American health system is so bad doesn't mean you have to run away from evidence-based medicine.
@@naturalsleepcoach42 Or it helps people to live a productive life and keep up in a stressful world and lets them push through debilitating symptoms.
@@stpedro-ht9ng Here’s some evidence based medicine: Diet and exercise, living a healthy lifestyle, will keep you out of the hospital more than anything else. Especially more than simply taking the expensive pills made by pharma companies.
Also T Chan School of Public Health at Harvard are following 20,000,000 Covid patients in longitudinal study, including 4,000,000 with Long Covid-19. These are people were diagnosed by MD/DO with these ICD-10 codes. One in five people with Long Covid-19 in these 4 million are health care workers, including MD/DO and mid level Providers. I’m a RN Case Manager for a Teaching Hospital and 8 community hospitals. About half of our practices have lost Providers, some from Long Covid.
Thank you Dr. Webb for addressing this, but I think that one key factor you missed was that a lot of people are in subspecialties/ medical fields that weren’t their first (or second) choice in a lot of choices. This is unfortunate, but whereas there are a lot of people who choose their field (primary care, general surgery, emergency medicine, etc) on their own, a sizeable chunk of people in medicine are in fields that they were “forced” into due to the competitive nature of their original desired specialty. A lot of people also have an idea of the specialty they want to pursue going into medical school and when that dream doesn’t materialize, it sucks the drive out of them and they end up in a job they have little to no interest in only working to pay off their student loans and upcoming bills. Thus, a potential 35-40 year career transforms into a 15-20 year career because a lot of these docs leave medicine for another field they have more interest in (eg, real estate) or they may even just retire overseas. This factor isn’t talked about enough.
I went to medical school. this "factor" you're talking about is a statistical impossibility.
To get your desired specialty, you'll have to be top 5%. This means that **95%** of EVERY doctor will statistically be NOT doing their first choice. This has been going on for decades and decades.
SO.....if 95% of a doctors have this problem then 95% of doctors would be leaving medicine.....not just recently, but since the dawn of time.
No.
statistically, mathematically, factually 95% of doctors have NOT been leaving medicine in the last 100 years. Something new or different has happened recently, and it's not "didnt get my first choice."
I work in L and D, and we have lots of doctors quitting the OB portion of their practice, and it's no surprise, we even just had one retire like ten years early! Long hours, high liability, it's not worth it!
This is terrible, in Puerto Rico is happening the same, most doctors are leaving the island to work in USA or just quit, if they don’t do something the health care system will colapse too in the USA, right now in Puerto Rico to get an appointment you have to wait from 1-3 months because ALL doctors are overly book since there is not many doctors as before
I know we need to punish those insurance companies
It's like that here now too, even if you are bleeding to death...just go to the ER and wait 3 months for a GI MD, no one cares...
I left after 10 years. Stress, low pay, and extremely toxic work environment. At that point, it was a choice between my mental and physical health or a total breakdown. I chose to get my life back.
What are you doing now?
It’s making me question becoming a doctor.
Yes I quit 3 years ago because I was tired and burned at 57 years.
This sounds like teaching. We have people that have never taught or been in a classroom or met our children making decisions and mandates on how we need to teach in our classrooms. So evidently this happens in other fields as well.
I was thinking the same thing. I am a hs math teacher that is considering entering the healthcare field, but thinking about it long and hard.
The same thing is happening in the dental field man. I hate being told what I can and cant do for my patients based on their garbage insurance.
I am a Nurse and I can say that he is right. We can't get the orders we need working on the front lines due to insurance companies and increasing numbers of the poor population. It feels like stepping into a boxing ring trying to care for patients the way you know they need it.
I closed my FM practice because I was the last to get paid. Almost 4.6 months a year went to overhead, Almost 3 months for taxes, so I worked all year for more than 30 yrs to get paid the last 4 1/2 months of the year. And this was getting worse with insurance companies demand for paperwork, prior authorizations , medical records, and patient demands.
Wow. Thanks for sharing doc. Medicine is definitely not the same
@@jimbell3242 not their fault, they want their needs taken care of, and staff can't keep up as they have to play by insurance plan's rules. So my staff gets the burden. So if they are damned it is not because of us.
Medicine in the US have become a monopoly in which private organizations get all the profit while the physician gets the scraps after years of sacrifice in medical school 🤷
My daughter is a doctor and she is still working and it’s 8:00 PM and I don’t know how much longer before she comes homes. The notes that the government requires are so time consuming, she works for hours still typing those notes. One week even long before Covid she worked 7 days so long that she never got to even see her daughter at all. They work so hard and so long and they are cutting the reimbursements for the 3rd time and they hardly pay anything for Medicare and Medicaid.
True talk. Doctors, Nurses and Scientist are leaving jobs like crazy. Burn out, decreased compensation, elevated disrespect, longer shifts and work time plus increased work load, not to mention excess politics, nonsense policies, nonsense paperwork, decreased autonomy and unnecessary stress.
Scientists?
@@ColonelFredPuntridge Yes
WOW! I ran across Dr. Antonio Webb's awesome platform by mistake. I am not a medical doctor. I am researching for a treatise I'm writing: Fight for Your Life: How To Survive When Healthcare is dictated by non-doctors. I can't wait to view your series, keep it up, and spread the word! Your series is even more meaningful now, many providers are anxious to hear your message! NEVER SHUT UP AND NEVER GO AWAY!
Not only in the medical field it’s a burnout… in the pharmaceutical industry it’s a burnout as well. Where I work at we’ve had over 400 prescriptions to fill. Seems like when we get it down to at least one hundred or so it ends up being the same amount or more when I get off work. This is on the daily.
Man, that sounds like my friend in pharmacy. He tells me stories of what he deals with. In a funny way, it makes me happy to be a physician instead of a pharmacist as well.
Here here!
It is discouraging not to have the feeling that your work is finished. But there are always more patients needing prescriptions filled.
That’s included in the medical field I believe. I work in the lab in a cell therapy lab. I had to change my responsibilities to more of a qc side so I could have time for school but I’m not even upset about it anymore because they had us doing overtime to create stem cell products that would be infused into cancer patients. We would have to be on call, work late with no overtime pretty often, and barely got any holidays off because of the hospital hours. I’m not the type that wants to dedicate my life to anything anymore. I value my me time and mental health
Big Pharma is just as bad or worst than acqusitions, medicare, medicaid. The agenda at hand is Control by anymeans necessary where big corporations are concerned. We have to wonder why do we vote for people don't really have our best interest at heart? Politicians are willing vessels to provide everything corporate wants.
Easy:
Long hours
No respect
Dwindling pay
Increasing demands
Increased nonclinical workload
Poor quality support (admin and clinical)
Constant pushback when you try to do the right things because people are lazy
Medicine has become overwhelmingly political
I could go on but I think this is a good starter
I am struggling with long hours and feeling burned out . I will not miss practicing medicine when I retire . A part of me feels badly for the younger generation of physicians. They will encounter worse working conditions and even more unrealistic expectations.
This is crazy. In Canada right now we are in a health care crisis. Doctors and Nurses are leaving the profession to go to the U.S., but if they face this down there when a corporation takes over every aspect of the American medical system, Where else are they going to go? dear god this is bad in North America.
Good day Dr. Webb and thank you once again for educating us on what's going on in the medical world. I think it's so sad, that the impact of COVID has had such a devastating impact on the worlds economy and just overall world economic morale. I had no idea that the medical field, on the backend, suffered such a loss as well. This is an important bill and thank you so much for bringing this to light for us. I'm for sure going to be sharing this out on all social media platforms and reaching out to my local government for information because I, myself, depend on Medicare/Medicaid for my medical needs. I live in Raleigh/Durham NC, the city of medicine as it's become to be known as and I think this is super important info to know living in such a highly concentrated medical mecca! Well Dr. Webb, be well, be safe and Merry Christmas and Happy New Year to you and your family! Peace & Blessings
It does dampen a bit my desire to pursue medical school but...its a topic that needs to be spoken of. I am thankful for your videos.
Finally someone is coming forward and speaking the truths. Health care system in US has become so bad particularly the way how Insurance companies are dictating how a doctor needs to treat patients and avoid paying to doctors is mind boggling. There has to be a wide spread moment to preserve doctors inrests in US otherwise in 10 years time, US is going to face severe health care crisis.
The truth is that we need a public system urgently
@@mikerivera5314 no it's cuz Obama care destroyed the way doctors get paid
@@mikerivera5314 the healthcare isn't the problem. It's the industry ran by the government that has destroyed us. Greed. You're a genuine piece of work if you believe the government will try to fix a problem they created
@@villaniousmustache4898 we need to have both a public and private sector regardless think about who's paying for 90% of the Private medicine the government (us) with medicaid Medicare so lets cut off all the fat and make a one public office for all and see how cost will go down. if you want. to be private go ahead good luck.
@@villaniousmustache4898 exactly let them charge for there visits and take the insurance companies out for does who can't pay them well we will provided them with a public hospital.
Corporations have ruined care. They put these strict windows of time on how much time a doctor has with a patient and they are not remotely realistic. To the paperwork comment - my PCP is there for HOURS after patients have come and gone to do paperwork and I mean if the clinic stopped appts at 4pm she is still there at 8pm filling out paperwork. The work life balance is non existent and many report they do not even get to use all of their days off. The nurses at a hospital during COVID told me how they did not get paid sick time if they did get COVID and simply got unpaid leave and if they became ill long term this could affect their potential to retain their jobs. Imagine working around sick people when you don't get paid sick time?
Many doc's are suffering with burnout and the fallout from all the "c-19 injection" injuries.
Dentist here. We have many of the same issues that you mentioned in our profession as well. Namely, more burnout and more corporate dentistry and being squeezed by rising economic overhead. However imo the most discouraging trends are 1) Major uptick in more insurance companies denying more claims without good cause and the bureaucratic headache of the paperwork to appeal denied claims. 2) insurance fee schedules not only not rising with inflation but actually decreasing in many instances. Insurance companies are in the business of collecting more in premiums than paying out in claims; whilst adding a layer of paperwork without actually contributing to patient care. If anything insurance can potentially adversely influence patient care. Luckily in dentistry we have a higher proportion of cash patients, at least for the time being.
Applied to medical schools 3 years ago, and withdraw all my application when I calculated out 300k to 400k in student loans. I decided instead of chasing my doctor dreams, I'll chase financial freedom. 3 years later, 250k salary, no debt, and loving life.
What did you do to get that 250k salary?
@@Rizzal169 Healthcare and tech, working 1 full time job and 1 part time job, 60-80 hour work week. Leveraged my current salary to tell employers, if you want me to work for you, pay up. 4 year of medical school and 5 years of residency for 500k + in debt or 2 million dollars net worth in 9 years. I decided 2 million dollars.
@@jackstar254 Thanks for your reply. How’d you gain the skills for tech?
@@Rizzal169 Work full time and do an online 2-year degree or 4-year degree in tech. Instead of using all your time studying for medicine, use that time to make money.
@@jackstar254 Which degree are you getting? Does it happen to be data science related?
2 stories that support this video.
1) A family member, a doctor, basically said the same thing about all the paperwork that is required of doctors by the USA in the 2020's. It takes up valuable time the doctor needs to spend with the patient, and leads to doctor burn-out.
2) A friend had gone to an eye-doctor who, for many years, had advised against Lasik surgery. Then there was a change in the insurance policy, so that it became financially beneficial for this doctor to recommend Lasik surgery, and that is exactly what he started doing, reversing the advice he had been giving his patients for years.
I am not a doctor, but you hit the nail on the head! I worked in retina as a scribe in a practice that was acquired by a private equity firm! Within a few months, the doctors ended up seeing almost twice as many patients, changing to a new electronic record system that they would have to learn to use (at least a little bit😅) and literally given away any sense of autonomy in terms of operations that they had previously. Definitely lost some great doctors in the process. Also, with the CMS guidelines, every medical encounter turns in a session that needs to address external factors like smoking cessation, immunization schedules, long-term care, and the list goes on. Insurance companies also use outdated metrics and approve medications that no longer work well, or in some cases, have not been prescribed in years. Patients feel it too, a lot of time they wonder why they are asked irrelevant questions to the specialty or throw around the words like “factory” or “assembly line” in describing the level of attention they receive in-office. All of this goes hand in hand with the general trend that things cost more, and there is always someone in an office somewhere trying to make more money while doing less. Doctors invest years in terms of advanced education and personal sacrifice to be able to treat their patients, but that is becoming less feasible and becomes a big factor today when future generations consider a career in medicine. That being said, doctors are always needed because their skill set is invaluable across a broad range of specialities when compared to their PA/NP counterparts and that should never be diminished. Thank you for speaking on this, Dr. Webb!
I agree with everything you said! Though the end part about PAs/NPs is a non sequiter, how is that in any way related to the truth you just mentioned prior?
@@cbl6520 I agree with you too. I stand by the rest. The PA/NP comment was unnecessary and supports nothing else I said. I appreciate you for pointing that out.
@@Tboneman35
Fair enough! I think that regardless of credentials or training, we should all be aiming to practice at the top of our scope and share the common goal of collaboration to provide superior care for our patients, whether said collaboration be supervised or unsupervised. 😁
@@cbl6520 Well said! Plus as a patient, it doesn’t matter anyway for the most part, if the provider is good, that is who they want lol. I had ENT surgery and wouldn’t trade the PAs I’ve seen for the surgeon for anything, because they fits what I needed for care at that point. And that is ok. They were all exceptional at what they did and worked together seamlessly.
I also worked in Retina as a tech. Its ridiculous how many patients we see..doctors have no time to talk to their patients if they do we can backed up and clogged
I have three physicians in my immediate family, and a lot more in my extended friend group. My hubby is a family physician, his brother is an OB/GYN, and his daughter is also a family practitioner. By FAR their biggest source of stress has been COVID-related, and the overwhelming majority of their complaints has to do with patients putting themselves in the position of the expert because they watched a news program or listened to a podcast.
American society has become absolutely stupefied on every level, and it's placed a massive strain on doctor-patient relationships. At least from what I hear friends and family saying.
Some patients are right regarding COVID-19 vaccine.
Abnormally large blood clots are commonly found postmortem.
Pfizer is pushing for a 70 year lock-in period for Covid-19 vaccine trial studies.
You mean people doing their own research is hurting doctors ability to act like they know everything? Wow would have never thought that information could make people question things instead of just blindly accepting pills and treatments.... lmfaooi
@@bboywolf Well, the next time you need open-heart surgery or your house rewired or your car diagnosed or your portfolio completly reworked, don't bother asking a smart person.
Just do your own research.
In fact, why don't we have Harvard mail you your PhD in Physics while we're at it?
@@JediNiyte appeal to authority fallacies are so funny. I wont need open heart surgery because i work out 5x a week and eat whole foods 🤣 meanwhile youre probably overweight and on some type of prescription. Actually most people are already weary of "experts" and learn a little about things like cars or their own house so they dont get ripped off. Its called being american, genius. Youre in favor of stopping people from informing themselves of things they can do. You want "experts" to have full control for what? You think there are no terrible doctors? No terrible lawyers?
@@bboywolf Let me break this down for you. I'm an exercise physiologist with a PhD; I specialize in geriatric health. Now, I don't expect you to give two shits about that; trying to talk to you on that level would be like pissing up a tree and expecting to create a working fountain.
So, let me try this. I'm also a Brazilian Jiu Jitsu practitioner. (For your information, I'm 5'7", walk around at 230 pounds, and have about 13% body fat.) I personally wish everyone would try Jiu Jitsu at least once. Because here's what always happens. Every person that steps onto a mat thinks they can handle themselves well in a fight. However, that idea goes away 10 seconds into their first roll when they get absolutely rag-dolled by some unassuming blue or purple belt they wouldn't have given a second glance to outside the gym. Peoples' egos get crushed and their entire concept of the world changes because -in that instant - they're forced to reckon with the fact that they did not know what they thought they knew. I can't tell you the number of people I've encountered who HONESTLY thought they were capable fighters, only to realize that they're at the bottom of the pack, just like everyone else. Jiu Jitsu doesn't let you lie to yourself.
Unfortunately, that sort of thing doesn't happen with most skill sets. I deal with this all the time. The number of people who spend a couple of weeks on the internet listening to podcasts about working out and eating well who then turn around and act like they have a real grasp of the subject matter is STAGGERING. The problem is that I have no way to explain to an untrained person that the other guy is full of shit and really doesn't know what he's talking about. All he has to be is marginally more charismatic than I am and everyone else will be on board with him. Now, people that understand the subject matter immediately know the guy's full of shit, and they won't fall for it. But good luck trying to convince the wider public of that.
On top of it all, we live in a culture that has developed a very real antipathy towards expertise. So, it's fashionable to think you know more than people who've spent decades working in their respective fields. Tie it up with your national identity and suddenly you have people who will ABSOLUTELY die on the hill of not knowing anything.
There's a difference between an appeal to authority and deferring to someone who actually knows what they're doing. But, thanks to the Dunning-Kruger Effect, that's particular nuance is going to be lost most of the time.
I've worked with forensic pathologists who've abruptly resigned after burnout from increased workloads after Covid was in full swing. Many medical examiner/coroners were inundated with heavy caseloads & the demand for expediting more cases daily with no end in sight created turmoil.
Drs went from business owners to working in for corporations. Not surprising they are frustrated and burnt out. As a patient I stopped going to the Dr since the corporate medical system only allows my to see medical technitions and charges my insurance for a Drs visit. I'm 58 and have not went to the "Drs" in several years even though I have full insurance. I got tired of paying for champagne and getting beer. I even have a PhD in physics and I feel this way.
America's best days are long behind us. IMO. This is indicative of those in education, sciences, civil services and military etc..
What is still a good field to consider working in in the US then? Sincerely looking for options.
@@kristenturner1222 Kristen. I honestly don't know. I wish I could give sound advice on something so important. Except to say if you are genuinely wondering and seeking pray. HE can help you and lead you if you believe. It's really not just a US problem it's amoral people throughout the world. I have a biblical worldview. We all need God (nations and individuals).
As A psychologist I have had insurance companies tell my what problems I was allowed to treat and if my notes didn't show what they wanted they would deny my claim.
What’s truly terrifying is that at some point we will be left with doctors who question nothing and do only what they are told to do by the pharmaceutical companies and insurance companies, we are almost there now.
We have been completely there for 2 years now.
This is happening to a lot of institutions within society. You have politically correct training in the military. You have teachers and school administrators focused on teaching kids activism instead of math. You have colleges pandering to the least intelligent among us instead of the most intelligent. This all creates a sort of Bottleneck effect and overtime will lead to the obedient and unquestioning filling the majority of positions in these fields.
Burnout being that prominent in the medical field tells you all you need to know. The politics, bureaucracy, and losing autonomy makes most medical jobs completely miserable, and borderline impossible
Here in Delaware they have restricted the supply of health care with certificate-of-need (CON) programs. These programs prohibit health care providers from entering new markets or making changes to their existing capacity without first gaining the approval of state regulators.
Big dawg it's tough to be a doctor so many years and nobody's willing to sacrifice themselves
Covid , in part , was to get rid of the little guy in every field , Including medicine . ( also forced jabs )
Every time you hear of a shortage in the industry, it isn't a lack of qualified professionals. It is the lack of qualified professionals willing to work under terrible conditions.
As a lay person who has lost all faith in the medical establishment, I see everything you said here as one more reason (on a list of many) to leave the US when I retire in a few years. Insurance companies and corporate hospital groups have made American health care a disgrace. Fortunately, I am a very healthy person, but I don't even have a PCP and I rarely go see a doctor at all anymore because I have been so underwhelmed by the care I have rec'd in the past. Many other countries have figured this out, so what is our problem in the USA?
Extreme capitalism and lack of conscience.
@@wonderwhy2335 Extreme capitalism? As opposed to what, turning it all over to the govt? There are only two choices, either healthcare remains private or the govt controls everything and if the govt takes over, the entire system will collapse.
Greed is the USAs problem
@@nurhayat81 Greed applies to the entire planet, not just the USA. There are Dictators, Strongmen, Warring Factions, Warring Tribes, Military Junta's, etc who steal the wealth of their nations for their own greed while others suffer. Don't just single out the USA.
Exact same situation in Canada with lack of PCPs, especially for men.
The socialized systems around the world are suffering too. The cost of medicine is increasing exponentially and there are hundreds of billions of dollars invested every year into new technologies and drugs and everyone feels entitled to the best of it, a lot of people even believe that limitless access to health care is a human right.
Our perspective on what medicine is is what's really the problem. Because of our demographics we're sliding into a care based economy, and we need to start making very unpopular, very uncompassionate decisions about what medicine is going to be heading into the future. We can't simultaneously pursue the best of future tech and expect our best and brightest to do it for poverty wages, which is the only logical direction. Then there's the whole discussion of the cost of medical training and the balance between need for those workers and the financial stability of those institutions.
When the average age of western populations is in the 50s, and 30% of our population is in need of daily medical care, how can we possibly pay for that? And I'm not talking about printing money, I'm talking about resources. Economically, how can we afford to babysit 100 million people around the clock and have any semblance of a functioning society?
These are alarm bells that are going off, they're not the disease, they're the symptoms.
This is an existential crisis we've created for civilization, and the only solutions I can see are things like denying socialized and subsidized treatment to people over a certain age, which will never happen in the US because the average age in Congress is almost 80.
That’s what I like about consulting with various schools of medicine like Traditional Chinese, massage and Holistic medicine. It’s cash pay, no disputes with a middle man, and generally a higher quality of care.
Thank you for informative, heart felt video ! New to your channel. I am a veteran , been in private prac since 1992-GYN only since 2011- gave up OB in favor of parenting my then 9 yr old son -as single Mom and business owner -couldn’t do all 3 well-have been open and don’t plan to close during COVID --being able to help women thru menopause , pelvic pain , bleeding etc , IMPROVE somebody’s quality of life , to be there for them , to hold their hand and give them support - that’s why I don’t quit . corporations have destroyed medicine …Financially , it’s a disaster … insurance co .,do not reimburse us for our hearts or minds -they do not realize medicine is an ART not an algorithm .
Thank you for your honest straight forward commentary. As a patient who is seeig a reduction in services this explains much. Good luck.
Same with us Therapists, many opt out and go private and do cash only. Many people dont understand the soul sucking principles of corporate and health, it DOES NOT MIX! they sucked my soul for 10 years and I jumped into pp, although I do accept insurance, I am 100% happier being on my own. I cant tell you what was worse; the CEO''s or the supervisors/psychiatrists in these health agencies, absolutely awful!!
I’m a surgical sub specialist. They are quitting because they can. The goal of insurance companies is to collect premiums and deny claims. They along with CMS want services and would like to pay zero dollars for said services. They control the pen of legislation and the purse of payment. We are considered loss & waste on their respective spreadsheets. Patients want their needs met, don’t want to pay a dime, blame us for their crap “insurance” and think we are all rich. It’s a near perfect crime.
Docs are forced into surrendering autonomy completing the circle of commoditizing our profession.
As long as people are killing themselves to attend medical school (and they are) and continue to gather insurmountable non-dischargeable debt the cycle will continue. WE (and by that I mean all providers of care) are the only cog in the wheel of medicine that actually provide a valued service. WE are the only ones driven by ethics, morality and to be honest, a fair degree of remuneration. I wish I had better news. We are essentially powerless and nothing will change until collectively or individually we say “NO”.
Unfortunately speaking truth to power is a risky proposition.
Keep up the good work!
I am honestly the kind of guy that loves every core rotation that I have done. I’ve loved learning the awesome science behind it, and getting to meet and help the people that benefit for it. Now it seems like the industry is just beating doctors to not care about their patients and just struggle to keep to a quota. It’s moral injury having people with several issues but having to rocket through them to get them out of the door on time. Just feels like my medical education always prompted patient centered care and actually caring about the patient, but the practice has been changed to be about being overworked and meeting ends meet
Thank you for lending your voice in this, Dr Webb.
Yes, the bureaucracy is beyond ridiculous. For every 1 doctor and 1 nurse there's between 10 to 20 administrators.
After five (5) years, a doctor friend (they only one) retired and started and funded a children's hospital in the Philippines. Every month, the check that she got made her think she had won the lottery. The AMA restricts the number of doctors produced in the US to protect their salaries.
Imagine slaving away the best 1.5 decades of your life just to become a glorified drug dealer for big pharma and slave to insurance companies
People are sicker today, than they were 50/60 years ago. That doesn't make sense. More diabetes, more heart issues, more cancer, and the like.
more gly in the food
Medicine in the US is doomed. I m 12 years post-residency and I m still relatively young. Have been considering leaving for over a year now. In private practice. Frustrated with Low reimbursements and high overhead. Extensive documentation. Went with private equity thinking it would be better but it got worse. Prior to private practice, Miserable as an employed physician for 6 years. Really love saving lives but hate how the practice of medicine is in the US. I love medicine so much I am sad I feel this way about it now.
Amen brother. As a Emergency Medicine physician for 22 yrs and private democratic group I recently had to become employed and took a 65% pay cut. I am still in the ED but I opened up a medspa with a partner and will eventually leave EM and just do the Medspa. I want to control my destiny and my practice. Health care is a joke. We have great sick care but bad health care
Simple. Joe Brandon Biden and the Marxist FUBAR "health care legislation.* Anything Brandon promotes results in chaos, ineptitude, and Marxist SNAFU health care dystopia.
as a independant contract nurse im making more money than my buddy whose a ER doctor its insane how low MD's are payed im so glad i did nursing over medici;ne
I stepped away from medicine. And I’m at peace with my decision. Would I love to come back? Probably yes… but thinking of the system I’m like no I’m good.
Dr. Webb! I’ve been following since my freshman year of college and now I’ve been accepted to 4 med schools. Although I’m excited, the trajectory of medicine is very scary.
You are still not deep into this Shit , better look into other options especially if you are going to come out of med school with a big debt and excruciating exams that too need big money then the residency application expense, and low residency pay for years , list goes on ..... Good luck
@@z.r9699 AGREED.
Drop the idealism. Also, you do not need this for your ego....I hope.
Get out now. Do NOT go to med school. NOT WORTH IT !
Don’t listen to people on the internet! Do what you want and what will make you happy!
Unlike the other negative Nellie's, CONGRATULATIONS!!! You worked so hard and deserve those acceptances! I hope have the best time in medical school and in the future.🙌🔥
Unlike the other negative Nellie's, CONGRATULATIONS!!! You worked so hard and deserve those acceptances! I hope have the best time in medical school and in the future.🙌🔥
I'm glad I decided to NOT go into medicine. I saw the writing on the wall when the hospital that my grandfather was in for his burns was just letting him die until..... After that I learned how brazen some of these healthcare workers are when it comes to people's loved-ones. Death panels have been here for over 20 years as far as I'm concerned. The COVID protocols just solidified what I already knew. Those were bad orders and directives from on high (pharmaceutical companies). I'm glad someone could stomach it and BE the difference.
I didn’t realize how nasty the insurance side of things was concerning the medical field until I started dental assisting.. and I was considering becoming a dentist but idk..
I also learned about the shortage going on in the medical field with different specialities. But I feel like there needs to be more support with medical students or more programs to push more teens & young adults (including myself) to have a want to join. I’m hoping changes are made so we can fix these shortages so people who are passionate about their work can do is without having to question themselves.
They aren't shortages. The cost is artificially low because of VC investments and government intervention.
It's like saying we have a Ferrari shortage because everyone who wants one doesn't have one.
Simple. Joe Brandon Biden and the Marxist FUBAR "health care legislation.* Anything Brandon promotes results in chaos, ineptitude, and Marxist SNAFU health care dystopia.
As the person above said, there isnt actually a physician shortage, there are thousands of medical students every year who dont match into any residencies because tge government refuses to open up more residency programs, old physicians dont want more physicians because that means a pay cut and more competition for jobs, and the ama isnt doing anything to fight for this either.
The same thing that is happening in public education is also happening in the medical field. Sad!
Government and military, too.
I think we should focus on hiring more women. 🤭🤭🤭
Oh, it's also happening in technology work, too!
@Reinhard Strudel In Spain, there's a law being discussed which would allow women PTO while they're menstruating. 🤡
Are you willing to pay for their blood? Maybe we could just pay them to stay home all the time...
At this point many careers have issues
Former medical student here. My advice is go into medicine if you really don’t have anything else going for yourself (ie. no other passions, goals, dreams etc.). I lost everything that came into my life (love, money, and family) so ask yourself if you’re willing to give up all those things. If so, then go for it. The worst is when your family sets standards and deadlines for you
You can get it back in a way..but might as well cut off that toxic family. Mine is toxic as well..but doesn't bother me anymore bc i see through it and have found my real tribe
@@nmc1859 I agree man. It’s best to cut it off. But it’s damn near impossible when they pay for your education and cost of living throughout schooling. That’s how it was for me, so I suggest folks also assess their financial situations before taking on that challenge
@@bradpitt5595 true. Doesnt mean they aren't toxic / narcissistic.
My parents are broke and toxic, so guess that's one thing i didn't have to worry about.
Merry Christmas + take care
This is exactly what my uncle (internist) said. The more I look around, the more I see it’s true
Medicine is a delicate balance between art and science. The physician, after years of training and practice, is an independent thinker and scientist. He/she has to navigate the daily rigors of patient needs and satisfaction while at the same time meeting astronomical metrics set by hospital administrators. Hospital administrators and corporate America do not want individual thinkers. They want push overs that will follow instructions. Administration decides what medications and protocols that the hospitals will implement. Physicians have become meat pushers. That combined with shortages in ancillary staff make for a toxic and unsafe work environment. There is a constant fear of being reprimanded by your superiors for voicing your concerns. Your license, something you worked years to obtain is constantly at risk of being revoked/suspended because you are forced to see more patients with a skeleton crew of nurses and PCAs. Blood draws, EKGs, antibiotics are not being performed at a timely fashion further delaying patient care and jeopardizing their lives. Who needs that constant stress?
That skeleton crew of nurses and PCAs actually spend time listening to patient concerns and treating them like actual human beings, unlike the doctors.
@@sapphirelane1714 the doctors are slaves to the insurance companies. They need an earning too. It's people like you that sit on your couch that Obamacare was passed and destroyed our healthcare system
My hubby is a retired ER MD and did so before the pandemic. Is he glad that he's out of it. I retired from working as an CERN myself after over two decades working in a trauma setting ER. MDs across the board have been stripped of much of their ability to use their judgment based on their education and experience in their practice. Thank you for discussing this openly.
I can only imagine how difficult a decision it must be to leave medicine after the incredible time and financial investment one makes to become a doctor. Especially after the pandemic, it makes sense that medical personnel need more support and definitely should not suffer cuts to their income. We need doctors and we need to incentivize them appropriately.