Liberty, democracy, equity, and justice in healthcare: Leana Wen at TEDxUniversityofNevada
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- เผยแพร่เมื่อ 31 ม.ค. 2014
- Dr. Leana Wen is an Emergency Medicine Physician of Patient-Centered Research at George Washington University. In this talk, Dr. Wen warns that the current dystopia of healthcare in China may be the future of healthcare in the United States.
In the spirit of ideas worth spreading, TEDx is a program of local, self-organized events that bring people together to share a TED-like experience. At a TEDx event, TEDTalks video and live speakers combine to spark deep discussion and connection in a small group. These local, self-organized events are branded TEDx, where x = independently organized TED event. The TED Conference provides general guidance for the TEDx program, but individual TEDx events are self-organized.* (*Subject to certain rules and regulations)
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What a different tune she sings today!
shes a sell out medical communist fascist
I’m searching her big time. She full of BS. Boston marathon CNN. Freddie Grey Baltimore. She’s everywhere they want her.
Exactly. Today she is completely sold out for the medical-industrial complex and endless universal sickcare.
Why would anyone listen to such a enemy of humanity and an enemy of God
Amen, brother.
Leana is my favorite CNN crisis actor, I loved her in the Boston Bombing eposiode.
I have tremendous respect for Dr. Wen and highly recommend her book LIFELINESW: A Doctor's Journey in The Fight for Public Health. Dr. Wen began college at age 13!!! Wow. She is simply awesome. Her personal story is riveting.
This woman is dangerous.
Chinese operative says what?
2014 She doesn't want us to be like China. 2021 never mind, be like China because I am rich!
I was both inspired and saddened by this speech. I remember having a conversation just a few weeks ago about pharmaceutical companies, learning how doctors are sponsored when they sell certain drugs. Initially I was disgusted. I was mad at the doctor for stooping so low and for allowing themselves to be bought by money and infuriated that the corporations that make up said pharmaceutical companies who made live saving drugs failed to truly care about the “little guy”. But then I remember that this is the U.S. and try as we might to do good, there is always going to be someone out there whose main objective is numero uno. In a perfect world, we would all find our calling and those destined to become health care workers would do so not for the money but for the joy of helping others. If somehow we could convince pharmaceutical companies to not push their drugs so fiercely without causing harm to the company itself, and make it to where a doctor sees a patient, gives them a diagnosis, and only prescribes a drug when absolutely necessary, the world would be a better place. Consumers would begin to trust their health care providers again and more importantly, trust in the system. You can’t walk across the street without hearing how someone somewhere in some sort of health setting was “wronged” by their healthcare provider. Of course the blame cannot be put solely on the healthcare system, part of it is the newfound entitlement consumers now seem to have, but there is an undeniable flaw in the system that needs remedied, and I believe that Dr. Wen does an excellent job of beginning to describe this flaw. The first step in solving a problem is acknowledging that there is a problem that needs solving, the next is figuring out what the contributing factors to that problem are. The inequity, injustice, lack of liberty, and lack of democracy in the healthcare system is tearing us apart. Like stated in the talk, this is a fairly new problem arising as some 30 years, the system we had in place was working, and I believe that corporate greed is a huge contributing factor among others.
Jess R z
What? Just get this woman out of my medical decisions. This women is horrible
This is a riot in 2021. If she's committed to her principles now then they are starkly different than the contents of this talk.
Holy f is this real? Is this same person that said "life must be made hard for the unvaccinated" my God
Search her. I’m an hour in. It’s unbelievable. Seriously she’s big time player in the game.
@@stagedeventer6678 and she warmed up for her role as mass-murderer by lethal injections as head of Planned Parenthood.
Great respect for Dr.Wen. Her parents were persecuted in the Culture Revolution and sought for political asylum from the USA. But she still admit that China is successful in it's medical system.Being neutral is an embodiment of confidence.
The truth being unvealed. Perfect preformance.
Amazing!! Why haven’t more people viewed this?!?!
Shill. Shut up. Nobody cares about this authoritarian horrible person. You are so fake.
Great and true speech Dr. Wen. Thank you. A Hero in Healthcare industry. A Great person indeed. True speech is bitter but is so true. Much humans had lost its conscience.
Hero right!!
Oh my gosh, I am so sorry about your mother :( this is so sad.
I want to focus on a specific point that Dr. Wen discusses in her talk and that is the alteration of the Doctor-Patient relationship to a consumer-seller relationship. Dr. Wen makes the point that this change has decreased the quality of care because there are so many factors that can affect what a physician recommends. For example: the large influence that pharmaceutical companies have on physician’s impacts the ethical concept of manipulation vs persuasion. To give an overview of what this means, manipulation means manipulating data and altering wording to sway the patient into making a certain decision. Additionally, the intent of the provider is important. Persuasion on the other hand is to utilize the facts to convince the patient to make a certain decision, so that the patient is informed and able to make their decision with guidance from the physician. The key between the two is intent. With the large influence of pharmaceuticals in medicine, this can lead towards physicians manipulating the data in order to “sell” the product (medication or procedure) to the patient for a monetary gain. This takes away from the concept of shared decision making because it is no longer a shared decision, but rather a salesman (the physician) trying to get the patient (the consumer) to buy something specific so that the salesman can benefit. Therefore, this is more manipulation than persuasion. Although I agree with Dr. Wen that this is a dangerous route for healthcare in the United States, I would also argue that a provider could still persuade the patient while believing and having evidence for a certain medication to be more beneficial. Even if a pharmaceutical company may provide benefits for promoting that medication, but that medication is also proven to be effective, then who is to say that the provider in the above example is recommending that medication based solely on the benefits they gain? A provider could receive gifts or lunches from a pharmaceutical company and persuade, not manipulate.
This woman freaks me out. She is the world's first cyborg.
7:50 Forever, it's called principles.
Whenever basic human needs become commodities the inevitable trend will always move out of a moral sphere and into a financial sphere. There is no incentive for corporate healthcare systems to promote preventative care and health education. In the capitalistic, corporate model, there is a push toward, and emphasis on research and development of cutting edge technologies and pharmaceuticals, that are oriented toward intervention of pathological conditions. The reason for this is obvious... This model provides maximum financial returns for investors across multiple corporate industries. Money for research and development in new pharmaceuticals is easy to come by through an abundance of grants and special interests. In short... there exists a feedback loop from government incentive, special interest groups, research and development, both in the private and educational sectors, health insurance providers and corporate healthcare facilities. This feedback loop circumnavigates the interest of the average consumer and competes in the market to maximize profit. The issue is that the healthcare industry, as a whole, is not dependent upon the consumers of these services; Rather it is dependent upon how efficiently competing companies can develop new medicines and technologies and sell them to the highest bidder. Corporate healthcare facilities and hospitals must possess the state of the art in medical technology and procedures in order to compete. Hospitals are usually known for certain specialized practices, which come at a premium price. Insurance programs dilute coverage for these procedures by requiring high deductibles and out of pocket expenses on top of co-pays and premiums. The average lower middle class worker, who is married and has children can expect to pay from 1/4 to 1/3 of their gross earnings just to maintain a health insurance policy... This does not include deductibles, and out of pocket expenses... It also does not cover more specialized treatments for serious conditions. The point being... Standard of care is highly dependent upon a patients financial solvency. Not so much as an overt denial of access to more comprehensive care; but in an implied threat of financial destitution should doctors and patients follow the best course of treatment/ The result.... A lower standard is applied and the patient is left to stop-gap measures. Pharmaceutical companies fill the void with a multitude of drugs, many of which are inadequately tested for harmful side-effects and efficacy. What's really suspicious is how an explosion of certain medical conditions seem to crop-up everywhere when a new "wonder drug" becomes available to market. For example.... Drugs for the treatment of bi-polar disorder. It seems everybody and their brother, mother, and sister is bi-polar these days. As long as privatized medicine exists, money... not health.. will be the #1 priority.... just as in any other entrepreneurial venture. We like to believe that unregulated free-market capitalism truly drives innovation and economic prosperity, even when we see, time and time again every evidence to the contrary, especially when it comes to the health and welfare of human beings. While free-market capitalism, with all it's flaws, does drive innovation and economic welfare, it can often be corrupted by individuals who use the lack of regulatory measures to their advantage. We cannot afford to discount the very real threat of a few greedy, ingratiated individuals. Human health and welfare should never suffer at the hands of economic greed that serves only those already endowed with economic advantage.We need a shift in perception and redefine what health is. We must grasp that economics has less to do with money and its' creation or its' exchange, but more to do with the efficient use and distribution of resources for the sole purpose of providing for the general welfare and prosperity of humankind. Economies will flourish in societies that provide for the equitable distribution of, and access to resources that promote the health of all constituents. Access to basic needs would include: 1) Adequate housing. 2) Adequate transportation. 3) Food & water. 4) Public utilities: electricity, natural gas, clean water, communications: internet and telephone services, roads and interstate highways. 5) Education: primary, secondary and advanced services. 6) Gainful, sustainable employment, as well as, a guaranteed basic income. 7) Healthcare: preventative, diagnostic and interventionist care. I know... this may sound socialist in tone; however, I think we can all agree that human beings, undoubtedly share in want of these basic needs. I also believe that we can accomplish the redefinition of economics through conventions of democracy and capitalism. In its' original form, corporations were required, by law, to enact a charter. The concept of the charter is much like a mission statement, which most, if not all, companies institute as a way to infuse a central definition or set of core values by which they conduct business. The idea of the charter; however, is a legal adherence to an ethical consideration and an extension of democratic values and principals to the practice of capitalism. What the charter requires is an affirmation of a corporations will to function in a way that maximizes positive influence and promotion of the Public interest. In short... corporations are tacitly required to adhere to ethical standards that promote Public welfare, inline with democratic ideals and values. Corporations were required to renew their charters every 5-10 years through an audit of prior conduct, proving the adherence to their charter under the law. These types of lawful expectations help to distinctly, define the difference between self-interest and self-service or selfishness. Conventions such-as the charter, require the application of multidimensional approaches to the conduction of business. The charter requirement forces ethics and democratic values into the otherwise unconstrained drive to maximize profit and financial gain at any cost, regardless of whether or not public interest, and welfare are served in the process. Here, the aforementioned, is just one small example of how we can start to redefine democratic and capitalistic economies, and reorient ourselves to the advantages afforded in societies that are truly healthy, prosperous, and free.
But in us can you find a doctor anytime you want?
You are assuming you can afford it
We no longer call them Drs. They are called primarily health care providers. Wake up America, travel to Mexico for your health care.
Chinese operative at work
Liberty, democracy, equity, and justice in healthcare, in food, in housing, in communication, in education, and on and on. Free markets are not perfect. Socialist markets are worse. What is missing from this talk is answers to all the questions, only one of which is healthcare, specifically, who is going to pay for all of these rights?
When you know that 60 percent of the world total wealth is owned by 2000 or so billionnaires with 600 just admided to the club last year, during this world crisis (Oxfam numbers from official sources) that profited them, may be you have some debut of an answer ...
@@SaMusz73 Sa, we share a concern for improving the standard of living of all. That said, please look at these problematic billionaires. Individuals like Bill Gates are giving their fortunes to philanthropy, and working to their money is better spent than is the case with government programs disease. So too with Warren Buffett. In the process of building wealth, they employed thousands, and raised our standard of living, as Steve Jobs did with Apple, and Tim Cook continues.
Isn't the world better off due to these people. Mao gave the Chinese people more equality of poverty and starvation. Equality of outcome is not all that great, is it? And concentration of wealth and power among governments has consistently proven to be horrific. Wouldn't you agree.
@@BillFotsch How could I agree when all that wealth is only the product of concentration and monopolized capitalism? Gates profited of a dominant position for years... And their philanthropy is only one way of evading taxes they should have paid long ago. While the so called good done is more often than not, a destruction of African economy and imposition of their way of thinking. Even for Covid vaccines Gates was against the valves of patents rights... Would you still say it's for the good of all ?
@@SaMusz73 The wealth is the product of millions of satisfied customers, employees with great jobs and investors with good returns. Lots of beneficiaries.
"Philanthropy is only a way of evading taxes" is an incredible comment. Do you get that Philanthropy does not generate tax savings that is anywhere near the amount of funds donated?
Sa, please tell us your superior economic model. Since Adam Smith, a moralist, came up with the original definition and benefits of capitalism, in his book, "Wealth of Nations", written in 1776, no better economic model has been found to improve standard of living of a country. This is one of many reasons the US has the largest number of immigrants than any other country, and few that wish leave. China moved from starvation under Mao, to increased standard of living of all its citizens by adopting limited capitalism. Please tells us your superior model, possibly with an example of where it works... If you can't, and I doubt you can, you might consider revising your perspective.
Wen talking about the "dangling carrot" of covid communism.
Health insurance and the modern inflated cost of health care has become legal extortion.
Hippocratic Oath? You seriously brought that up? How does "we have to make life difficult for the unvaccinated" fit into that whole "do no harm" pledge?
I have never heard anyone defend the US healthcare system ever before this.
Very well presented view of a true professional with whom I proudly share the honor of serving our fellow men and women, as the medical profession largely did, before doctors became providers, and patients became consumers. Consumer capitalism and healthcare, professional healthcare, are immiscible. Laissez faire medicine is capitalism run amok, and right over the casualties of what once was the healthcare profession. Adam Smith's new science of economic philosophy was preceded by moral philosophy, and happiness is to be found not in the acquisition of wealth and property, but in the empathy and the esteem of our fellow men when we do what is right. Healthcare for all, in the 21st century, in America, should be a core value, acknowledged as it was more than two hundred years ago, when, in the Declaration of Independence, Thomas Jefferson and Benjamin Franklin insisted that the inalienable rights included, the pursuit of happiness, liberty and LIFE. Healthcare preserves life. A capitalistic society, with wealth based on specialization and efficiency can afford universal healthcare, if that society determines what is the purpose of the government, and foremost, even in a capitalist society, is a system of justice that places life ahead of greed.
Amazing woman!
I feel as though Dr. Leana Wen really brought like to a great subject that people are becoming more aware of each and every day. It is extremely sad that people who can not afford healthcare can not get help when they need it most, and one of her amazing examples was someone who needs medicine but can not afford it and they will basically end up dying in front of a hospital because healthcare has not been beneficial to them. Rich people get whatever they want and how is that fair? They can slip money under the table to a doctor and BOOM the doctor magically does exactly what they want. Now, if a poor person that had no money to spare but needed the same thing done the doctor would most likely snub them? Is this what America has come to? We make it seem as though healthcare is something you are not given the right to, but must purchase it to get what you want in your time of need. I am extremely angered by this because everyone should be treated equally when it comes to their life because not one person is more important than another, no matter how rich or poor they are. We were created equal and money should not have to buy you your importance to doctors and healthcare. Healthcare has become a like a salesmen and they are selling to their clients which is totally wrong in my point of view. It also saddened me that Chinese people being brought up in China have no interest to become doctors because they do not know what the benefits are. We do not want to be like China and make healthcare something that is bought, we want healthcare to be a right and something that is given to everyone. It astonishes me that doctors only get paid 70 cents if they do not prescribe a patient with medicine or some type of service, but when they assign a service or medicine to the patient they get paid extremely well. We are giving the incentive to these doctors that it is okay to give patients medicine or services because they get paid in the outcome, which is what they want which makes them want to give these services to the patients. If a patient does not need medicine the doctor should be honest and not assign them medicine, but we are now living in a world where we can not even trust someone who is talking about our health. We live in a sad world where our health has to be bought and I believe we need to stand together to make healthcare available to everyone, instead of only to the people who can afford it.
I agree with you that Dr.Wen brought a lot of great topics to light in this discussion because people go out and work their butts off and are great people but they never get to have healthcare BECAUSE the system sucks!!!! Healthcare needs to be free it should have NEVER costed us because this is our health on the line.We live in AMERICA home of the free but I see NOTHING free with healthcare! Heck,Ive heard of people dying because they do not get healthcare and it absolutely disgusts me.I wish that people could have all the free healthcare they wanted and never have to work three or four jobs to pay for healthcare when who knows how often they will even need it!!! I also see you talked about China and I think China is in it for the money because that poor doctors mother was KILLED because they doctor wanted to find some way to get paid...it should never be like that the doctor should always do whats in the best interest of the patient but I know that isnt always what they do because they are money hungry,but some doctors are amazing and I personally know that from experience but it is so sad when doctors don't care about anything but money.It is so crazy that most people in China want to become a doctor and they don't even know the benefits!!They should become doctors because they want to help people not for the money but sometimes I question those doctors...like I said before just money hungry and want to succeed in life but oh well.It makes me nervous to go to some doctors because of what happened to Dr.Wen's mother and she died trying to find a way to cure herself...she thought the doctor was leading her in the right direction but they were not!I do not agree with Dr.Wen that the doctor didn't mean to kill her mother...doctors' are doctors they should know what they are doing to their patient and I completely feel that the doctor "tried" to help Dr.Wen's mother even though they knew nothing was right with that procedure they were going to be doing...makes me so sick!! I often question if the doctors I go to are even in it for the right reason...but I am probably just being paranoid!
It was alarming to hear Leana Wen, an emergency medicine physician, talk about the injustice that is coming to be United States healthcare system. As Leana shared, injustices such as being turned away due to being $5 short or needing a lung operation that is too expensive, so you just prepare to die. We are transforming into a dystopic society. As Wen argues, the current system is failing to provide equitable care to all patients, with marginalized communities facing significant barriers to accessing high-quality healthcare services. This failure is in direct opposition of the ethical principle of justice which is to ensure that no one is unfairly disadvantaged when it comes to access to healthcare. In this video, Dr. Wen calls for a renewed commitment to justice in medicine, with a focus on ensuring that all patients have access to affordable, high-quality care. Wen emphasizes the importance of recognizing healthcare as a fundamental human right, and of working towards a system that values equity, democracy, and justice. She also highlights the need for greater transparency in healthcare, including more open communication between doctors and patients, and increased access to information about healthcare costs and outcomes. Ultimately, Wen's talk underscores the urgent need for a more just and equitable healthcare system that prioritizes the needs and well-being of all patients, regardless of their socioeconomic status or other factors.
做人只求心安!
I enjoyed your lecture love your view of the Big picture .
Her talk was confusing. She gives a good summary of the Chinese system as well as the US healthcare system. Greed, corruption is endemic within empire states. However note 'communist' Cuba takes a different approach with little corruption, 100% healthcare coverage, at a tenth the cost of the US, with the similar outcomes. The UK, Australia, Canada, New Zealand have 100% healthcare cover at well under half the cost.
Healthcare, like any other good or service is governed by economics and we can enjoy, not an infinite, but an ever increasingly opulent standard of living by the basic economic principles eloquently explicated in The Wealth of Nation. Just read it damn it. I know it's tough, and I have yet to meet an economics professor who has read it, but if you want to comment on economic matters, you are really speaking from ignorance if you haven't at least read Smith. It's like preaching on the Bible and you never bothered to read it, or commenting on physics without knowing even basic math...
you have to start where aristotle started: "who decides?" until you get democracy, the chatter of civilians doesn't matter. first get the hammer of citizenship, then begin looking at nails.
In Chinese, we called Dr Wen 一个有正義和正气的人!
"Integrity?" Were you going for irony?
"Liberty, democracy, equity and justice," she says. Clearly she doesn't believe in liberty. When was equity a defining principle of the US? All the woke like to talk about equity, an unattainable standard. All that the pursuit of equity will do is destroy society and the hard earned equality. She has headed Planned Parenthood, she's been Baltimore City Health Commissioner, she works for CNN and the Washington Post, she worked in Geneva for the WHO, she has a ton of Ted talks. And there is more there to indicate she's spent her entire career doing medical politics. She was only 31 here and 38 now. I really wonder how much actual medical practice she's done. Clearly she wants to tell you how to do everything and she has no qualms about telling everyone that your rights are in fact privileges to be withdrawn by the government to force you in line. She obviously learned authoritarian lessons well.
Sensationalized speech with no data. Basically flawed.
So read the book, the references are there. Also no data or references in your last statement!
she looks like she is reading from a script
Ya know, a lot of people write their speeches rather than speaking off the cuff.
Did you comment pre COVID?
She’s a CNN lover. Boston bombing CNN. she’s there 👊❤️
I don't think socializing medicine is gonna make things any better.
cuba has a public health system that costs little, because little is all they've got. but they deliver a standard of care equal or better than usa. socialized medicine can work, and often does. travel a bit before you offer opinions about other societies.
I live in Taiwan. Which have amazing health care and we spend 1/10th per capita than US. But you guys forget the main problem. Doctor, nurse, hospital, drug company make far less money. Even if medicare for all happen you are only going to slightly reduce the cost. Unless you cut doctor, nurse, and hospital profit too.
Actually it would bc it removes the need for profit of which health care isn't profitable unless it's left in the hands of those can afford it. It's like the postal service simply not profitable
In Italy there is a good health system and people live longer than people in the US. In the US health system seems just a big business. The word socialist that many people use when they talk about other health systems is like the word infidels that fundamentalists use for non islamic people.
I don't like the speaker, you leave china after 8 years old. so, you don't know china healthcare today, you doesn't have any experience of china healthcare. a picture? a paper or someone told you ...
Jason Wu You may not like the way she talk. But She is right about how the healthcare system works there. I was a doctors there and I left China because of a personal reason. I know a lot of nurses and doctors there quite their jobs because the Healthcare system there is a business model and the government have no support. They relationship between patients and doctor, nurses are so intense. The hospital there becomes a business model, which is not the way it should be. I thought the healthcare system will be way more better here in the US. Yet, doctors are more well educated here. But I saw big issue in the healthcare system here as well that make all of American suffer. I wish I could change the reality.
she doesn't have to be this performative. Really.
It is called emotion. Really.
dont lie so much dr wen it does not look good on you !
dr wen just because you have drop dead good looks does not mean all of us man will fall for your lies , i'm a man and dont fall for any beautful woman trying to sell me some thing , no way i use my mind , i dont think with my crouch
False: Healthcare is NOT "a right." But if you believe it is, stop promoting fascism and go use your doctor skills for free to the needy.