UPDATE: Himothy has been reprimanded for wrong-think, denounced in an “all employees” email, flogged, and ordered to repaint the lines in the parking garage-moving them 6 inches closer together to produce a net gain of 11 spaces-thus producing more revenue.
Oh, it was far worse, Himothy was labelled as a conspiracy theorist and someone who promotes misinformation. Mainstream media picked up the story and now Himothy can’t get a job anywhere else.
*Circles the parking garage for 20 minutes because the employee to parking space ratio is absurd. Finally finds a spot on the roof and sprints to clock in*
I just had to sign one of these. I did however make them take out the section on "wages are confidential and cannot be discussed with other employees" by pointing out that it was in direct violation of the National Labor Relations Act. They claimed it was an "old form". The practice started in the early 2000s. The NLRA was passed in 1935.
Good on you! I should be used to it by now but I'm still shocked by what companies get away with in the (self-proclaimed?) Home of the Free. That non-compete clause is insane, it's beyond "capitalism for thee and socialism for me" straight into _"capitalism for me and indentured servitude for thee"._
I want the FTC to make *shareholders* weep blood until there are no more shareholders. That way the revenue can be used for good instead of being siphoned off out of the system.
Non-competes also harm patients/clients. I'm a therapist changing practices soon - if my current job had required a non-compete, that would have prevented clients from transferring with me. Which means those clients have to get on waiting lists, interrupt their therapy for months, and start all over again with someone new, who may or may not be a good fit.
Most therapists I know of can't just take their patients with them when they change jobs. And indeed that's what happens to them. They have to start over with someone new.
...I mean, this sounds like a textbox example of when it would be ethical for you to be FORCED to sign a non-compete. You're blatantly stealing not just (so-called)workplace experience and business secrets, you're stealing actual, literal customers from your former employer. It may be good for the client, but it's HORRIBLE for the employer. The client normally just needs to suck it up and start over.
@@darthclide For most professions, yes. If you're a programmer or a waiter or something, a non-compete is simply to keep you trapped in your current job so you can't look for a better one elsewhere. For a therapist, customers are going to follow the therapist, not the company, so you're directly stealing customers from a company when you move.
@@Terrafire123 then maybe, just maybe god forbid your employer could raise your salary or get u better job environment if the customers are yours and not the company
I was thinking "current-day GOP": You know, fiercely protecting their beloved subjects, I mean citizens, from all the dangers of wokeism (Sesame Street is woke now!) and feral drag queens and learning about that Relocation or Laborers that some snowflakes back in 1861 felt they had to have a war about. Never mind about a couple of lakes and rivers drying out. The water is still around _somewhere,_ after all!
My town has notoriously had poor doctors because the worst doctor in town hires people with non compete clauses, then gets rid of the best ones when they see how awful he is and they have to leave town.
They're barely enforceable. If the hospital doesn't want you working across town then they have to be willing to pay you to sit home for the duration of the clause. Non competes are only ever actually enforced for people with corporate secrets to protect against espionage.
I'm a psychiatrist in Germany and I enjoy your videos about what life in a hospital or as a med student is like. They are so relatable. But every now and then there's a video like this one to remind me that even though we, too, have our struggles with insurance providers, bureaucrats and similar stuff, your nation's system appears at least in parts to be straight-up evil, hostile towards both patients and healthcare workers. Healthcare is a basic need of all citizens, all people, and it is one of the areas where the US stopped being a good example to the world a long time ago. Dear colleague, I thank you for the many laughs, and I hope you live to see change for the better in the way your country treats the ill and those who take care of them.
The scary thing is, if you ask some Americans, healthcare isn't a human right. They honestly believe that if someone does the right things, then they will either not get sick or have enough money to pay for everything themselves. So, if you can't pay your own Healthcare costs, you must be a bad person. We don't seem to believe in the inherent worth of a life; we expect people to prove that they are good enough to be here. This is why there is so much hatred for the idea of universal health care here. It's the tyranny of merit.
It’s not just health care and it’s not just professionals. These types of employment contracts are abused. They hurt competition and people. They should have been banned ages ago. It’ll probably never happen.
This one really hits home. People have called it the “Cath Lab Hustle” for a reason: every two years someone transfers because of better pay/hours. If hospitals would just pay core cast even $1 more/hour there would be more retention. Also hard to stay motivated when, as a former core staff, new grads with zero experience were being paid the same hourly rate as me at a competing facility even though I was maxed out at the top of the ladder.
That's why I'm getting a bad feeling in my stomach everytime I'm hearing of some white collar manager making six figures: because by now I immediately think that he got some tasty bonuses for achieving the sacred Upward Line, probably by either firing a lot of staff or wage theft or some other form of legalized robbery.
It's bad for morale but economically it makes sense. The older you get, the less you're going to up and just leave. So 80% get fucked, 10% eventually leave, 10% quickly leave but the 80% who got kids/too old they just stay with their neutered salaries and it's ka-ching, ka-ching baby.
Hospitals paying people what they're worth?! *GASP* How dare you give them hope of enough money so that they don't have to get a second job and possibly go home to their families 🙄🙄
This is clearly the Dems attacking the good ole' American family once again! Those workers will be able to go home, communicate with their spouses and/or children, and then suddenly you have all these arguments and fights which never would have happened if every adult has at least two jobs, and communication is via messenger app like nature intended!
I always liked the response of a company looking to hire my father away from his decades long company when he mentioned the non-compete clause.... "We have lawyers too." Most of those clauses aren't enforceable.
This isn't just about healthcare. Noncompetes exist in a lot of industries. It prevents video game developers from quitting and not just from finding a new job, but they also can't start their own company after they quit. I hope this rule goes through. I wouldn't be surprised if a whole bunch of Ubisoft and Activision-Blizzard (the evilest game company) and EA(the second evilest game company) employees quit to start their own studios free of the 80 hour workweeks and 7/10 games. We will be ushered into a new era of smaller studios making shorter games with more love and care put into them and releases free of bugs! Long live the indie games!
Speaking as a doctor in the UK, I would gladly work in the US healthcare system over the NHS in our country. We have something even worse than non-compete clauses in the UK - we have a monopsony employer (The NHS) which allows the government to suppress our wages because we have nowhere else in the country we can work. The god awful pay of junior doctors in the UK is what prompted us to vote for industrial action and to go on strike to be paid a decent wage. In fact, that is why many of our colleagues are leaving the country with many moving to Australia, Canada and the US where the pay and lifestyle is much superior to anything we have here in comparison.
This is hilarious and also true! One of my 1st jobs in the field they offered me well below the average salary from someone of my experience, Education, and training. I had another interview the next day that offered me the salary I asked for (average at the time) and a sign on bonus. Health care systems really try to screw their workers to keep them in their position while underpaying them and the only way to improve is to leave the job and sometimes that company as a whole. It is really a shame.
Most workplaces aim to pay their employees just enough to barely squeak by, but not enough to have the energy or resources to look for another job. The student debt load, and fear of losing their shitty health insurance, supports this goal.
Don't tell anyone I let you in on this, but the Jonathans have their own uprising coming soon! I'm fairly confident that all of us nurses are going to join them, because we too do all the work with none of the glory of the doctors!!
Best wishes to you, take care of your mental health! (Are there any studies on the mental health benefits of murdering CEOs in a 100% non-detectable way? Asking for a friend.)
It’s better described as the best of socialism and free market for the corporations and government while the average person is treated as a tax slave pay pig.
@@ShouVertica my last industry was nowhere near medical, and had a non-compete rider. Luckily, it was written so poorly that very few could be penalized - but boy did they try!
@@adamorick2872 Lots of noncompete clauses turn out to be invalid and unenforceable though if you ever bother taking it to court. They function primarily through fear and intimidation hoping people won’t figure that out.
I'm not going to do the math, but I bet that paying people what they're worth would actually save money since you won't have to spend Asklepius knows how much lobbying multiple times
Sadly I suspect it would work out in favour of lobbying in the long term - as expensive as lobbying sounds you've got to remember you only need to lobby a few people, whereas nation wide you've got to pay a *lot* of healthcare workers.
You're all missing the bigger picture: the business executives, lobbyists, and politicians are all *friends.* It's an excuse to funnel more money into their friends' pockets as much as anything else.
I'd say politicians but they're more along the lines of "There is no problem unless the solution benefits me and my social group... in which case it's an emergency not a problem."
When I first saw your videos, I genuinely believed that you created a new word to use as your social media name. Imagine my surprise when I just saw the word "glaukomflecken" on one of my medical school lecture slides! I shall now call you Dr. Small Anterior Subcapsular Opacities Secondary to Lens Epithelial Necrosis Resulting from Acute Angle Closure Glaucoma.
Me *chuckling* as the child of a father who has been a contact/locum tenens Emergency Dr. for decades. Some hospitals have different management for the ER and the management always turns over every 1 to few years because of mergers or some group comes along promising the Hospital CEO "savings". But of course because of non-competes they have to basically let go of all the contract ER docs. And usually the contract prohibits getting hired at the sister hospitals nearby. My dad chooses to move himself around (driving & flying often to other states for days/weeks at a time) so that we (his family) didn't have to move around. He's worked in hospitals across at least 5 states.
@@MasterGhostf Yes and no. Non-competes exist in a legal grey area, especially when it comes to high skill professions where their skills are by far the most important factors of their employment. In these cases it gets increadibly hard to defend against non-competes because that skill can be considered taking company secrets somewhere else. Youll never see employees that work in walmart or mcdonalds (except high level managers) be held to a non-compete, but it gets murky for workers like doctors, lawyers and the like.
@@MasterGhostf I don't know. I think it depends on the industry and the actual contact and if you can convince a judge it's unfair or makes no sense. But I guess the argument is no one made you sign so you agree when you take the job and can't complain after. 🤷🏿♀️
I had one MH private practice owner try to get me to sign a contract whose NC clause stipulated that I couldn't work in my profession anywhere within in a 100 mile radius of her office for TWO YEARS AFTER LEAVING. The world needs this rule, urgently.
Someone needs to permalink this channel in r/BoringDystopia some day. Thanks for always staying on the ball, Doc Glauk! I'm sorry your system is so evil; you a real one.❤
I work in an OR and see this with our anesthesia group. Even though they don’t have a patient practice that could possibly move with the docs if they left a hospital to go somewhere else, they are still forced into a non compete clause in their contracts. These clauses make no sense for docs without a patient practice like anesthesia. Love your videos. Especially the ones that poke at the different surgical specialties. As a surgical tech. I have personally stopped docs from doing something inappropriate with just a look just like how you portray OR nurses. Always makes me laugh. Keep the videos coming.
@@dianeewoldt3035 my usual is just a raised eyebrow, but occasionally I’ll pull out, “I’m watching you” while I’m doing something else and not looking at them.
This reminds me of the kerfuffle that happened in the Fox Cities in Wisconsin when Allegiant head-hunted ThedaCare’s entire cardiac cath lab radiology team. ThedaCare apparently didn’t have the nurses and techs bound by non-competes AND they refused to match Allegiant’s offers on the grounds of “if we give you raises, we have to give everyone else raises and we can’t afford that.” Then when the cath lab jumped ship, ThedaCare tried to sue to stop them on the grounds that not having a functioning cath lab would compromise patient care during the pandemic. Allegiant’s response was basically “your failure to prepare is not my emergency,” and the judge agreed.
This is a thing in the US too where doctors actually get paid well?! Crazy! At my hospital in Austria I even had to ask for permission to hold a lecture at university because it could be considered competition 😂.
@@christophebrou1178 ernster war ich nur als ich sagte dass medizinische Pubklikationen frei zugänglich sein sollten. Ist auch nicht das erste Krankenhaus in dem ich das erlebe. Wirklich traurig.
This is off-topic, but I thought the title said "Banning Non-Complete Clauses". I couldn't figure out who in healthcare was so passionate about grammar.
I'm currently stuck in a noncompete. I recently hired someone to do the same job for $3/hr more. It's infuriating, but I have no bargaining power because if I want to have a similar job I have to either wait a full year after quitting or move to the other side of the state. I love so many things about where I work, but they don't pay me nearly enough - especially considering they just added on more responsibilities.
it ALMOST makes sense for super specialist proprietary tech stuff, but then it gets applied to things like janitors. At which point you look at it like wtf.
I thought the whole justification for non-compete clauses was "to prevent stealing of trade secrets." It's a BS justification anyway but what trade secrets are there in a hospital?
in industries like this it is often argued that your skills are the trade secret since thats the service thats provided. Non-competes arent necessarily evil, but they way they are currently used is.
It becomes an issue if a hospital's main selling point is a super-fancy-radiology-elite-subspecialty that's the only one in a 2 hour drive...and the entire team moves to a different, nearby hospital because they were offered ridiculous sums of money. Rumor has it that's what happened in Columbus, OH, 20 or so years ago, and is why almost all of the healthcare systems in Columbus (there's at least 3) now have non-compete agreements. Which makes sense (even if it's unfair) for a super-rare subspecialty, but is stupid and/or evil for a more mundane position
@@meganofsherwood3665 Theres something to consider there from a free market perspective. If you are offering something that no one else is, that means there is a limited supply for that product. If another nearby hospital is capable of paying out enormous sums of money, that means there is an untapped demand, or that prices are increadibly high. With both of these considerations, more then likely that original hospital was making enormous profits off of not paying those super specialized workers the appropriate wage for their labor, further it suggests that the original hospital was not capitalizing on the available demand of that service. Had the original hospital paid their employees appropriately based upon the value they provided the system, they would not have lost their effective monopoly on that specialized market. Further, that original hospital could have also recognized the potential of their specialized workforce. For example, my SO used to work as a PA nephrologist, all the hospitals in the region were contracted with her clinic and as such benifited from the services, while the clinic benifited by not having to compete with with other hospitals over the market share. non-competes in the vast majority of circumstances, especially when they apply to labor, are an anathema to free market capitalism. There are a few circumstances where they are increadibly important. For example if i buy your business that was built on the good will youve built with a community and my price included that good will, it turns into a scam if you then go out and start a new business with the money i used to buy your original business. But, these type of examples are few and far between.
Non-competes might sort of make sense for high level people with access to a lot of proprietary information, but they are far too often used against random employees to artificially raise the cost of quitting without providing any actual benefit to the employee.
This is for Will (Not Dr. Glaucomflecken). I just read about your incredible journey and absolutely love that you have turned to comedy as a coping mechanism through your challenges. Kudos and a huge "thank you" to you and your wife for making mine and others' day a bit brighter while simplifying the most complex healthcare system in the universe.
There's been non-compete clauses and NDAs in the blue collar industry for decades. The antifreeze in your car is the same antifreeze they took out last time. They don't throw it away, it's filtered, ran through a reverse osmosis machine, additives thrown back in and sold back to the mechanic's
What's wrong with that? Sounds like a good way to reduce unnecessary industrial chemical waste. Chemistry is just chemistry. We do the same thing to humans (you just described dialysis)
@@claudjarodnez do you think that process is free? You're getting the same thing as if it was new, why should they have to charge less for it? This shortsighted, wasteful selfishness is exactly why our species is fucked
Next you're going to tell me pharmaceutical companies should sell their drugs in a competitive market to bring the prices down. Note: I enjoy living. Please investigate any "accident" or "self harm" in the event of my demise.
The one thing missing is the CEO hiring a union-buster to track Himothy's movements and launch intimidation threats for asking such questions. Maybe that's the next episode.
I can’t imagine this happening in the land of the free. And patients must truly appreciated being cared for by a professional being coerced to provide their services.
Thank you for pointing out this monumental change to workers rights. I would have never known that this hope for worker's rights existed unless you had created a content stream that is both fun and informative.
One day, one of the 'suits' came to visit the Anesthesia Office. He thought I was one of the Docs (I am a CRNA). He proudly went on and on about how we don't give raises to nurses (all nurses) until too many of them leave for other hospitals. "We know that they have no place to go, that they can't just up and leave the area, they their husbands work in this town too, blah blah blah". It was quite funny. The (other) Docs were trying to clue him in on the fact that I was not 'one of them' but he just kept on yappin'. Naturally I informed my cohorts. The nurses got their raises.
As a lawyer, it disturbs me that the medical profession does not seem to have an equivalent to the American Bar Association's Model Rules of Professional Conduct Rule 5.6: Restrictions on the Rights to Practice. In short, the rule makes it impermissible for an attorney to either sign a non-compete agreement limiting their ability to practice law, or even to offer another attorney such an agreement. The legal profession acknowledges non-compete agreements would allow for the manipulation of the market for access to legal services in ways that harm clients, and so bans them accordingly. But medicine missed out on that one. Also, Rule 5.4's general prohibition on sharing legal fees with nonlawyers means that the practice of law is largely free from being owned and controlled by private equity, and so lawyer's ability to fulfill their professional obligations to their clients is not interfered with by some non-lawyer investor, who of course would not share those professional obligations and might not be very interested in respecting them. Medicine really missed out on that one too and there is no better argument for why lawyers should keep our Rule 5.4 then what has happened to many hospitals which became privately owned.
The best part about this is how good an actor Dr Glacomflecken is by being able to do this skit and keeping a straight face while being force to say ethics twice with the character he's playing.
Non-compete agreements make sense when there is important and limited proprietary information to be protected. That *might* reasonably apply to some senior executives in a large healthcare facility. But it doesn't apply to front-line workers because they don't have useful proprietary information (unless you count "medicine" itself as proprietary).
Wait, if they pay doctors more, how will the board members afford their yachts, 4th vacation home in the Bahamas, and two Lamborghinis? Two! They would faint at the prospect of just 1! And don't forget about their pitiful CEO's 20 million dollar bonus. If he doesn't get that, he won't be able to show his face at the country clubs this year.
Himothy has been denounced for bad economics. Paying all hospital workers more would be a constant expense, whereas lobbying is a one-time expense that need not be maintained afterwards. The ethics are commendable, however hospital CEOs don't exactly operate on those.
It's good but free market doesn't exist for anything including the CEOs. Under capitalism the capitalist class has absolutely dominant leverage and precise control of the "invisible hand". Don't get me wrong, abolishing non compete is an important break in the chain of working class subversion, but even without it, the entire economy and financial system depends ultimately and completely on the *exploitation* of workers' labor value. That value is extracted from the work itself and turned into profit for the capitalist ownership. The kicker is that capitalists will explain this idea that without taking the money generated by workers from them, capitalism wouldn't work - as if it's a good thing.
This would be funnier if the practice wasn’t so widespread. Especially in “right to work” states where you can be fired at any time for any, or no, excuse.
And it's the same everywhere - in the corporate world, you can be great at your job and be denied a raise, even when they know you've had a better offer, and then you leave and they have to hire someone else... that costs them more than what you asked, plus the whole onboarding and training costs, and they never learn.. It's like employers just refuse to cooperate with employees for the sake of it. Power rots people's brains or something.
Himothy: You know, you could use that money to instead pay Healthcare workers what they're worth so they don't want to leave. Himothy, stop making sense.
Lobbying against labor always baffles me. To avoid a million dollars in raises & benefits you spend fifty million gambling on politicians who won't be there in ten years and then you have to do it again, all while your own business collapses around your ears because it's understaffed and the workers you do have now need you to pay triple overtime.
Shills: Capitalism encourages competition, lower prices and higher quality! Capitalism at work: You aren't allowed to compete with us, and as a result we're lowering your wages and reducing the quality of our product because we have no incentive
Fun Fact: just paying staff well is often cheaper, more efficient, and brings more profits, but when it comes to cruelty is the only time that money is not a factor.
A former colleague of mine recently went though a whole non compete clause rigmarole from his previous employer preventing him from moving on to the new employer was hired, because the entire department was vacant. It was Ascension hospital preventing nearly an entire department from leaving to Aurora Medical. The employees from that specific department had sat down several times with Ascension to work out a better deal but negotiations broke down. A judge stayed the request from Ascension to prevent the employees leave until they could replace them. Made the news in Wisconsin. I don’t recall ever seeing something like that before in my entire working career.
I'd love to see a video on banning networks, always pissed how my cars and dogs have insurance coverage coast to coast but once I the one paying for all of it go from blue cross Minnesota down to blue cross Texas I'm out of network and my insurance bails on me...
I mean most states it won't even make it to court unless the employer can both show you have trade secrets and that it would be significantly detrimental if they got out.
It's not just healthcare. My daughter is a college student and recently interviewed for a part-time wait job. The manager stated if she accepts the job she'd need to sign a non compete for 2 years for any kind of restaurant work. It's ludicrous.
non compete clauses always confused me. you're telling me that the set of skills I took this job to obtain are now useless to me because of a piece of paper?
Jimothy works for health insurance, Himothy works for the hospital CEO, Bimothy works in publishing. They are all brothers.
Clarification is deeply appreciated.
are they failed Johnathons?
If they're all brothers, can we have a video of them all talking at Thanksgiving and playing "topper" to see who's boss is the worst???
There must be a fourth brother who works for private equity. Pimothy?
Their parents raised them well 💜 The world is tough on the good-hearted.
UPDATE:
Himothy has been reprimanded for wrong-think, denounced in an “all employees” email, flogged, and ordered to repaint the lines in the parking garage-moving them 6 inches closer together to produce a net gain of 11 spaces-thus producing more revenue.
This is so realistic that it hurts.
Oh, it was far worse, Himothy was labelled as a conspiracy theorist and someone who promotes misinformation. Mainstream media picked up the story and now Himothy can’t get a job anywhere else.
*Circles the parking garage for 20 minutes because the employee to parking space ratio is absurd. Finally finds a spot on the roof and sprints to clock in*
Flogged! 🤣
@@BombshElle_7 yes, flogged: *pour encourager les autres*
I just had to sign one of these. I did however make them take out the section on "wages are confidential and cannot be discussed with other employees" by pointing out that it was in direct violation of the National Labor Relations Act. They claimed it was an "old form". The practice started in the early 2000s. The NLRA was passed in 1935.
Wow!!! Really?? 😡
It angers me that companies are still getting away with telling this lie to this day.
Scumbag move. You could still anonymously report them to the Department of Labor, right?
Report this.
Good on you!
I should be used to it by now but I'm still shocked by what companies get away with in the (self-proclaimed?) Home of the Free. That non-compete clause is insane, it's beyond "capitalism for thee and socialism for me" straight into _"capitalism for me and indentured servitude for thee"._
@@lawrencetchen National Labor Relations Board
I want the FTC to make CEOs weep blood.
Putting this on a cross stitched doily and hanging it on my wall brb
@@utopianfiat Please, make two. I want to put that on the wall next to my bed so I can wake up to a motivational mantra every day 😂
I want the FTC to make *shareholders* weep blood until there are no more shareholders. That way the revenue can be used for good instead of being siphoned off out of the system.
Give them Ebola viruses. Or all the warfarin stockpiles.
You’re assuming hospital administrators are actually organic living creatures. Rookie mistake.😅
Non-competes also harm patients/clients. I'm a therapist changing practices soon - if my current job had required a non-compete, that would have prevented clients from transferring with me. Which means those clients have to get on waiting lists, interrupt their therapy for months, and start all over again with someone new, who may or may not be a good fit.
Most therapists I know of can't just take their patients with them when they change jobs. And indeed that's what happens to them. They have to start over with someone new.
...I mean, this sounds like a textbox example of when it would be ethical for you to be FORCED to sign a non-compete. You're blatantly stealing not just (so-called)workplace experience and business secrets, you're stealing actual, literal customers from your former employer.
It may be good for the client, but it's HORRIBLE for the employer. The client normally just needs to suck it up and start over.
@@Terrafire123 You do know that the sign in the video "Free market for me, but not for thee" was a joke right? Not something to be called ethical?
@@darthclide For most professions, yes. If you're a programmer or a waiter or something, a non-compete is simply to keep you trapped in your current job so you can't look for a better one elsewhere.
For a therapist, customers are going to follow the therapist, not the company, so you're directly stealing customers from a company when you move.
@@Terrafire123 then maybe, just maybe god forbid your employer could raise your salary or get u better job environment if the customers are yours and not the company
"Finding solutions to problems that don't exist while ignoring actual problems that really do exist"
Pure gold
That’s the part of this video I laughed at the most!!!
I was thinking "current-day GOP": You know, fiercely protecting their beloved subjects, I mean citizens, from all the dangers of wokeism (Sesame Street is woke now!) and feral drag queens and learning about that Relocation or Laborers that some snowflakes back in 1861 felt they had to have a war about.
Never mind about a couple of lakes and rivers drying out. The water is still around _somewhere,_ after all!
I feel this very deeply. Working as a physician with a non compete in a city with two major health care systems this cuts to the bone. Let’s go FTC!!!
post a comment with your story! in the description is a link to it
Is there a way to support the FTC in this endeavor? Can we send them messages or something, or do we just have to hope the lobbying efforts fail?
My town has notoriously had poor doctors because the worst doctor in town hires people with non compete clauses, then gets rid of the best ones when they see how awful he is and they have to leave town.
Talk to a lawyer, I bet you have a way out of that noncompete if you want it.
They're barely enforceable. If the hospital doesn't want you working across town then they have to be willing to pay you to sit home for the duration of the clause. Non competes are only ever actually enforced for people with corporate secrets to protect against espionage.
I'm a psychiatrist in Germany and I enjoy your videos about what life in a hospital or as a med student is like. They are so relatable. But every now and then there's a video like this one to remind me that even though we, too, have our struggles with insurance providers, bureaucrats and similar stuff, your nation's system appears at least in parts to be straight-up evil, hostile towards both patients and healthcare workers. Healthcare is a basic need of all citizens, all people, and it is one of the areas where the US stopped being a good example to the world a long time ago. Dear colleague, I thank you for the many laughs, and I hope you live to see change for the better in the way your country treats the ill and those who take care of them.
The scary thing is, if you ask some Americans, healthcare isn't a human right. They honestly believe that if someone does the right things, then they will either not get sick or have enough money to pay for everything themselves. So, if you can't pay your own Healthcare costs, you must be a bad person. We don't seem to believe in the inherent worth of a life; we expect people to prove that they are good enough to be here. This is why there is so much hatred for the idea of universal health care here. It's the tyranny of merit.
Here here
Well said.
Everything in America is designed to bully cash out of you. This country is exhausting and it's why there's so much unhinged violence.
Agreed. It doesn’t have to be this way.
Never knew Hospital Admin Code of Ethics included anything other than just “Screw them as hard as I can while making as much money as I can”.
That's the motto.
This shows the dark reality of our system and shows how greedy the Healthcare system is in the United States
“For profit” - these two words explain everything. Greed truly is the root of all evil.
It’s not just health care and it’s not just professionals. These types of employment contracts are abused. They hurt competition and people. They should have been banned ages ago. It’ll probably never happen.
As of 15 hours ago the FTC has officially BANNED non compete agreements lets celebrate!🎉
This one really hits home. People have called it the “Cath Lab Hustle” for a reason: every two years someone transfers because of better pay/hours. If hospitals would just pay core cast even $1 more/hour there would be more retention. Also hard to stay motivated when, as a former core staff, new grads with zero experience were being paid the same hourly rate as me at a competing facility even though I was maxed out at the top of the ladder.
When you factor in the tiered pay structure, it encourages experienced staff to leave.
That's why I'm getting a bad feeling in my stomach everytime I'm hearing of some white collar manager making six figures: because by now I immediately think that he got some tasty bonuses for achieving the sacred Upward Line, probably by either firing a lot of staff or wage theft or some other form of legalized robbery.
It's bad for morale but economically it makes sense. The older you get, the less you're going to up and just leave. So 80% get fucked, 10% eventually leave, 10% quickly leave but the 80% who got kids/too old they just stay with their neutered salaries and it's ka-ching, ka-ching baby.
Hospitals paying people what they're worth?! *GASP* How dare you give them hope of enough money so that they don't have to get a second job and possibly go home to their families 🙄🙄
This is clearly the Dems attacking the good ole' American family once again! Those workers will be able to go home, communicate with their spouses and/or children, and then suddenly you have all these arguments and fights which never would have happened if every adult has at least two jobs, and communication is via messenger app like nature intended!
I always liked the response of a company looking to hire my father away from his decades long company when he mentioned the non-compete clause....
"We have lawyers too."
Most of those clauses aren't enforceable.
Every video you make about US healthcare system fills me with joy and gratitude to be European. I'm so sorry for you guys though
And Canadian 😂😂😂
Even swiss
we're working through it politely right now, arson and riots are sitting on the back burner still though
This isn't just about healthcare. Noncompetes exist in a lot of industries. It prevents video game developers from quitting and not just from finding a new job, but they also can't start their own company after they quit. I hope this rule goes through. I wouldn't be surprised if a whole bunch of Ubisoft and Activision-Blizzard (the evilest game company) and EA(the second evilest game company) employees quit to start their own studios free of the 80 hour workweeks and 7/10 games. We will be ushered into a new era of smaller studios making shorter games with more love and care put into them and releases free of bugs! Long live the indie games!
Speaking as a doctor in the UK, I would gladly work in the US healthcare system over the NHS in our country. We have something even worse than non-compete clauses in the UK - we have a monopsony employer (The NHS) which allows the government to suppress our wages because we have nowhere else in the country we can work. The god awful pay of junior doctors in the UK is what prompted us to vote for industrial action and to go on strike to be paid a decent wage. In fact, that is why many of our colleagues are leaving the country with many moving to Australia, Canada and the US where the pay and lifestyle is much superior to anything we have here in comparison.
This is hilarious and also true! One of my 1st jobs in the field they offered me well below the average salary from someone of my experience, Education, and training. I had another interview the next day that offered me the salary I asked for (average at the time) and a sign on bonus. Health care systems really try to screw their workers to keep them in their position while underpaying them and the only way to improve is to leave the job and sometimes that company as a whole. It is really a shame.
Most workplaces aim to pay their employees just enough to barely squeak by, but not enough to have the energy or resources to look for another job. The student debt load, and fear of losing their shitty health insurance, supports this goal.
Another banger from Dr. G!
Keep killing it, bro!
Hmm...is it quite cricket, to suggest a doctor "keep killing it"?!😄
🎼re-animation is lucrative
@@jenniferryersejones9876 This is true!
@@jessicabowling5645 lol!
(corporations, not patients)
Himothy, Jimothy, and Bill (this sounds like the start of a nursery rhyme) are going to lead the uprising.
Keep fighting the good fight Himothy!!!
Jonathan needs to be in the uprising too. His speeches to the troops would be very short but incredibly effective.
Don't tell anyone I let you in on this, but the Jonathans have their own uprising coming soon! I'm fairly confident that all of us nurses are going to join them, because we too do all the work with none of the glory of the doctors!!
"It's important that they feel trapped"
As a nurse I'm dying 🤣🤣🤣🤣🤣
We laugh as we sign those sign-on/retention bonuses... Oops.
Best wishes to you, take care of your mental health!
(Are there any studies on the mental health benefits of murdering CEOs in a 100% non-detectable way? Asking for a friend.)
Yup! I'm beginning to learn how little of a free market we actually have in certain areas!
Corporate greed stifles free market? Say it ain’t so!
It’s better described as the best of socialism and free market for the corporations and government while the average person is treated as a tax slave pay pig.
Are we ignoring the “free market for me but not for thee.”😂😂😂😂
The old english style shows how long these nonsense has been going on. Genius😂😂😂😂😂😂
Can't think of a youtuber that makes me want to laugh and cry as much as Dr. Glaucomefleken
The Doc really came out swinging on that first answer. The nurses union at work is negotiating contracts and I think I'm gonna share this with them.
Spot on.
Non compete clauses are illegal if the employee no longer works for you in other cases, but medical systems somehow avoid this in America.
Medical and unions
Not just medical. Loads of jobs have noncompete clauses
@@adamorick2872 Not after employment, generally only while employed.
@@ShouVertica my last industry was nowhere near medical, and had a non-compete rider.
Luckily, it was written so poorly that very few could be penalized - but boy did they try!
@@adamorick2872 Lots of noncompete clauses turn out to be invalid and unenforceable though if you ever bother taking it to court. They function primarily through fear and intimidation hoping people won’t figure that out.
I'm not going to do the math, but I bet that paying people what they're worth would actually save money since you won't have to spend Asklepius knows how much lobbying multiple times
Sadly I suspect it would work out in favour of lobbying in the long term - as expensive as lobbying sounds you've got to remember you only need to lobby a few people, whereas nation wide you've got to pay a *lot* of healthcare workers.
Lobbying can be a tax writeoff; paying employees is not.
You're all missing the bigger picture: the business executives, lobbyists, and politicians are all *friends.* It's an excuse to funnel more money into their friends' pockets as much as anything else.
Himothy: "Finding solutions to problems that don't exist while ignoring actual problems that really do exist."
Me: Ah, TH-cam?
I'd say politicians but they're more along the lines of "There is no problem unless the solution benefits me and my social group... in which case it's an emergency not a problem."
When I first saw your videos, I genuinely believed that you created a new word to use as your social media name. Imagine my surprise when I just saw the word "glaukomflecken" on one of my medical school lecture slides! I shall now call you Dr. Small Anterior Subcapsular Opacities Secondary to Lens Epithelial Necrosis Resulting from Acute Angle Closure Glaucoma.
😄
I wonder why the medical term is in German. Glaukom=glaucoma, Flecken=spots. It could have been glaucoma spots. 🤷🏼♀
Me *chuckling* as the child of a father who has been a contact/locum tenens Emergency Dr. for decades. Some hospitals have different management for the ER and the management always turns over every 1 to few years because of mergers or some group comes along promising the Hospital CEO "savings". But of course because of non-competes they have to basically let go of all the contract ER docs. And usually the contract prohibits getting hired at the sister hospitals nearby. My dad chooses to move himself around (driving & flying often to other states for days/weeks at a time) so that we (his family) didn't have to move around. He's worked in hospitals across at least 5 states.
aren't non compete clauses non holdable in court?
Couldn't they be ignored.
@@MasterGhostf Yes and no. Non-competes exist in a legal grey area, especially when it comes to high skill professions where their skills are by far the most important factors of their employment. In these cases it gets increadibly hard to defend against non-competes because that skill can be considered taking company secrets somewhere else. Youll never see employees that work in walmart or mcdonalds (except high level managers) be held to a non-compete, but it gets murky for workers like doctors, lawyers and the like.
🤯
@@MasterGhostf I don't know. I think it depends on the industry and the actual contact and if you can convince a judge it's unfair or makes no sense. But I guess the argument is no one made you sign so you agree when you take the job and can't complain after. 🤷🏿♀️
I had one MH private practice owner try to get me to sign a contract whose NC clause stipulated that I couldn't work in my profession anywhere within in a 100 mile radius of her office for TWO YEARS AFTER LEAVING. The world needs this rule, urgently.
Legend has it that CEO is still trying to compute Himothy's final suggestion to this day.
Someone needs to permalink this channel in r/BoringDystopia some day.
Thanks for always staying on the ball, Doc Glauk! I'm sorry your system is so evil; you a real one.❤
I work in an OR and see this with our anesthesia group. Even though they don’t have a patient practice that could possibly move with the docs if they left a hospital to go somewhere else, they are still forced into a non compete clause in their contracts. These clauses make no sense for docs without a patient practice like anesthesia. Love your videos. Especially the ones that poke at the different surgical specialties. As a surgical tech. I have personally stopped docs from doing something inappropriate with just a look just like how you portray OR nurses. Always makes me laugh. Keep the videos coming.
I’ve always been partial to the Heavy Sign while looking over the top of my glasses as a deterrent to errant actions…
@@dianeewoldt3035 my usual is just a raised eyebrow, but occasionally I’ll pull out, “I’m watching you” while I’m doing something else and not looking at them.
This reminds me of the kerfuffle that happened in the Fox Cities in Wisconsin when Allegiant head-hunted ThedaCare’s entire cardiac cath lab radiology team. ThedaCare apparently didn’t have the nurses and techs bound by non-competes AND they refused to match Allegiant’s offers on the grounds of “if we give you raises, we have to give everyone else raises and we can’t afford that.” Then when the cath lab jumped ship, ThedaCare tried to sue to stop them on the grounds that not having a functioning cath lab would compromise patient care during the pandemic. Allegiant’s response was basically “your failure to prepare is not my emergency,” and the judge agreed.
Of all of the videos this is the most serious and spot on. It’s unbelievable the physicians have allowed the current status quo to exist for so long.
This is a thing in the US too where doctors actually get paid well?! Crazy! At my hospital in Austria I even had to ask for permission to hold a lecture at university because it could be considered competition 😂.
Nicht dein ernst😂😂?
@@christophebrou1178 ernster war ich nur als ich sagte dass medizinische Pubklikationen frei zugänglich sein sollten. Ist auch nicht das erste Krankenhaus in dem ich das erlebe. Wirklich traurig.
From what I understand only specialists in the US get paid well, everyone else winds up working long hours for not actually that much per hour.
This is much more important than school
This is off-topic, but I thought the title said "Banning Non-Complete Clauses". I couldn't figure out who in healthcare was so passionate about grammar.
I'm currently stuck in a noncompete. I recently hired someone to do the same job for $3/hr more. It's infuriating, but I have no bargaining power because if I want to have a similar job I have to either wait a full year after quitting or move to the other side of the state. I love so many things about where I work, but they don't pay me nearly enough - especially considering they just added on more responsibilities.
I'm not even in the medical field.
Unionize
Most non-competes are unenforcable (citation needed). You should talk to an employment lawyer to find out.
Ahh, I quite like the Danish rules: you can have a non compete, but only if you pay the worker what the new job would have for not working there.
Truth brother! Out hospital keeps asking us to contact the state to tell them to vote against this. Pay is more and treat us well!!!
Y’all have to sign non-competes in the US? That’s honestly so dystopian wtf
it ALMOST makes sense for super specialist proprietary tech stuff, but then it gets applied to things like janitors. At which point you look at it like wtf.
Thank you! The more the word gets out about non-competes (in every industry), the better it is for workers!
I thought the whole justification for non-compete clauses was "to prevent stealing of trade secrets." It's a BS justification anyway but what trade secrets are there in a hospital?
in industries like this it is often argued that your skills are the trade secret since thats the service thats provided.
Non-competes arent necessarily evil, but they way they are currently used is.
It becomes an issue if a hospital's main selling point is a super-fancy-radiology-elite-subspecialty that's the only one in a 2 hour drive...and the entire team moves to a different, nearby hospital because they were offered ridiculous sums of money. Rumor has it that's what happened in Columbus, OH, 20 or so years ago, and is why almost all of the healthcare systems in Columbus (there's at least 3) now have non-compete agreements.
Which makes sense (even if it's unfair) for a super-rare subspecialty, but is stupid and/or evil for a more mundane position
@@meganofsherwood3665 Theres something to consider there from a free market perspective.
If you are offering something that no one else is, that means there is a limited supply for that product. If another nearby hospital is capable of paying out enormous sums of money, that means there is an untapped demand, or that prices are increadibly high. With both of these considerations, more then likely that original hospital was making enormous profits off of not paying those super specialized workers the appropriate wage for their labor, further it suggests that the original hospital was not capitalizing on the available demand of that service. Had the original hospital paid their employees appropriately based upon the value they provided the system, they would not have lost their effective monopoly on that specialized market. Further, that original hospital could have also recognized the potential of their specialized workforce. For example, my SO used to work as a PA nephrologist, all the hospitals in the region were contracted with her clinic and as such benifited from the services, while the clinic benifited by not having to compete with with other hospitals over the market share.
non-competes in the vast majority of circumstances, especially when they apply to labor, are an anathema to free market capitalism. There are a few circumstances where they are increadibly important. For example if i buy your business that was built on the good will youve built with a community and my price included that good will, it turns into a scam if you then go out and start a new business with the money i used to buy your original business. But, these type of examples are few and far between.
Non-competes might sort of make sense for high level people with access to a lot of proprietary information, but they are far too often used against random employees to artificially raise the cost of quitting without providing any actual benefit to the employee.
This is for Will (Not Dr. Glaucomflecken). I just read about your incredible journey and absolutely love that you have turned to comedy as a coping mechanism through your challenges. Kudos and a huge "thank you" to you and your wife for making mine and others' day a bit brighter while simplifying the most complex healthcare system in the universe.
There's been non-compete clauses and NDAs in the blue collar industry for decades.
The antifreeze in your car is the same antifreeze they took out last time. They don't throw it away, it's filtered, ran through a reverse osmosis machine, additives thrown back in and sold back to the mechanic's
But I'm not supposed to say that
What's wrong with that? Sounds like a good way to reduce unnecessary industrial chemical waste. Chemistry is just chemistry. We do the same thing to humans (you just described dialysis)
@@almaraNZ But we shouldn't have to pay full price for a product that's simply being reused
@@claudjarodnez do you think that process is free? You're getting the same thing as if it was new, why should they have to charge less for it?
This shortsighted, wasteful selfishness is exactly why our species is fucked
I originally read the title as non-compLete clauses and came in with very, very different expectations on the topic of the video.
How is it I'm so delightfully deceived into believing I'm watching a real conversation?! I love it!
Next you're going to tell me pharmaceutical companies should sell their drugs in a competitive market to bring the prices down.
Note: I enjoy living. Please investigate any "accident" or "self harm" in the event of my demise.
May 2024, the FTC has now banned non-competes for almost all employees.
This is so relevant. I love the recent private equity emphasis too
The one thing missing is the CEO hiring a union-buster to track Himothy's movements and launch intimidation threats for asking such questions. Maybe that's the next episode.
I can’t imagine this happening in the land of the free. And patients must truly appreciated being cared for by a professional being coerced to provide their services.
The land of the what?
@@EWSwot he misspelled fee
Can we have all of the imothy's at a session with the therapist?
Thank you for pointing out this monumental change to workers rights. I would have never known that this hope for worker's rights existed unless you had created a content stream that is both fun and informative.
Dr. Glaucomflecken should speak to the congress one day
Oh good this was painfully accurate. I don’t know if I’m crying or laughing.
One day, one of the 'suits' came to visit the Anesthesia Office. He thought I was one of the Docs (I am a CRNA). He proudly went on and on about how we don't give raises to nurses (all nurses) until too many of them leave for other hospitals. "We know that they have no place to go, that they can't just up and leave the area, they their husbands work in this town too, blah blah blah". It was quite funny. The (other) Docs were trying to clue him in on the fact that I was not 'one of them' but he just kept on yappin'. Naturally I informed my cohorts. The nurses got their raises.
How can a video be so uplifting and despairing at the same time 😭
As a lawyer, it disturbs me that the medical profession does not seem to have an equivalent to the American Bar Association's Model Rules of Professional Conduct Rule 5.6: Restrictions on the Rights to Practice. In short, the rule makes it impermissible for an attorney to either sign a non-compete agreement limiting their ability to practice law, or even to offer another attorney such an agreement. The legal profession acknowledges non-compete agreements would allow for the manipulation of the market for access to legal services in ways that harm clients, and so bans them accordingly. But medicine missed out on that one.
Also, Rule 5.4's general prohibition on sharing legal fees with nonlawyers means that the practice of law is largely free from being owned and controlled by private equity, and so lawyer's ability to fulfill their professional obligations to their clients is not interfered with by some non-lawyer investor, who of course would not share those professional obligations and might not be very interested in respecting them. Medicine really missed out on that one too and there is no better argument for why lawyers should keep our Rule 5.4 then what has happened to many hospitals which became privately owned.
FTC incoming 🙌 it's good thing for vet med too. (heyyyy! I'm an eyeball doc for the doggos👋)
The best part about this is how good an actor Dr Glacomflecken is by being able to do this skit and keeping a straight face while being force to say ethics twice with the character he's playing.
This has aged beautifully.
Aged well
Current for profit hospitals...thank you soooo much Nixon. So so so very much
This needs to go viral!
I guess money must be third.
I can't believe I was wrong twice.
Oh boy, this aged delightfully.
Non-compete agreements make sense when there is important and limited proprietary information to be protected. That *might* reasonably apply to some senior executives in a large healthcare facility. But it doesn't apply to front-line workers because they don't have useful proprietary information (unless you count "medicine" itself as proprietary).
I may have lost in translation of what a non compete does entirely but isn't what you described what non-disclosure agreements are for?
Wait, if they pay doctors more, how will the board members afford their yachts, 4th vacation home in the Bahamas, and two Lamborghinis? Two! They would faint at the prospect of just 1!
And don't forget about their pitiful CEO's 20 million dollar bonus. If he doesn't get that, he won't be able to show his face at the country clubs this year.
Himothy has been denounced for bad economics. Paying all hospital workers more would be a constant expense, whereas lobbying is a one-time expense that need not be maintained afterwards. The ethics are commendable, however hospital CEOs don't exactly operate on those.
Himothy: Who came up with the non-competes anyway?
(dark figure rises from flaming portal in the floor)
Bartholomew Banks...private equity
Hospital CEO felt seen 😂
Pay people well? Sane hours? Work life balance? WHAT IS THIS MADNESS YOU SPEAK OF!?!
It's good but free market doesn't exist for anything including the CEOs. Under capitalism the capitalist class has absolutely dominant leverage and precise control of the "invisible hand". Don't get me wrong, abolishing non compete is an important break in the chain of working class subversion, but even without it, the entire economy and financial system depends ultimately and completely on the *exploitation* of workers' labor value. That value is extracted from the work itself and turned into profit for the capitalist ownership. The kicker is that capitalists will explain this idea that without taking the money generated by workers from them, capitalism wouldn't work - as if it's a good thing.
As my father used to say....
"That's why your toolbox has wheels"
In california hospitals can’t employ physicians nor does the state enforce non competes.
This is the world building I appreciate!
So true it hurts. Bilaterally.
Giving adequate pay to healthcare workers?
I assume you must be confused. That is absolutely ridiculous idea.
Remembered of the quote (author unknow): "Rich countries dont have corruption, because they name it 'lobby' "
This would be funnier if the practice wasn’t so widespread. Especially in “right to work” states where you can be fired at any time for any, or no, excuse.
I'm Guessing Timothy got fired later that week.
Also paying someone a livable wage is definite and bad and should be reprimanded at all costs.
And this is why super-deregulated capitalism was a bad idea. Unionize and fight for worker's rights!
And it's the same everywhere - in the corporate world, you can be great at your job and be denied a raise, even when they know you've had a better offer, and then you leave and they have to hire someone else... that costs them more than what you asked, plus the whole onboarding and training costs, and they never learn.. It's like employers just refuse to cooperate with employees for the sake of it.
Power rots people's brains or something.
Himothy: You know, you could use that money to instead pay Healthcare workers what they're worth so they don't want to leave.
Himothy, stop making sense.
Lobbying against labor always baffles me. To avoid a million dollars in raises & benefits you spend fifty million gambling on politicians who won't be there in ten years and then you have to do it again, all while your own business collapses around your ears because it's understaffed and the workers you do have now need you to pay triple overtime.
Shills: Capitalism encourages competition, lower prices and higher quality!
Capitalism at work: You aren't allowed to compete with us, and as a result we're lowering your wages and reducing the quality of our product because we have no incentive
Fun Fact: just paying staff well is often cheaper, more efficient, and brings more profits, but when it comes to cruelty is the only time that money is not a factor.
A former colleague of mine recently went though a whole non compete clause rigmarole from his previous employer preventing him from moving on to the new employer was hired, because the entire department was vacant.
It was Ascension hospital preventing nearly an entire department from leaving to Aurora Medical. The employees from that specific department had sat down several times with Ascension to work out a better deal but negotiations broke down.
A judge stayed the request from Ascension to prevent the employees leave until they could replace them. Made the news in Wisconsin.
I don’t recall ever seeing something like that before in my entire working career.
I'd love to see a video on banning networks, always pissed how my cars and dogs have insurance coverage coast to coast but once I the one paying for all of it go from blue cross Minnesota down to blue cross Texas I'm out of network and my insurance bails on me...
"Hospitals spending money lobbying" sounds so wrong on its own.
How can a hospital be allowed to spend money on stuff like lobbying?
I am so invested in these characters.
Non-compete clauses and monopoly go hand in hand.
Hi everyone just know the person cleaning and sterilizing the metal things the doc put inside you gets paid the same as fast food.
Seriously, it's cheaper to pay employees than lobby against paying employees. Also salary is predictable
Himothy should know better. It's much cheaper to lobby than to pay your employees more 😔
I mean most states it won't even make it to court unless the employer can both show you have trade secrets and that it would be significantly detrimental if they got out.
It's not just healthcare. My daughter is a college student and recently interviewed for a part-time wait job. The manager stated if she accepts the job she'd need to sign a non compete for 2 years for any kind of restaurant work.
It's ludicrous.
non compete clauses always confused me. you're telling me that the set of skills I took this job to obtain are now useless to me because of a piece of paper?