I'm in a healthcare professional grad school. This video was linked as part of our "prior to class" material. This should have been a "prior to graduating high school" material. so much covered in such a little amount of time that is easily listenable and easy to grasp. I listened on 1.5 speed and realized I needed to slow it down to fully grasp. Thank you again for amazing content. Y'all rock.
The USA does not have a health care system. It has a health insurance industry. To say that the health insurance industry is a health care system is akin to saying that your auto insurance is your car care system.
Sorry I know your comment is 5 years old but in case others are reading, you skipped one thing and it’s the biggest thing. All of what you said is just the wrapping. What’s inside is a giant federal beast of an agency called Medicare.
Wish he didn't interrupt so much. He cut off the expert constantly, and even when the expert was speaking, Khan was disruptive with his incessant "right...right...right..."
Today in 2019 it seems broken still. Decent Insurance shouldn’t cost as much as rent and an ICU stay shouldn’t bankrupt someone. Even if you pay monthly premiums, you’re still at the mercy of insurance companies since they may deny to cover a critical surgery. What’s the point of paying thousands a year to be denied by it. Employers are slowly shifting costs to employees because of the rising costs.its nothing to sweat about if you’re wealthy but if you’re the rest of the 90% it’s expensive
2021 and the U.S. healthcare system is as broken as ever. Try to find good doctors. When your OWN insurance company denies the surgery your doctor says will fix your issue, something is VERY wrong. Oh, but look deeper at the problem. Insurance companies are in the business to make money for themselves and their shareholders. Doctors number one priority is to improve your well-being. Unless the insurance companies primary motivation is changed, healthcare will only become worse.
I was just going to write that in the comments, but you beat me to it! It's informal but extremely effective, at least for me, in understanding the system as a whole.
Insurance companies have large profit margins, even without the use of copayments. It's not really about minimizing abuse of the system, but rather maximizing profits. For every sick person there are many healthy people who pay monies to their governments or insurance providers, more than enough to pay for services for everyone. This is the conflict of interest that arises from privatizing healthcare. Healthcare is a basic necessity, and should be provided to all without prejudice. In Canada t
The last line Sal says is, "It makes a ton of sense." And it does, theoretically. My question is, how much profit are these insurance companies making? And if their profits are exorbitantly high, with patient care being overseen by management (HMO, PPO), could that money be better spent on patient care? A related question is: is patient care subsidiary to insurance company profit? This is not a political question, but a human[e] one.
well all the money i ever gave them has gone straight to their profits because they wont cover surgery. which means that i have to save up money for surgery. i cant work either right now because i need surgery too so yeah i think i give up with everything. such a fight.
7:48 That not true, Economist just think about money. Research shows that people that people would not go around using insurance. (some might) But not all. That why economist are usually not the greatest people when it comes to health, but only $$
THANK YOU!! I found that completely annoying throughout the entire video. Obviously Mr. Khan knows this concept but for the layperson learning... We would not be saying "riii riii". We would be absorbing the information. I found it so annoying at the 2:25 minute mark where the presenter made the mistake of saying that the patient would buy the insurance company (insurance policy) and Mr. Khan jumping on that immediately. Super annoying and unnecessary. Ugh!!!!
"More money spent under the control of the health profession means that more people are operationally conditioned into playing the role of the sick, a role they are not allowed to interpret for themselves. Once they accept this role, their most trivial needs can be satisfied only through commodities that are scarce by professional definition." - Ivan Illich
My friend, who's a macroeconomist thinks both funeral care and health care do NOT need to be a profiting business. He said that as long as health care remains a profiting business, it will always be a slave to insurance companies. He gives huge amounts of money to Drs. Without Borders.
Your friend is a smart person. If you have a look at healthcare systems around the world (like the UK and Australia), it shows how healthcare doesn't need to be a profit-based system to be effective.
Vicki Bee instead.... more people die waiting in line for care. Did you know the profit margin in healthcare in the us is in the pennies? Who innovates healthcare?
Linda, that is simply not true regarding profit in health care. Read Deadly Spin by Wendell Potter. Insurance companies run largely on making money off of the healthy then dropping the sick when they get too expensive.
Other guy is still wrong. Underutilization of services is still a much bigger problem than over utilization. The group that is the "Patients" actually loses more money and value in terms of dying population (that should have gone to the hospital) than the insurance company would by under-limiting us of health care resources.
how is this video educational. it is just completely factually wrong for me. the only way for a trans girl in texas to get surgery is to pay upfront. doctors should be completely ashamed of themselves for valuing money over people. im so tired. i believe the life expectancy for a trans woman to actually be 35 that means i only have a couple years left such a shame. i feel so sorry for you people with chronic conditions.
They leave out so much and gloss over so much detail to the point of being grossly negligent in the skipping over major details of what they talk about while completely leaving out Medicare and it’s complete dominance in the US healthcare system.
Instead of waiting for him to finish explaining himself, Sal keeps interrupting him with a "right" to show how anxious he is to answer. I didn't like this video at all it causes confusion.
Glad my country has it made. Everyone gets free healthcare but 1.5% of the tax you pay or 8.7% of my countries GDP goes to providing that healthcare. But you also have the option to pay for a private health care plan which enables you to not have to wait in massive waiting lines and get other specialist services not covered by the Government Medicare (not the same as American Medicare).
***** That's the misunderstanding. I'm not taxed more. It's just a % of my taxes go towards providing everyone including myself access to basic medical care. Then for things like private health insurance or buying a new car or home and contents insurance etc I can salary sacrifice and end up paying less tax.
I’m tired of the adds that say free health care. Nothing is free somewhere some one is paying for whether it be in taxes or extra hours they work on their jobs. Yes somehere some one is not paying but someone else is
"Medical Nemesis", by Ivan Illich, quantifies the diminishing and even dangerous returns of increasingly intensive medical treatment delivered by licensed professionals to legally disabled patients.
@TheRouterDotNet where do you live in the netherlands is it illegal to have nog insurance and if you cant pay one you get one of the goverment ???? so how can someone be uninsured ?????????
healthcare is a way to monitor our health by diagnosing,treating and preventing it.I was searching for a site which provides the healthcare services and I found one which was mediklik which is providing us with various healthcare services.
Are insurance co. and hospitals corporations or are they non-profits ? if they are corporations then their main concern is profits not health care. By law; a corporations first concern is profits for their stock holders. So any way these two insitutions can cut costs or increase income will effect the patients care. One more thing who is deciding what treatment a patient will receive the doctor or the insurance company ?
Also remember that there's no money in selling cars that last for decades. Only in selling cars that break quickly - so you can sell spare parts and service. Hence why you can't get a car that lasts anywhere, at all. *end of sarcasm*
So personally why would I ever choose an HMO policy over a PPO considering that the PPO is more flexible with who I see? Sometimes I would like to see multiple doctors to get second opinions, especially with surgical procedures, it doesnt seem HMO's offers that flexibility. So as a consumer is there a preference for one over the other?
The only real advantage is that HMOs have lower premiums. Of course an HMO might end up being more expensive if you're not careful about seeing people within your network, so PPOs are generally preferred. But some people simply can't afford better healthcare insurance so they have to use HMOs.
Love your videos... but i guess i liked it more when you were the only one talking... I guess it's because i'm foreign and english is not my mother language... Keep up the good work, anyway!
Something that's missing or underestimated from the map. Today, with more folks out of work, there are more without insurance. So doctors, more often than not, will charge a lower fee for those without insurance.
Great general content regarding the⬆️⬇️ vice versa flow effect for both private and gov't Healthcare. Khan Academy dude barely knew diddly squat about the major players of private insurance (I.e. BCBS, Aetna,Cigna, UHC)🙁
Health care is a human right - Health care like Army needs to open to all ... If politicians really want to serve people, they have to provide health care for their citizens ...If they really want a strong & healthy army ...
Lol no it's not. Free speech is a human right. Were you born with free healthcare? No. Someone has to pay for it... Someone has to do the work for it, and they want money in exchange.
@fufufuyen uhm netherlands,deutschland,austria,england,sweden and so on all have full covered health care for everbody.. i just dont get the academic amarican people are so blindsided and ask to me if we have healthcare and police and or we have fresh water and a wc and connection to the sewer lolz oyeah or we have electricity all our service in europe are so good you can only dream of in america and your technology state is 10 years behind ours and you think we are the farmers im tired of it
Besides, you either got your ideas from someone else (in which case, you're also a sheep) or you formed a hypothe-theory and supported it with the fact that it makes sense in your head. I'm sorry to inform you that rattlesnakes are not the most mentally developed of animals. (Which explains your commenting impediment.) I may be wasting my time, but as UA-cam has taught me, time-wasting can be fun!
In US about Health Care . When you are retire , you are real Human , good human . . .this Health care will treat you very badly , hurtly . . .Why ? Retire is mean you can not work no more because your health don't let you work . For the Heatlth care US Evil goverment doesn't give to you Health for free , you must pay a lot of moneys . But this health care did not cover Dental . . so what a hell Health care for ! That why I call Evil US .
Imagine having money taken out of your check to pay for your own families health insurance and then being taxed to pay for the health insurance of someone else.
...I did not understand anything you said. Seriously. You start with hating "libtards", then you "don't give a dam [sic] anymore". I'm not even a liberal! I'm a centrist! And what on Earth is up with the "you people had the chance to friendly you"? We're friendlying ourselves? Like, friending on Facebook? I don't even know anymore! Speak language!
I'm in a healthcare professional grad school. This video was linked as part of our "prior to class" material. This should have been a "prior to graduating high school" material. so much covered in such a little amount of time that is easily listenable and easy to grasp. I listened on 1.5 speed and realized I needed to slow it down to fully grasp. Thank you again for amazing content. Y'all rock.
The USA does not have a health care system. It has a health insurance industry. To say that the health insurance industry is a health care system is akin to saying that your auto insurance is your car care system.
Sorry I know your comment is 5 years old but in case others are reading, you skipped one thing and it’s the biggest thing. All of what you said is just the wrapping. What’s inside is a giant federal beast of an agency called Medicare.
Sounds like Khan didn't want the Stanford guy to talk haha
Wish he didn't interrupt so much. He cut off the expert constantly, and even when the expert was speaking, Khan was disruptive with his incessant "right...right...right..."
Today in 2019 it seems broken still. Decent Insurance shouldn’t cost as much as rent and an ICU stay shouldn’t bankrupt someone. Even if you pay monthly premiums, you’re still at the mercy of insurance companies since they may deny to cover a critical surgery. What’s the point of paying thousands a year to be denied by it. Employers are slowly shifting costs to employees because of the rising costs.its nothing to sweat about if you’re wealthy but if you’re the rest of the 90% it’s expensive
2021 and the U.S. healthcare system is as broken as ever. Try to find good doctors. When your OWN insurance company denies the surgery your doctor says will fix your issue, something is VERY wrong. Oh, but look deeper at the problem. Insurance companies are in the business to make money for themselves and their shareholders. Doctors number one priority is to improve your well-being. Unless the insurance companies primary motivation is changed, healthcare will only become worse.
The other guy need to stop talking. Its super distracting.
This the type of education that makes a difference. Thank you
I was just going to write that in the comments, but you beat me to it! It's informal but extremely effective, at least for me, in understanding the system as a whole.
Insurance companies have large profit margins, even without the use of copayments. It's not really about minimizing abuse of the system, but rather maximizing profits. For every sick person there are many healthy people who pay monies to their governments or insurance providers, more than enough to pay for services for everyone. This is the conflict of interest that arises from privatizing healthcare. Healthcare is a basic necessity, and should be provided to all without prejudice. In Canada t
This is why healthcare cost always rise. Let the patients deal with the doctor directly! Let the doctors compete. Let insurance companies compete.
Payor = anyone paying for their service i.e. surgery, check up, dental, etc.
The last line Sal says is, "It makes a ton of sense." And it does, theoretically.
My question is, how much profit are these insurance companies making? And if their profits are exorbitantly high, with patient care being overseen by management (HMO, PPO), could that money be better spent on patient care?
A related question is: is patient care subsidiary to insurance company profit?
This is not a political question, but a human[e] one.
well all the money i ever gave them has gone straight to their profits because they wont cover surgery. which means that i have to save up money for surgery. i cant work either right now because i need surgery too so yeah i think i give up with everything. such a fight.
These are all the wrong questions.
the video is helpful, but not used to two people talking at the same time. Still prefer one person talking
Right...right...right....
7:48 That not true, Economist just think about money. Research shows that people that people would not go around using insurance. (some might) But not all. That why economist are usually not the greatest people when it comes to health, but only $$
Mr. Khan can you let the dude explain without interrupting.. With your right right right...
THANK YOU!! I found that completely annoying throughout the entire video. Obviously Mr. Khan knows this concept but for the layperson learning... We would not be saying "riii riii". We would be absorbing the information. I found it so annoying at the 2:25 minute mark where the presenter made the mistake of saying that the patient would buy the insurance company (insurance policy) and Mr. Khan jumping on that immediately. Super annoying and unnecessary. Ugh!!!!
"More money spent under the control of the health profession means that more people are operationally conditioned into playing the role of the sick, a role they are not allowed to interpret for themselves. Once they accept this role, their most trivial needs can be satisfied only through commodities that are scarce by professional definition."
- Ivan Illich
Very informative & clear. Thank you.
The other guy talking is super annoying.
Would love to see a video about this that's a little bit thought out.
Thank you
Great video, saw you on PBS too. Good job
xx WI jaray good
My friend, who's a macroeconomist thinks both funeral care and health care do NOT need to be a profiting business. He said that as long as health care remains a profiting business, it will always be a slave to insurance companies.
He gives huge amounts of money to Drs. Without Borders.
Your friend is a smart person. If you have a look at healthcare systems around the world (like the UK and Australia), it shows how healthcare doesn't need to be a profit-based system to be effective.
Vicki Bee instead.... more people die waiting in line for care. Did you know the profit margin in healthcare in the us is in the pennies? Who innovates healthcare?
Linda, that is simply not true regarding profit in health care. Read Deadly Spin by Wendell Potter. Insurance companies run largely on making money off of the healthy then dropping the sick when they get too expensive.
Other guy is still wrong. Underutilization of services is still a much bigger problem than over utilization.
The group that is the "Patients" actually loses more money and value in terms of dying population (that should have gone to the hospital) than the insurance company would by under-limiting us of health care resources.
HSA (Health Savings Account)
Right now, I bet a lot of doctors don't even know how much they charge.
how is this video educational. it is just completely factually wrong for me. the only way for a trans girl in texas to get surgery is to pay upfront. doctors should be completely ashamed of themselves for valuing money over people. im so tired. i believe the life expectancy for a trans woman to actually be 35 that means i only have a couple years left such a shame. i feel so sorry for you people with chronic conditions.
They leave out so much and gloss over so much detail to the point of being grossly negligent in the skipping over major details of what they talk about while completely leaving out Medicare and it’s complete dominance in the US healthcare system.
Instead of waiting for him to finish explaining himself, Sal keeps interrupting him with a "right" to show how anxious he is to answer. I didn't like this video at all it causes confusion.
working on my degree in informatics will be coming to UA-cam a lot to learn more
*** 1:57 ***
Glad my country has it made. Everyone gets free healthcare but 1.5% of the tax you pay or 8.7% of my countries GDP goes to providing that healthcare. But you also have the option to pay for a private health care plan which enables you to not have to wait in massive waiting lines and get other specialist services not covered by the Government Medicare (not the same as American Medicare).
***** I earn 61000 a year and it increases by 4% a year. Healthcare is expensive if your decide to go it alone.
***** That's the misunderstanding. I'm not taxed more. It's just a % of my taxes go towards providing everyone including myself access to basic medical care. Then for things like private health insurance or buying a new car or home and contents insurance etc I can salary sacrifice and end up paying less tax.
It should not be this complicated! Our system is so messed up.
you have no idea. healthcare economics is the most complicated thing anywhere in the world
So much to know, apart of mbbs just in this heath field
I’m tired of the adds that say free health care. Nothing is free somewhere some one is paying for whether it be in taxes or extra hours they work on their jobs. Yes somehere some one is not paying but someone else is
"Medical Nemesis", by Ivan Illich, quantifies the diminishing and even dangerous returns of increasingly intensive medical treatment delivered by licensed professionals to legally disabled patients.
AugustGaby I'd
@TheRouterDotNet where do you live in the netherlands is it illegal to have nog insurance and if you cant pay one you get one of the goverment ???? so how can someone be uninsured ?????????
Hello sir can i please ask something because i need it for my daughters research.....what can be a good title for healthcare system?
American Healthcare Morally Bankrupt and a major human rights violation
healthcare is a way to monitor our health by diagnosing,treating and preventing it.I was searching for a site which provides the healthcare services and I found one which was mediklik which is providing us with various healthcare services.
I am a researcher❤❤❤
Lol Sal is really loud at times
I'll bet that the comment section is going to turn into pages of disingenuous political arguments.
Good video, Sal.
Are insurance co. and hospitals corporations or are they non-profits ? if they are corporations then their main concern is profits not health care. By law; a corporations first concern is profits for their stock holders. So any way these two insitutions can cut costs or increase income will effect the patients care. One more thing who is deciding what treatment a patient will receive the doctor or the insurance company ?
broken system
...In Canada there are no copayments and healthcare is free for everyone. Basic healthcare is not privatized, and the system works well.
And we work on any payment denials from india.
Sucking the public dry is every insurance company's God given right :)
No, you do not have to have insurance companies. That remark went beyond a description of our healthcare system and into ideology.
hi class :0 ඞඞඞඞඞඞ
Sir ... Like usa ... Is there any app for paperless healthcare to download??
The United States ranks at 37 behind countries like Canada, Saudi Arabia, Germany, Singapore ... According to WHO ...
Remember: there's no money in curing people, only treating their diseased.
@MrBornsleeky We do have a private system. The government is just one huge customer in the form of medicare and medicaid.
Also remember that there's no money in selling cars that last for decades. Only in selling cars that break quickly - so you can sell spare parts and service. Hence why you can't get a car that lasts anywhere, at all. *end of sarcasm*
I got lost at payor
You dont need insurance companies. How come other nations dont use insurance?
Great explanation of how healthcare really works.
@hyylo > Assuming I want Bush or Obama as president.
Why I cannot find the topic health and medicine in Khan academy app
Whats the name of that software commonly used in educative videos as a board...the black background where you can write on.
Please heltha care system q and nas please
lol willy nilly $10 co-pay, how about $130
I'm serious. Sal would make a great president.
So personally why would I ever choose an HMO policy over a PPO considering that the PPO is more flexible with who I see? Sometimes I would like to see multiple doctors to get second opinions, especially with surgical procedures, it doesnt seem HMO's offers that flexibility. So as a consumer is there a preference for one over the other?
The only real advantage is that HMOs have lower premiums. Of course an HMO might end up being more expensive if you're not careful about seeing people within your network, so PPOs are generally preferred. But some people simply can't afford better healthcare insurance so they have to use HMOs.
Gostei muito da explicação, essa iniciativa muda o mundo.
Love your videos... but i guess i liked it more when you were the only one talking... I guess it's because i'm foreign and english is not my mother language... Keep up the good work, anyway!
I love how Sal is a true polymath and he’s been helping people like me follow him. To know that I had the same q as Sal makes me happy!
Something that's missing or underestimated from the map. Today, with more folks out of work, there are more without insurance. So doctors, more often than not, will charge a lower fee for those without insurance.
you have to pay upfront and vaginoplasty is upcharged so much it hurts my soul.
@hyylo I've seen it.
Ron Paul still shouldn't be president.
@madk777 got to love Canada :D
A cured patient is a lost customer
Open an HSA people.
i still have no idea what happened after watching this video. lol. so confusing
Yeah ... I am.. Canadian...
@TheLbpage Mr Khan is the best professor EVER....
Great general content regarding the⬆️⬇️ vice versa flow effect for both private and gov't Healthcare. Khan Academy dude barely knew diddly squat about the major players of private insurance (I.e. BCBS, Aetna,Cigna, UHC)🙁
Very good
can you explain which market prevail in healthcare?
Heatlh
no1 no1!!!! im the best!!!!!!!!!!
Health care is a human right - Health care like Army needs to open to all ... If politicians really want to serve people, they have to provide health care for their citizens ...If they really want a strong & healthy army ...
Lol no it's not. Free speech is a human right. Were you born with free healthcare? No. Someone has to pay for it... Someone has to do the work for it, and they want money in exchange.
^ if Healthcare is not a human right, then why save people from dying at all?
as long as doctors getting paid well
this is freaking awesome dude!
Sal is a god.
YES! I asked for this months ago, and I have recieved.
Thanks for listening Sal
You are GOD :)
echo!
@fufufuyen uhm netherlands,deutschland,austria,england,sweden and so on all have full covered health care for everbody.. i just dont get the academic amarican people are so blindsided and ask to me if we have healthcare and police and or we have fresh water and a wc and connection to the sewer lolz oyeah or we have electricity all our service in europe are so good you can only dream of in america and your technology state is 10 years behind ours and you think we are the farmers im tired of it
Besides, you either got your ideas from someone else (in which case, you're also a sheep) or you formed a hypothe-theory and supported it with the fact that it makes sense in your head. I'm sorry to inform you that rattlesnakes are not the most mentally developed of animals. (Which explains your commenting impediment.) I may be wasting my time, but as UA-cam has taught me, time-wasting can be fun!
@TheLbpage Me too.
GaSby a
nice vedio
In US about Health Care . When you are retire , you are real Human , good human . . .this Health care will treat you very badly , hurtly . . .Why ? Retire is mean you can not work no more because your health don't let you work . For the Heatlth care US Evil goverment doesn't give to you Health for free , you must pay a lot of moneys . But this health care did not cover Dental . . so what a hell Health care for ! That why I call Evil US .
Imagine having money taken out of your check to pay for your own families health insurance and then being taxed to pay for the health insurance of someone else.
@chocobofarmer2021 defense is simple, [video start] we spend half our money on bombs [video over]
meow
So informal and talks to darn fast.
anybody else notice how many arrows are coming OUT of the "Patient" and how few are going in??????
Did Bill Gates encourage you to make this?
...I did not understand anything you said.
Seriously. You start with hating "libtards", then you "don't give a dam [sic] anymore". I'm not even a liberal! I'm a centrist! And what on Earth is up with the "you people had the chance to friendly you"? We're friendlying ourselves? Like, friending on Facebook? I don't even know anymore! Speak language!
gadu Manda ka all ochhi
The narration is, "I mean", "like totally", "makes sense" horrible. The chit chat talk show style doesn't work well.