I should have added that the company that clawed back $3,000 took money that was paid to me over 2 years before that. So they waited 2 years and then took a bunch of money out of my account. At that time I wasn't even in network with them anymore. I call that theft.
CPTSD does give us some interesting perspectives. Being an ND empath, doesn't always guarantee a predictable reaction. Justice is justice when delivered to the unjust. We don't get to question anything else. My empathy is to the victims who died and didn't have to. Their families and friends 🧡
Specifically in addition to racketeering: extortion, conspiracy, third-degree manslaughter (at least), fraud, terrorism, and possibly some other aggravating charges.
This is true but the second you ask the american people to support socialized health care they start screaming communism. The american public will at some point need to have a honest discussion about the meaning of certain words.
@@kingofthendthere is a delayed response to our free enterprise system. Ask 3m and dupont. J&J, British petroleum and so many more. The only hope this system has is to defund the shareholders.
Nothing says 'I understand the system AND choose revolution' like someone who's had to navigate both neurodivergence and insurance claims. That's the kind of tear it down to build some thing better energy we need.
I worked in health insurance for over two decades, and I learned a LOT about their BS policies. I used to teach people how to do their jobs, and so many of the leaders were clueless. Unfortunately, too many leaders in that industry are sales-focused. While there are some people helping to move insurance companies toward doing the right thing, they are in the minority. Even I lost my job when I reported abuses from my team and leadership, which goes to show how little they really care. I'm sorry you have had so many struggles. It's so unnecessary.
I am sorry you lost a job over that and good for you, for standing up to it. I always thought I would avoid denials with my excellent tracking and documentation. What a joke. That is why I could never work for an insurance company, even if they would have chosen to hire me. I've tolerated a lot of cognitive dissonance throughout my career life, but that would have topped it off!
This is the whole problem with for profit health insurance companies. They are beholden to their shareholders dividends not to the patients they serve.
I hope you could afford to survive till you got another job these sleazy CEO that don't see why they should hire security are playing Russian roulette and this was only a matter of time . They have no shame or morals I'm sorry I can't feel sorry for Brian Thompson my thoughts and prayers are with people like yourself and the Mangione family .
I'm an autistic woman who was diagnosed last year at age 35. But about 7 years ago I was incorrectly diagnosed as bipolar and I was given lamictal and which was incorrectly dosed too high (she started me on 25 mg 4 times per day and didn't explain that I needed to titrate slowly). I ended up getting Steven's Johnson syndrome and spent 2 weeks in a burn unit. I was on Medicaid at the time and because I got hospitalized in a different state than wear I live, my insurance was refusing to pay for my $64,000 bill. I being undiagnosed autistic and having just been through major medical trauma, couldnt handle dealing with the insurance company, they were purposely making us go around in circles. Thanks to the help of my mom we finally got it straightened out but it took over a year to get fixed. Literally, my mom kept track of how many hours she spent on the phone with the insurance companies. I don't know how I could have fixed this situation without help. I have a very helpful family though husband and parents who help me a lot.
Oh my God. That disorder can be fatal. I am so glad you survived. You need to consider malpractice suit. I won one similarly and received 1.2 mil. I have excessive scarring and difficulty with dexterity. Hugs and do get that doctor. I would also tag the pharmacist. I got about $350,000 from the CVS that didn't flag the dose as inappropriate for titration.
What a horrible experience, on so many levels! Glad you got through this. It is scary to think that would likely have happened to me if my clinician hadn't started me out well below the recommended starting dosages. Ultimately, I had to get off and list Lamotragine as an allergy, because the hives would come back whenever I tried to increase the dose. I never even made it to a 75mg dosage. Thank God, I saw someone who believed in starting low and increasing slowly.
@@sharonaumani8827 I was recently put on Lamictal and haven’t noticed an effect aside from weird dreams. Side effects aside did any of you get any relief or benefit out of the medication? Thanks for any information.
@@mattjbirtell Some people report signficant relief from Lamotragine [Lamictal]. Unfortunately I was one of those rare breeds who had significant side effects....enough that I couldn't even get up to a therapeutic dosage to see how helpful it might be. The "weird dreams" comment is interesting. Many psych. drugs could affect our dreams. Melatonin, for example, a commonly prescribed over the counter med, can contribute to nightmares and, I forgot what you call it, but it's the term that describes when you move around, groan, talk, etc. in your sleep.
The vast majority of Americans live with paralyzing fear that they will face financial ruin because of a bad diagnosis. I am not sorry that the dude caught a bullet. I am not gleeful about it. I am not cheering it, but I am as upset over it as I would anyone that faced capital punishment. I am against the taking of any life, even the life of someone as loathsome as this CEO. I will say that finding out that these CEOs are in hiding, hiring security firms, it shows me that this event got to them. It shows me that all of the sudden they do not feel invincible. They are made of the same soft material as the rest of us. They can be harmed. And now they know this and they are feeling just a small amount of the fear and insecurity the rest of us do. My insurance story? Before the ACA my father was born with a heart defect. He had 2 open heart surgeries when he was young. He didn't have insurance when he needed the third. He was uninsurable. He passed at the age of 45. I was 13. When I heard that the insurance industry has a term for people like my dad, they call us "dogs" I was filled with rage. I will never get over that anger. These people have a stack of toe tags on par with a certain political movement in Germany that existed in the 1930s. Those people faced the Nuremberg trials for a lot of the same reasons, because they dehumanized people, said they weren't genetically fit to live. What is the difference between out and out eradicating people, or just allowing them to pass from a lack of care that they've paid for? There is no difference.
Holy crap! YES! Thank you for sharing that. The question... could your dad have lived a better, longer life if insurance allowed the proper treatment? I am supposing yes. I wonder if we could even guess how many millions of lives have been lost due to insurance not covering treatments.
@@NeurodivergentDoctor My father chose to go into business for himself. This was in the early 1980s. He couldn't find health insurance. We suffered economic setbacks so he put off going to see a doctor. Because of this he had a heart attack. If he had went to a doctor regularly he could have had surgery to repair his heart before this happened, so yes, it cost him his life. I think he was autistic, which made it difficult for him to continue working for other people in a job with health insurance.
Not only does the US model of health care as a for-profit industry lead to poorer outcomes for patients, it costs much, much more than any other system. Prescription medicines cost multiple times more than they should do. In countries where health care is paid for through taxation, people get treated when they need treatment, and the cost of treatment is much less per capita. No one is bankrupted by being ill, or having an accident. Plus private treatment and private health insurance is still available if anyone wants to pay for it. The US has shorter life expectancy and higher rates of preventable disease than the UK. The US healthcare system systematically fails the people it should be caring for.
You see, you have a misunderstanding. The US healthcare system is doing great by the people it’s supposed to care for: the shareholders. Doctors and patients are just a nuisance in the middle.
There are different systems somewhere between private sector and nationalisation. F.e. the Swiss, where the private insurance companies have to reinvest like 90% of their profits into their services aka paying for therapy, having the basic health insurance model is mandatory to have for everyone and there are benefits for those on welfare and/or low wages.
It's not just in countries with NHS-like structures. Here in Germany we have a dual healthcare system originally introduced by the very conservative first Chancellor of the German Empire, Otto von Bismarck, in the 19th century -- though of course reformed a lot since then. We have a large number of public health insurers that compete with each other. By law, they all charge more or less the same premiums, which are a percentage of income. Certain groups such as very high earners can choose private health insurers instead, but then cannot easily return to the public health insurers. Private prices in Germany for medications and treatments are significantly higher than the ones the public health insurers pay, but are still so much cheaper than American prices, that for serious conditions and surgery, a lot of Americans could save money by flying to Germany and paying their entire treatment out of pocket instead of staying at home and paying the extortionate co-pays. For me one huge advantage of public health insurance (and the main reason I am not switching to private even though I could save a little money by doing so) is that I never get to see any bills except occasionally for nominal co-pays -- think $ 10 per package of expensive medication, day in hospital, or ambulance transport. (There are ways to avoid even these tiny co-pays if you are poor or have a chronic condition and it would amount to a lot annually compared to your means.) This makes life so much easier than having to collect bills and making sure to get reimbursed. I just show my health insurance card, and all the financial details are taken care of between the provider and my health insurer. As another example, Switzerland has only private health insurance, but it's still superior to and cheaper than the American system. That's the power of regulation.
It's up to the individual to decide if what LM did was right or wrong, but there's no question it's got us all talking about the elephant in the room. As an added bonus, we're not at each other's necks talking about politics! Finally something we all agree on!
@annjames1837 out of sight out of mind equates denial of reality. Censorship only serves to hide reality from the delusional, while denying data from inquiring minds. Forcing ignorance on everyone else because you lack the self control to simply move along
Doctor, I loved your video. And that's why I feel the urge to say this from the heart. Your suggestions at the end will NEVER work. The system is too corrupt. The only thing that will fix the issue is socialised universal healthcare. As an European, I've NEVER had to deal with any of the absolutely horrible nightmares I have been hearing from Americans. It's so frustrating to see the wealthiest nation in history fail where poorer nations have succeeded with ease. I know that Americans have an irrational fear of socialism (even though most can't even define it) but this black and white thinking has caused nothing but pain and suffering. You can't fix a system that is incentivised to be broken. Eventually, it will break again and again. Best thing is... you don't even need to be a commie in order to fix this issue. It's so easy! The record has shown time and time again that universal care is more efficient and more effective that anything privatised health insurance can provide. Nations all over the world achieve this with meagre resources and abundant results DESPITE their varying politics. Even more conservative nations don't want to give up their socialised healthcare. It doesn't need to be political at all, it just works! Who knows how many more issues this might heal?... Maybe it will wash away some of the damage done to society as a result of a right-wing-leaning and unbalanced system. Maybe even ease the issues caused by political polarisation. Maybe even heal some wounds you don't know you have. In the end, it's been a long time coming, but it's time to heal. All life is precious and what happened was tragic... The silver lining in all of this is that it, strangely, united people across divides previously deemed unfathomable. And now is the time to come together. Wouldn't it be much better if all this trouble just didn't need to be? Like most things, it's easy if you have an open mind and a warm heart. Take care friend.
Preach! Recent data has shown the ACA just pumps money into the pockets of insurance vampires. It was a heritage foundation plan that Obama repackaged. There was a reason he received more donations than McCain from Wallstreet. Workers of the world unite!
This is why some docs either in groups or individually just take a monthly amount from their group of patients. Or they take a fixed amount cash per consultation. Some docs in the state shut out the insurance that way.
Your health care system has it's own failings. Long waiting times is one of them.... A Brit told me about his cousin what had a tooth that kept getting infected. His cousin would go to urgent care b/c of the extreme pain..he'd be given an antibiotic, the tooth would get better and he was considered well. He was put on a wait list to see a doctor for the tooth. In the meantime the tooth would again get infected, he'd end up in urgent care, be given antibiotics, the tooth would get well and he was back to square one, waiting to see a doctor. That had been going on for a few years... That wouldn't happen here in the U.S...I'm lower income and I've been able to afford health insurance, have never had to wait years to see a doctor for a chronic problem. People think social medicine is free...nothing is free. People come here to the USA for medical treatment, from countries with socialized medicine . Two hundred thousand come here by air annually, plus those who come from Canada and Mexico. Our system isn't as horrid as the haters would have others think. Nothing is perfect. Everyone suffers from something. But not everyone plays the victim, blaming others for what ails them. Most people in the U.S. have horrible diets b/c they choose too. People blame the companies that make junk food. NO one is forced to buy that junk food or eat the crap that is called food but provides nothing nutritious. People say they can't afford to eat healthy food. That's a lie too. The real mess is individuals who want to blame the system, or this or that..everyone else but themselves. And no one today is willing to take up their cross and bear their own pain and suffering. I've suffered, everyone suffers. That's the human condition..always has been, always will be and no amount of delusional thinking will ever change that.
@@dinahsoar6982 In the UK we don't see a Doctor for an infected tooth, that's what Dentists are for. And if you have an infected tooth, the Dentist will give you antibiotics as a first try, then it would be drill and fill or an extraction. So the Brit telling you about his 'cousin' was lying.
@@dinahsoar6982 It's funny how the only people on earth who say dumb stuff like this are Americans. No one else, ANYWHERE on earth says this. It's not Human Condition, it's American stupidity.
Thanks for continuing to help people despite facing these challenges with insurance and while facing financial instability. You are the real deal. We need more doctors like you!
What an impactful video! I'm from the UK and am appalled to hear how incredibly difficult and frustrating it is to deal with insurance companies around mental health claims in the US. Thank you for explaining it all and for the organ recital at the end!
When I see British people complain about healthcare on social media I giggle. There is nothing that can compare to having to ask a nurse to call and fax the insurance company every time you get a script. It's exhausting
I have a 100% rating in the veterans healthcare system; everything is paid for. Somehow, I am still being denied care. No treatment, no pain management.
I work in VA pain management. They make vets jump through tons of hoops to get care. I hear so many that are in excruciating pain (lower back, hip, knee). The VA is bloated, gets a lot of money, but some how shortchanges lots of vets. I know vets who love the VA, and I know vets who despise the VA. I personally knew a double amputee vet who was functioning great on opiods for many years. At some point years ago (remember the "opiod epidemic"?), the VA changed policy, and slowly force-weaned him off opiods. Someone out there will know what I'm talking about, because lots of vets go through this. The vet wasn't high and wasn't abusing the meds at all, the opiods helped him function normally. Opiods really helped him because he actually needed them. Anyways, the guy ended up unaliving himself because of the pain and VA wouldn't help him. I personally knew him, but there's a lot of veterans that I work with (that I don't know personally) that end up unaliving themselves due to denial of care.
Not to pick a fight but the vets I know all more than happy with their system but there are exceptions I suppose. But all in all, you guys seem to have it much better than the rest of us. So there's that.
My daughter and her husband have two insurances between the two of them Aetna being one of them. Both insurance companies fight over who is primary. And now both of them say they will not pay for PT/OT/ABA, etc. for my autistic grandson‘s welfare. It’s downright maddening!!!!!!
Not paying for ABA is potentially not a negative. The rest absolutely is. Make sure any ABA councilor your family talks to is vetted and addresses all criticisms of that type of therapy.
As an adhd autistic adult who was put thru ABA as a child , it’s basically just gay conversation therapy but for autistics. I was more harmed by it than anything. PT tho has been beneficial for me.
@sbocaj22 this, over and over again. I've only talked to one ABA practitioner that felt humane. And they started the conversation by owning the harm it's caused and point by point addressing things. Basically they didn't practice it but called their services that because insurance.
I hear you. We have a constant battle going with insurance companies when they want to insist. The other insurance company is supposed to pay when they are double covered. I didn't realize, until all this happened with UHC, that their actual tactics are to delay. And obviously they defend their denials. It would be different if they just didn't know any better, but it seems that they clearly know what they're doing.
@@sbocaj22I know sometimes a daily therapeutic intervention can be very beneficial for the parents to get a break, and if you can figure out how to do that without the harmful side of ABA then that could be really good for everybody.
You have put it so well: it is by design that these companies make you go through executive-function-torture that all neurotypes find difficult, but especially acts a disabling barrier for neurodivergent people and all neurotypes that are experiencing stress and mental health issues.
Started therapy as an adult and spent 15+ years in the system, thanks to my “health insurance.” Testing was unaffordable, so I ended up in a therapy mill-7 hours waiting for 15 minutes with a shrink, seeing inexperienced 20-somethings. Gen X here-I’m pretty sure I traumatized them. Med changes wrecked me. Two years ago, I financed tests with an Ivy League doctor. At 52, I finally got answers: severe ADHD, C-PTSD, and more. Those 15 years broke me-major depression, a nervous breakdown, and crippling loneliness spiraled into social panic. I now I am grieving the life I couldn’t have, and trying to build a new one.
@ I have good insurance, but the last doctor misdiagnosed me and put me on a new medication that made me gain 75 pounds and took me off everything that worked. When I had an episode she proceeded to torchure me for a year with different drugs that left me sitting, shaking and crying for a year. Imagine a year of rolling panic attacks. Then I ended up with lead poisoning and got passed around from specialist to specialist who told me it was fibromyalgia as I became paralyzed and in excruciating pain to the point that I couldn’t even walk or use my arms. I finally gave up and figured it out myself and quit drinking the water and went on a heavy metal cleanse. I am getting better. I have avoided dialysis, type 2 diabetes, lost 70 pounds, but am having problems with severe depression again. I’m terrified to see a psychiatrist because of my last experience.
@ My poor friend. I am thrilled for all the positive changes you’ve manifested. GOOD JOB! KEEP IT UP! I am so sorry for what you’ve been through, especially with the meds. I have been there, months lost lying in a fetal position in the smallest, darkest place I could fit in my apartment which was a closet. Terrified of ending up in a public mental facility should I go to the ER. Reading through all of these comments on UA-cam has made me feel a lot more empowered, and feel the support and love we are showing for each other has been a great motivator. These companies have been gaslighting the public since 1977. People wonder why Gen X is the way they are.
Firstly, wow. I’m at a loss-this is just disgusting. I’ve had blinders on after spending 15 years in the UK, where all my medical needs were fully covered. Since returning to the US nearly a decade ago, I’ve relied on veterans’ healthcare and a company stipend, which has kept me somewhat insulated. My English husband and I often debate whether we should move back, and hearing this? It’s seriously tempting. Yet somehow, you managed to turn all my frustration and anxiety into a moment of relief, even sparking a smile and some laughter. The way you wrapped it up with the reveal of your 19th-century organ... Absolutely brilliant!
The UK since Brexit has been trying to defund the NHS - at least that is what I hear. I know Australia has partially privatized. It’s a horrible model. Anyone pushing privatization of healthcare is trying to enrich themselves.
I tried getting an appointment with you. Now I know why! I’m very sorry for excellent Doctors like you, being caught up in the system. I gave up on insurances a long time ago! Thanks so very much for sharing!
Oh no. I am so sorry. If you want to see me still I would be happy to open my schedule for you. If you email or call again, hopefully my assistant can get back to you. She is only part time. So it might take a minute.
All in the name of greed. Thank you for telling your story. We need to stand up and fight for ourselves. My boss has a procedure he needed for terrible hip pain and did his due diligence to make sure all of the services he was using were in network before he got it. The doctors and hospital all assured him it was all in network and would be covered in full. Our agency had gold insurance. Once he got the treatment he got a bill for $10,000! He had to fight it for a year going through the same things you’re talking about. He finally wore them down and they paid it but I don’t know how many people would have stuck with it. He was on the phone almost every day with them for a year before they finally paid the bill. It’s bs and needs to be stopped. This is all greed.
My brother in law's wife came down with a very serious physical illness while vacationing in Florida. The doctor said that she has only one week to live if she isn't operated on right away. My brother in law said; "Don't worry, we have a bumper to bumper insurance policy so money is no problem." The doctor replied; We want $30,000.00 [USD] in cash up front. We'll leave you to go chase down the insurance company for the money.
Corporate greed and the Senate and the House lobbies made them pass the bill that equiled corporations to a person. Corporate greed wins over the Republic.
That's a good point. Maybe this violent shooting never would have happened if this had been addressed already. I know there are organizations out there that have been addressing this for a long time, but it doesn't seem like they're making as much progress as we would like. If insurance companies are still making hundreds of billions of dollars in profit each year and denials are at an all-time high, then apparently it's not going the way these organizations who are advocates were hoping.
@@NeurodivergentDoctor Absolutely. It's sad that things have to become extreme before they are out in the open, to finally address [or, at least, discuss addressing].
15:10 Totally! I have just endured one of the worst experiences of my life. Coming up on a year. And I already have CPTSD. Seriously, it was as bad as an abusive relationship. Gas-lighting, being made to justify myself only to be denied, labeled and declared a 'pre-existing condition' by a Work Comp doctor. Then the disability insurance company, the months-long search for MH care that would be covered, the paperwork, the waiting, the unknown, the shame. All while I was in total burnout, depressed, panicked and experiencing SI. What executive functions???
Doing this while in burnout? Yeeeeaaaahhh. No. That is too much to deal with. I feel you. I am so sorry you are experiencing repeated trauma from this.
Oh wow...I knew that it was bad but I had no idea that the insurance companies would actually take money BACK from service providers that they already paid. Yikes. Yikes on bikes. Let's... NOT have insurance! Rather, let's simplify it with a single-payer system. Let the people be healthy!
Thanks for the video and information. You describe an evil flawed system that needs to be revised. Insurance, not only in the medical area, is getting more expensive and less beneficial. It is up to the government to actively regulate these insurance providers. Left unchecked they will continue to push the boundaries in a monopolistic fashion to increase profit. Unfortunately the insurance lobbyists have "bought" the people who run the government. This won't end well unless people start to actively complain and demand change.
I’m so sorry!!!!!! This is insane - I can hear the stress and frustration in your voice. I think the insurance companies should be closed down - why is this being tolerated? It’s outrageous!!!!!!!!! I’m so sorry 😔😔😔😔😔 Who are the people working for these companies?? Why are they screwing over their fellow Americans???! Insane 😔
It's being tolerated because alot of the shit politics and negative aspects of capitalism built up over generations. We are essentially, the frog in the pot slowly boiling and only in recent times are we collectively starting to realize we're being cooked.
There is such a thing as corporate greed. Th❤e l❤obbies get the House a and Senate to pass a bill we the people did not ask for, to include corporations as people. Follow the money.
@@annjames1837 Sicko is a wonderful documentary by film maker Michael Moore which exposes the sick nature of our healthcare system. Thank you for mentioning it.
It's a HIPPAA violation to demand notes, but they try .All you need to give them is session date, time, and Dx. Clinicians must uphold this for our and patients' protection.
The conversation that isn’t out there is we are victims of insurance slavery. Millions of people can’t leave their jobs for fear of losing their healthcare. This is something that’s never spoken of but is to the benefit the capitalist system. Long live the oligarchs. ☹️
Thank you so much for this video. I am so angry at the abuse at the expense of almost everyone and especially autistic people. The medical system is hurting people so much that it would almost be better to just google lived experiences on Reddit and papers relevant to your condition and just wing it with whatever you can find. This is insane.
Even when I was highly functional the only reason I could get claims paid was because I was not employed. It took far too much time. Could have spent that time working at McDonalds and had more fun. But it was the principle. Finally got a lawyer. I got 8k, he got 6. I should have gotten all of it. And that was 20 years ago. It’s only gotten worse. It’s probably my fault they came up with prior authorization. I also feel jaded about writing congressmen. They’re bought and paid for. When corporations no longer have the same rights as individuals, our elected lawmakers will not be beholden to their corporate donors.
I have no idea why I was recommended this video, but it was an absolute roller-coaster. I'm going to have to watch it again to get a grip on most of what you said.
Yes indeed. I won't see the benefit in my lifetime, as things will likely get far worse before the house of cards comes down and gets rebuilt into something better.
I am a mental health therapist who is also AuDHD. I have a private practice with no other providers, just myself. I had to pay someone to process claims for a very small caseload. Because of all of the tricks insurance companies implement, I lost thousands of dollars in just 12 months because of unpaid claims. Independent Administrators and Amerihealth were the worst.
you deserve to pay. Health insurances don't make much in profit they have to deny false claims. Don't like it get better insurance and don't vote trump
0:16 We can make that more lighthearted. Instead, describe it as “Similar to many of his clients, his life was irreparably and severely damaged by two out of network shots that were found to be, like his ambulance ride, not technically medically necessary.”
Our Cigna requires us to pay out $6k before they kick in. As long as I was going through mental health without a diagnosis, they paid. As soon as I went through testing and diagnosed at Level 1 autism, all coverage stopped.
Generous mental health coverage would reduce gun violence. The incentive to not provide coverage is that the victim will eventually fall out of the insurance contract. So long as no one takes the violence to the companies.
It is a challenge. I have not been assessed because I can't afford it. My GP won't touch it not to even prescribe medication in the meantime. I don't get dental care because it is not covered even though it is really needed for healthcare.
many members of Congress own stock in pharmaceutical companies; reform is not in their interest. The main motivation for the restriction on opiate medications is profit. They can make more money selling you large doses of gabapentin than small doses of an opiate. As a doctor, can you honestly tell me that taking large doses of gabapentin indefinitely is safer than taking an opiate? Which side effects of opiates are worse than skull & spinal deformity & amputated extremities? If your representatives are part of the problem(it takes some special skills, but you can find out what stocks they own), it may be time for them to leave that office.
My mom had 3 forms of arthritis in her spine. Spondylitis, osteoporosis and osteoarthritis. Every day was horrible for her. They made it almost impossible for her to get pain meds. She had kidney disease so opiates were really the way to go for her. Toward the end they wanted her to pee in a cup to measure the meds in her system. She refused to be treated like a criminal and have her body fluids sifted through to find evidence that she was abusing her pain meds. She quit using them altogether. She was a really stubborn person when she thought people were being unfair and unreasonable. She suffered for her stubbornness, but I understood her point. It seems to me the harder they make obtaining these medications, the more people are seeking them on the black market. Make it make sense, how can they think that this is "saving lives" when all we've seen in more and more ODs
Ending this very serious video with a show-and-tell of that cool organ is the most perfectly neurodivergent thing I’ll experience today. I love it❣️🎹 I’m so sorry to hear about your horrific experience from the provider side of things. As much as I appreciate your channel, this video has shown me that it is but a small part of what you do for our community. THANK YOU!! Off to contact my representatives… 🗣️📞
HA! Really? I never even thought of that being a neurodivergent thing. I just LOVE musical instruments. I actually opened an entire music store called Purple Monkey Music in 2005 because of my love of instruments. Our motto was, "Flinging Poo on High Prices Since 2005". LOL
I've been very fortunate to have great insurance coverage for 13 surgeries. After one of my surgeries, my intestines kinked I had to have another surgery right away. Instead of 3 days in the hospital, I was there for 3 weeks and another week at home on an antibiotic iv. That bill was over $50,000. Six months later, they kinked again. 🙄🥺 My husband and I had very good jobs with great insurance benefits that we paid for. It makes me sad and sick to hear that the head of these insurance companies are making so much money, denying claims, and making doctors walk away. 😢 I was admiring that lovely piece of furniture behind you and was so happy when you showed us what it was. I was delighted when you started to play your beautiful organ. I love that sound. Ty. ❤
Oh boy, let me tell you, I know exactly what you are talking about … Got a few insights myself into that unbelievably evil system. Not only was I wandering among a circle of people who would do almost anything for career, money and success in my younger years, but I also suffered a severe stroke of fate in my later years that finally opened my eyes like never before about that whole topic.
Makes my blood boil. I'm a lyme disease patient and one of the thousands affected by our corrupt healthcare system despite having a beautiful looking UHC insurance when I was healthy, working for a top corporation.
I am a retired Mental Health Counselor, who tells anyone who wants to enter the field not to do so. There are so many calls for more mental health care; however, it is the lowest paying profession. I quit a PhD program after 2 days realizing I would never be able to earn enough to pay back the cost of school. Had I staying in teaching in the public school school system I would have been much better off financially than being a mental health professional. So many high school drop outs make a better living than mental health professionals. The guy that cuts my lawn makes more than most PhD therapists.
Wow, really? Mental health counselors make less than public school teachers? Does it make a difference if you're a LCSW vs. clinical psychologist with PhD, or other credentials? When I search mental health professionals in my area, a small percentage come up that accept insurance, but a larger amount do not take insurance. And they can charge pretty high rates - surprisingly some of them even have waitlists. So if they were charging their own office fees and have a steady clientle I assumed they must make a good income. If that's not true I must be grossly misinformed (as would be most of the general public) Although, I shouldn't be too surprised. I worked in the veterinary field for many many years, and I am painfully aware that veterinarians do not make much money - it also takes them ages to pay back all their tuition. So it seems a common misconception that just because someone works in a health-related field and has expensive services, they must be rich. Sometimes you have to dig deeper to see why these fields are losing so many practitioners (and regarding the video, it's not just money...)
@@NeurodivergentDoctor I can appreciate the condition... beautiful. I'm 72 and just downsized getting rid of an Estey Style G reed organ that I had rebuilt about 30 years ago. Take care of it and enjoy playing it!
We are not permitted to. In the United States if you are a 1099 worker which all self-employed clinicians are, we are forbidden into unionize. I could attest that everything he says this video is 100% accurate.
@@NewsMediaOutletsSuck Forbidden to unionize? Seriously? What are they going to do, put you in jail or take away your license to practice? That's straight up extortion. Everyone who has a profession should have the right to unionize with other professionals in their field. How have we become so inhuman?
What would happen if everybody...EVERYBODY... drop their insurance tomorrow. You can't wait for the politicians aren't gonna fix it, they are paid by insurance companies. Put 30 to 40 percent of your pay back in your pocket. Things will change.
THANK YOU for making this video. It helped me understand, at least in part, the trouble citizens face these days with health insurance. And I love the organ. How special that you have a picture of the original owner! Very cool!
BCBS is capping the amount of time it will pay for anesthesia in surgery, yet it approved a migraine medicine for me that costs almost a thousand dollars a month. I said no, that's ridiculous. I'll do without it - there are other headache medicines out there! Meanwhile, I pay my therapist out of pocket and he only charges me $70 per visit - when his office is forced to bill insurance $230 because of the overhead you talk about!
Sounds great, until they mandate participation in taking an untested toxin, for a virus with 99% survival rate, then deny treatment coverage for the adverse effects. But hey, it was free!
Thank you for this, was nodding my head all along the way. Halfway through I was thinking, hey... he and others should testify to Congress...but then you said exactly that toward the end. I feel I'm lucky and blessed. Spend the last 2+ years waiting, battling insurance but finally, this past summer diagnosed with ADHD Combined type (inattentive severe), GAD, MDD, CPTSD, AVD yada yada yada... at age 59 I finally have answers. Your comment on executive function hit home... I have significant deficits. I have a good therapist and psychiatrist and the meds are a game changer. But chills went down my spine when you said insurance reads therapy notes. That is covered in so much wrong sauce. Def change needs to happen on many levels. I'm going to use this template and do what I can.
I think that would outrage every single American that gets mental health treatment - it's just no one seems to know about it. This is very scary, because simply the knowledge your "confidential" (can't even call it that) sessions are being transmitted to your insurer is enough for many people to not seek mental healthcare. And the government, the people, we all want to see less violence, less shootings (not just on a CEO, but school shootings as well); but putting barriers to mental healthcare like taking away your privacy, or not covering your costs, is going to take us 10 steps back. We definitely need to be writing to our congressman/representatives. Not sure if it will change anything, but it's the 1 legal thing we can do.
UHC is my insurance. I'm old, I avoid doctors at most all costs cause they don't really help patients in the way they need it. Seems like Patients are being used , keep them sick, treat symptoms and charge them more than they really should have to pay.
Even if they pocketed large amounts of money that they shouldn't they'd all be very rich while still providing decent / adequate coverage, but they've got to be utter sociopaths about it and keep as much as they possibly can. Unreal.
I have Medicare, and I don't want it. I'm being forced to pay for it, and there is no way to opt out. If I do refuse it, they charge me a penalty for nothing! It comes out of my social security. I've already decided that I will do whatever I can to keep myself healthy, and when it is over, it is over. I live alone, so there is no one to take on the full time job of filing claims and fighting denials. I'm not going to spend my last years bankrupted or fighting these machines. You are correct that clinicians are victimized just as patients are. The best doctor I ever had came out of the Navy. After fighting this system for 2 years, he re-enlisted so that he could avoid it, and just get back to treating people. We all have to keep this dialogue alive.
Here here I agree. The best thing to do is to keep ourselves as healthy as possible and to avoid Doctors Hospitals and insurance companies as much as possible. Also education is key. There are alternatives.
(1) Verbal diarrhea is a deliberate tactic of dishonest corrupt people (2) Insurance companies should be obligated to write it out one variable per sentence (3) All sentences should be numbered (4) Any variables that are to closely joint should require a mind map.
Being neurodivergent and the cognitive dissonance required to get through medical school was a big reason why I left med school. It's HORRIFYING to learn all the ways patient care would basically be doing harm and somehow just go back to learning the clotting cascade, like I didn't just have the whole matrix cracked.
Thank you for filming this! I think it's important that patients understand why many good doctors don't accept insurance anymore. Also, stop wearing white and avoid red too. You need to wear blues, browns or blacks on camera.
@flowzerr4550 its a combination of skin tone and eye color. (I'm a photographer.) In this case, white washes him out. Red would just bring out the red in his face. Blue would enhance his eyes. Brown or black would compliment the skin tone and hair color.
You want to get a chuckle. I’m on state assistance.. or was. They cut my payments because my ND ass forgot to send them empty PayPal statements. I’m about to reapply. Next time they ask for paperwork, I’m going to fax them right out of paper so that they have to call me to tell me to stop.
“… fax them right out of paper… “ 😂 I’m laughing so hard right now and not bc it’s at all anything to joke about, but bc I have been known to come up with similar types of actions!
I was planning on signing up for health insurance and finally trying to get a mental diagnosis and other medical treatments, but I'm feeling unsure about it now.
It makes me so ANGRY! How dare they. Insurance companies should absolutely not get to read patients notes!! Absolutely outrageous!! Obviously very deliberately difficult to reach them etc. ARGH!! infuriating!
I sought out a full neuropsych eval with someone and had a phone consult with them. I have insurance through my work, so I was hopeful that it would be partially covered (any little bit helps!). Once I mentioned the insurance company, the guy told me that they always deny the claim and say that it isn't medically necessary. He's been through the appeal process many times and has never been successful. The cost out of MY pocket would be $3000. I got disheartened by that. However, he said that Medicaid patients often have it covered. So at that point if I really wanted this assessment and not pay $3k, I'd have to quit my job and get on Medicaid. It's the most bananas thing I have dealt with this year.
The system is fking stupid, I didn't even fully realize I needed an assessment until my mid 30s (I knew I was different since I was little, and internally struggled, but was high masking so no one knew, because "I acted normal". After I realized what it might be I tried and got denied by two different insurances from two different employers, before I finally landed a job (15yrs after I first tried to ge dx), that had extended mental health benefits and would pay for it. One of the two who denied me even told me they never pay for anyone over 17 because it's not medical necessary when your an adult ..... WT actual F???
I'm realizing that your channel is one of the few that I enjoy watching at normal speed. Great job! I think your approach is brilliant, and I hope more clinics will consider your suggestions to get out from under the thumb of the insurers. Maybe it's also time for some HCPs to consider alternative income streams, like those charity hospitals that run by donations, I don't know how feasible that is. Thanks for the compassionate messaging and the musical treat at the end.
This isn’t at all related to the video, but watching this reminded me a Babylon Bee video making fun of kids who wanted to work, but didn’t want to have a set schedule, wanted to go on break every hour, and found the word “work,” itself, triggering. As a person who’s newly accepted my neurodivergence, I realize why videos like this evoke such withering contempt from me. Next time I watch this, I’ll actually comment on the video itself. PS I do have one thing to say. Short of the three Ghosts of Common Humanity visiting Brian Thompson and teaching him the errors of his ways, what else could have happened to change his mind?
You just got to subscriber. I felt so very seen when you described the way that you feel when having to deal with those kinds of insurance paperwork issues. How they specifically are almost painful to do for the neurodivergent. You very eloquently explained that one can be quite intelligent yet have extreme difficulty with those kinds of situations. Even if they're a matter of course in ones profession, it's mentally exhausting. Thank you.
Funny how the patients often blame the doctors and say that they milk the insurance companies when it's definitely not the doctors but the insurance companies
Until healthcare is nationalised and free for all, then these equity fund investors and insurance grifters will continue to suck the lifeblood out of the system and bleed it dry. I don't know if it was due to my ADHD,ASD or PTSD but I found this video quite triggering!
I was a medical biller for over a decade at a dedicated billing company and worked a short time at a neurosurgeon office. It's very time consuming to deal with all the red tape insurance companies put in place. Its even more frustrating when they change their policies with very little notice. I eventually became burned out and quit. I don't think I could go back to being a biller.
My mother is a home health RN, and it takes her months to get paid. She has to spend hours on the phone, calling multiple times. They make every excuse. They sent her the wrong check, and she sent it back certified mail (by their request) so that she can get her correct check.. The post office tells her they delivered the check she sent back through certified mail, but the United healthcare denies that they received it so that they can postpone paying her. I don’t understand why that’s not illegal.
As an Australian, Ive always been blown away why the hell Amercians accept their healthcare... And that's not all. So many things about America blow my mind with how bad it is.. yet Amercians seem to not notice.. frog in water issue.
I'm Australian too. My empathy really hurts me when I consider how awfully people in the US are treated and how some of them are even propagandised to support it because anything else would be "communism". Sad state of affairs.
I would MUCH prefer to directly pay a private practice reasonable prices than have to pay insurance AND inflated prices (also because of insurance). I would like to take the autism test but it's preventatively expensive, also I find translating legalese into layman very fun, there are lawyers on youtube who are good about explaining and translating it.
I should have added that the company that clawed back $3,000 took money that was paid to me over 2 years before that. So they waited 2 years and then took a bunch of money out of my account. At that time I wasn't even in network with them anymore. I call that theft.
That sounds like theft to me, too.
That’s because it is.
And yet they get away with this, over and over!
Just like Social Security. As if WE actually have ever been given too much money! 😢
@@ursamagickmt672 Yeah, that we didn't earn to begin with!
Neurodivergent individuals are known to have a strong sense of justice, and the very existence of the health insurance industry is unjust.
OMG!!!
Just soooooo much YES!!
May I just add to that, ANY insurance industry!
CPTSD does give us some interesting perspectives. Being an ND empath, doesn't always guarantee a predictable reaction.
Justice is justice when delivered to the unjust.
We don't get to question anything else.
My empathy is to the victims who died and didn't have to. Their families and friends 🧡
@@sharonaumani8827 Any big corporation...
Neurodivergent? Sounds like a Tom Cruise movie 😅
This is BEYOND profits over people, it's racketeering.
It's murder. Mass murder.
Specifically in addition to racketeering: extortion, conspiracy, third-degree manslaughter (at least), fraud, terrorism, and possibly some other aggravating charges.
My doctor refers to UHC as the "mafia". So yeah.
Yes this is way behind profits it has s greed over patience.
USA to a tee.
It’s time for health insurance to GET OUT of healthcare. It’s beyond time for a single payer option.
This is true but the second you ask the american people to support socialized health care they start screaming communism. The american public will at some point need to have a honest discussion about the meaning of certain words.
@@kingofthendthere is a delayed response to our free enterprise system. Ask 3m and dupont. J&J, British petroleum and so many more. The only hope this system has is to defund the shareholders.
But the riches can be socialist/Communist...🤔🤫🫡
Health Insurance is designed to insure the Health Companies are profitable and provide very little HEALTH CARE.
Goobie The Neurosurgeon explains the scam of back operations. Mangione had back surgery.
ua-cam.com/video/25LUF8GmbFU/v-deo.html
For what it's worth I am C-PTSD from childhood, PTSD from war, ADHD and ASD from birth! Yet I am 100% revolutionary!
We have a duty to win ❤
Nothing says 'I understand the system AND choose revolution' like someone who's had to navigate both neurodivergence and insurance claims. That's the kind of tear it down to build some thing better energy we need.
True
💙
Everyone deserves dignity and care. 💚🖤
I worked in health insurance for over two decades, and I learned a LOT about their BS policies. I used to teach people how to do their jobs, and so many of the leaders were clueless. Unfortunately, too many leaders in that industry are sales-focused. While there are some people helping to move insurance companies toward doing the right thing, they are in the minority. Even I lost my job when I reported abuses from my team and leadership, which goes to show how little they really care. I'm sorry you have had so many struggles. It's so unnecessary.
Wow. Thanks for your unique perspective. You having been on the inside once and telling this is important to read.
I am sorry you lost a job over that and good for you, for standing up to it. I always thought I would avoid denials with my excellent tracking and documentation. What a joke. That is why I could never work for an insurance company, even if they would have chosen to hire me. I've tolerated a lot of cognitive dissonance throughout my career life, but that would have topped it off!
This is the whole problem with for profit health insurance companies. They are beholden to their shareholders dividends not to the patients they serve.
I hope you could afford to survive till you got another job these sleazy CEO that don't see why they should hire security are playing Russian roulette and this was only a matter of time .
They have no shame or morals I'm sorry I can't feel sorry for Brian Thompson my thoughts and prayers are with people like yourself and the Mangione family .
@@Lisa-r6u1wI agree. No employee is worth a minimum $10 million to do a job. Think of the savings if the CEO had a salary like the rest of us!
I'm an autistic woman who was diagnosed last year at age 35. But about 7 years ago I was incorrectly diagnosed as bipolar and I was given lamictal and which was incorrectly dosed too high (she started me on 25 mg 4 times per day and didn't explain that I needed to titrate slowly). I ended up getting Steven's Johnson syndrome and spent 2 weeks in a burn unit. I was on Medicaid at the time and because I got hospitalized in a different state than wear I live, my insurance was refusing to pay for my $64,000 bill. I being undiagnosed autistic and having just been through major medical trauma, couldnt handle dealing with the insurance company, they were purposely making us go around in circles. Thanks to the help of my mom we finally got it straightened out but it took over a year to get fixed. Literally, my mom kept track of how many hours she spent on the phone with the insurance companies. I don't know how I could have fixed this situation without help. I have a very helpful family though husband and parents who help me a lot.
Oh my God. That disorder can be fatal. I am so glad you survived. You need to consider malpractice suit. I won one similarly and received 1.2 mil. I have excessive scarring and difficulty with dexterity.
Hugs and do get that doctor. I would also tag the pharmacist. I got about $350,000 from the CVS that didn't flag the dose as inappropriate for titration.
What a horrible experience, on so many levels! Glad you got through this.
It is scary to think that would likely have happened to me if my clinician hadn't started me out well below the recommended starting dosages. Ultimately, I had to get off and list Lamotragine as an allergy, because the hives would come back whenever I tried to increase the dose. I never even made it to a 75mg dosage. Thank God, I saw someone who believed in starting low and increasing slowly.
@@sharonaumani8827 I was recently put on Lamictal and haven’t noticed an effect aside from weird dreams. Side effects aside did any of you get any relief or benefit out of the medication? Thanks for any information.
@@mattjbirtell Some people report signficant relief from Lamotragine [Lamictal]. Unfortunately I was one of those rare breeds who had significant side effects....enough that I couldn't even get up to a therapeutic dosage to see how helpful it might be.
The "weird dreams" comment is interesting. Many psych. drugs could affect our dreams. Melatonin, for example, a commonly prescribed over the counter med, can contribute to nightmares and, I forgot what you call it, but it's the term that describes when you move around, groan, talk, etc. in your sleep.
Oh my! That is mind blowing, I'm glad you're here to tell the story! 🫂❤️🩹
Keep speaking out!! It’s so very important to hear from medical professionals.
Medical professionals are part of the problem. Duh
OMG, THANK YOU! I have been feeling this in my gut for a very long time! I love that organ! Fantastic!
The vast majority of Americans live with paralyzing fear that they will face financial ruin because of a bad diagnosis. I am not sorry that the dude caught a bullet. I am not gleeful about it. I am not cheering it, but I am as upset over it as I would anyone that faced capital punishment. I am against the taking of any life, even the life of someone as loathsome as this CEO. I will say that finding out that these CEOs are in hiding, hiring security firms, it shows me that this event got to them. It shows me that all of the sudden they do not feel invincible. They are made of the same soft material as the rest of us. They can be harmed. And now they know this and they are feeling just a small amount of the fear and insecurity the rest of us do.
My insurance story? Before the ACA my father was born with a heart defect. He had 2 open heart surgeries when he was young. He didn't have insurance when he needed the third. He was uninsurable. He passed at the age of 45. I was 13. When I heard that the insurance industry has a term for people like my dad, they call us "dogs" I was filled with rage. I will never get over that anger. These people have a stack of toe tags on par with a certain political movement in Germany that existed in the 1930s. Those people faced the Nuremberg trials for a lot of the same reasons, because they dehumanized people, said they weren't genetically fit to live. What is the difference between out and out eradicating people, or just allowing them to pass from a lack of care that they've paid for? There is no difference.
Holy crap! YES! Thank you for sharing that. The question... could your dad have lived a better, longer life if insurance allowed the proper treatment? I am supposing yes. I wonder if we could even guess how many millions of lives have been lost due to insurance not covering treatments.
@@NeurodivergentDoctor My father chose to go into business for himself. This was in the early 1980s. He couldn't find health insurance. We suffered economic setbacks so he put off going to see a doctor. Because of this he had a heart attack. If he had went to a doctor regularly he could have had surgery to repair his heart before this happened, so yes, it cost him his life. I think he was autistic, which made it difficult for him to continue working for other people in a job with health insurance.
Really bad take (1st paragraph). Reprehensible.
This!!!
Our entire delegation is rightwing billionaires so, no. Took away our MEDICAID as well. 😱
Not only does the US model of health care as a for-profit industry lead to poorer outcomes for patients, it costs much, much more than any other system. Prescription medicines cost multiple times more than they should do. In countries where health care is paid for through taxation, people get treated when they need treatment, and the cost of treatment is much less per capita. No one is bankrupted by being ill, or having an accident. Plus private treatment and private health insurance is still available if anyone wants to pay for it. The US has shorter life expectancy and higher rates of preventable disease than the UK. The US healthcare system systematically fails the people it should be caring for.
You see, you have a misunderstanding. The US healthcare system is doing great by the people it’s supposed to care for: the shareholders. Doctors and patients are just a nuisance in the middle.
Besides all that, the US also seems hell bent on conning it's Allies (aus/uk) in to privatising .
There are different systems somewhere between private sector and nationalisation. F.e. the Swiss, where the private insurance companies have to reinvest like 90% of their profits into their services aka paying for therapy, having the basic health insurance model is mandatory to have for everyone and there are benefits for those on welfare and/or low wages.
I'm surprised they didn't say HIPPA prevents us from speaking to you to your mom.
It's not just in countries with NHS-like structures. Here in Germany we have a dual healthcare system originally introduced by the very conservative first Chancellor of the German Empire, Otto von Bismarck, in the 19th century -- though of course reformed a lot since then.
We have a large number of public health insurers that compete with each other. By law, they all charge more or less the same premiums, which are a percentage of income. Certain groups such as very high earners can choose private health insurers instead, but then cannot easily return to the public health insurers.
Private prices in Germany for medications and treatments are significantly higher than the ones the public health insurers pay, but are still so much cheaper than American prices, that for serious conditions and surgery, a lot of Americans could save money by flying to Germany and paying their entire treatment out of pocket instead of staying at home and paying the extortionate co-pays.
For me one huge advantage of public health insurance (and the main reason I am not switching to private even though I could save a little money by doing so) is that I never get to see any bills except occasionally for nominal co-pays -- think $ 10 per package of expensive medication, day in hospital, or ambulance transport. (There are ways to avoid even these tiny co-pays if you are poor or have a chronic condition and it would amount to a lot annually compared to your means.) This makes life so much easier than having to collect bills and making sure to get reimbursed. I just show my health insurance card, and all the financial details are taken care of between the provider and my health insurer.
As another example, Switzerland has only private health insurance, but it's still superior to and cheaper than the American system. That's the power of regulation.
It's up to the individual to decide if what LM did was right or wrong, but there's no question it's got us all talking about the elephant in the room. As an added bonus, we're not at each other's necks talking about politics! Finally something we all agree on!
@@julieneild4505 taking an innocent man's life is wrong. This is a sick comment section I'll definitely report
Yes it has United us Americans! 🇺🇸
@@julieneild4505 murder is wrong
@annjames1837 out of sight out of mind equates denial of reality. Censorship only serves to hide reality from the delusional, while denying data from inquiring minds. Forcing ignorance on everyone else because you lack the self control to simply move along
@@julieneild4505 reported
Doctor, I loved your video. And that's why I feel the urge to say this from the heart.
Your suggestions at the end will NEVER work. The system is too corrupt. The only thing that will fix the issue is socialised universal healthcare. As an European, I've NEVER had to deal with any of the absolutely horrible nightmares I have been hearing from Americans. It's so frustrating to see the wealthiest nation in history fail where poorer nations have succeeded with ease.
I know that Americans have an irrational fear of socialism (even though most can't even define it) but this black and white thinking has caused nothing but pain and suffering. You can't fix a system that is incentivised to be broken. Eventually, it will break again and again. Best thing is... you don't even need to be a commie in order to fix this issue. It's so easy! The record has shown time and time again that universal care is more efficient and more effective that anything privatised health insurance can provide. Nations all over the world achieve this with meagre resources and abundant results DESPITE their varying politics. Even more conservative nations don't want to give up their socialised healthcare. It doesn't need to be political at all, it just works!
Who knows how many more issues this might heal?... Maybe it will wash away some of the damage done to society as a result of a right-wing-leaning and unbalanced system. Maybe even ease the issues caused by political polarisation. Maybe even heal some wounds you don't know you have.
In the end, it's been a long time coming, but it's time to heal.
All life is precious and what happened was tragic... The silver lining in all of this is that it, strangely, united people across divides previously deemed unfathomable. And now is the time to come together. Wouldn't it be much better if all this trouble just didn't need to be?
Like most things, it's easy if you have an open mind and a warm heart.
Take care friend.
Preach! Recent data has shown the ACA just pumps money into the pockets of insurance vampires. It was a heritage foundation plan that Obama repackaged. There was a reason he received more donations than McCain from Wallstreet. Workers of the world unite!
This is why some docs either in groups or individually just take a monthly amount from their group of patients. Or they take a fixed amount cash per consultation. Some docs in the state shut out the insurance that way.
Your health care system has it's own failings. Long waiting times is one of them.... A Brit told me about his cousin what had a tooth that kept getting infected. His cousin would go to urgent care b/c of the extreme pain..he'd be given an antibiotic, the tooth would get better and he was considered well. He was put on a wait list to see a doctor for the tooth. In the meantime the tooth would again get infected, he'd end up in urgent care, be given antibiotics, the tooth would get well and he was back to square one, waiting to see a doctor. That had been going on for a few years... That wouldn't happen here in the U.S...I'm lower income and I've been able to afford health insurance, have never had to wait years to see a doctor for a chronic problem. People think social medicine is free...nothing is free. People come here to the USA for medical treatment, from countries with socialized medicine . Two hundred thousand come here by air annually, plus those who come from Canada and Mexico. Our system isn't as horrid as the haters would have others think. Nothing is perfect. Everyone suffers from something. But not everyone plays the victim, blaming others for what ails them. Most people in the U.S. have horrible diets b/c they choose too. People blame the companies that make junk food. NO one is forced to buy that junk food or eat the crap that is called food but provides nothing nutritious. People say they can't afford to eat healthy food. That's a lie too. The real mess is individuals who want to blame the system, or this or that..everyone else but themselves. And no one today is willing to take up their cross and bear their own pain and suffering. I've suffered, everyone suffers. That's the human condition..always has been, always will be and no amount of delusional thinking will ever change that.
@@dinahsoar6982 In the UK we don't see a Doctor for an infected tooth, that's what Dentists are for. And if you have an infected tooth, the Dentist will give you antibiotics as a first try, then it would be drill and fill or an extraction. So the Brit telling you about his 'cousin' was lying.
@@dinahsoar6982 It's funny how the only people on earth who say dumb stuff like this are Americans. No one else, ANYWHERE on earth says this. It's not Human Condition, it's American stupidity.
Thanks for continuing to help people despite facing these challenges with insurance and while facing financial instability. You are the real deal. We need more doctors like you!
What an impactful video! I'm from the UK and am appalled to hear how incredibly difficult and frustrating it is to deal with insurance companies around mental health claims in the US. Thank you for explaining it all and for the organ recital at the end!
Not much of a recital, but thanks anyway. I should have actually played something. LOL. Thanks for your comment.
@@NeurodivergentDoctor next video? Plz & tyvm
When I see British people complain about healthcare on social media I giggle. There is nothing that can compare to having to ask a nurse to call and fax the insurance company every time you get a script. It's exhausting
As a fellow neurodivergent doctor/prelicensed clinician, I strongly agree and appreciate you using your platform to share this message. Thank you.
I have a 100% rating in the veterans healthcare system; everything is paid for. Somehow, I am still being denied care. No treatment, no pain management.
A lot of VA healthcare is outsourced to the big insurance companies 😢
Chronic pain... messes with EVERYTHING. They need to help you, dammit.
I work in VA pain management. They make vets jump through tons of hoops to get care. I hear so many that are in excruciating pain (lower back, hip, knee). The VA is bloated, gets a lot of money, but some how shortchanges lots of vets. I know vets who love the VA, and I know vets who despise the VA. I personally knew a double amputee vet who was functioning great on opiods for many years. At some point years ago (remember the "opiod epidemic"?), the VA changed policy, and slowly force-weaned him off opiods. Someone out there will know what I'm talking about, because lots of vets go through this. The vet wasn't high and wasn't abusing the meds at all, the opiods helped him function normally. Opiods really helped him because he actually needed them. Anyways, the guy ended up unaliving himself because of the pain and VA wouldn't help him. I personally knew him, but there's a lot of veterans that I work with (that I don't know personally) that end up unaliving themselves due to denial of care.
Of all the money our taxes go to military, a small fraction goes to our vets. I appreciate you, and am glad you made it back home.
Not to pick a fight but the vets I know all more than happy with their system but there are exceptions I suppose. But all in all, you guys seem to have it much better than the rest of us. So there's that.
Free Luigi!
Luigi has done more for me than any politician ever has in my entire life
Any chance that Biden will proactively pardon him?
RIGHT ON!
❤ Luigi ❤
@@lindanorris2455 Ooooo, Oooooo. Yes. Flood the WH with letters to pardon him!! Damn! Now your thinking.
@@3rdandlongit is murder
My daughter and her husband have two insurances between the two of them
Aetna being one of them. Both insurance companies fight over who is primary.
And now both of them say they will not pay for PT/OT/ABA, etc. for my autistic grandson‘s welfare.
It’s downright maddening!!!!!!
Not paying for ABA is potentially not a negative. The rest absolutely is.
Make sure any ABA councilor your family talks to is vetted and addresses all criticisms of that type of therapy.
As an adhd autistic adult who was put thru ABA as a child , it’s basically just gay conversation therapy but for autistics. I was more harmed by it than anything. PT tho has been beneficial for me.
@sbocaj22 this, over and over again. I've only talked to one ABA practitioner that felt humane. And they started the conversation by owning the harm it's caused and point by point addressing things. Basically they didn't practice it but called their services that because insurance.
I hear you. We have a constant battle going with insurance companies when they want to insist. The other insurance company is supposed to pay when they are double covered. I didn't realize, until all this happened with UHC, that their actual tactics are to delay. And obviously they defend their denials. It would be different if they just didn't know any better, but it seems that they clearly know what they're doing.
@@sbocaj22I know sometimes a daily therapeutic intervention can be very beneficial for the parents to get a break, and if you can figure out how to do that without the harmful side of ABA then that could be really good for everybody.
You have put it so well: it is by design that these companies make you go through executive-function-torture that all neurotypes find difficult, but especially acts a disabling barrier for neurodivergent people and all neurotypes that are experiencing stress and mental health issues.
Started therapy as an adult and spent 15+ years in the system, thanks to my “health insurance.” Testing was unaffordable, so I ended up in a therapy mill-7 hours waiting for 15 minutes with a shrink, seeing inexperienced 20-somethings. Gen X here-I’m pretty sure I traumatized them.
Med changes wrecked me. Two years ago, I financed tests with an Ivy League doctor. At 52, I finally got answers: severe ADHD, C-PTSD, and more.
Those 15 years broke me-major depression, a nervous breakdown, and crippling loneliness spiraled into social panic.
I now I am grieving the life I couldn’t have, and trying to build a new one.
Something tells me this is a more common story than most people [including many healthcare providers] are aware.
@@Desiderata_Ooloi that’s where I am right now
@@pollyfronberry6846 I’m very sorry to hear this. Keep looking around, there are drs. who are willing to do sliding scale.
@ I have good insurance, but the last doctor misdiagnosed me and put me on a new medication that made me gain 75 pounds and took me off everything that worked.
When I had an episode she proceeded to torchure me for a year with different drugs that left me sitting, shaking and crying for a year. Imagine a year of rolling panic attacks.
Then I ended up with lead poisoning and got passed around from specialist to specialist who told me it was fibromyalgia as I became paralyzed and in excruciating pain to the point that I couldn’t even walk or use my arms.
I finally gave up and figured it out myself and quit drinking the water and went on a heavy metal cleanse.
I am getting better. I have avoided dialysis, type 2 diabetes, lost 70 pounds, but am having problems with severe depression again.
I’m terrified to see a psychiatrist because of my last experience.
@ My poor friend. I am thrilled for all the positive changes you’ve manifested. GOOD JOB! KEEP IT UP!
I am so sorry for what you’ve been through, especially with the meds. I have been there, months lost lying in a fetal position in the smallest, darkest place I could fit in my apartment which was a closet. Terrified of ending up in a public mental facility should I go to the ER.
Reading through all of these comments on UA-cam has made me feel a lot more empowered, and feel the support and love we are showing for each other has been a great motivator.
These companies have been gaslighting the public since 1977. People wonder why Gen X is the way they are.
Firstly, wow. I’m at a loss-this is just disgusting. I’ve had blinders on after spending 15 years in the UK, where all my medical needs were fully covered. Since returning to the US nearly a decade ago, I’ve relied on veterans’ healthcare and a company stipend, which has kept me somewhat insulated. My English husband and I often debate whether we should move back, and hearing this? It’s seriously tempting.
Yet somehow, you managed to turn all my frustration and anxiety into a moment of relief, even sparking a smile and some laughter. The way you wrapped it up with the reveal of your 19th-century organ... Absolutely brilliant!
If you do decide to move back to UK, just make sure first to reprogram the laws of fate and the universe so that you will never get ME/CFS.
The UK since Brexit has been trying to defund the NHS - at least that is what I hear. I know Australia has partially privatized. It’s a horrible model. Anyone pushing privatization of healthcare is trying to enrich themselves.
I tried getting an appointment with you. Now I know why! I’m very sorry for excellent Doctors like you, being caught up in the system. I gave up on insurances a long time ago! Thanks so very much for sharing!
Oh no. I am so sorry. If you want to see me still I would be happy to open my schedule for you. If you email or call again, hopefully my assistant can get back to you. She is only part time. So it might take a minute.
All in the name of greed. Thank you for telling your story. We need to stand up and fight for ourselves. My boss has a procedure he needed for terrible hip pain and did his due diligence to make sure all of the services he was using were in network before he got it. The doctors and hospital all assured him it was all in network and would be covered in full. Our agency had gold insurance. Once he got the treatment he got a bill for $10,000! He had to fight it for a year going through the same things you’re talking about. He finally wore them down and they paid it but I don’t know how many people would have stuck with it. He was on the phone almost every day with them for a year before they finally paid the bill. It’s bs and needs to be stopped. This is all greed.
My brother in law's wife came down with a very serious physical illness while vacationing in Florida. The doctor said that she has only one week to live if she isn't operated on right away. My brother in law said; "Don't worry, we have a bumper to bumper insurance policy so money is no problem." The doctor replied; We want $30,000.00 [USD] in cash up front. We'll leave you to go chase down the insurance company for the money.
@ColinBeck-fcorporate9n
Corporate greed and the Senate and the House lobbies made them pass the bill that equiled corporations to a person. Corporate greed wins over the Republic.
Last comment - this is institutional abuse!!!! It’s patent, obvious, institutional abuse
Mind blowing
I legit have _institutional betrayal trauma_ but I won’t get therapy for it because I’m terrified of doctors at this point 🫥
Excellent analysis, this subject needs to be discussed to prevent more harm...even violence it would seem.
That's a good point. Maybe this violent shooting never would have happened if this had been addressed already. I know there are organizations out there that have been addressing this for a long time, but it doesn't seem like they're making as much progress as we would like. If insurance companies are still making hundreds of billions of dollars in profit each year and denials are at an all-time high, then apparently it's not going the way these organizations who are advocates were hoping.
@@NeurodivergentDoctor Absolutely. It's sad that things have to become extreme before they are out in the open, to finally address [or, at least, discuss addressing].
Don’t give up please. We need you and your colleagues more than ever 🙏
15:10 Totally! I have just endured one of the worst experiences of my life. Coming up on a year. And I already have CPTSD. Seriously, it was as bad as an abusive relationship. Gas-lighting, being made to justify myself only to be denied, labeled and declared a 'pre-existing condition' by a Work Comp doctor. Then the disability insurance company, the months-long search for MH care that would be covered, the paperwork, the waiting, the unknown, the shame. All while I was in total burnout, depressed, panicked and experiencing SI. What executive functions???
Exactly!!
Doing this while in burnout? Yeeeeaaaahhh. No. That is too much to deal with. I feel you. I am so sorry you are experiencing repeated trauma from this.
Oh wow...I knew that it was bad but I had no idea that the insurance companies would actually take money BACK from service providers that they already paid. Yikes. Yikes on bikes.
Let's... NOT have insurance! Rather, let's simplify it with a single-payer system. Let the people be healthy!
Thanks for the video and information. You describe an evil flawed system that needs to be revised. Insurance, not only in the medical area, is getting more expensive and less beneficial. It is up to the government to actively regulate these insurance providers. Left unchecked they will continue to push the boundaries in a monopolistic fashion to increase profit. Unfortunately the insurance lobbyists have "bought" the people who run the government. This won't end well unless people start to actively complain and demand change.
The insurers can see therapy notes?!!!!? WTF? Isn’t that a violation of a dozen laws?
Yeah I’m curious about this I feel like it could warrant an entire video on the subject
I believe every word you’re saying. Corruption is their game.
I’m so sorry!!!!!! This is insane - I can hear the stress and frustration in your voice. I think the insurance companies should be closed down - why is this being tolerated? It’s outrageous!!!!!!!!! I’m so sorry 😔😔😔😔😔
Who are the people working for these companies?? Why are they screwing over their fellow Americans???! Insane 😔
It's being tolerated because alot of the shit politics and negative aspects of capitalism built up over generations. We are essentially, the frog in the pot slowly boiling and only in recent times are we collectively starting to realize we're being cooked.
There is such a thing as corporate greed. Th❤e l❤obbies get the House a and Senate to pass a bill we the people did not ask for, to include corporations as people. Follow the money.
Service economy is desperate
It all boils down to profits over people 💯
This is exactly my experience as a patient. I’m thanking my therapist for dealing with these companies
Free Luigi!
Sickco
@annjames1837 Yes, you are.
Empathy
@@annjames1837 Sicko is a wonderful documentary by film maker Michael Moore which exposes the sick nature of our healthcare system. Thank you for mentioning it.
No
Wow, I can't believe how much this made me feel pure rage. I know that the industry is evil, but these specific stories are beyond infuriating.
Yes it's retrauntizing for many.
It's a HIPPAA violation to demand notes, but they try .All you need to give them is session date, time, and Dx. Clinicians must uphold this for our and patients' protection.
I think people get manipulated, even threatened, into signing away permission.
The conversation that isn’t out there is we are victims of insurance slavery. Millions of people can’t leave their jobs for fear of losing their healthcare. This is something that’s never spoken of but is to the benefit the capitalist system. Long live the oligarchs. ☹️
Yes, how much human creativity and God given gifts underutilized because of being tied to a job with health benefits.
Thank you so much for this video. I am so angry at the abuse at the expense of almost everyone and especially autistic people. The medical system is hurting people so much that it would almost be better to just google lived experiences on Reddit and papers relevant to your condition and just wing it with whatever you can find. This is insane.
Even when I was highly functional the only reason I could get claims paid was because I was not employed. It took far too much time. Could have spent that time working at McDonalds and had more fun. But it was the principle. Finally got a lawyer. I got 8k, he got 6. I should have gotten all of it. And that was 20 years ago. It’s only gotten worse. It’s probably my fault they came up with prior authorization. I also feel jaded about writing congressmen. They’re bought and paid for. When corporations no longer have the same rights as individuals, our elected lawmakers will not be beholden to their corporate donors.
I have no idea why I was recommended this video, but it was an absolute roller-coaster. I'm going to have to watch it again to get a grip on most of what you said.
We needs new system. It’s not just healthcare - its housing, education,bloated military budgets, money in elections and on and on.
Yes indeed. I won't see the benefit in my lifetime, as things will likely get far worse before the house of cards comes down and gets rebuilt into something better.
I am a mental health therapist who is also AuDHD. I have a private practice with no other providers, just myself. I had to pay someone to process claims for a very small caseload. Because of all of the tricks insurance companies implement, I lost thousands of dollars in just 12 months because of unpaid claims. Independent Administrators and Amerihealth were the worst.
you deserve to pay. Health insurances don't make much in profit they have to deny false claims. Don't like it get better insurance and don't vote trump
0:16 We can make that more lighthearted. Instead, describe it as “Similar to many of his clients, his life was irreparably and severely damaged by two out of network shots that were found to be, like his ambulance ride, not technically medically necessary.”
Our Cigna requires us to pay out $6k before they kick in. As long as I was going through mental health without a diagnosis, they paid. As soon as I went through testing and diagnosed at Level 1 autism, all coverage stopped.
Generous mental health coverage would reduce gun violence. The incentive to not provide coverage is that the victim will eventually fall out of the insurance contract. So long as no one takes the violence to the companies.
It is a challenge. I have not been assessed because I can't afford it. My GP won't touch it not to even prescribe medication in the meantime. I don't get dental care because it is not covered even though it is really needed for healthcare.
Oh wow. You are so right. See... dental care should be as able to be accessed as treatment for a heart attack. It is SO vital.
Even the devil is honest of how he's going to screw with you
Yes, that's why he's known as the Father of Lies...
@@bobnolin9155 he lies by omittion, also have you heard of jokes?
@@bobnolin9155word for word what I came to reply...😂😂🤣😭😭🤑
I think you’re confusing _the devil_ with _a Bond villain 😈_ 😋
"Even the devil is honest of how he's going to screw with you." I love that one!
many members of Congress own stock in pharmaceutical companies; reform is not in their interest. The main motivation for the restriction on opiate medications is profit. They can make more money selling you large doses of gabapentin than small doses of an opiate. As a
doctor, can you honestly tell me that taking large doses of gabapentin indefinitely is safer than taking an opiate? Which side effects of opiates are worse than skull & spinal deformity & amputated extremities?
If your representatives are part of the problem(it takes some special skills, but you can find out what stocks they own), it may be time for them to leave that office.
My mom had 3 forms of arthritis in her spine. Spondylitis, osteoporosis and osteoarthritis. Every day was horrible for her. They made it almost impossible for her to get pain meds. She had kidney disease so opiates were really the way to go for her. Toward the end they wanted her to pee in a cup to measure the meds in her system. She refused to be treated like a criminal and have her body fluids sifted through to find evidence that she was abusing her pain meds. She quit using them altogether. She was a really stubborn person when she thought people were being unfair and unreasonable. She suffered for her stubbornness, but I understood her point. It seems to me the harder they make obtaining these medications, the more people are seeking them on the black market. Make it make sense, how can they think that this is "saving lives" when all we've seen in more and more ODs
Damn. You're speaking truth here. Thank you!
That makes sense, I figured it was so they could deny medications. We'll just tell them they are drug addicts and deny prescriptions
This was the most neurodivergent ending to a serious video ive ever seen. ❤️
Ending this very serious video with a show-and-tell of that cool organ is the most perfectly neurodivergent thing I’ll experience today. I love it❣️🎹
I’m so sorry to hear about your horrific experience from the provider side of things. As much as I appreciate your channel, this video has shown me that it is but a small part of what you do for our community. THANK YOU!!
Off to contact my representatives… 🗣️📞
HA! Really? I never even thought of that being a neurodivergent thing. I just LOVE musical instruments. I actually opened an entire music store called Purple Monkey Music in 2005 because of my love of instruments. Our motto was, "Flinging Poo on High Prices Since 2005". LOL
I've been very fortunate to have great insurance coverage for 13 surgeries. After one of my surgeries, my intestines kinked I had to have another surgery right away. Instead of 3 days in the hospital, I was there for 3 weeks and another week at home on an antibiotic iv. That bill was over $50,000. Six months later, they kinked again. 🙄🥺 My husband and I had very good jobs with great insurance benefits that we paid for. It makes me sad and sick to hear that the head of these insurance companies are making so much money, denying claims, and making doctors walk away. 😢
I was admiring that lovely piece of furniture behind you and was so happy when you showed us what it was. I was delighted when you started to play your beautiful organ. I love that sound. Ty. ❤
Thank you so much for sharing your experience! I had no idea it was so bad for clinics
Oh boy, let me tell you, I know exactly what you are talking about … Got a few insights myself into that unbelievably evil system. Not only was I wandering among a circle of people who would do almost anything for career, money and success in my younger years, but I also suffered a severe stroke of fate in my later years that finally opened my eyes like never before about that whole topic.
As someone with AuDHD navigating any health admin is both very complex, confusing and traumatic. The policy of deny, deny, deny is exhausting
Makes my blood boil. I'm a lyme disease patient and one of the thousands affected by our corrupt healthcare system despite having a beautiful looking UHC insurance when I was healthy, working for a top corporation.
I am a retired Mental Health Counselor, who tells anyone who wants to enter the field not to do so. There are so many calls for more mental health care; however, it is the lowest paying profession. I quit a PhD program after 2 days realizing I would never be able to earn enough to pay back the cost of school. Had I staying in teaching in the public school school system I would have been much better off financially than being a mental health professional. So many high school drop outs make a better living than mental health professionals. The guy that cuts my lawn makes more than most PhD therapists.
Same. I also tell people not to go into this field but no one listens. I guess they will have to learn the hard way.
Wow, really? Mental health counselors make less than public school teachers? Does it make a difference if you're a LCSW vs. clinical psychologist with PhD, or other credentials? When I search mental health professionals in my area, a small percentage come up that accept insurance, but a larger amount do not take insurance. And they can charge pretty high rates - surprisingly some of them even have waitlists. So if they were charging their own office fees and have a steady clientle I assumed they must make a good income. If that's not true I must be grossly misinformed (as would be most of the general public)
Although, I shouldn't be too surprised. I worked in the veterinary field for many many years, and I am painfully aware that veterinarians do not make much money - it also takes them ages to pay back all their tuition. So it seems a common misconception that just because someone works in a health-related field and has expensive services, they must be rich. Sometimes you have to dig deeper to see why these fields are losing so many practitioners (and regarding the video, it's not just money...)
Love the organ. This talk is so important. Thank you.
Thank you. The organ is in impeccable condition. Lots of old organs like this out there from 125 years ago, but not many still operate.
@@NeurodivergentDoctor I can appreciate the condition... beautiful. I'm 72 and just downsized getting rid of an Estey Style G reed organ that I had rebuilt about 30 years ago. Take care of it and enjoy playing it!
Is it possible for providers to get together and form a “providers union” so they don’t have to battle these disgusting malignancies alone?
We are not permitted to. In the United States if you are a 1099 worker which all self-employed clinicians are, we are forbidden into unionize. I could attest that everything he says this video is 100% accurate.
@@NewsMediaOutletsSuck Forbidden to unionize? Seriously? What are they going to do, put you in jail or take away your license to practice? That's straight up extortion. Everyone who has a profession should have the right to unionize with other professionals in their field. How have we become so inhuman?
What would happen if everybody...EVERYBODY... drop their insurance tomorrow. You can't wait for the politicians aren't gonna fix it, they are paid by insurance companies.
Put 30 to 40 percent of your pay back in your pocket.
Things will change.
THANK YOU for making this video. It helped me understand, at least in part, the trouble citizens face these days with health insurance. And I love the organ. How special that you have a picture of the original owner! Very cool!
BCBS is capping the amount of time it will pay for anesthesia in surgery, yet it approved a migraine medicine for me that costs almost a thousand dollars a month. I said no, that's ridiculous. I'll do without it - there are other headache medicines out there! Meanwhile, I pay my therapist out of pocket and he only charges me $70 per visit - when his office is forced to bill insurance $230 because of the overhead you talk about!
Daaaammmnnn. That makes NO damn sense. Point received.
Thank You for shinning light on this evil…and fighting for us! You’re a good man! God Bless You!
I’ll be writing those letters…
This would've been prevented if the US had universal healthcare like other countries do!
Sounds great, until they mandate participation in taking an untested toxin, for a virus with 99% survival rate, then deny treatment coverage for the adverse effects. But hey, it was free!
This is crazy! I hope you all are successful in the endeavors to change things. The patients are behind you!
Wow this really criminal!
Thank you for sharing your experiences. 💕
Thank you for this, was nodding my head all along the way. Halfway through I was thinking, hey... he and others should testify to Congress...but then you said exactly that toward the end. I feel I'm lucky and blessed. Spend the last 2+ years waiting, battling insurance but finally, this past summer diagnosed with ADHD Combined type (inattentive severe), GAD, MDD, CPTSD, AVD yada yada yada... at age 59 I finally have answers. Your comment on executive function hit home... I have significant deficits. I have a good therapist and psychiatrist and the meds are a game changer. But chills went down my spine when you said insurance reads therapy notes. That is covered in so much wrong sauce. Def change needs to happen on many levels. I'm going to use this template and do what I can.
I think that would outrage every single American that gets mental health treatment - it's just no one seems to know about it.
This is very scary, because simply the knowledge your "confidential" (can't even call it that) sessions are being transmitted to your insurer is enough for many people to not seek mental healthcare. And the government, the people, we all want to see less violence, less shootings (not just on a CEO, but school shootings as well); but putting barriers to mental healthcare like taking away your privacy, or not covering your costs, is going to take us 10 steps back.
We definitely need to be writing to our congressman/representatives. Not sure if it will change anything, but it's the 1 legal thing we can do.
UHC is my insurance. I'm old, I avoid doctors at most all costs cause they don't really help patients in the way they need it. Seems like Patients are being used , keep them sick, treat symptoms and charge them more than they really should have to pay.
Even if they pocketed large amounts of money that they shouldn't they'd all be very rich while still providing decent / adequate coverage, but they've got to be utter sociopaths about it and keep as much as they possibly can. Unreal.
I have Medicare, and I don't want it. I'm being forced to pay for it, and there is no way to opt out. If I do refuse it, they charge me a penalty for nothing! It comes out of my social security. I've already decided that I will do whatever I can to keep myself healthy, and when it is over, it is over. I live alone, so there is no one to take on the full time job of filing claims and fighting denials. I'm not going to spend my last years bankrupted or fighting these machines. You are correct that clinicians are victimized just as patients are. The best doctor I ever had came out of the Navy. After fighting this system for 2 years, he re-enlisted so that he could avoid it, and just get back to treating people. We all have to keep this dialogue alive.
Here here I agree. The best thing to do is to keep ourselves as healthy as possible and to avoid Doctors Hospitals and insurance companies as much as possible. Also education is key. There are alternatives.
(1) Verbal diarrhea is a deliberate tactic of dishonest corrupt people
(2) Insurance companies should be obligated to write it out one variable per sentence
(3) All sentences should be numbered
(4) Any variables that are to closely joint should require a mind map.
Being neurodivergent and the cognitive dissonance required to get through medical school was a big reason why I left med school. It's HORRIFYING to learn all the ways patient care would basically be doing harm and somehow just go back to learning the clotting cascade, like I didn't just have the whole matrix cracked.
Thank you for filming this! I think it's important that patients understand why many good doctors don't accept insurance anymore.
Also, stop wearing white and avoid red too. You need to wear blues, browns or blacks on camera.
?😏
Why? Enlighten me.
@flowzerr4550 its a combination of skin tone and eye color. (I'm a photographer.) In this case, white washes him out. Red would just bring out the red in his face. Blue would enhance his eyes. Brown or black would compliment the skin tone and hair color.
@@SheSniper1 Maybe I should send you a current photo of myself for advice, ha.
Worse than hell. Greetings from Germany and thank you.
You want to get a chuckle. I’m on state assistance.. or was. They cut my payments because my ND ass forgot to send them empty PayPal statements. I’m about to reapply. Next time they ask for paperwork, I’m going to fax them right out of paper so that they have to call me to tell me to stop.
“… fax them right out of paper… “ 😂 I’m laughing so hard right now and not bc it’s at all anything to joke about, but bc I have been known to come up with similar types of actions!
There are only 10 pages in their fax machines. That way they can say your fax did not come through.
@ I’ve heard the term “Neurospicy”, and I think I fit nicely within that unpredictable box. 🤣🤣
I was planning on signing up for health insurance and finally trying to get a mental diagnosis and other medical treatments, but I'm feeling unsure about it now.
It makes me so ANGRY! How dare they. Insurance companies should absolutely not get to read patients notes!! Absolutely outrageous!! Obviously very deliberately difficult to reach them etc. ARGH!! infuriating!
I sought out a full neuropsych eval with someone and had a phone consult with them. I have insurance through my work, so I was hopeful that it would be partially covered (any little bit helps!). Once I mentioned the insurance company, the guy told me that they always deny the claim and say that it isn't medically necessary. He's been through the appeal process many times and has never been successful. The cost out of MY pocket would be $3000. I got disheartened by that. However, he said that Medicaid patients often have it covered. So at that point if I really wanted this assessment and not pay $3k, I'd have to quit my job and get on Medicaid. It's the most bananas thing I have dealt with this year.
I would like an assessment but can’t afford the costs as well.
The system is fking stupid, I didn't even fully realize I needed an assessment until my mid 30s (I knew I was different since I was little, and internally struggled, but was high masking so no one knew, because "I acted normal". After I realized what it might be I tried and got denied by two different insurances from two different employers, before I finally landed a job (15yrs after I first tried to ge dx), that had extended mental health benefits and would pay for it. One of the two who denied me even told me they never pay for anyone over 17 because it's not medical necessary when your an adult ..... WT actual F???
Why can’t doctors have a clinic and not accept insurance? Just charge whole sale, like a repair man would charge?
I'm realizing that your channel is one of the few that I enjoy watching at normal speed. Great job! I think your approach is brilliant, and I hope more clinics will consider your suggestions to get out from under the thumb of the insurers. Maybe it's also time for some HCPs to consider alternative income streams, like those charity hospitals that run by donations, I don't know how feasible that is. Thanks for the compassionate messaging and the musical treat at the end.
This isn’t at all related to the video, but watching this reminded me a Babylon Bee video making fun of kids who wanted to work, but didn’t want to have a set schedule, wanted to go on break every hour, and found the word “work,” itself, triggering. As a person who’s newly accepted my neurodivergence, I realize why videos like this evoke such withering contempt from me.
Next time I watch this, I’ll actually comment on the video itself.
PS I do have one thing to say. Short of the three Ghosts of Common Humanity visiting Brian Thompson and teaching him the errors of his ways, what else could have happened to change his mind?
Nothing. Sad as it is social violence is often only defeated by the kind of violence we are taught is wrong.
This is so relatable re: navigating medical system and insurance with executive functioning problems. Its hell
You just got to subscriber. I felt so very seen when you described the way that you feel when having to deal with those kinds of insurance paperwork issues. How they specifically are almost painful to do for the neurodivergent. You very eloquently explained that one can be quite intelligent yet have extreme difficulty with those kinds of situations. Even if they're a matter of course in ones profession, it's mentally exhausting. Thank you.
Thanks for speaking up, doctor! It's appreciated a lot!
You would make a good witness before Congress.
wow, i'm so sorry you had to go through this
Funny how the patients often blame the doctors and say that they milk the insurance companies when it's definitely not the doctors but the insurance companies
Glad I had the option to leave the USA permanently but I'm rooting for all my neurodivergent and queer siblings 💜
😂
"It's punishing. I would rather take an ice bath, no offense Wim Hof." Love that one, ha!
Until healthcare is nationalised and free for all, then these equity fund investors and insurance grifters will continue to suck the lifeblood out of the system and bleed it dry. I don't know if it was due to my ADHD,ASD or PTSD but I found this video quite triggering!
I was a medical biller for over a decade at a dedicated billing company and worked a short time at a neurosurgeon office. It's very time consuming to deal with all the red tape insurance companies put in place. Its even more frustrating when they change their policies with very little notice. I eventually became burned out and quit. I don't think I could go back to being a biller.
New sub. ND myself. Thank you for taking the extra time to share you wisdom more broadly.
It made me think there’s a small sign of consequences, what they do is “ legal” and they are untouchable till now
My mother is a home health RN, and it takes her months to get paid. She has to spend hours on the phone, calling multiple times. They make every excuse. They sent her the wrong check, and she sent it back certified mail (by their request) so that she can get her correct check.. The post office tells her they delivered the check she sent back through certified mail, but the United healthcare denies that they received it so that they can postpone paying her. I don’t understand why that’s not illegal.
My Rep knows...if only more people would back him... BERNIE
I thought easy to understand language is at a 5th grade level. It was the last time I checked.
Oh, it might be. I probably misspoke on that. Thanks for the clarification.
As an Australian, Ive always been blown away why the hell Amercians accept their healthcare... And that's not all. So many things about America blow my mind with how bad it is.. yet Amercians seem to not notice.. frog in water issue.
I'm Australian too. My empathy really hurts me when I consider how awfully people in the US are treated and how some of them are even propagandised to support it because anything else would be "communism". Sad state of affairs.
The American health care system is beyond a joke.
Damn I know it's rough from the patients side but had no idea what goes on on the other side of the fence.
Not only Healthcare Companies, the Politicians must also be responsible for the problem of Healthcare in America!
I would MUCH prefer to directly pay a private practice reasonable prices than have to pay insurance AND inflated prices (also because of insurance).
I would like to take the autism test but it's preventatively expensive, also I find translating legalese into layman very fun, there are lawyers on youtube who are good about explaining and translating it.