No. It's "rigged" because the individual participants have their own incentives, as the doctor pointed out. You call it "rigged" because their incentive is not your personal incentive. That's faulty logic. It's the same logic that these sociopaths advocating assassinating CEOs use. If you want to FIX the system, you have to stop engaging in stupid, logic-absent talking points and look at the real reasons why people do things.
RFK Jr stated he never told anyone in Samoa not to vaccinate. He went there to advocate for a health record system that would track outcomes of all medical procedures.
Imidazole Antifungal Drugs Inhibit the Cell Proliferation and Invasion of Human Breast Cancer Cells Idazole Treatment Disrupts the Transcriptional Activity of Hypoxia-Inducible Factors 1 and 2 in Breast Cancer Cells Emerging Perspectives on the Antiparasitic Mebendazole as a Repurposed Drug for the Trn summary, we find that metastatic prostate tumor cells differ from benign prostate tumor cells in their sensitivity to certain drug classes. Taken together, our results strongly suggest that albendazole, an anthelmintic medication, may represent a potential adjuvant or neoadjuvant to standard therapy in the treatment of disseminated prostate cancer. Mebendazole treatment of Brain Cancers Ivermectin has New Application in Inhibiting Colorectal Cancer Cell Growth Repurposing screen identifies mebendazole as a clinical candidate to synergise with docetaxel for prostate cancer treatment Mebendazole and docetaxel work together to kill prostate cancer cells by disrupting the molecular scaffold used by cells to divide. This scaffold is vital for cancer cells to grow and divide and so without it the cancerous cells die. Ivermectin converts cold tumors hot and synergizes with immune checkpoint blockade for treatment of breast cancer Ivermectin and Pembrolizumab for the Treatment of Metastatic Triple Negative Breast Cancer Ivermectin inhibits tumor metastasis by regulating the Wnt/β-catenin/integrin β1/FAK signaling pathway Fenbendazole acts as a moderate microtubule destabilizing agent and causes cancer cell death by modulating multiple cellular pathways Unbiased Phenotype-Based Screen Identifies Therapeutic Agents Selective for Metastatic Prostate Cancer The City of Hope is adding Ivermectin to TNBC treatment, University at Glasgow is adding Mebendazole to Docetaxel for PC, Dr. Marc-Eric Halatsch is using Itraconazole in a 9 repurposed drug protocol for Glioma and Glioblastoma. Dr Tom Rogers YT video on Artemisisin and Fenbendazole has some comments you may be interested in.
You make a good point regarding the 20% cap and how that incentivizes increasing the size of the (pizza) pie but the solution isn't to eliminate the cap. The solution is to eliminate for profit insurance. The for profit model doesn't work with health care. I can't shop around for the cheapest hospital or the cheapest procedure. The whole mindset has to change. Health care is not a place to get rich and maximize executive and share holder returns.
Thank you for being the only sensible physician to speak on this topic. Our profession is morally bankrupt as evidenced by the numerous physicians tacitly endorsing this murder.
@@cactuscanine3531 We can lose our jobs for a lot of things. Saying you shouldn't murder healthcare CEOs is not one of them. Physicians aren't speaking out because the majority of them are morally bankrupt people who feel like insurance is the enemy, and who are now so captivated by leftist ideology that they think the system needs to be overthrown "by any means necessary."
This evil system harmed & eventually killed my son. It's been more broken than most people realize for way longer than most even want to acknowledge. Thank you, dear doctor, for your rare courage to do the right thing. By the way, I don't advocate murder. I advocate listening to common sense & the healing of a broken system. Everything you are saying is so true, honest & helpful. God bless you doc.
Went to an ENT last week. Paid $100 co pay. Was told they could look at either my nose OR my throat, OR my ears- only one. Would have to make additional appointments to look at the rest. They spent 10 minutes with me and used a scope to inspect me. Then I was charged for SURGERY!!!! which my insurance would not cover. INSANE!!! I waited in the waiting room an hour, spent $18 on parking, $100 copay, and a bogus surgery charge for a 10 minute appointment!!!
I cannot believe how hard the primary care/hospital affiliated system I chose has literally harassed me about getting a mammogram. It's crazy, pure insanity. They will not leave me alone. It's FREE, what can I lose! Will they offer me free services if my mammogram is positive? Of course not.
Tweak your diet if you're really concerned about breast ca. And DONT do the mammo! There's tons of info out there for non invasive ca fixers. Oh and don't read anything from mainstream medical people.
I think doctors should be taught more about the insurance system. They have greatly never seen anything but the pre-auths. Most of the time pre-auth denials are bad. Sometimes. they make sense. Doctors themselves have Cadillac insurance and believe that everyone does. They don't get that the patient needs to weigh the pros and cons of receiving certain tests and treatments against their own lives. Financial toxicity is something many doctors don't care about.
@@Paintsplash4 doctors are paid by pharma when they give treatments and medications, it is not about not understanding insurance, and cancer is big business for them.
This is the main reason why my 70 year old mother is only retiring this year and not 2016. She was originally supposed to retire at the end of 2016, but her health insurance plan and medical bills forced her to work several more years. She is only now retiring this year in 2024 when she has been asking for retirement for over eight years. The costs she has had to pay is staggering, and the companies have done little but bully her.
@ good point! Maybe her preferred providers opted out of accepting Medicare patients. Or maybe her mom is forced to keep working to pay off medical bills incurred prior to qualifying for Medicare.
Totally agree with you! I am not a physician, but work in health systems for 32 years . Cannot blame just on insurance, billings insane, and not only that tons of other stuff
I live in Canada, and we have plenty of issues here despite having a "free" healthcare system. We don't have healthcare, we have sick care. If you want help with diet and exercise, you're on your own. You have to pay out of pocket even if you just want to see what your vitamin D levels are. Because access is "free" getting service can take a long time. People flood emergency rooms with non-emergency issues because they can't find a family doctor. Once you do get referred to a specialist, you have about a 3 month wait to see them. We spend 12% of our GDP on healthcare, it is our largest budget item, and we are not getting quality service. All this is written to stave off anyone claiming our system is wonderful and should be emulated.
My sense is that Canadians don't eat the "fried-foods diet" of the US. THAT is far, far and away THE health problem of the US. Our bottom socio-economic quintile are the fatttest people in the history of the world. They expend their "SNAP" benefits by the 20th because they buy fully 'fatted-salted prepared' foods. Salted fat is literally addictive...and requires a titration down; WHY strict diversion diets fail.
As another Canadian I completely agree. Plenty of times I’ve had to rely on Maple telehealth for treatment because the earliest I can get to see my dr is 3 weeks. And an ER wait most likely would be 10-12 hour wait.
Canadian health care was systematically and purposefully dismantled, beginning in the late 80s. It was heartbreaking to watch, and no one wanted to talk about. I just don't give af anymore, after a lifetime of being ignored about so many things. ~~ old hippie
In qc, free means an average of 18$/day/person in taxes go to the healthcare budget. Socialist healthcare works for nobody, not even the doctors who under a new law would be forced to stay 5 years in qc when trained in qc...
@jennifermarlow. what's been happening is certainly discouraging. My mother was a nurse for 55 years, and I have heard many first-hand accounts of the ways the system has changed over the years. Many of the changes were advertised as an effort to save money or make things more efficient but really were designed to give the ministry a scapegoat for failures. Some changes were made to solve a problem but treated the symptoms and not the causes. If you're from Ontario, you may recall the doctors went on strike in the 80s, and the death rate actually went down. This led the government to assume we needed fewer doctors, not better trained doctors. However, we fund the health care it must serve the patient and not the process.
Healthcare is broken. First, they took health out, then the care went away. We're left with nothing. Many of my coworkers are just there for the paycheck, it's no longer a calling. It is hard to see and has broken my spirit. I find myself wanting out.
In Canada, as I have leukemia I am in the health care system. First, all the places I had blood tests closed in my city. DynaCare from the US took over blood services. Then they built 4 huge centres for everyone to use, placed in 4 areas. During covid, I had to have blood checked at 3 months during the whole time the hospital was shut down because of over crowding. The Cancer care clinic drew my blood. The hospital area was empty except for me, and my doctor said the place is like a 'graveyard.' I was just before treatment with wonky numbers. Point, the hospital did not need to be empty, as there was no over crowding.
Another area I'm going to bring up. I had appendicitis back in May 2024. The total bill was somewhere around $36,000 - lap appendectomy, overnight stay, in ER for hours prior. I had a thyroid biopsy of 2 nodules and a biopsy of a thyroglossal duct cyst found a few months later at another hospital, and they charged and got paid around $32,000. How is this reasonable?
I’m a teacher who pays $400 premium a month. I had pneumonia that turned into sepsis. 5 days in the hospital. A bed, antibiotics, breathing treatments ($800 a treatment like I can do at home), and I ended up paying $6500 out of pocket. Disgusting and abusive.
@@mariel.8809 I lost my teaching career due to jab mandates. The district's insurance sucked anyway so I was taking cash in leiu of benefits. I'm now paying $600 a month out of pocket for a barebones PPO plan with a $7000 a year deductible. That plan was only $40/month with a $4000 a year deductible before the ACA came along and ruined it.
I had my doctor charge around 300,00 as a new patient for a visit because I hadn't been there in 3 years. Ridiculous. All I needed was a refill on my acne medicine. All he did was listen to my heart and lungs and write a new prescription. I think doctors do unneeded tests and procedures to make money. I had a uruologist test my urine each visit over several months. He probably made money on each urine test and then 1 time he finds an elevated blood count in my urine so he does a 500,00 dollar scope of my bladder and says it is normal. More tests and procedures is more profit.
Of course doctors do unnecessary tests and procedures! So do doctors for animals - veterinarians! Many, especially the vets at corporation owned vet clinics look to run the bill.
This underscores the need to view healthcare challenges as systemic rather than isolated to health insurance companies. Issues like inequitable access, workforce shortages, inefficiencies in care coordination, opaque pricing, and a reactive rather than preventative approach all point to deeper structural flaws. The presence of middlemen, such as insurance companies and other intermediaries, further complicates the system by adding layers of bureaucracy, inflating costs, and often prioritizing profit over patient outcomes. Addressing these problems requires comprehensive reform that prioritizes equity, transparency, and patient-centered solutions, emphasizing that fixing one part, like insurance, won’t suffice without transforming the entire system.
PAs will in fact listen, that’s true. But they lack the knowledge to really do anything useful. Doctors won’t listen, and might happen to catch what’s wrong with you, but if they happen to catch what’s wrong, they’ll know (generally) what to prescribe. Yeah, there’s no good options sadly. Would be nice if medical school taught… well, medicine. They mostly teach how to recognize specific diseases and what pharmacological treatments are available.
I'm almost 60 and I've been working out, mountain biking and following a dietary regime for decades and had no chronic health issues. Other than Shoulder and hand injuries I've been easy on the healthcare system. My COBRA premium is $1121 per month! People forget that being a Doctor is like being a plumber, some are inspired and following their heart and others want the title and the paycheck.
I stumbled upon you during the early days of COVID, and your content has consistently been a blessing. We don’t agree on everything - and that’s 100% okay- but you are a voice of reason in an increasingly insane world! Thank you!
Yes, the premiums are higher than what they afford you and they don’t even want to cover all my medications, but my biggest problem with health care is mostly with doctors. Short visit times that often last less than 15 mins, bad bedside manner, gaslighting patients etc… Drs and nurses will often belittle and disregard a patients lived experiences, causing them to not get the care they deserve and need. I was left undiagnosed with a cortisol producing tumor for more than 5 years. These healthcare “professionals” often refused to take me seriously about my symptoms symptoms and will left me suffering for years without recourse. I can’t tell you how many times my symptoms were brushed off with “it’s anxiety, have you seen a psychiatrist?” And I’m not the only one this has happened to. What the hell do universities teach in medical school?!
Fellow Cushie here! I agree 💯! And, once you have surgery, the aftercare is spotty (at best) for more people than not. My battle wasn’t quite as long as yours, but it took months and some of those months were miserable. My gyno was CONVINCED I was just laying on the couch stuffing my face with bon bons 😤 even though I was eating healthy and working with a personal trainer. He just looked at me like “RIIIIIIIGHT!” I went back to see him about a year after surgery and boy was he confounded when I was at least 100 pounds lighter 😅 he was excited asking what my “secret” was, did I finally figure out an appropriate diet 🤬 When I told him about the pituitary tumor and Cushing’s disease, he literally turned RED. Ultimately, to my surprise, he round about apologized. I told him my hope is that he’ll be more sensitive to other women that may have similar issues and not be so quick to judge.
Doctors are burnt out having to cap time spent with patients in order to get increase numbers seen each day to actually make a profit. So much goes to administrators and overhead. Having a child with some medical struggles was a blessing in some ways. It forced me to dig deeper to advocate for him and then my whole family. Doctors don't have time to do this. I now go to doctors and tell them what labs to run and what I need. If they push back on anything, I research further and either accept what they said or bring further research to them that changes their mind. It's a lot of work! But I no longer wholeheartedly trust any doctor, though I do think most are doing their best in our (perhaps) irreparably broken healthcare system.
Sorry, but I don't agree with your assessment of the offed CEO mass-murderer as being "an innocent man." His hand & commitment were fully engaged in making it as bad as possible for his "clients" or victims as he could get away with. (More $$ in his pocket & F the victims.)
The AMA intentionally limits the number of doctors to inflate wages, but it only favors the old doctors at the expense of new ones. The universities participate in the racket
He’s not a scape goat, he’s a CEO that set up an AI algorithm to deny medical treatments, he made $9.1 million dollars a year, he was part of the problem, he made UH rich by having shareholders
As a neophyte to drug development I’ve learned that as you say, the system is broken. And there seems to be no incentive to fix it. We have developed a novel treatment for C Diff infection and the system doesn’t want it, I guess because it cures people. I’d appreciate your feedback on how we can move our treatment forward in this environment.
You hit the nail on the head. Back when I was in school, graduated HS in '66, even though my dad had medical insurance, he could have if needed pay for the hospitalizations we had. Mom and dad were very open with their discussions. When my son was in college, graduated in 2002, he had to have a couple of outpatient surgeries, if need be, I could have paid what the insurance company paid, I would have had to take out a long-term loan to have paid what was billed. Treatment was good, it has dwindled since. The killing was a sign of corporate America sticking it to us, it should be a wakeup call but it will not be. Back in the 60's, CEO pay was about 37 times that of the average worker, today it is close to 400. Think about pushing this in someone's faith that was just laid off two weeks before Christmas and you have a family.
For the first time in my 45-year life, my husband and I did not purchase health insurance last year. After paying 20k the year before in premiums and deductibles, we rolled the dice. So far, so good.
Look into healthshare sharing plans like Medishare. It's not traditional health insurance but it's great to have to cover healthcare costs and could cover up to a $1M in catastrophic costs. I paid around $500/month for our family of 5 (this was a few years ago) and paid cash to doctors, which saved a lot of money. The healthshare plan then reimbursed me. We couldn't afford spending $20K/year for crappy ACA plans with disgustingly high deductibles so we went without traditional insurance for years too.
Thank you for the recommendation! We did have a health share plan in 2017 but we carried traditional health insurance for our kids. Now, the cost of both is similar to the cost of traditional insurance (health share for us and traditional for kids). I haven’t spoken to anyone who used their health share plan (we didn’t have to use ours) so it’s good to know that they reimbursed! I was hesitant to have my kids on the plan because they are more likely to have a major event (like a broken limb) and I wasn’t sure how difficult the reimbursement process would be. We did purchase traditional health insurance for our kids last year which cost us about 8.5k in premiums/deductible instead of 20k.
A hell of a lot less. That's why I think Vinay is getting this way wrong. Eliminating insurance as a practice by terrorizing them all into quitting ABSOLUTELY is a functional reform to the system.
@@caryphillips4885 a lot of people will get hurt in the meantime. (Assuming it even works.) More people would get hurt by political violence. And more than just the people you deem bad. You don't get to choose who gets hurt once you permit political violence.
You have to remember that there was not much doctors could do for you back then, no trauma care, no heart surgery, no chemotherapy, no care for premature babies. The fact that we can save so many people is one of the reasons things are so expensive.
@@karenkaren3189 But now we can't get access to the things that they COULD do back then. I don't know who's getting that shit you're mentioning but it sure as hell ain't me or anyone I know. That argument might work if you run around telling it in a gated neighborhood.
Another thoughtful clear indictment of our broken healthcare. I found your description of the shooter as schizophrenic to be a little premature though( unless you have information I am unaware of). Otherwise keep up the great work!
The system is broken. And health insurance industry is only a part of the problem. But to absolve it's responsibility in shaping the system is gaslighting of the 1st order. It comes the 3rd in the amounts it contributes to political lobbying.
I definitely have a strong preference for law and order, rule of law and peaceful settlement of disputes. I also believe that there are times, places and situations that require reasonable men to do unreasonable things, and the American health care system seems like it’s beyond the ability of the checks and balances to bring back into line. Maybe this particular assassination was uncalled for, unnecessary or nonproductive. History will judge that, but the number of people that feel angry and stymied by the healthcare system should be a warning to those who have the instinct to dismiss the unwashed masses. There is a healthy level of fear for those in positions of power and privilege that seems to be missing in society right now, and this assassination throws that sharply in focus.
Very interesting commentary as a healthcare provider myself. Responses that I usually read are that we need universal healthcare in the British or Canadian model. I disagree with that, but I do agree that lifestyle is imperative and it’s something that Americans have not truly examined in many years. We become passive and apparently wished to have our symptoms managed that we can continue leading and unhealthy life. This is a multivariate problem and it will take a creative approach to lessening it
Let's be real, an insurance company tried to put time limits on anesthesia use, then the CEO died and boy did they back track real quick. You can't say it has had no effect with getting us really talking about how shit our system is in the mainstream.
That Mario Brothers reject was rich and in line for a share in $30M of his grandmother's inheritance... As a sidebar, amusingly, she stipulate that no *criminal* could inherit any of her wealth... Doh! 😂 So, he had about as much 'concern' for the plight of the sickly 'mutt, as he did for his non-existing student debt. The reality is that he wanted notoriety and fame, and because his brain was clearly yet to mature past וֹ תּ ꝯ ꝯ ꬲ ꭇ tier impulsiveness, he will now spend the rest of his woebegone life playing bꭒtt boy to his s ꭐ ꭤ ꭇ ꬷ ꜧ ꝩ cell mates on Rikers Island. C'est la vie 😴
The real issue with the assassination of the exec is how does the public confront the corporate phenomenon of “forced disallowance of consumer feedback” and utter psychological gulf between decision-makers and the customers (who are now never right) . The system has gradually gotten completely impersonal and siloed, people can only provide feedback with automated forms that don’t allow them to say what they really want to say in regards their experience. Customers are then told that their feedback helps provide a “better experience “ and that their opinions are “being respected. All the while all that really happens is that people are given a useless, artificial channel through which to vent their frustrations and then are completely ignored. For this the management class is slowly isolated from reality(hello remote work), paid ever more handsomely, all the while customers (citizens who are forced to relinquish their rights in order to interface with a corporate entity that they rely upon) are robbed of their dignity and slowly criminalized. God Bless America
We are submissed to bad systems. If we can't hold the people in leadership positions responsible, people who have the most power over the system and who profit most at the expense of others, whom can we hold responsible at all? Nobody? How is it supposed to change?
I've been saying this to people ever since I took study dives into IV Vit-C and stem cell approaches. We could fix EVERYTHING about health care finance; we'd still be 50 years behind the science. Mangione wasn't an "assassin", he was just misguided. Thomas was sure as hell not "innocent". He was a mass murderer and grand larcenist. Save your prayers for Mangione. They're wasted on Thomson- who is in a place they can't reach if you believe.
My son had his appendix removed in 2020. The doctors and surgeons couldn’t tell me what an appendix does. Still not 100% what we took out of him and why.
The medical profession in the USA underwent a radical transformation in the immediate aftermath of WW2 in which the GP was marginalized and specialization became the norm, as MD's chased money. The costs of basic healthcare services have risen far far faster than the rate of inflation, year on year, for at least the last 80 years, that's 4 generations of out of control price increases... Of course, it is broken beyond repair. President Nixon ran on out of control healthcare costs in 1968 and in 1972. The problem simply became too large for anyone to dare talk about after the oil shock of 1973. This weaponized landscape of interlocking industries is not going to fix itself. Woe be to anyone who needs medical services in the USA today. The whole thing is a house of cards.
Innocent man? He had no choice but to lead the largest denier of insurance claims in the country? Someone was threatening his family if he didn’t promote deny, delay, and defend policies? Did he deserve to die, maybe not. Was he an innocent man, not one bit.
It’s been broken for a long time. It has been on the slippery slope for 30 years. Sped up by the portable care act which provided only a temporary slow down of the slide until it pushed us over the edge, with COVID19 becoming the launch and airborne uncontrolled and unstructured struggling and flailing. We are going to hit the ground hard in the next couple years because of all that has come before where we are now.
I've been on the other end of that though, where I've had serious issues the doctor didn't take seriously and categorized it into that bucket. Wasted even more time and dollars trying to find a doctor that took it seriously than it would have wasted just blanket taking everything seriously.
@caryphillips4885 Man every patient says "it took me 3 doctors who all ignored me until one took me seriously" and then they tell you they got diagnosed with POTS or Fibromyalgia or some other bullshit disease that no one knows anything about with no valid medical interventions. I hear these stories all the time and 99% of them fit into these buckets: they didn't have the medical knowledge to actually understand what they got told by the physician they saw (very common in the ED) OR they had nothing seriously wrong with them and they found a doctor to take their money anyway and humor them (ie useless injections, homeopathic medicine, etc).
Maybe a lot of brokenness, but not completely broken. I had a bike accident (involving a deer) which resulted in a total hip replacement. My medical care has been excellent, from the ambulance EMTs, the hospital staff, my surgeon, and PTs at home and outpatient for post-surgery rehab. I have an ConnectorCare (“Obamacare”) plan, which covered all but $500 co-pay for emergency care and $20 copays for the outpatient PT. I am so thankful for the empathy, patience, and depth of knowledge of my care providers. I am self-employed and couldn’t work for several months after the accident. So things were challenging financially. But I so so thankful that my medical care did not add to the financial burden.
The anger is not about healthcare from your doctor, nurse, techs, or PTs; it's about the cost of health insurance premiums, co-pays, pharma, and out-of-pocket expenses. It's great that you can afford a $500 emergency co-pay, but many can't, so they don't go until the situation is extreme. Many people are trying to pay 15 or 20K annually for premiums plus co-pays and out-of-pocket costs. We may like our physicians, etc., but we are talking about the affordability of health insurance and having a life after we pay these unsustainable premiums.
@@swinkler4417 Thank you for your comment on my comment. Yes, I get that there are things severely broken about our healthcare system, and I share the anger you refer to. I was involved in my mother's care as health care proxy and power and attorney, and practically lost my mind over it. But, I want to express that there are things that are working well, because I think that's important to acknowledge. Dr. Prasad has rightly called out the abundance of ineffective medical practices. But in my case, I have benefitted greatly by the "high tech" progress in hip surgeries. Regarding insurance, I have been self-employed for the last 11 years, earning a modest income, and Obamacare has been great. My premiums have been modest, and the coverage has been very good. I am thankful, in part because I read about the absolute disasters of others who pay huge premiums, and nonetheless are devastated financially by the expense of a serious health problem. And that, as you rightly point out, is appalling.
That's the problem, there are some somewhat rare but awesome and heroic parts of the the healthcare system which gives it this good reputation, but most of it is just milking the chronic preventible disease train.
@@1LaOriental Hate to break it to you, but doctors create the business models and standards of care too, and they run the governing boards of medical specialties. Have you ever wondered why the American Dental Association for example has never pushed for regulation on sugar? They could have done that decades ago and prevented huge amounts of disease...Doctors are very much a part of the problem, and they benefit greatly from it.
@00:27 -- _"Because that's where their political ideology fits best..."_ Oh PLEASE!!! Do NOT fall into the obvious trap of assuming that this is a left-vs-right issue!! This is entirely bipartisan. There are tons of people on BOTH sides of the aisle who empathize with Luigi. Also, you keep saying that the victim was an "innocent" man... but was he really? Is the boss not responsible for the behavior of his company? When the company has a 32% claim denial rate (highest in the industry), and there are credible rumors floating around in public about the existence of "denial quotas" being enforced, and AI algorithms with a 90% error rate... is it not the boss's job to get that under control? The innocents in this story are, first and foremost, his wife and children. But the innocents also include the many thousands of people whose lives were either wrecked, bankrupted, or terminated by the malfeasance that took place under his stewardship. No, Vinay. Sorry. He was *_not_* innocent IMHO. EDIT: That being said, I strongly agree with the rest of your assessment of all the corruption in our health system.
I lost faith in healthcare (well Kaiser) when they poisoned my Brother and Mother (with KEMO and radiation) who had cancer and then said "we've done what we can". I said I wan't a second opinion. They said see whoever you want, Kaiser won't pay for it.
Vinay it would be AMAZING if you did a full critique of Paul Offit’s new video with Dr. Mike, going over the voracity of his claims would be very illuminating. Thank you for all that you do!
Your voice of reason is appreciated. You are much more generous with the industry than many of us. People feel that they have been exploited and rightly so. If the "pandemic" didn't wake people up nothing will. Many ought to be charged with crimes against humanity. Life style and nutritional education ought to be the number one priority for doctors. Doctors receive virtually no nutritional education. So when a friend who has IBS, pancreatitis tells me his doctor tells him it has nothing to do with his diet, 😮 uhhh I lose all faith. Food is medicine. Until people realize they are what they eat. God help them.
First things that need to go are the annual “physical”. What a waste of time. Then going to the doctor for a snotty nose. I support denial of unproven expensive drugs. I support therapies that address a useful dimension. Get rid of pharmabro/sistas Bring back some empowerment of GPs. My GP no longer visits hospitalized patients, and now is basically useless to me because he cannot protect me from medical incompetents and vultures at the hospital.
Vinay, so appreciate your work and outspokenness and perspective. You are an inspiration and one day, you deserve to head up one of these 3 letter agencies yourself. Good wishes from a very Indian American mama.
There is one more factor which is HUGE! Lawyers. This is a country of lawyers. Doctors have to think about potential law suits and about their own safety. Hence at times unnecessary tests and treatments. Example- anxious parents who absolutely want brain MRI on their children because they just need to be reassured. And at times no matter hard you try to explain it’s not indicated.
Greed which leads to corruption - same core problem with everything. The unrealistic solution is get rid of greed and the whole world will improve - maybe! "Be careful what you wish for"
@olibertosoto5470 Still... greed is so subjective. If you were to plop our ancestors in modern times they would view even our most modest actions as greedy.
@@erikkovacs3097 From my point of view you're using greed to mean drive. At which point does drive become greed? How about when you have plenty but you're willing to cheat others because you want more.
Good video, minus the pearl clutching. While vigilante justice is unlikely to be the answer to fixing healthcare, I would not go so far as calling Thompson "innocent" It's not like he was just the mailman or the janitor. He had the power to make life or death decisions for people; let's not forget denial rates increased under his policies, and so did profits.
As much respect as I have for Dr Vinay, I really hope he takes the deep dive into the truth about childhood vaccines. Not one of them has been tested against a true placebo, and this was confirmed by Stanley Plotkin (the godfather of vaccines) himself in court. He's such a big voice, it would go so far if instead of challenging RFK, he worked with him. He would see for himself what is true
What is the actually a scapegoat or did he actualize the goals of industry he worked for and did so knowingly and with great expertise and also with great malevolence?
He's too busy taking sides, yet no one was taking this injustice seriously until this happened. Why?? It IS shocking. (The insider trading lawsuit is easy to locate, by the way.)
People love a scapegoat; and UHC’s questionable practices and multiple lawsuits contributed to the reaction… I think in US, financial and healthcare literacy should be mandatory in school 🤷♀….
We have a sickcare system, not a healthcare system. We need more preventive screening so that we can catch systemic diseases earlier. But we should also try & propose remedies that are more curative from the start rather than making a patient go thru 10 steps of stuff that just does not work. E.g you have some kind orthopedic injury. Look if surgery is indeed the answer then do it from the start; don't drag patients out for months at a time that makes the insurance company pay out but does not solve the problem Injections rarely do. You would figure that we could have made more progress in treating bacterial or viral disease. Well we also don't screen tissue for mutational disease. I don't believe in single payor either. You do have to have research. Above all the USA does not invest in preventive approaches beginning with diet & exercise, mental health, injuries.
A better question is, *how much time do medical students spend studying ˅ ꭤ ꞇ ꞇ ﬨ וֹ ꬲ?* A. One module, lasting approximately a month, out of four to eight years of schooling; with all that "study" being effective propaganda about how successful the associated science is, and any (if any) questioning of ˅ ꭤ ꞇ ꞇ ﬨ וֹ ꬲ s, treated like heresy. That is to say, most lay people who take a few hours to _objectively_ study [unvetted] information on the subject matter, will more informed by than many G. P's and M. D.'s, and most all R. N's. Why? Obviously, because lay people have a personally vested interest in knowing what is good / bad for their health; whereas, those with only financial vested interest, will be far more inclined to parrot an "accepted narrative".
Resonating with the comment above. There has NEVER BEEN a long term comparative study examining health outcomes of unV vs V children. No such thing as a good one. Not a single one.
I am an ER physician and semi retired. I live in Argentina. Work in the USA 6-8 days a month. I cancelled my health insurance and now get everything done in Argentina. Much more efficient and cheaper
Another example. My brother is in memory care for Parkinson’s with dentist and his all natural supplements have to be locked up, have a prescription style permission from his Pc and I’m fighting to get it.
Find it funny that here in the Niagara Region (on the Canadian side) we have been waiting for 12 hours in the emergency room. I’m checking my health insurance to see if we can go to Buffalo.
Thank you. Can you speak about patient satisfaction requirements? To me it’s like saying to providers, “make sure they are happy no matter what” (so the industry can keep sucking them dry). So, providers avoid reality, maintain false hope, and just order whatever makes the patient “satisfied” and the faceless insurance company is incentivized to be the bad guy.
unfortunately Vinay Prasat is not explaining, why Insulin in the USA is 10x more expensive than Insulin in the Canada, when price of Insulin is practically controlled by company such as United Health??????? Did you publish any book about Biostatistic by yourself? I would like to read it.
I am glad you are speaking out against the broken system...by pointing out how it is a failure... (You are very good at preaching to the choir) That's a start, but we need more than that; otherwise people get enraged, lash out and do irrationally things. No moral person condones it, but it will happen. But unlike RFK, you seem to offer little in the way of solutions... Please talk about how you've tried to get involved in politics to influence a better system. Have you written a draft bill for representatives to enact into law? Insurance companies have teams of lawyers to do just that. Please give us some guidance on things that we can go pester our politicians about doing. Why don't you start examining healthcare systems around the world and highlight ones that are not broken. Perhaps America can use this as examples to follow. I know there are ones in Asia Pacific that offer both charitable/socialistic care to their poor, and allow competitive market options to the wealthy. And you can ask the price of care before you choose to accept it. The only people I hear from on fixing healthcare are the lefties. And like a broken record all they have to offer is a different broken system, single-payer healthcare. We need more ideas and more discussion on solutions. Ones that can be pushed and supported. Keep speaking out. Maybe someday a braver man like RFK Jr will need someone like you. Hey, you ever try contacting them and offering help?
It’s not broken; it’s rigged.
No. It's "rigged" because the individual participants have their own incentives, as the doctor pointed out. You call it "rigged" because their incentive is not your personal incentive. That's faulty logic. It's the same logic that these sociopaths advocating assassinating CEOs use. If you want to FIX the system, you have to stop engaging in stupid, logic-absent talking points and look at the real reasons why people do things.
Yep. It works exactly as the moneyed interests designed it to.
I'LL RIGGLE THAT...
Once it is rigged, it becomes broken.
@@andred3299 D.R. SAYS DAMN STRAIGHT AS HE IS SIPPING BACK AN OLD MILWAUKEE CONVERSING WITH LEROY...UNO, DOS, TRES!
RFK Jr stated he never told anyone in Samoa not to vaccinate. He went there to advocate for a health record system that would track outcomes of all medical procedures.
Yea, the media is relentlessly dishonest when it comes to reporting on RFK Jr.
There’s nothing complicated about that RIK is a form of drug addict and a pernicious liar.
It is a feature and not a bug in the system. It is delivering what it is designed to deliver. $$$ to the medical industry at the expense of users.
And has been broken for a while now. I’m an oncology PA. Appreciate you continuing to speak out so transparently.
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Is it broken, or is it operating exactly as intended?
The latter. Corporate America does not care about you.
@@KratostheThirdyep, it’s rigged.
Shhhh! Stop NOTICING!
Our government isn't benign towards its citizens...our representatives haven't worked for us citizens for a LONG time.
It's broken AND some people are at least getting something out of it.
You make a good point regarding the 20% cap and how that incentivizes increasing the size of the (pizza) pie but the solution isn't to eliminate the cap. The solution is to eliminate for profit insurance. The for profit model doesn't work with health care. I can't shop around for the cheapest hospital or the cheapest procedure. The whole mindset has to change. Health care is not a place to get rich and maximize executive and share holder returns.
Thank you for being the only sensible physician to speak on this topic. Our profession is morally bankrupt as evidenced by the numerous physicians tacitly endorsing this murder.
There are plenty of sensible physicians who will lose their jobs if they speak out.
But there ARE other physicians who are speaking out.
@@cactuscanine3531
We can lose our jobs for a lot of things. Saying you shouldn't murder healthcare CEOs is not one of them. Physicians aren't speaking out because the majority of them are morally bankrupt people who feel like insurance is the enemy, and who are now so captivated by leftist ideology that they think the system needs to be overthrown "by any means necessary."
This evil system harmed & eventually killed my son. It's been more broken than most people realize for way longer than most even want to acknowledge. Thank you, dear doctor, for your rare courage to do the right thing. By the way, I don't advocate murder. I advocate listening to common sense & the healing of a broken system. Everything you are saying is so true, honest & helpful. God bless you doc.
Went to an ENT last week. Paid $100 co pay. Was told they could look at either my nose OR my throat, OR my ears- only one. Would have to make additional appointments to look at the rest. They spent 10 minutes with me and used a scope to inspect me. Then I was charged for SURGERY!!!! which my insurance would not cover. INSANE!!! I waited in the waiting room an hour, spent $18 on parking, $100 copay, and a bogus surgery charge for a 10 minute appointment!!!
Wow! Awful
I cannot believe how hard the primary care/hospital affiliated system I chose has literally harassed me about getting a mammogram. It's crazy, pure insanity. They will not leave me alone. It's FREE, what can I lose! Will they offer me free services if my mammogram is positive? Of course not.
Tweak your diet if you're really concerned about breast ca. And DONT do the mammo! There's tons of info out there for non invasive ca fixers. Oh and don't read anything from mainstream medical people.
I think doctors should be taught more about the insurance system. They have greatly never seen anything but the pre-auths. Most of the time pre-auth denials are bad. Sometimes. they make sense. Doctors themselves have Cadillac insurance and believe that everyone does. They don't get that the patient needs to weigh the pros and cons of receiving certain tests and treatments against their own lives. Financial toxicity is something many doctors don't care about.
Wait until they start pestering you for a colonoscopy.
@@Paintsplash4 doctors are paid by pharma when they give treatments and medications, it is not about not understanding insurance, and cancer is big business for them.
So you'd rather find out when it metastasizes?
This is the main reason why my 70 year old mother is only retiring this year and not 2016. She was originally supposed to retire at the end of 2016, but her health insurance plan and medical bills forced her to work several more years.
She is only now retiring this year in 2024 when she has been asking for retirement for over eight years. The costs she has had to pay is staggering, and the companies have done little but bully her.
prayers for your mom
That's surprising. Wasn't she on Medicare? My hubby just died from cancer, and his treatment cost us very little.
She probably has to pay for IRMAA if her income is higher.
@katdunleavey if her income was higher, wouldn't she solve that by retiring?
@ good point! Maybe her preferred providers opted out of accepting Medicare patients. Or maybe her mom is forced to keep working to pay off medical bills incurred prior to qualifying for Medicare.
Totally agree with you! I am not a physician, but work in health systems for 32 years . Cannot blame just on insurance, billings insane, and not only that tons of other stuff
you are saying everything that I have lived as a patient. Fighting the disease is one thing; fighting the medical system is another
I live in Canada, and we have plenty of issues here despite having a "free" healthcare system.
We don't have healthcare, we have sick care. If you want help with diet and exercise, you're on your own. You have to pay out of pocket even if you just want to see what your vitamin D levels are.
Because access is "free" getting service can take a long time. People flood emergency rooms with non-emergency issues because they can't find a family doctor. Once you do get referred to a specialist, you have about a 3 month wait to see them.
We spend 12% of our GDP on healthcare, it is our largest budget item, and we are not getting quality service.
All this is written to stave off anyone claiming our system is wonderful and should be emulated.
My sense is that Canadians don't eat the "fried-foods diet" of the US. THAT is far, far
and away THE health problem of the US. Our bottom socio-economic quintile are the fatttest people
in the history of the world. They expend their "SNAP" benefits by the 20th because they buy fully 'fatted-salted
prepared' foods. Salted fat is literally addictive...and requires a titration down; WHY strict diversion diets fail.
As another Canadian I completely agree. Plenty of times I’ve had to rely on Maple telehealth for treatment because the earliest I can get to see my dr is 3 weeks. And an ER wait most likely would be 10-12 hour wait.
Canadian health care was systematically and purposefully dismantled, beginning in the late 80s. It was heartbreaking to watch, and no one wanted to talk about. I just don't give af anymore, after a lifetime of being ignored about so many things. ~~ old hippie
In qc, free means an average of 18$/day/person in taxes go to the healthcare budget. Socialist healthcare works for nobody, not even the doctors who under a new law would be forced to stay 5 years in qc when trained in qc...
@jennifermarlow. what's been happening is certainly discouraging. My mother was a nurse for 55 years, and I have heard many first-hand accounts of the ways the system has changed over the years. Many of the changes were advertised as an effort to save money or make things more efficient but really were designed to give the ministry a scapegoat for failures. Some changes were made to solve a problem but treated the symptoms and not the causes.
If you're from Ontario, you may recall the doctors went on strike in the 80s, and the death rate actually went down. This led the government to assume we needed fewer doctors, not better trained doctors.
However, we fund the health care it must serve the patient and not the process.
Healthcare is broken. First, they took health out, then the care went away. We're left with nothing. Many of my coworkers are just there for the paycheck, it's no longer a calling. It is hard to see and has broken my spirit. I find myself wanting out.
It's creeping into the dental healthcare paradigm as well
Mind if I ask what you do?
In Canada, as I have leukemia I am in the health care system. First, all the places I had blood tests closed in my city. DynaCare from the US took over blood services. Then they built 4 huge centres for everyone to use, placed in 4 areas. During covid, I had to have blood checked at 3 months during the whole time the hospital was shut down because of over crowding. The Cancer care clinic drew my blood. The hospital area was empty except for me, and my doctor said the place is like a 'graveyard.' I was just before treatment with wonky numbers. Point, the hospital did not need to be empty, as there was no over crowding.
Another area I'm going to bring up. I had appendicitis back in May 2024. The total bill was somewhere around $36,000 - lap appendectomy, overnight stay, in ER for hours prior. I had a thyroid biopsy of 2 nodules and a biopsy of a thyroglossal duct cyst found a few months later at another hospital, and they charged and got paid around $32,000. How is this reasonable?
I’m a teacher who pays $400 premium a month. I had pneumonia that turned into sepsis. 5 days in the hospital. A bed, antibiotics, breathing treatments ($800 a treatment like I can do at home), and I ended up paying $6500 out of pocket. Disgusting and abusive.
@@mariel.8809 I lost my teaching career due to jab mandates. The district's insurance sucked anyway so I was taking cash in leiu of benefits. I'm now paying $600 a month out of pocket for a barebones PPO plan with a $7000 a year deductible. That plan was only $40/month with a $4000 a year deductible before the ACA came along and ruined it.
I had my doctor charge around 300,00 as a new patient for a visit because I hadn't been there in 3 years. Ridiculous. All I needed was a refill on my acne medicine. All he did was listen to my heart and lungs and write a new prescription. I think doctors do unneeded tests and procedures to make money. I had a uruologist test my urine each visit over several months. He probably made money on each urine test and then 1 time he finds an elevated blood count in my urine so he does a 500,00 dollar scope of my bladder and says it is normal. More tests and procedures is more profit.
Of course doctors do unnecessary tests and procedures! So do doctors for animals - veterinarians! Many, especially the vets at corporation owned vet clinics look to run the bill.
This underscores the need to view healthcare challenges as systemic rather than isolated to health insurance companies. Issues like inequitable access, workforce shortages, inefficiencies in care coordination, opaque pricing, and a reactive rather than preventative approach all point to deeper structural flaws. The presence of middlemen, such as insurance companies and other intermediaries, further complicates the system by adding layers of bureaucracy, inflating costs, and often prioritizing profit over patient outcomes. Addressing these problems requires comprehensive reform that prioritizes equity, transparency, and patient-centered solutions, emphasizing that fixing one part, like insurance, won’t suffice without transforming the entire system.
I actually get better care when I see a PA rather than the doctor. Most of them are women and actually take the time to listen to me.
PAs will in fact listen, that’s true. But they lack the knowledge to really do anything useful. Doctors won’t listen, and might happen to catch what’s wrong with you, but if they happen to catch what’s wrong, they’ll know (generally) what to prescribe.
Yeah, there’s no good options sadly. Would be nice if medical school taught… well, medicine. They mostly teach how to recognize specific diseases and what pharmacological treatments are available.
I'm almost 60 and I've been working out, mountain biking and following a dietary regime for decades and had no chronic health issues. Other than Shoulder and hand injuries I've been easy on the healthcare system. My COBRA premium is $1121 per month!
People forget that being a Doctor is like being a plumber, some are inspired and following their heart and others want the title and the paycheck.
Are you single? Do you have a deductible with such a large premium? Did you check out the ACA site for subsidies?
I’ve gone without healthcare in between jobs. COBRA is not affordable for most
I stumbled upon you during the early days of COVID, and your content has consistently been a blessing. We don’t agree on everything - and that’s 100% okay- but you are a voice of reason in an increasingly insane world! Thank you!
Yes, the premiums are higher than what they afford you and they don’t even want to cover all my medications, but my biggest problem with health care is mostly with doctors. Short visit times that often last less than 15 mins, bad bedside manner, gaslighting patients etc… Drs and nurses will often belittle and disregard a patients lived experiences, causing them to not get the care they deserve and need. I was left undiagnosed with a cortisol producing tumor for more than 5 years. These healthcare “professionals” often refused to take me seriously about my symptoms symptoms and will left me suffering for years without recourse. I can’t tell you how many times my symptoms were brushed off with “it’s anxiety, have you seen a psychiatrist?” And I’m not the only one this has happened to. What the hell do universities teach in medical school?!
Totally agree with your assessment.
Fellow Cushie here! I agree 💯! And, once you have surgery, the aftercare is spotty (at best) for more people than not. My battle wasn’t quite as long as yours, but it took months and some of those months were miserable.
My gyno was CONVINCED I was just laying on the couch stuffing my face with bon bons 😤 even though I was eating healthy and working with a personal trainer. He just looked at me like “RIIIIIIIGHT!” I went back to see him about a year after surgery and boy was he confounded when I was at least 100 pounds lighter 😅 he was excited asking what my “secret” was, did I finally figure out an appropriate diet 🤬 When I told him about the pituitary tumor and Cushing’s disease, he literally turned RED. Ultimately, to my surprise, he round about apologized. I told him my hope is that he’ll be more sensitive to other women that may have similar issues and not be so quick to judge.
I hate the phrase “lived experience” but yes, doctors especially will disregard pretty much anything you as a non-doctor say.
Doctors are burnt out having to cap time spent with patients in order to get increase numbers seen each day to actually make a profit. So much goes to administrators and overhead. Having a child with some medical struggles was a blessing in some ways. It forced me to dig deeper to advocate for him and then my whole family. Doctors don't have time to do this. I now go to doctors and tell them what labs to run and what I need. If they push back on anything, I research further and either accept what they said or bring further research to them that changes their mind. It's a lot of work! But I no longer wholeheartedly trust any doctor, though I do think most are doing their best in our (perhaps) irreparably broken healthcare system.
Sorry, but I don't agree with your assessment of the offed CEO mass-murderer as being "an innocent man." His hand & commitment were fully engaged in making it as bad as possible for his "clients" or victims as he could get away with. (More $$ in his pocket & F the victims.)
He’s not innocent he is not a scapegoat. He was the leader of a pernicious organization that resulted in the death of many innocent people.
Doctors charging $300 for a 15min visit doesn’t help either.
$400 to just walk in the door of urgent care. Anything that happens after is then added on…😅
Most tradespeople charge more for the same time.
The AMA intentionally limits the number of doctors to inflate wages, but it only favors the old doctors at the expense of new ones. The universities participate in the racket
@@aron.gortmantrades don’t charge $1200 an hour buddy.
You aren't paying for the 15 minutes, you are paying for the 15 years to get there
He’s not a scape goat, he’s a CEO that set up an AI algorithm to deny medical treatments, he made $9.1 million dollars a year, he was part of the problem, he made UH rich by having shareholders
I thought a doctor could not diagnose someone as schizofrenic without even examining the guy
Lol right. And "everyone is guilty in this system" but the CEO was an "innocent man"
That's right, but the story of that guy hints on some mental health issue.
As a neophyte to drug development I’ve learned that as you say, the system is broken. And there seems to be no incentive to fix it. We have developed a novel treatment for C Diff infection and the system doesn’t want it, I guess because it cures people. I’d appreciate your feedback on how we can move our treatment forward in this environment.
You hit the nail on the head. Back when I was in school, graduated HS in '66, even though my dad had medical insurance, he could have if needed pay for the hospitalizations we had. Mom and dad were very open with their discussions. When my son was in college, graduated in 2002, he had to have a couple of outpatient surgeries, if need be, I could have paid what the insurance company paid, I would have had to take out a long-term loan to have paid what was billed. Treatment was good, it has dwindled since. The killing was a sign of corporate America sticking it to us, it should be a wakeup call but it will not be. Back in the 60's, CEO pay was about 37 times that of the average worker, today it is close to 400. Think about pushing this in someone's faith that was just laid off two weeks before Christmas and you have a family.
It has to get ugly before it gets pretty.
For the first time in my 45-year life, my husband and I did not purchase health insurance last year. After paying 20k the year before in premiums and deductibles, we rolled the dice. So far, so good.
Look into healthshare sharing plans like Medishare. It's not traditional health insurance but it's great to have to cover healthcare costs and could cover up to a $1M in catastrophic costs. I paid around $500/month for our family of 5 (this was a few years ago) and paid cash to doctors, which saved a lot of money. The healthshare plan then reimbursed me. We couldn't afford spending $20K/year for crappy ACA plans with disgustingly high deductibles so we went without traditional insurance for years too.
Thank you for the recommendation! We did have a health share plan in 2017 but we carried traditional health insurance for our kids. Now, the cost of both is similar to the cost of traditional insurance (health share for us and traditional for kids). I haven’t spoken to anyone who used their health share plan (we didn’t have to use ours) so it’s good to know that they reimbursed! I was hesitant to have my kids on the plan because they are more likely to have a major event (like a broken limb) and I wasn’t sure how difficult the reimbursement process would be. We did purchase traditional health insurance for our kids last year which cost us about 8.5k in premiums/deductible instead of 20k.
Hypothetically, if we went back to 1925, USA, when a majority of Americans did not carry Health Insurance, what would a typical Doctor
Visit cost ❓🤔💲
A hell of a lot less. That's why I think Vinay is getting this way wrong. Eliminating insurance as a practice by terrorizing them all into quitting ABSOLUTELY is a functional reform to the system.
@@caryphillips4885 a lot of people will get hurt in the meantime. (Assuming it even works.)
More people would get hurt by political violence. And more than just the people you deem bad. You don't get to choose who gets hurt once you permit political violence.
I read people would barter for care.
You have to remember that there was not much doctors could do for you back then, no trauma care, no heart surgery, no chemotherapy, no care for premature babies. The fact that we can save so many people is one of the reasons things are so expensive.
@@karenkaren3189 But now we can't get access to the things that they COULD do back then. I don't know who's getting that shit you're mentioning but it sure as hell ain't me or anyone I know. That argument might work if you run around telling it in a gated neighborhood.
Another thoughtful clear indictment of our broken healthcare. I found your description of the shooter as schizophrenic to be a little premature though( unless you have information I am unaware of). Otherwise keep up the great work!
The system is broken. And health insurance industry is only a part of the problem. But to absolve it's responsibility in shaping the system is gaslighting of the 1st order. It comes the 3rd in the amounts it contributes to political lobbying.
I definitely have a strong preference for law and order, rule of law and peaceful settlement of disputes. I also believe that there are times, places and situations that require reasonable men to do unreasonable things, and the American health care system seems like it’s beyond the ability of the checks and balances to bring back into line. Maybe this particular assassination was uncalled for, unnecessary or nonproductive. History will judge that, but the number of people that feel angry and stymied by the healthcare system should be a warning to those who have the instinct to dismiss the unwashed masses. There is a healthy level of fear for those in positions of power and privilege that seems to be missing in society right now, and this assassination throws that sharply in focus.
Yes, but we shouldn't want or celebrate those unreasonable things. If we do, then we will eventually not have an American constitution.
Yes, the elites are not scared of the public they hold under their boot. They should be.
An accurate observation.
@@SymphonicEllen The Boston Tea Party was a crime. As was the revolutionary war.
Luigi got the insurance company to pay for anastesia instead of prorating it and causing patients to have to forgo needed operations
Very interesting commentary as a healthcare provider myself. Responses that I usually read are that we need universal healthcare in the British or Canadian model. I disagree with that, but I do agree that lifestyle is imperative and it’s something that Americans have not truly examined in many years. We become passive and apparently wished to have our symptoms managed that we can continue leading and unhealthy life. This is a multivariate problem and it will take a creative approach to lessening it
We don’t have healthcare. We have very expensive sickcare with generally poor outcomes
Let's be real, an insurance company tried to put time limits on anesthesia use, then the CEO died and boy did they back track real quick. You can't say it has had no effect with getting us really talking about how shit our system is in the mainstream.
That Mario Brothers reject was rich and in line for a share in $30M of his grandmother's inheritance... As a sidebar, amusingly, she stipulate that no *criminal* could inherit any of her wealth... Doh! 😂 So, he had about as much 'concern' for the plight of the sickly 'mutt, as he did for his non-existing student debt. The reality is that he wanted notoriety and fame, and because his brain was clearly yet to mature past וֹ תּ ꝯ ꝯ ꬲ ꭇ tier impulsiveness, he will now spend the rest of his woebegone life playing bꭒtt boy to his s ꭐ ꭤ ꭇ ꬷ ꜧ ꝩ cell mates on Rikers Island. C'est la vie 😴
@@shoahkhan5670 When TF did the word become woebegone? I swore it was woebegotten.
4:30 "I constantly see medicine that's complete, Hail Mary, batshit crazy medicine." 😂
amen
The real issue with the assassination of the exec is how does the public confront the corporate phenomenon of “forced disallowance of consumer feedback” and utter psychological gulf between decision-makers and the customers (who are now never right) . The system has gradually gotten completely impersonal and siloed, people can only provide feedback with automated forms that don’t allow them to say what they really want to say in regards their experience. Customers are then told that their feedback helps provide a “better experience “ and that their opinions are “being respected. All the while all that really happens is that people are given a useless, artificial channel through which to vent their frustrations and then are completely ignored.
For this the management class is slowly isolated from reality(hello remote work), paid ever more handsomely, all the while customers (citizens who are forced to relinquish their rights in order to interface with a corporate entity that they rely upon) are robbed of their dignity and slowly criminalized. God Bless America
well said
🎯
We are submissed to bad systems. If we can't hold the people in leadership positions responsible, people who have the most power over the system and who profit most at the expense of others, whom can we hold responsible at all? Nobody? How is it supposed to change?
I've been saying this to people ever since I took study dives into IV Vit-C and stem cell approaches. We could fix EVERYTHING about health care finance; we'd still be 50 years behind the science. Mangione wasn't an "assassin", he was just misguided. Thomas was sure as hell not "innocent". He was a mass murderer and grand larcenist.
Save your prayers for Mangione. They're wasted on Thomson- who is in a place they can't reach if you believe.
Innocent? Odd choice of word
My son had his appendix removed in 2020. The doctors and surgeons couldn’t tell me what an appendix does. Still not 100% what we took out of him and why.
The medical profession in the USA underwent a radical transformation in the immediate aftermath of WW2 in which the GP was marginalized and specialization became the norm, as MD's chased money. The costs of basic healthcare services have risen far far faster than the rate of inflation, year on year, for at least the last 80 years, that's 4 generations of out of control price increases... Of course, it is broken beyond repair. President Nixon ran on out of control healthcare costs in 1968 and in 1972. The problem simply became too large for anyone to dare talk about after the oil shock of 1973.
This weaponized landscape of interlocking industries is not going to fix itself. Woe be to anyone who needs medical services in the USA today. The whole thing is a house of cards.
Diet and lifestyle improvements. Yes.
Drugs and surgeries. No.
Innocent man? He had no choice but to lead the largest denier of insurance claims in the country? Someone was threatening his family if he didn’t promote deny, delay, and defend policies?
Did he deserve to die, maybe not. Was he an innocent man, not one bit.
It’s been broken for a long time. It has been on the slippery slope for 30 years. Sped up by the portable care act which provided only a temporary slow down of the slide until it pushed us over the edge, with COVID19 becoming the launch and airborne uncontrolled and unstructured struggling and flailing. We are going to hit the ground hard in the next couple years because of all that has come before where we are now.
Thanks for making your case so succinctly here. An excellent high level breakdown of important issues.
Saw 20 patients in an urgent care today. 2 needed to be seen. The other 18 ...waste of everyone's time and dollars.
Yeah but then they wonder why it's so hard to see doctors and why we spend so much money on healthcare.
I've been on the other end of that though, where I've had serious issues the doctor didn't take seriously and categorized it into that bucket. Wasted even more time and dollars trying to find a doctor that took it seriously than it would have wasted just blanket taking everything seriously.
@caryphillips4885
Man every patient says "it took me 3 doctors who all ignored me until one took me seriously" and then they tell you they got diagnosed with POTS or Fibromyalgia or some other bullshit disease that no one knows anything about with no valid medical interventions.
I hear these stories all the time and 99% of them fit into these buckets: they didn't have the medical knowledge to actually understand what they got told by the physician they saw (very common in the ED) OR they had nothing seriously wrong with them and they found a doctor to take their money anyway and humor them (ie useless injections, homeopathic medicine, etc).
@evanmarshall3487 It's no mystery to me.
@caryphillips4885 sniffles and cough for 2 days seriousness?
It isn't actually broken. It is a reflection...
Maybe a lot of brokenness, but not completely broken. I had a bike accident (involving a deer) which resulted in a total hip replacement. My medical care has been excellent, from the ambulance EMTs, the hospital staff, my surgeon, and PTs at home and outpatient for post-surgery rehab. I have an ConnectorCare (“Obamacare”) plan, which covered all but $500 co-pay for emergency care and $20 copays for the outpatient PT. I am so thankful for the empathy, patience, and depth of knowledge of my care providers. I am self-employed and couldn’t work for several months after the accident. So things were challenging financially. But I so so thankful that my medical care did not add to the financial burden.
The anger is not about healthcare from your doctor, nurse, techs, or PTs; it's about the cost of health insurance premiums, co-pays, pharma, and out-of-pocket expenses. It's great that you can afford a $500 emergency co-pay, but many can't, so they don't go until the situation is extreme. Many people are trying to pay 15 or 20K annually for premiums plus co-pays and out-of-pocket costs. We may like our physicians, etc., but we are talking about the affordability of health insurance and having a life after we pay these unsustainable premiums.
@@swinkler4417 Thank you for your comment on my comment. Yes, I get that there are things severely broken about our healthcare system, and I share the anger you refer to. I was involved in my mother's care as health care proxy and power and attorney, and practically lost my mind over it. But, I want to express that there are things that are working well, because I think that's important to acknowledge. Dr. Prasad has rightly called out the abundance of ineffective medical practices. But in my case, I have benefitted greatly by the "high tech" progress in hip surgeries. Regarding insurance, I have been self-employed for the last 11 years, earning a modest income, and Obamacare has been great. My premiums have been modest, and the coverage has been very good. I am thankful, in part because I read about the absolute disasters of others who pay huge premiums, and nonetheless are devastated financially by the expense of a serious health problem. And that, as you rightly point out, is appalling.
That's the problem, there are some somewhat rare but awesome and heroic parts of the the healthcare system which gives it this good reputation, but most of it is just milking the chronic preventible disease train.
Doctors and other health professionals are not the problem. It’s the insurance industry that is the problem.
@@1LaOriental Hate to break it to you, but doctors create the business models and standards of care too, and they run the governing boards of medical specialties. Have you ever wondered why the American Dental Association for example has never pushed for regulation on sugar? They could have done that decades ago and prevented huge amounts of disease...Doctors are very much a part of the problem, and they benefit greatly from it.
@00:27 -- _"Because that's where their political ideology fits best..."_
Oh PLEASE!!! Do NOT fall into the obvious trap of assuming that this is a left-vs-right issue!! This is entirely bipartisan. There are tons of people on BOTH sides of the aisle who empathize with Luigi.
Also, you keep saying that the victim was an "innocent" man... but was he really? Is the boss not responsible for the behavior of his company? When the company has a 32% claim denial rate (highest in the industry), and there are credible rumors floating around in public about the existence of "denial quotas" being enforced, and AI algorithms with a 90% error rate... is it not the boss's job to get that under control?
The innocents in this story are, first and foremost, his wife and children. But the innocents also include the many thousands of people whose lives were either wrecked, bankrupted, or terminated by the malfeasance that took place under his stewardship.
No, Vinay. Sorry. He was *_not_* innocent IMHO.
EDIT: That being said, I strongly agree with the rest of your assessment of all the corruption in our health system.
He really wasn’t innocent and the united ceo had blood on his hands because he runs a super big corporation which is excessively focused on profits
Yeah, you belong on bluesky, along with all the pedos
The left is mentally disturbed and morally bankrupt
Murdered guy was a con artist and criminal
I lost faith in healthcare (well Kaiser) when they poisoned my Brother and Mother (with KEMO and radiation) who had cancer and then said "we've done what we can". I said I wan't a second opinion. They said see whoever you want, Kaiser won't pay for it.
They have been doing this for years. That’s why they overcharge you and then give you poor service.
innocent????????????????? The CEO had more blood on his resume!!!!!!!
Vinay it would be AMAZING if you did a full critique of Paul Offit’s new video with Dr. Mike, going over the voracity of his claims would be very illuminating. Thank you for all that you do!
I'm just here to have my biases confirmed
*_Is curing patients a sustainable business model._* (Goldman Sachs, April 2018)
Your voice of reason is appreciated. You are much more generous with the industry than many of us.
People feel that they have been exploited and rightly so. If the "pandemic" didn't wake people up nothing will.
Many ought to be charged with crimes against humanity.
Life style and nutritional education ought to be the number one priority for doctors. Doctors receive virtually no nutritional education. So when a friend who has IBS, pancreatitis tells me his doctor tells him it has nothing to do with his diet, 😮 uhhh I lose all faith.
Food is medicine. Until people realize they are what they eat. God help them.
First things that need to go are the annual “physical”. What a waste of time. Then going to the doctor for a snotty nose. I support denial of unproven expensive drugs. I support therapies that address a useful dimension. Get rid of pharmabro/sistas Bring back some empowerment of GPs. My GP no longer visits hospitalized patients, and now is basically useless to me because he cannot protect me from medical incompetents and vultures at the hospital.
I’m glad you are who you are. Thank you for all that you do!
Vinay, so appreciate your work and outspokenness and perspective. You are an inspiration and one day, you deserve to head up one of these 3 letter agencies yourself. Good wishes from a very Indian American mama.
I think Vinay would be better as part of a health related "DOGE" type authority
There is one more factor which is HUGE! Lawyers. This is a country of lawyers. Doctors have to think about potential law suits and about their own safety. Hence at times unnecessary tests and treatments. Example- anxious parents who absolutely want brain MRI on their children because they just need to be reassured. And at times no matter hard you try to explain it’s not indicated.
Greed which leads to corruption - same core problem with everything. The unrealistic solution is get rid of greed and the whole world will improve - maybe! "Be careful what you wish for"
What is greed? I want the best for my family. Am I greedy?
@erikkovacs3097 Ok, so lets call it "too greedy" then
@olibertosoto5470 Still... greed is so subjective. If you were to plop our ancestors in modern times they would view even our most modest actions as greedy.
@@erikkovacs3097 From my point of view you're using greed to mean drive. At which point does drive become greed? How about when you have plenty but you're willing to cheat others because you want more.
@@olibertosoto5470 Well, you brought up cheating. That's different. One can greedy hoard resources while they're available without cheating anyone.
Good video, minus the pearl clutching. While vigilante justice is unlikely to be the answer to fixing healthcare, I would not go so far as calling Thompson "innocent" It's not like he was just the mailman or the janitor. He had the power to make life or death decisions for people; let's not forget denial rates increased under his policies, and so did profits.
Found another soulless leftie. Luigi is a coward. You people are evil to justify cold blooded murder.
As much respect as I have for Dr Vinay, I really hope he takes the deep dive into the truth about childhood vaccines. Not one of them has been tested against a true placebo, and this was confirmed by Stanley Plotkin (the godfather of vaccines) himself in court. He's such a big voice, it would go so far if instead of challenging RFK, he worked with him. He would see for himself what is true
Thank you! Total agreement.
Thank Luigi for this contents’s monetization
VP- You, my friend, are a legend.
-JAY CASE STANFORD UNIV. CLASS OF '98
What is the actually a scapegoat or did he actualize the goals of industry he worked for and did so knowingly and with great expertise and also with great malevolence?
good questions
Thompson was an "innocent scapegoat"?
He's too busy taking sides, yet no one was taking this injustice seriously until this happened. Why?? It IS shocking.
(The insider trading lawsuit is easy to locate, by the way.)
Thank you, Dr. Prasad. A voice of reason and common sense. You have opened many eyes to what has been going on.
How much does malpractice insurance and litigation add to the problem?
This! I think the good doc missed this. How many unnecessary treatments do doctors give because they don't want to be sued?
Thanks for your voice of reason. Always refreshing.
People love a scapegoat; and UHC’s questionable practices and multiple lawsuits contributed to the reaction… I think in US, financial and healthcare literacy should be mandatory in school 🤷♀….
there's bad, and then there is mandating bad...one needs fixed, the other demands justice
Always the system, never an individual is to blame 😢
We have a sickcare system, not a healthcare system. We need more preventive screening so that we can catch systemic diseases earlier. But we should also try & propose remedies that are more curative from the start rather than making a patient go thru 10 steps of stuff that just does not work. E.g you have some kind orthopedic injury. Look if surgery is indeed the answer then do it from the start; don't drag patients out for months at a time that makes the insurance company pay out but does not solve the problem Injections rarely do. You would figure that we could have made more progress in treating bacterial or viral disease. Well we also don't screen tissue for mutational disease. I don't believe in single payor either. You do have to have research. Above all the USA does not invest in preventive approaches beginning with diet & exercise, mental health, injuries.
Not an innocent man!!!!
Thank you.
When will you be doing the Fluoride overview? I’ve been really looking forward to that.
17:57 in other words, teach them to be doctors, not teach them nonsense. Thank you!!❤
This is not the medicine that I started with 56 years ago😢
May you be blessed for your altruistic nature and your big heart.❤❤❤❤❤❤❤
How many hours of study during their study of medicine do doctors spend in nutrition? what about sleep? stress? ... what about the Crebbs Cycle?
A better question is, *how much time do medical students spend studying ˅ ꭤ ꞇ ꞇ ﬨ וֹ ꬲ?* A. One module, lasting approximately a month, out of four to eight years of schooling; with all that "study" being effective propaganda about how successful the associated science is, and any (if any) questioning of ˅ ꭤ ꞇ ꞇ ﬨ וֹ ꬲ s, treated like heresy. That is to say, most lay people who take a few hours to _objectively_ study [unvetted] information on the subject matter, will more informed by than many G. P's and M. D.'s, and most all R. N's. Why? Obviously, because lay people have a personally vested interest in knowing what is good / bad for their health; whereas, those with only financial vested interest, will be far more inclined to parrot an "accepted narrative".
Resonating with the comment above.
There has NEVER BEEN a long term comparative study examining health outcomes of unV vs V children.
No such thing as a good one.
Not a single one.
I highly recommend "The Price we pay" by Marty Makary on the many contributors to the prices of Healthcare
I am an ER physician and semi retired. I live in Argentina. Work in the USA 6-8 days a month. I cancelled my health insurance and now get everything done in Argentina. Much more efficient and cheaper
I see the face, I see the title, I hit the like button!
Another example. My brother is in memory care for Parkinson’s with dentist and his all natural supplements have to be locked up, have a prescription style permission from his Pc and I’m fighting to get it.
Find it funny that here in the Niagara Region (on the Canadian side) we have been waiting for 12 hours in the emergency room. I’m checking my health insurance to see if we can go to Buffalo.
Thank you. Can you speak about patient satisfaction requirements? To me it’s like saying to providers, “make sure they are happy no matter what” (so the industry can keep sucking them dry). So, providers avoid reality, maintain false hope, and just order whatever makes the patient “satisfied” and the faceless insurance company is incentivized to be the bad guy.
A. lot to think about. Thank you Vinay.
Oh its broken alright and euphemism or not its been broken for many decades!! Dr Prasad thank you for saying it out loud.
Love the clarity, thank you
unfortunately Vinay Prasat is not explaining, why Insulin in the USA is 10x more expensive than Insulin in the Canada, when price of Insulin is practically controlled by company such as United Health??????? Did you publish any book about Biostatistic by yourself? I would like to read it.
I am glad you are speaking out against the broken system...by pointing out how it is a failure...
(You are very good at preaching to the choir)
That's a start, but we need more than that; otherwise people get enraged, lash out and do irrationally things. No moral person condones it, but it will happen.
But unlike RFK, you seem to offer little in the way of solutions...
Please talk about how you've tried to get involved in politics to influence a better system.
Have you written a draft bill for representatives to enact into law? Insurance companies have teams of lawyers to do just that.
Please give us some guidance on things that we can go pester our politicians about doing.
Why don't you start examining healthcare systems around the world and highlight ones that are not broken. Perhaps America can use this as examples to follow.
I know there are ones in Asia Pacific that offer both charitable/socialistic care to their poor, and allow competitive market options to the wealthy. And you can ask the price of care before you choose to accept it.
The only people I hear from on fixing healthcare are the lefties. And like a broken record all they have to offer is a different broken system, single-payer healthcare.
We need more ideas and more discussion on solutions. Ones that can be pushed and supported.
Keep speaking out. Maybe someday a braver man like RFK Jr will need someone like you. Hey, you ever try contacting them and offering help?
Some good suggestions.
Someone find a way to get this guy in the new administration! (If he wants it, of course lol)
Fantastic report!!❤ I’ll be following you more closely.
Excellent commentary doc, thanx.