Sucks that we have to deal with it at the front end. Our career would be aloooot less stressful if things like copays, deductibles, special auth etc were not a thing. If a doctor deems it necessary just cover it..
Profit motive is NOT the problem son! The problem is, and has always been, the government that YOU support which is regulating and playing defense for large corporations which gives them an unfair advantage and allows them to continue to take advantage of people. That wouldn't happen in a free market economy. If you support the gov't, you have no right to complain because YOU are part of the problem!
Yup. And it’s not just meds but everything in medicine has been hampered thanks to the insurance industry. Insurance will look for every excuse not to pay for something they are supposed to cover.
@10:40 reminds me of the doctor who was supposedly replacing peoples esophagus with a “rubber stem cell esophagus”.. then the people would die shortly after because people weren’t following up with the patient.
@ruhtrohraggy7497 unfortunately, I didn't have the knowledge and I can't say I'm upset I went to medical school and residency. I'm a psychiatrist but I strongly dissuade people from psychopharm unless the benefits clearly outweigh the risk. It's shocking how many people think they "need" medicine.
I moved from the US to Mexico. I got a job here and they offered me government health care or private. I went with private expecting the same service I got in the US, such as Kaiser or Blue Cross. I made an appointment one day about my shoulder that has been bothering me for years. Expecting the same nonsense, muscle relaxers and pain killers. Went in, they took an x-ray, then a scan, they noticed something torn on the rotator cuff and said they can do surgery tomorrow if I'd like. I was like "wtf!?" they patched up my shoulder next day and put me in PT quickly after. Something is wrong with American healthcare and people refuse to see it.
You’re really lucky. My daughter needed an MRI for a knee injury. A machine wasn’t available for 6 weeks. By that time surgery wasn’t an option. Who knew Mexico had more money for healthcare than Mexico. I’m betting it doesn’t
Surgeon and health system executive here - thank you for this episode! Meaningful transparency about how these systems churn disease for dollars is the only hope for meaningful change. More people need this info.
About fifteen years ago I played golf with a CFO of a small rehab hospital. During lunch, at the turn, I asked him why is health care is so expensive. He did not answer me right away and after some reflection he said because it is a profit driven system. Nice to see high ups like yourself telling the truth.
@@ponygirlusa Eh, he also said "irregardless" which shouldn't even be considered a real word but whatever, I'm sure I'd say a few nonsensical things in a long interview like this. You should only lose credibility when mistakes are relevant to your area of expertise. We're not robots.
NBC CBS PBS LA times Washington Post New York Post all did stories on this. The Biden administration imposed limits on these pharmacy benefit managers. But now the pharmacy benefit managers are forcing pharmacies to sign new deals or they get kicked off the program and no longer can accept Medicare payments.
I hear you! I was never big into pills, but since I have a major mold issue (that the CDC and insurance won't recognize), I had to go all alternative, which is fine. They can't monetize mold, so they don't even acknowledge it.
Same here! Check out Function health. Membership-based labs program by Mark Hyman...in beta phase, 100+ labs twice a year for only $500/yr. Great way to increase health sovereignty.
I've been a pharmacist for 28 years. Here's my soapbox: having insurance is the single thing that hides the true cost of healthcare in America. If no one had health insurance, including prescription benefits, the cost of healthcare would necessarily have to drop because we (all providers) would all be competing for everyone's cash. If the government got involved (single-payer) the problems would NOT change, it would ONLY shift the hidden cost to another entity AND cause more fraud, waste, and abuse that is inevitable with ALL government programs. The other positive thing that happens when people are required to pay for their own healthcare cost, out of their own pocket, is that we all suddenly become willing to make the necessary life-style changes that treat the causes of 80% of the diseases that are plaguing our society.
I hate to say it but I think the average person is too stupid for a "pay as you go" healthcare system to truly work. People will not keep up with proper preventative care and screenings if they see big $$$ signs attached to every visit they make. In theory it helps people make better life-style changes like you say but in reality I see it pushing us further into a system of sickness care and not preventative care.
This makes a lot of sense. Privatize healthcare, reduce government. Too bad they've brainwashed everyone to cry for "healthcare as a universal right" (from daddy govt)
Health insurance call center rep here. 100% TRUTH! “The more confusing, the more convoluted they can make it, the more profits” I started doing medical billing in the 80s. It was terrible back then, and it’s only gotten worse. I had to quit my job at a major health insurance company as a call-center rep because it was so apparent to me what they were doing. We had 28… 28!….Different computer programs that we may have to check to try and find out why a provider was not paid. They were clearly doing this on purpose. My conscious would not allow me to continue working for that company. Insurance companies have way too much power, and they need to be laws to hold them accountable.
My GP said they couldn’t prescribe Ivermectin because the pharmacy said no. She wasn’t happy about it. I have a rescue inhaler. Can only get like every two weeks or whatever it is. If she wouldn’t put as needed on script was told I could get more if needed. Also found out Trelegy, which is like $300-$400 a script costs more if a GP prescribes it rather than a specialist. Luckily my insurance covers it. Well most of it. Still $60 my copay
Weaponized incompetence. I recently cancelled my coverage through Kaiser because I moved states. They sent me four duplicate cancellation notices, two of them came the exact same day as a letter saying I was re-enrolled and my account was scheduled to be autodrafted. Called the number on the letter and gal on the phone fed me some line about how it “hadn’t been updated in their system yet.” But they “put a note on the account” I told I guess I’ll take her word for it and do a charge back if they “mistakenly” continue to bill me. I made sure to point out how suspicious it was that I was flooded with cancellation letters along with the lone enrollment letter.
My dad had both knees replaced a few years ago. They needed done way before the procedure actually happened however they kept my dad doing cortisone shots till they couldn’t anymore. The dr flat out told my dad the insurance company was stalling hoping that he would either die or switch jobs or any other reason to keep it from being their problem. What this man is saying is facts more people need to realize this.
Absolutely, the hospitals told my friend they refused to give her a knee replacement unless she had two other surgeries first, totally unrelated. They were using her immense pain as a tool for PROFIT! Eventually, we found a hospital that did the knee replacement asap! We live in Boston
In so sorry that happened to your Dad! I really hope he found relief after the surgery was finally done. Similar thing happened to me with back surgery and pain management. I have Ankylosing Spondylitis and my vertebrae were fused, needed surgery. The ins company kept me waiting for 5 years. Meanwhile I'm on a ridiculous amount of narcotic pain meds plus cortisone injections. The injections were so bad, I had a terrible reaction to them. They're not even meant for long term use!! Finally I threw a big enough fit and bothered enough people that they did my surgery. But they held off so long I've got permanent nerve damage. I just don't understand how this is allowed to happen!
Those shots actually degrade cartilage quicker. You can eat certain foods that will help alleviate pain AND rebuild tissue..but it's shots or surgery on the system.
Just want everyone to think about how lucky we are to have people actually holding accountable, telling the truth, watching our back. Without people like this it would be x10 worse
@DesiRush1 no, if nobody blew the whistle and made public accounts as watchdogs then they would act with utter impunity. What can I do? You? Right, vote. But the politicians are the ones who allow it, they couldn't do any of these things without the corruption of our political system,politicians who get donations and then Jobs after office. This is how it is all working, across the board, with everything. SO all that can be done is taking things out of the dark and into the light where the scumbag doubletalk are seen and must act on the public stage.
@DesiRush1 the ONLY REASON we have not had a complete collapse is because of few people in position to resist and challenge do so. People's who don't be corrupted.thank fucking god.
This guy is speaking facts. Been in the medical field for 25 years. You can’t imagine what I have to go through to get prescriptions and tests approved through the insurance companies.
That's because the doctor's do not fight for their patients. If it's deemed medically necessary even if it's not under coverage, the insurance has to approve it. But the doctor's don't care anymore you have to be you're own research
A lot of what you guys recommend is quack bs and manipulated by drug reps, medical equipment reps, advertising to patients, companies targeting you, etc. I’m not saying the system isn’t a disaster, but blaming the insurance for everything is horse@$&%. There would be no managed care if doctors delivered better care. Don’t get me wrong the insurance companies are idiots and 90% of the people that work there are morons that create red tape and rules that make your life hard, but the same is true at the doctor’s office and hospital. Do you know how many patients get bedsores just because some clinicians are too lazy/busy/uncaring to do something as simple as move the patient? The whole system is a mess
My wife and I own a primary care and private lab collection site... We fight insurance companies so much that it is literally bringing us to our knees! we want so badly to help our community and keep our patients but they are making it impossible. we are going to either get rid of insurance and go private or simply shutdown by the end of 2024... It really is breaking our hearts but there is nothing we can do. Nothing! If we go private pay only, we risk losing 70% of our patients because they can no longer afford anything outside of what insurance pays for. It's tough decision but breaking even only one week a month is beginning to crush our business and we strive so hard to do good by our patients and employees.
Haven’t been to a doctor in 7 years, ever since being diagnosed with celiac disease when I was 29 years old. I was sick and miserable for years, on several medications, antidepressants, blood pressure meds, etc. I started learning about nutrition and holistic treatments, and healed my body. HEALED being the operative word. I’m not on any drugs anymore, I don’t even have to take OTC pain meds because my body is no longer inflamed, painful or toxic. They’re not in the business of healing, only treating symptoms just enough to keep us addicted to their expensive prescriptions and tests. I quit going to doctors, healed myself with food (watch what you eat, too, the food industry is also making billions annually keeping us addicted to inflammatory, poisonous foods), exercise, supplements, and de-stressing my life, and even with a diagnosed autoimmune disease I’m in the best shape and health I’ve ever been in. I haven’t even had so much as a cold or sinus issues in years, and my entire family got Cov!d except for me. They’re keeping us sick and dependent on them.
I was recently diagnosed with breast cancer and I refuse to get chemo, surgery or immunotherapy! I've adopted a fully plant based whole food diet and added every herb, vitamin and supplement I can afford. My body needs to be strengthened not destroyed! If I do chemo I will be sick forever. I'll give my hard earned cash to organic farmers who are actually trying to heal me.
@@RollerCoasterLineProductions It depends on the system. It depends on what one values. Money or Life? There certainly must be a way... but most people have been conditioned to value money over people they don't know. Communism won't work, Dictatorships won't work, and Capitalism won't work. We just haven't found a way yet.
Physician here. He’s 1M% accurate 🎯. I’ve been red-pilled for nearly a decade. It’s very disheartening to try and practice good medicine in a world of depthless-corruption.
@@TrevJ91 lol That was the entire plot when they forced Obamacare on people. They made it even worse so people would beg for them to take over everything and turn the US into Canada where they offer to kill you if you complain your artificial leg is taking too long to be made
The government is screwing you with taxes, hospitals & insurance with healthcare, the Food Industry are rigged against you, the banks too with ridiculous fees and a mortgage industry rigged for them:- Where is the AMERICAN DREAM?
He is so spot on. I was a Primary Care Provider and I witnessed this all first hand. I also see large medical providers who also mandate the use of certain drugs and exclude other cheaper drugs. For example anti virals. There are many and their actions are essentially the same but my employer forced me to only offer one antiviral even though it interacted with 199 other very commonly used medications. The only reason I can imagine that we were restricted to that was that a kickback was going back to my employer for promoting and using a certain heavily promoted medication. I worked very hard to try and teach my patients to work on lifestyle changes, quit smoking, quit drinking alcohol, quit drinking so much coffee and tea, eat a predominantly whole food plant based diet, exercising daily or they were going to find that their full time job in their retirement years is doctors visits, handfuls of medications and buttloads for tests and procedures instead of playing with grandchildren, traveling or volunteering to help others. I retired because I could no longer fight the battle on so many fronts!
As a psychiatric provider I routinely see patients' insurance deny coverage for the treatment that is most likely to help the patient and least likely to harm them, and make the patient jump through hoops trialing inferior or outdated treatments first. We're living through a mental health crisis and people are falling through the cracks, losing their psychiatric stability and functional capacity, and all these insurance companies care about is making more money. It's disgusting.
It's nuts. I'm disabled in California. There's a loophole that allows psych wards to pick & choose which patients they accept, giving no priority to severity or arrival. What this results in is disabled people like me being passed over potentially indefinitely. Legal discrimination of the disabled.
How much money do you make ? When you refer to inferior or outdated treatments , do you mean drugs that are off patent so less lucrative ? List some inferior or outdated treatments.
A mental health pandemic. Most people i come into contact with have broken operating systems. They cannot process or upload any new information. From the leaders of the country down to the homeless. You cannot help, teach or improve anything in this state. The children being raised right now will be a huge problem lacking many many basic human functions. #1 threat to National Security and not only is nothing being done, help is being withheld behind pay walls. The results are more than in. It's sad.
9:25 spot on! I read a diabetes brochure and it is disguised as true diabetic care yet it recommends sugar/carbs to be taken all throughout the day to “balance insulin levels.” It’s to keep people on insulin meds & remain unhealthy.
60 Minutes? You must be thinking 60 Minutes fifty years ago. 60 Minutes has been part of the “system” and blatantly lying and being propagandists for Big Pharma since the late 1980s.
As a physician, this is objective fact. Salute to Joe for providing access to these subjects in an open manner. When some of us take the time to explain this to patients its extremely depressing, because like he said, by the time you need the benefits, you've paid tons of premiums, only to truly see the limitations. Same happens to us and our families smh.
This guy is 10,000% spot on! From medications, to provider allowed services, to long term care…. Very very well done and well explained. Read the rest of the comments, as a lot are from providers like myself. We all went into the field to help people, yet daily are ruled by a ‘higher authority’ of allowed services, treatments, etc.
He is not 100% spot on, let alone 10,000% spot on. He is completely wrong on the PBMs' incentives for examples. He says the PBMs keep the rebates to themselves. This is not true at all. A major percent of the rebates get passed on to the group being insured. Am I wrong?
I worked in a pharmacy for 12 years and most if my time was spent on the phone with insurance companies trying to understand their "ways". But while doctors may be trying certain drugs for a patient to see how it goes,,, the insurance companies would demand that patients be "compliant " and forcing the patient to get 90 day supplies and discounts when they did. It was a truly perplexing industry. I understand alot more now.
I am in the medical field and this guy is spot on in regards to the oncologist income being based on chemo treatment. I have heard of several oncologist who were caught over prescribing chemo! For God's sake. Greed is our worst enemy.
My wife had colon cancer. They wanted to put in the port and do the chemo, and come sit in their office ($$) several times a week. I knew there was a pill, a substitute. I had to do a lot of talking to get her the pills. She took the pills, and had NONE of the side effects of chemo, and she's doing fine.....
There is a former oncologist in Michigan who is now serving 35 + years in prison for giving people chemotherapy treatments to people who didn’t even have any form of cancer! Some people died and some people will never be the same! This imbecile did this for 20+ years! Very sad 😞
The entire healthcare system as we know it now, was a service creation, like taking goods off trains and putting them on trucks. These are schemes put in place to employ our multitudes. Schemes designed by finance, rubber stamped by our government. Our interstates were made for the trucking that was needed to employ mankind in U.S. that no longer made anything, just ships everything all over. Food, cars, everything used to cross the country on trains (each train 3 people employed). Get it!?! Healthcare is an employment scheme like the rest of the country. That’s why we only needed hospital insurance. You went to the doctor, and he put the pills you were prescribed in a white envelope with instructions. The visit, test and pills, all one doctor’s visit $20. That was in the 1970’s. We are all finance owned now. You can thank the de-regulating propaganda boys for every bit of this💩show.
My Dad, a WWII veteran, had little to say about his war experiences which placed him in almost every country of the eastern hemisphere. I remember one comment though. He said that I should feel very lucky to live in the USA because we are almost the only country that values human life. He died 1978. I am now a senior citizen and am having a very hard time reconciling his view. VERY HARD TIME.😢😢😢😢😢
Things change. In his time, it was true, but nowadays America is a different country, and we can't stay in this "American exceptionalism" illusion, because it will cost us more than we think.
I’m a clinical pharmacist and work in a primary care clinic. It’s terrible to to have to admit it, but this guy is spot on with a bunch of this. It would be great to see more clinical pharmacists as guests on the JRE. I think Joe would find the different areas on clinical pharmacy interesting.
People don’t get sick from magical flying Boogey germs. They DEVELOP the “illness” following the resolution of the upsetting event that caused it. Just like they DEVELOP cancer. If you can’t “catch” cancer, you can’t “catch” anything else. The Germ Theory has been fraud for 110 years. Repeating it over and over does not make it true.
@@dcruzer1272if the pharmacist is wanting to work for one of the big insurance companies..then def retire first…otherwise, they can’t really mess up a particular pharmacist’s career that is working in a clinic or hospital. They would be a much bigger threat to a physician’s career since the physician is often billing directly under his name and not thru a clinic or group.
I worked for 8 years as a financial manager for a large PBM/insurer. In 2013, PBM revenue was 10% of the company gross...when I quit in 2021, the REBATES alone were 50+% of our revenue. And yes, the company also bought everything: PT clinics, pharmacies, outpatient surgery centers....they own everything. And the amount spent on "government affairs" (lobbying) is unreal.The corruption makes The Big Short look like childs play.
I’m so glad someone else is speaking out about the corruption of the US healthcare system. Patients get so mad when they find out I don’t accept insurance, but they have no idea how impossible it is to live off of insurance reimbursements.
If you don't accept insurance, is your service affordable to an average patient? We hear about the astronomical cost of "healthcare", and that is root driver of the current system. Is there a solution that is economically feasible?
There are small, rural pharmacies that don’t take insurance and don’t stock brand name medications to keep the costs low. That and concierge doctors who you play a flat fee to once a year.
@@pezlover88888luckily, I haven't needed doctors much but I'm pretty sure you can always pay cash. You'll likely get a discount because they don't have to do the paperwork of trying to pull money out of an insurance company.
What shocks me the most is that the general public knows this but we refuse to unit over such matters and fight the system. We forget that we have the power.
@@hellfish6661those of us who don’t rely on these big companies for things like food and water and electricity and medicine. But realistically, who is that? What % of the population can really live without the help of the system? What % even wants to?
You can blame our media and our politicians for that and keeping us divided. Fun facts. Medical debt is the number one reason for personal bankruptcy filings in this country. Also, the healthcare lobby is number one in spending. Spends more than any other lobbying group buying our politicians. It doesn't matter how you align yourself politically. Left, right, center, wherever. The vast majority of Americans should be able to come together on this issue. Even with decent insurance, most people are one major illness or injury away from being ruined. It's a top concern yet never gets talked about.
Advantage was a government plan to privatize, just like everything else, to make capitalism under services only, profitable since finance took their manufacturing to the most populated cheapest player they could cultivate. I really don’t understand why Americans can’t see what is coming for our nation. A dog eat dog mentality that is being used to liquidate the people, small businesses and our government. Our politicians are so creepy, as they bend over for globalized finance’s agenda. Finance is enslaving our nation, and ruining the health of all life on the planet.
My sister works for a big health insurance company and man all she does is talk about this kind of stuff and how sad it is and nothing happens , we just nod our head ands pray it won’t effect us or happen to us , they are greedy no good b4stards and we need to stand against them once and for all. Ireland , France, we need to unite
Thank you for sharing this! I think it's supply and demand... when we stop paying them to hurt us, things will change. There are many ways to heal and I believe we can all work together for a better way🙂🙏🏻💙
Worked in a Rheumatologist, Allergist Specialist office for 18 years. This is ABSOLUTELY 100 PERCENT TRUE!! Watched the Oxycontin crisis and the ObamaCare debacle and the Pharmacy business go from ok to HORRIFIC. Thank you for getting the TRUTH out there.
@@elguapo4536I took zinc to heal my immune system and I stopped getting sinus infections. It took a little while about six months before it started working. I guess my immune system was pretty unhealthy. Now I hardly ever get sick and I’m not a doctor. I googled it lol and it worked.
There never was a opioid crisis. Sick and injured patients were and are denied opioid pain meds. Doctors and nurses call many patients crazy for saying they are in pain. Hundreds of thousands of patients in pain have committed suicide since Obamacare. Thousands of doctors and nurses have been sent to prison because they couldn't stand denying their patients pain meds. You are called rude names and claims that you are doctor shopping and that your pain is all in your head. Many patients family members have attacked doctors and nurses for depriving patients of pain meds. Look it up.
@@calvinmurry1096it sounds like you've been watching too much Breitbart. Denying the Opiod crisis (which is still at full throttle) and blaming suicides on Obama is pretty ignorant. Family members should be attacking the insurance not the doctors. Just drive to mexico and get your drugs cheap.
being a cancer survivor i can attest to it being painfully obvious the plan is not to cure but to keep you alive and prolong as long as possible to make as much as possible
Glad you made it through. I keep telling people this all the time. I simply ask them “Would you rather have a million dollars now or millions upon millions forever? Change that to millions to billions and that’s what why we will NEVER have a cure.”
This was one of the most important interview I've heard in a long time. The money we spend on health care and not apply it to our retirement, but give it to these vampires is horrifying.
its fucking evil dude. Evil. its never, ever enough. billions and billions in profits stuffed into the pockets of the few as nothing more then a f'en GAME of Monopoly for rich people, thats all it is! stacking imaginary "currency" instead of measuring dicks. How many houses, how many Yahts, How many cars, how many ISLANDS is enough? its never enough. Never will be. We are lucky, our grandchildren are not guaranteed a life at this point.
In order to get a CT scan for an injured hip, I was told by my insurance company that I first had to get joint injections, six weeks of therapy and be on pain medication before they would consider letting me have the scan.
Worked for a pharmacy as a professional, was a top performer and to anyone considering a pharmacy career, make sure you have no morals and principles. If you do, you are guaranteed to lose them. Protect your fellow human beings by avoiding careers that are meant to impact them negatively.
People don't talk about that enough. Almost any sales job walks the line of morality. I always stuck to integrity, but I've seen some really foul things done for sales.
Our politicians know this is happening, but the money they receive in political contributions from big pharma and massive hospital groups outweigh the desire to help the common person. The system is so far beyond broken
My dermatologist suggested a prescription cream to take care of a persistent skin problem. With my insurance, the cream would cost me $300 out of pocket. The dermatologist called an out of network pharmacy and I could get the cream for $60 without insurance.
Working in a large hospital system for 10 years was an eye-opener! When my allergies were acting up, a coworker suggested to use what she used. I told her that my pharmacist informed me that it was not covered and asked how she (since we had the same health insurance) got hers. Turns out that she went to a different drugstore - and not the one who OWNED the insurance company! Another colleague, a surgeon, stated that he could fix healthcare in one day by regulating the insurance companies. He said that as long as the same people who own the hospitals own the insurance companies, nothing would change. Very sound advice from Brigham to disclose/share as little as possible! This was 25 years ago - and it has only gotten worse!
I think more and more medical professionals are going to go that route. Not all can, of course but the ones that can should. It will cost people less than having insurance with a $5000 deductible. The overhead for the medical professional will be a lot less. It takes a lot of people to manage all the insurance crap at a doctors office. And hospitals, oh, don't even get me started. There's more administration, then there is actual patient care.
I've been in healthcare management for over 30 years and what he is saying is true. It's about the money first and patient second. Hospitals must play the financial game to survive. "Patient centered care" is not possible without financial success.
My wife suffered bad depression for almost a decade. Was fed a variety of pills which never worked or just made things worse. She decided one day that if she was going to get better, she'd have to do it herself. Fast forward to 4 years later. 100% better mindset, works in management, bought our first home with me and is a great mum to our 2 children. So we tried to get her life insurance. NOPE. every single provider wouldn't cover her because of her history with mental illness. I asked why they couldn't just put a clause in her policy to void insurance in the event of suicide and they said they couldn't as it would be unethical... no pre medical, no phone call to my wife regarding her history. She's just a liability that they can't make money off. Insurance is not your friend.
How did the life insurance company find out about your spouse's medical history? Did she have to provide this information to the insurance company voluntarily?
@@karpoganymedebasically, where i am, you give insurance companies permission to look at your medical records. We were upfront and honest about her history as they wouldve seen it on her records anyway. I was just taken back by the 0 correspondence between them and us. No psych evaluation or anything. And because she left the mental health system, her medical records said that she'd basically refused treatment and couldnt confirm nor deny whether she was still mentally ill or suicidal. I hope that made sense 😅
@@mainey1512 yes, it did! Thank you for explaining it so well. Also, kudos to your wife for making it through! I hope you and your family stay blessed and healthy! 🙏
My family is in Belgium and its the opposite there, healthcare is free and doctors are given uncentives and bonuses to keep people well including alternative healthcare.
former CMA and medical office manager here of 14 years.. he is spot on. The medical field is a nightmare if you actually care about healing people and you aren't somehow still surviving has a private practice.
That’s why I left medical field never looked back. Medical field is full of unethical messes. Capitalism right 🙊 $$ profit over everything yes even your life
Is that profile picture a picture of you? Edit: In hindsight I realize my question probably came across in a bad way. I asked because if that is a picture of you, you look way to young to have 14 years of experience.
This is one of the main reasons I’m so hesitant getting into nursing/medical field. I genuinely want to help ppl but from personal experience I know the field is corrupt. So many ppl need real help but all doctors want to do is put them on meds that they don’t need to be on just because it makes their pockets fatter. It would break my heart knowing that I can’t do anything to fix the problem.
@lilyouyou and fighting insurance companies to approve things the doctor wants to do... its rough! Honestly it's the people who employ the doctors also that twist their arms. Doctors in groups or hospitals are told what they can do, who to refer to, how to treat, even what intake questions they have to ask. When they are in groups and not independent they get very little freedom to do what they would want to do or even what they say to patients.
This man needs to be heard. Imagine all it takes to become a doctor, learn the business side, and ooen your own practice.. Overwhelming college debt, the years of school, sacrfice, study, internship, on and on.. Basically your entire acedemic life is devoted to being a doctor. Then when you have to operate by the insurance companies rules of course you will, what else you gonna do at that point??? Disgusting and sad😢
A good friend of mine has been an oncologist at very prestigious universities/hospitals for years. This person is extremely bright and one of the good ones who truly cares about patients and developing better detection and treatment regimens. They're so fed up with the system and attitude of many colleagues that they just can't do it anymore. Not only are they miserable, they're worried about getting sucked into the same mentality. This happens easier than you'd think. You don't always know what's happening behind the scenes and are often up to your waist in debt and other obligations. Believe it or not, many doctors start their education wanting to make a difference but the system slowly breaks many of them whether they know it or not. That doesn't mean they're all bad but decisions become heavily influenced. I'm sure most of us have seen this happen to a family members at some point in any number of industries. As for my friend, they've decided to start teaching instead of gambling everything on a private practice. At least for the time being.
I realised this as a Nutritionist interning at a hospital and decided at the end of it that I would never partner or be part of the sickness care system. Probably the most important guy you've ever had on!
As a pharmacy manager for 7+ years this guy is 100% spot on. The PBMs are running wide open without any checks/balances/regs and the patient is the one holding the bag. "Profiteering off your disease state"
My primary doctor said the same exact thing to me, THEN my eye doctor who has been in business 30 years said he is retiring out of the blue. I asked why and he said the game has begun and he is not playing. He said he sees whats coming just like this guy is saying but much worse. He literally is shutting down his practice with thousands of patients and would not sell to big corporate. He gave every patient a letter telling them to find an independent but would not refer to any particular doctor. This shit that is coming in the near future will have catastrophic consequences.
@@SloppyPowerFart5000I think what he might be saying is; corporate/profit motivated medicine is here and gone are the days of doctor owned/patient centered practices. But I could be wrong.
Previous medical Professional here, biggest reason I dropped out of med school and choose a different career was because healthcare isn’t about patient health but profits. Worked as a MA for 5 years while in school saw the corruption and decided to get out of healthcare all together. Also dealt with insurance companies for prior authorizations and pharmaceutical companies for patients they don’t care at all about their customers. I had to fight for the patient multiple times against insurance companies to pay for patients medications they rightfully needed.
It's not just healthcare, the entire system is corrupt and there is no longer any hiding the rot from floor to ceiling. I worked in radiology for a dozen years, starting at the last of what I would call the golden years before capitation and "managed care" came in with the first round of BS "healthcare reform." I left for law school. I've been a criminal defense attorney for the last 16-17 years and the "justice system" is just as broken and corrupted. These are all just symptoms of the declining empire. We do live in interesting times, for sure.
Same got laid off during covid while 8 months pregnant they tried to fight my unemployment. I would never work in healthcare again!!! Its all about the money!!!
He is absolutely right. Dr. Marcia Angell wrote a book called ‘the truth about drug companies’ unbelievable read. It broke my heart how many medications should have been home runs for the betterment of curing illness that were froze out because they weren’t profitable enough.
yeah, there are the theories about Cannabis too, apparently because its easy to cultivate, it is very against profit of those giant corpos, therefore their lobbyists did their job and made it against law in most countries around the world. (i myself am not cannabis enjoyer, hell i hate that stink)
@@GhostAeonWolf Having had to be in the hospital to stay and advocate for a loved one...I can attest that they will bill over a million dollars but claim they don't have Vitamin C or that they can only give very, very small amounts. They use the cheapest form too. They also use feeding formulas full of seed oils, high fructose corn syrup, and synthetic vitamins. I no longer call it medicine, I call it Magic as one needs to buy into the illusion. Many people playing dress up in white coats.
That's why Lyme disease is decimating the North East. There was a vaccine and they nixed it because it was not profitable. It's criminal, plain and simple.
@@GhostAeonWolfNow, THAT'S the easiest medicine to make yourself. You dont have to smoke it. I work for a testing lab. Legal cannabis goes thru the same testing as other drugs and food. It treats many conditions and there are over 150 cannabinoids that havent all been tested because it's still federally illegal. It will be in time. They want the money.
With how Joe has these conversations talking about how the goverment, people of power and the insurance/healthcare companies all culude for profit, I do hope he stays safe. But also, I'm glad someone with his social standing, influnce and morality is willing to put this content out there. Much respect Joe. Keep going.
I don’t think government/major corporate entities, Care about Rogan, it’s not like he’s exposing shit we don’t already know, that being said, it’s still nice he’s not blind to it and will have these people on. I’m sure plenty of people Joe has on are some form of controlled opposition anyways
People don’t get sick from magical flying Boogey germs. They DEVELOP the “illness” following the resolution of the upsetting event that caused it. Just like they DEVELOP cancer. If you can’t “catch” cancer, you can’t “catch” anything else. The Germ Theory has been fraud for 110 years. Repeating it over and over does not make it true.
Dude Joe rogan is in the club lol they use him to rub it in our faces The powers that be get off on taunting the poor that they are fucking us over and there is fuck all we can do about it.
Chronic pain sufferer and this video brought me to tears. It controls my life and navigating the medical system is so hard, it breaks me to hear that my care is secondary as the medical bills keep coming in from specialists who are supposedly my “care” team.
I’m so sorry for your pain and challenges. I’m a chronic pain sufferer too. And these past few years have taught me to take control of my own healing because I can’t trust the system. We are just a number. I pray for your healing and relief to live a joyful life.
In 2004 I was diagnosed with Chronic Pain Syndrome, while living in NZ, after an injury to my spine and many years of tests. I lived with Migraines also, for 7 years. Upon returning to the US I tried to get treatment, like I had been receiving. But they did not even send me to a Neurologist and instead told me I had "Diabetic nerve pain, without Diabetes" and wanted to shuffle me off to the pain clinic. I put my foot down. I know if I take their hard meds now, there will only be harder meds or higher doses as life progresses. So I said loud and clear "NO". Daily life is taken slowly and in chunks that I can manage, no rushing here. I rarely take anything, not even Ibuprophen. I do use CBD soap, balm, and other methods like tea and flower. It really works best. It has been almost ten years now, and I feel better for it.
My son is a type one diabetic and insulin is a necessity. I always knew something was off with the system because every year the insurance would have a new contract and we would have to change our test strips or insulin type. One year we had to switch from novolog to humalog. They are supposed to be interchangeable but we were having problems with the new prescription. The insurance company doesn’t care. If we used novolog we had to pay more because it wasn’t included in their deal. Our doctor made a request saying it was a necessity and we got the cheaper price eventually but the test strips prescription was impossible to change. I couldn’t explain what was wrong. This is it.
I have worked in pharmacy for 20 years. This is absolutely the truth! It's so frustrating. I am happy today because I am helping patients afford these astronomically expensive specialty drugs that they need. These are life-saving treatments for many people who don't realize there are options out there to help. I spend most of my time fighting insurance companies to provide coverage for medications. After they agree to that, a lot of the time, our patient's copays are unaffordable. Then we look for any financial assistance to come in and cut that cost down.
@@Thomas...191 This is why big pharma loves free market healthcare. They are free to crush small business and patient care, divide and conquer. Canadian single payer makes the feds the big dog. Pfizer dances to the tune of the government, held responsible by voters. America loves being fleeced.
As a nurse trying to get medications approved, this guy knows what he is talking about ! Doctors don't write prescriptions anymore. They have to write suggestions and the insurance company (not medically trained persons) say nah you can have this one. Patients that have a WORKING medication suddenly have to change because insurance says so.. I could go on and on. 😭😭
Yes this happens to me every few months. I’m type one diabetic and they decide to switch my insulin- or suddenly deny it and my doctor has to write those approval letters that take FOREVER to be approved- at random.
This is why I was so frustrated when, ten years ago, we were forced to choose an insurance company by our government, and penalized on our taxes if we didn’t.
I agree the Obamacare model was rife with this compromised bullshit We need a few clear laws about this in the constitution or at least the legal federal code. I can stipulate but the facts are obvious if the precedents of absolute freedom don’t act irrationally
Healthcare Reimbursement Professional here. He’s absolutely correct. Mind blowing to me, as I came from the medical device world, about the CEO and the hip joint story but I can completely see where the CEO is coming from. That 90 day discharge period is all they look at now. To know they don’t care what happens after that is bone chilling. It means they do not care about the long term care of their patients. It’s patch them up and spit them out mentality. It’s going to get worse. That means for you and me.
My pharmacist helps me out when im short on cash and charges me exactly what he pays for plus a discount. Really is a great guy who immigrated here to America. Love that dude.
This makes total sense.. i quit nursing after 30 yrs of a caring relationship taking care of ppl in their end stages of life .. esp cancer. I had to end to my career with this reasoning that no one seemed to understand.. as i simply could not articulate in solid thoughts or words, as i thought .. maybe i thought too much into my thinking directly on this subject .. i seen right before i just up and quit my service .. like one say walked out .. i truthfully seen this coming as i watched ppl at the end stages get pulled from the proper care .. as in pain control, home care, Drs recognition as it once was, their out of l diagnosis acute issues for brief emergent care, even the 'new to nursing graduates seemed to not be geared towards compassionate care, was not there.. with no backing with DONs .. all of this maybe not so much the graduates. But pt care was unbelievably heartbreaking.. all of sudden their insurance said no .. via the physician s... that cancer ppt better not be put on that morphine.. or maybe we better decrease it to ... Whats the point .. all the care... I thought ok this person needs to be have their last moments peacefully .. as well as families need to see this .. i mean ..what? ...is this person .. going to become a junky in these last few minutes or days... That was the reasoning thee docs gave us... Now i know i had a reason.. i wasnt just tired...
Used to work for a medical device company. The amount of Doctors getting paid an "Honorarium" at 10K per event is insane. End of the year you send out the 1099's and some of these guys were pulling 100K to 200K a year in speaking fees alone. They also bought tons of product on credit and somehow would get away with not paying for it and instead would get rewarded with dinners and golf trips. If you want to know where all the greedy doctors go to golf, Scottsdale, AZ is where it's at.
These are some academic docs. We regular private practice specialists don't even hear about these perks. Academic docs make the minimum and supplement with how many studies can get published. It's a horrible system we all hate. 🤬
I have worked for 20+ yrs in Healthcare at a "big pharma", a health system, and a diagnostics company.....this guy is 100% spot on. One of the BIGGEST DRIVERS of cost of care in the US is driven more by insurance and these supply chain middle managers...and the Affordable Care Act and many subsequent US Healthcare "reform" legislation have all 100% missed the mark and not touched any of these major cost drivers in the US Healthcare system....follow the money...
I've been dealing with this health system for 3 years now and I'm just finally getting a spinal cord stimulator hopefully i will be able to get off the pain meds. I've been fighting with disability this whole time and i can't get help from a system that i paid into since i was 16 but people who never contributed can get it no problem. I regret working and being a good productive citizen.
I worked in city government 33 years before retiring. Among the programs I started was collection kiosks (like a larger version of a mailbox) at our local Senior Center to collect unused/expired prescription drugs. You would not believe the quantity of drugs we collected from those seniors every single week. The kiosks constantly being filled up. It taught me two things. First, senior citizens in our age are drug addicts. Second, WAY too many drugs are prescribed. All those meds cost medicare (taxpayers) millions of dollars over time. This was one city of 80,000 people. Imagine this at a national level. All the waste. All the drugged out seniors.
100% agree with this guy. I've seen the inside of a health insurance company with an IT perspective and did not appreciate the way the business end operated.
I’m a nurse and these insurance companies dictate what we can and can’t do, meds we can and can’t prescribe, tests we can run and can’t run… it’s nice to talk about it but we need to do something about it. Why have doctors and nurses when the insurance company is all knowing?
Why do you think hospitals / pharmacies pop up where there is a geographic older population. $$$$$. Crazy I've had family who have passed of cancer. Every time when I ask" what's the end game" all I've heard is " well we are going to do chemo" but to what end. Then what. All for profit and have always said this. One of the best clips joe you have ever had. The info in that clip was phenomenal. Salute to this gentleman
In December of 2023 I was diagnosed with a hernia. My primary care provider sent me to the local hospital for CT scan. The total amount would be $3700.00 dollars. My portion would be $715.00 using my insurance. When I asked how other facilities were charging less than $500.00 for the same procedure I was told that the hospital was well within the normal range for like facilities. The primary care provider leads people to these hospitals to get fleeced! I paid $460.00 for the procedure at Vision imaging. The ACA or Obama care, what ever you want to call it has exploded the cost of every aspect of health care in this country.
So true. I have major medical coverage, just enough to comply with ACA. All else pay cash for. In my 60s, my doctor has never once told me to get a colonoscopy, mammogram, pap, prescribed statins... there is no $ in it.
Pharmacist here..... this guy is spot on, "this is a profit driven system, not a patient outcome driven system"
Sucks that we have to deal with it at the front end. Our career would be aloooot less stressful if things like copays, deductibles, special auth etc were not a thing. If a doctor deems it necessary just cover it..
😢
Profit motive is NOT the problem son! The problem is, and has always been, the government that YOU support which is regulating and playing defense for large corporations which gives them an unfair advantage and allows them to continue to take advantage of people. That wouldn't happen in a free market economy. If you support the gov't, you have no right to complain because YOU are part of the problem!
@@mattolivier1835what happens when anyone who gets in goverment is bought out? Saying it’s the goverment is kinda simplifying no?
healthcare can be provided for free to all if the government wanted
I went to med school in 2013. Every self-respecting doctor knows this guy is telling the truth.
Yup. And it’s not just meds but everything in medicine has been hampered thanks to the insurance industry. Insurance will look for every excuse not to pay for something they are supposed to cover.
It’s actually the reason why I pushed to get my Doctorate in psychology vs psychiatry. I didn’t want to just dope up my consumers
@10:40 reminds me of the doctor who was supposedly replacing peoples esophagus with a “rubber stem cell esophagus”.. then the people would die shortly after because people weren’t following up with the patient.
@ruhtrohraggy7497 unfortunately, I didn't have the knowledge and I can't say I'm upset I went to medical school and residency. I'm a psychiatrist but I strongly dissuade people from psychopharm unless the benefits clearly outweigh the risk. It's shocking how many people think they "need" medicine.
@@ruhtrohraggy7497 that was also my first doctorate. Now im in my 47th one, you can trust me, im said it in a youtube comment
I moved from the US to Mexico. I got a job here and they offered me government health care or private. I went with private expecting the same service I got in the US, such as Kaiser or Blue Cross. I made an appointment one day about my shoulder that has been bothering me for years. Expecting the same nonsense, muscle relaxers and pain killers. Went in, they took an x-ray, then a scan, they noticed something torn on the rotator cuff and said they can do surgery tomorrow if I'd like. I was like "wtf!?" they patched up my shoulder next day and put me in PT quickly after. Something is wrong with American healthcare and people refuse to see it.
It's called, policies, over people.
@@malachi-it's called FOR PROFIT MEDICINE!!!!!!!!
A sick person is what they want. Lots of money for them when we are all sick
You’re really lucky. My daughter needed an MRI for a knee injury. A machine wasn’t available for 6 weeks. By that time surgery wasn’t an option. Who knew Mexico had more money for healthcare than Mexico. I’m betting it doesn’t
The government and media is distracting the American public with non issues such as racism and proper pronouns
Surgeon and health system executive here - thank you for this episode! Meaningful transparency about how these systems churn disease for dollars is the only hope for meaningful change. More people need this info.
About fifteen years ago I played golf with a CFO of a small rehab hospital. During lunch, at the turn, I asked him why is health care is so expensive. He did not answer me right away and after some reflection he said because it is a profit driven system. Nice to see high ups like yourself telling the truth.
Everyone knows. Nobody cares. We are weak. We “fight” ridiculous woke crap that doesn’t matter and ignore the real problems.
Been working as a pharmacist for 34 years, and I've never heard a more sincere description of the profession.
Were you pushing the 'Safe and Effective' medical experiments? If your answer is yes, You are going to swing
Damn... 34 years is a long time
He lost a lot of credibility when he used a non existent word for convoluted. However, the gist of his message is true.
@@ponygirlusawhy?
@@ponygirlusa Eh, he also said "irregardless" which shouldn't even be considered a real word but whatever, I'm sure I'd say a few nonsensical things in a long interview like this. You should only lose credibility when mistakes are relevant to your area of expertise. We're not robots.
Joe Rogan doing the job the mainstream media is supposed to do. Thank you Joe Rogan!!
Why? Who owns mainstream media?
@@MeLexdy considering every cnn segment is sponsored by pfizer, i think you have your answer.
@@MeLexdy Blackrock/Vanguard/Statetreet=Billderbergs.
You must have ate a lot of glue as a child
NBC CBS PBS LA times Washington Post New York Post all did stories on this. The Biden administration imposed limits on these pharmacy benefit managers. But now the pharmacy benefit managers are forcing pharmacies to sign new deals or they get kicked off the program and no longer can accept Medicare payments.
Been in healthcare for 22 years. He’s right! We use alternative medicine and try to stay out of the system as much as we can.
💯 Facts
I hear you! I was never big into pills, but since I have a major mold issue (that the CDC and insurance won't recognize), I had to go all alternative, which is fine. They can't monetize mold, so they don't even acknowledge it.
Same here! Check out Function health. Membership-based labs program by Mark Hyman...in beta phase, 100+ labs twice a year for only $500/yr. Great way to increase health sovereignty.
Same here. Retired anesthesiologist. I avoid the medical industrial complex like the plague. Best to do research and lead a good lifestyle.
@@bibibachmd9995 heh heh, yep. Ditto.
I've been a pharmacist for 28 years. Here's my soapbox: having insurance is the single thing that hides the true cost of healthcare in America. If no one had health insurance, including prescription benefits, the cost of healthcare would necessarily have to drop because we (all providers) would all be competing for everyone's cash. If the government got involved (single-payer) the problems would NOT change, it would ONLY shift the hidden cost to another entity AND cause more fraud, waste, and abuse that is inevitable with ALL government programs.
The other positive thing that happens when people are required to pay for their own healthcare cost, out of their own pocket, is that we all suddenly become willing to make the necessary life-style changes that treat the causes of 80% of the diseases that are plaguing our society.
I hate to say it but I think the average person is too stupid for a "pay as you go" healthcare system to truly work. People will not keep up with proper preventative care and screenings if they see big $$$ signs attached to every visit they make. In theory it helps people make better life-style changes like you say but in reality I see it pushing us further into a system of sickness care and not preventative care.
Also how does a "pay for their own healthcare cost" system deal with the nearly 20% of Americans on Medicaid who can not afford healthcare at all.
This makes a lot of sense. Privatize healthcare, reduce government. Too bad they've brainwashed everyone to cry for "healthcare as a universal right" (from daddy govt)
Truth! The free market is the only way
Hundred percent you described free market healthcare
Health insurance call center rep here. 100% TRUTH! “The more confusing, the more convoluted they can make it, the more profits” I started doing medical billing in the 80s. It was terrible back then, and it’s only gotten worse. I had to quit my job at a major health insurance company as a call-center rep because it was so apparent to me what they were doing. We had 28… 28!….Different computer programs that we may have to check to try and find out why a provider was not paid. They were clearly doing this on purpose. My conscious would not allow me to continue working for that company.
Insurance companies have way too much power, and they need to be laws to hold them accountable.
My GP said they couldn’t prescribe Ivermectin because the pharmacy said no. She wasn’t happy about it. I have a rescue inhaler. Can only get like every two weeks or whatever it is. If she wouldn’t put as needed on script was told I could get more if needed. Also found out Trelegy, which is like $300-$400 a script costs more if a GP prescribes it rather than a specialist. Luckily my insurance covers it. Well most of it. Still $60 my copay
Weaponized incompetence. I recently cancelled my coverage through Kaiser because I moved states. They sent me four duplicate cancellation notices, two of them came the exact same day as a letter saying I was re-enrolled and my account was scheduled to be autodrafted. Called the number on the letter and gal on the phone fed me some line about how it “hadn’t been updated in their system yet.” But they “put a note on the account” I told I guess I’ll take her word for it and do a charge back if they “mistakenly” continue to bill me. I made sure to point out how suspicious it was that I was flooded with cancellation letters along with the lone enrollment letter.
Wow so insane! This whole system needs to be revamped. It needs to be not for profit, period.
Medical overbilling is an industry in itself. Notice they never underbill - just add on ticky-tack charges that add up or double bill you,
Notice medical facilities only overbills? It's their strategy to rip off the most vulnerable consumer.
My dad had both knees replaced a few years ago. They needed done way before the procedure actually happened however they kept my dad doing cortisone shots till they couldn’t anymore. The dr flat out told my dad the insurance company was stalling hoping that he would either die or switch jobs or any other reason to keep it from being their problem. What this man is saying is facts more people need to realize this.
Absolutely, the hospitals told my friend they refused to give her a knee replacement unless she had two other surgeries first, totally unrelated. They were using her immense pain as a tool for PROFIT! Eventually, we found a hospital that did the knee replacement asap! We live in Boston
You will have them done for free in Australia but it will take 18months
Folks need to take better care of themselves
In so sorry that happened to your Dad! I really hope he found relief after the surgery was finally done. Similar thing happened to me with back surgery and pain management. I have Ankylosing Spondylitis and my vertebrae were fused, needed surgery. The ins company kept me waiting for 5 years. Meanwhile I'm on a ridiculous amount of narcotic pain meds plus cortisone injections. The injections were so bad, I had a terrible reaction to them. They're not even meant for long term use!! Finally I threw a big enough fit and bothered enough people that they did my surgery. But they held off so long I've got permanent nerve damage. I just don't understand how this is allowed to happen!
Those shots actually degrade cartilage quicker. You can eat certain foods that will help alleviate pain AND rebuild tissue..but it's shots or surgery on the system.
Just want everyone to think about how lucky we are to have people actually holding accountable, telling the truth, watching our back. Without people like this it would be x10 worse
Blowing the whistle doesn't do any good if nobody does anything about it.
@DesiRush1 no, if nobody blew the whistle and made public accounts as watchdogs then they would act with utter impunity. What can I do? You? Right, vote. But the politicians are the ones who allow it, they couldn't do any of these things without the corruption of our political system,politicians who get donations and then Jobs after office. This is how it is all working, across the board, with everything. SO all that can be done is taking things out of the dark and into the light where the scumbag doubletalk are seen and must act on the public stage.
@DesiRush1 the ONLY REASON we have not had a complete collapse is because of few people in position to resist and challenge do so. People's who don't be corrupted.thank fucking god.
Take the money away. I've gone holistic
that doesn't work bud@@jennifermickelson2297
Corporations bought up all the small physical therapy clinics too
My wife practices out of network for this very reason.
Nothing wrong with corporations buying other corporations; do you mean insurance companies?
Monopolies are not allowed in the US.@@cjp6930
Yep, my parents small physical therapy company got bought out by a transnational corporation during COVID. Fuck big pharma
I'm a former Pharma / Medical device rep and this guy is 100% correct.
This is the scariest thing I've ever heard. How can this be sustainable?
I had to go on Chemo and it was $6,000.00 for 14 pills. That's when I quit Pharma. Such a racket.
I payed 14k a month for a prescription I needed to live
@@davewalker5040it’s not.
@@davewalker5040that’s the thing, it’s not.
This guy is speaking facts. Been in the medical field for 25 years. You can’t imagine what I have to go through to get prescriptions and tests approved through the insurance companies.
That's because the doctor's do not fight for their patients. If it's deemed medically necessary even if it's not under coverage, the insurance has to approve it. But the doctor's don't care anymore you have to be you're own research
A lot of what you guys recommend is quack bs and manipulated by drug reps, medical equipment reps, advertising to patients, companies targeting you, etc. I’m not saying the system isn’t a disaster, but blaming the insurance for everything is horse@$&%. There would be no managed care if doctors delivered better care. Don’t get me wrong the insurance companies are idiots and 90% of the people that work there are morons that create red tape and rules that make your life hard, but the same is true at the doctor’s office and hospital. Do you know how many patients get bedsores just because some clinicians are too lazy/busy/uncaring to do something as simple as move the patient? The whole system is a mess
I do it's ridiculous my doctor has too fight tooth and nail
Being a medical biller is not "in the medical field"
@@muddygunsbetter than whatever it is you do or are capable of doing
My wife and I own a primary care and private lab collection site... We fight insurance companies so much that it is literally bringing us to our knees! we want so badly to help our community and keep our patients but they are making it impossible. we are going to either get rid of insurance and go private or simply shutdown by the end of 2024... It really is breaking our hearts but there is nothing we can do. Nothing! If we go private pay only, we risk losing 70% of our patients because they can no longer afford anything outside of what insurance pays for. It's tough decision but breaking even only one week a month is beginning to crush our business and we strive so hard to do good by our patients and employees.
Try direct primary care.
Haven’t been to a doctor in 7 years, ever since being diagnosed with celiac disease when I was 29 years old. I was sick and miserable for years, on several medications, antidepressants, blood pressure meds, etc. I started learning about nutrition and holistic treatments, and healed my body. HEALED being the operative word. I’m not on any drugs anymore, I don’t even have to take OTC pain meds because my body is no longer inflamed, painful or toxic. They’re not in the business of healing, only treating symptoms just enough to keep us addicted to their expensive prescriptions and tests. I quit going to doctors, healed myself with food (watch what you eat, too, the food industry is also making billions annually keeping us addicted to inflammatory, poisonous foods), exercise, supplements, and de-stressing my life, and even with a diagnosed autoimmune disease I’m in the best shape and health I’ve ever been in. I haven’t even had so much as a cold or sinus issues in years, and my entire family got Cov!d except for me. They’re keeping us sick and dependent on them.
I was recently diagnosed with breast cancer and I refuse to get chemo, surgery or immunotherapy! I've adopted a fully plant based whole food diet and added every herb, vitamin and supplement I can afford. My body needs to be strengthened not destroyed! If I do chemo I will be sick forever. I'll give my hard earned cash to organic farmers who are actually trying to heal me.
@jackyorrick5512 my condolences to your family
Congratulations Ceebee!
@@jackyorrick5512 dr Burzynski dallas tx, he has a cure.
Theyre like a terrible abusive pimp that got you purposely addicted to drugs
imagine what a world we would live in if all the knowledge we have is used to to benefit people instead of profiting off them.
The classic Tesla vs Edison. One was trying to benefit mankind, and one figured out how to make everyone pay a bill.
Never gonna happen
There’s no money in “benefiting people”
@@RollerCoasterLineProductions It depends on the system. It depends on what one values.
Money or Life?
There certainly must be a way... but most people have been conditioned to value money over people they don't know.
Communism won't work, Dictatorships won't work, and Capitalism won't work. We just haven't found a way yet.
Well they market socialist policies as helping people and people just keep falling for it because their heads are up their butts.
Physician here. He’s 1M% accurate 🎯. I’ve been red-pilled for nearly a decade. It’s very disheartening to try and practice good medicine in a world of depthless-corruption.
Sound like we need single payer and more government regulation on these scammers
@@TrevJ91 lol That was the entire plot when they forced Obamacare on people. They made it even worse so people would beg for them to take over everything and turn the US into Canada where they offer to kill you if you complain your artificial leg is taking too long to be made
Thanks for what you do 👍
The government is screwing you with taxes, hospitals & insurance with healthcare, the Food Industry are rigged against you, the banks too with ridiculous fees and a mortgage industry rigged for them:- Where is the AMERICAN DREAM?
Thank you so much.
He is so spot on. I was a Primary Care Provider and I witnessed this all first hand. I also see large medical providers who also mandate the use of certain drugs and exclude other cheaper drugs. For example anti virals. There are many and their actions are essentially the same but my employer forced me to only offer one antiviral even though it interacted with 199 other very commonly used medications. The only reason I can imagine that we were restricted to that was that a kickback was going back to my employer for promoting and using a certain heavily promoted medication. I worked very hard to try and teach my patients to work on lifestyle changes, quit smoking, quit drinking alcohol, quit drinking so much coffee and tea, eat a predominantly whole food plant based diet, exercising daily or they were going to find that their full time job in their retirement years is doctors visits, handfuls of medications and buttloads for tests and procedures instead of playing with grandchildren, traveling or volunteering to help others. I retired because I could no longer fight the battle on so many fronts!
Pharmacist here, this guy is spot on.
As a psychiatric provider I routinely see patients' insurance deny coverage for the treatment that is most likely to help the patient and least likely to harm them, and make the patient jump through hoops trialing inferior or outdated treatments first. We're living through a mental health crisis and people are falling through the cracks, losing their psychiatric stability and functional capacity, and all these insurance companies care about is making more money. It's disgusting.
As a pharmacist, I can confirm.
Know anyone good in Nashville?
It's nuts. I'm disabled in California. There's a loophole that allows psych wards to pick & choose which patients they accept, giving no priority to severity or arrival. What this results in is disabled people like me being passed over potentially indefinitely. Legal discrimination of the disabled.
How much money do you make ? When you refer to inferior or outdated treatments , do you mean drugs that are off patent so less lucrative ? List some inferior or outdated treatments.
A mental health pandemic. Most people i come into contact with have broken operating systems. They cannot process or upload any new information. From the leaders of the country down to the homeless. You cannot help, teach or improve anything in this state. The children being raised right now will be a huge problem lacking many many basic human functions. #1 threat to National Security and not only is nothing being done, help is being withheld behind pay walls. The results are more than in. It's sad.
28 years in the industry. This gentleman is spot on!
28 year$ at the co$t of all tho$e Human Life$...hard to $leep at night?
so essentially getting sick in the US might be your death sentence?
Medical assistant here , I always knew this deep down I just didn’t know exactly how it worked. Nice to see confirmation!
9:25 spot on! I read a diabetes brochure and it is disguised as true diabetic care yet it recommends sugar/carbs to be taken all throughout the day to “balance insulin levels.” It’s to keep people on insulin meds & remain unhealthy.
This guy needs to testify in front of Congress and be on 60 minutes
And in true political fashion, nothing will be done
Many politicians have sold their souls to pharma. They work for their donors, not We The People.
@@vincentkingsdale8334beat me to it
They’ll just label him a conspiracy theorist spreading “misinformation” about health insurance.
60 Minutes? You must be thinking 60 Minutes fifty years ago. 60 Minutes has been part of the “system” and blatantly lying and being propagandists for Big Pharma since the late 1980s.
Insurance is literally the most blatantly greedy and cruel scam of all time.
Second most. The first of government
Vote for RFK then, at least give his speeches a listen
Soooo without insurance…what are you supposed to do?
Give us your money and when something happens maybe well give it back to you….maybe
@@tioswift3676im pretty sure insurance is the reason why drugs and medical care are expensive in the first place
As a physician, this is objective fact. Salute to Joe for providing access to these subjects in an open manner. When some of us take the time to explain this to patients its extremely depressing, because like he said, by the time you need the benefits, you've paid tons of premiums, only to truly see the limitations. Same happens to us and our families smh.
Makes me sooo sad for my kids , grandkids, etc future. No wonder cancer has not been cured
This guy is 10,000% spot on! From medications, to provider allowed services, to long term care…. Very very well done and well explained. Read the rest of the comments, as a lot are from providers like myself. We all went into the field to help people, yet daily are ruled by a ‘higher authority’ of allowed services, treatments, etc.
He is not 100% spot on, let alone 10,000% spot on. He is completely wrong on the PBMs' incentives for examples. He says the PBMs keep the rebates to themselves. This is not true at all. A major percent of the rebates get passed on to the group being insured. Am I wrong?
How do we change it?! It can’t go on like this!
Yes, policy rules over people... Doctors are pharm reps., first.
I worked in a pharmacy for 12 years and most if my time was spent on the phone with insurance companies trying to understand their "ways". But while doctors may be trying certain drugs for a patient to see how it goes,,, the insurance companies would demand that patients be "compliant " and forcing the patient to get 90 day supplies and discounts when they did. It was a truly perplexing industry. I understand alot more now.
@@mollyswanner1607my doctor knows this and only writes a 30 day. If it's good the pharmacy automatically makes it 90 anyway. Dumb but whatever.
I am in the medical field and this guy is spot on in regards to the oncologist income being based on chemo treatment.
I have heard of several oncologist who were caught over prescribing chemo! For God's sake. Greed is our worst enemy.
"For the LOVE of MONEY is the ROOT OF ALL EVIL"
Of course he's spot on, he linked the article...
Technically manslaughter if they died, is it not?!
My wife had colon cancer. They wanted to put in the port and do the chemo, and come sit in their office ($$) several times a week.
I knew there was a pill, a substitute. I had to do a lot of talking to get her the pills.
She took the pills, and had NONE of the side effects of chemo, and she's doing fine.....
There is a former oncologist in Michigan who is now serving 35 + years in prison for giving people chemotherapy treatments to people who didn’t even have any form of cancer! Some people died and some people will never be the same! This imbecile did this for 20+ years! Very sad 😞
This needs to be shared snd shared and shared until the comprehension is so great their is widespread demand for a solution!!
The entire healthcare system as we know it now, was a service creation, like taking goods off trains and putting them on trucks. These are schemes put in place to employ our multitudes. Schemes designed by finance, rubber stamped by our government. Our interstates were made for the trucking that was needed to employ mankind in U.S. that no longer made anything, just ships everything all over. Food, cars, everything used to cross the country on trains (each train 3 people employed). Get it!?! Healthcare is an employment scheme like the rest of the country. That’s why we only needed hospital insurance. You went to the doctor, and he put the pills you were prescribed in a white envelope with instructions. The visit, test and pills, all one doctor’s visit $20. That was in the 1970’s. We are all finance owned now. You can thank the de-regulating propaganda boys for every bit of this💩show.
My Dad, a WWII veteran, had little to say about his war experiences which placed him in almost every country of the eastern hemisphere. I remember one comment though. He said that I should feel very lucky to live in the USA because we are almost the only country that values human life. He died 1978. I am now a senior citizen and am having a very hard time reconciling his view. VERY HARD TIME.😢😢😢😢😢
Things change. In his time, it was true, but nowadays America is a different country, and we can't stay in this "American exceptionalism" illusion, because it will cost us more than we think.
Agree. Americans have less value than livestock going off to slaughter.
I payed $300 for a blood test without insurance, the same exact blood test was $1000 when I had insurance, and my co-pay was $300.
I’m a clinical pharmacist and work in a primary care clinic. It’s terrible to to have to admit it, but this guy is spot on with a bunch of this. It would be great to see more clinical pharmacists as guests on the JRE. I think Joe would find the different areas on clinical pharmacy interesting.
People don’t get sick from magical flying Boogey germs. They DEVELOP the “illness” following the resolution of the upsetting event that caused it. Just like they DEVELOP cancer. If you can’t “catch” cancer, you can’t “catch” anything else. The Germ Theory has been fraud for 110 years. Repeating it over and over does not make it true.
Wouldnt any of them need to be former pharmacists to be able to talk?
@@dcruzer1272if the pharmacist is wanting to work for one of the big insurance companies..then def retire first…otherwise, they can’t really mess up a particular pharmacist’s career that is working in a clinic or hospital. They would be a much bigger threat to a physician’s career since the physician is often billing directly under his name and not thru a clinic or group.
@@CorConsultRx thanks
Were you pushing the 'Safe and Effective' medical experiments? If your answer is yes, You are going to swing
I worked for 8 years as a financial manager for a large PBM/insurer. In 2013, PBM revenue was 10% of the company gross...when I quit in 2021, the REBATES alone were 50+% of our revenue. And yes, the company also bought everything: PT clinics, pharmacies, outpatient surgery centers....they own everything. And the amount spent on "government affairs" (lobbying) is unreal.The corruption makes The Big Short look like childs play.
I’m a nurse with over 30 years of experience. This is absolutely true.
I’m so glad someone else is speaking out about the corruption of the US healthcare system. Patients get so mad when they find out I don’t accept insurance, but they have no idea how impossible it is to live off of insurance reimbursements.
Absolutely true!
If you don't accept insurance, is your service affordable to an average patient?
We hear about the astronomical cost of "healthcare", and that is root driver of the current system.
Is there a solution that is economically feasible?
There are small, rural pharmacies that don’t take insurance and don’t stock brand name medications to keep the costs low. That and concierge doctors who you play a flat fee to once a year.
@pharmcat8484 Concierge? Is that the term I should use to find a doc who will accept cash?
@@pezlover88888luckily, I haven't needed doctors much but I'm pretty sure you can always pay cash. You'll likely get a discount because they don't have to do the paperwork of trying to pull money out of an insurance company.
What shocks me the most is that the general public knows this but we refuse to unit over such matters and fight the system. We forget that we have the power.
Absolutely
Do we have it?
@@hellfish6661those of us who don’t rely on these big companies for things like food and water and electricity and medicine. But realistically, who is that? What % of the population can really live without the help of the system? What % even wants to?
You can blame our media and our politicians for that and keeping us divided. Fun facts. Medical debt is the number one reason for personal bankruptcy filings in this country. Also, the healthcare lobby is number one in spending. Spends more than any other lobbying group buying our politicians. It doesn't matter how you align yourself politically. Left, right, center, wherever. The vast majority of Americans should be able to come together on this issue. Even with decent insurance, most people are one major illness or injury away from being ruined. It's a top concern yet never gets talked about.
I read comments like this all the time but usually the commenter does nothing to stand up to the system. They’re waiting for someone else to do it
Licensed health insurance broker here. This is 10000% correct. You have no idea all the cases I’ve seen with our Medicare clients
Advantage was a government plan to privatize, just like everything else, to make capitalism under services only, profitable since finance took their manufacturing to the most populated cheapest player they could cultivate. I really don’t understand why Americans can’t see what is coming for our nation. A dog eat dog mentality that is being used to liquidate the people, small businesses and our government. Our politicians are so creepy, as they bend over for globalized finance’s agenda. Finance is enslaving our nation, and ruining the health of all life on the planet.
My sister works for a big health insurance company and man all she does is talk about this kind of stuff and how sad it is and nothing happens , we just nod our head ands pray it won’t effect us or happen to us , they are greedy no good b4stards and we need to stand against them once and for all. Ireland , France, we need to unite
Thank you for sharing this! I think it's supply and demand... when we stop paying them to hurt us, things will change. There are many ways to heal and I believe we can all work together for a better way🙂🙏🏻💙
@@Zalien30 but they have made so many dumb Americans by their evil ways we are always going to be a minority
Worked in a Rheumatologist, Allergist Specialist office for 18 years. This is ABSOLUTELY 100 PERCENT TRUE!! Watched the Oxycontin crisis and the ObamaCare debacle and the Pharmacy business go from ok to HORRIFIC. Thank you for getting the TRUTH out there.
What's your take on Sinuva? Chronic rhinitis/sinusitis sufferer here
@@elguapo4536I took zinc to heal my immune system and I stopped getting sinus infections. It took a little while about six months before it started working. I guess my immune system was pretty unhealthy. Now I hardly ever get sick and I’m not a doctor. I googled it lol and it worked.
There never was a opioid crisis. Sick and injured patients were and are denied opioid pain meds. Doctors and nurses call many patients crazy for saying they are in pain. Hundreds of thousands of patients in pain have committed suicide since Obamacare. Thousands of doctors and nurses have been sent to prison because they couldn't stand denying their patients pain meds. You are called rude names and claims that you are doctor shopping and that your pain is all in your head. Many patients family members have attacked doctors and nurses for depriving patients of pain meds. Look it up.
@@calvinmurry1096it sounds like you've been watching too much Breitbart. Denying the Opiod crisis (which is still at full throttle) and blaming suicides on Obama is pretty ignorant. Family members should be attacking the insurance not the doctors. Just drive to mexico and get your drugs cheap.
being a cancer survivor i can attest to it being painfully obvious the plan is not to cure but to keep you alive and prolong as long as possible to make as much as possible
Glad you made it through. I keep telling people this all the time. I simply ask them “Would you rather have a million dollars now or millions upon millions forever? Change that to millions to billions and that’s what why we will NEVER have a cure.”
This was one of the most important interview I've heard in a long time. The money we spend on health care and not apply it to our retirement, but give it to these vampires is horrifying.
its fucking evil dude. Evil. its never, ever enough. billions and billions in profits stuffed into the pockets of the few as nothing more then a f'en GAME of Monopoly for rich people, thats all it is! stacking imaginary "currency" instead of measuring dicks. How many houses, how many Yahts, How many cars, how many ISLANDS is enough? its never enough. Never will be. We are lucky, our grandchildren are not guaranteed a life at this point.
In order to get a CT scan for an injured hip, I was told by my insurance company that I first had to get joint injections, six weeks of therapy and be on pain medication before they would consider letting me have the scan.
Worked for a pharmacy as a professional, was a top performer and to anyone considering a pharmacy career, make sure you have no morals and principles. If you do, you are guaranteed to lose them. Protect your fellow human beings by avoiding careers that are meant to impact them negatively.
People don't talk about that enough. Almost any sales job walks the line of morality. I always stuck to integrity, but I've seen some really foul things done for sales.
@@michaels_madnessfacts that is the truth of sales. Even in the fitness world
😢 this only confirms what ive felt over the counter. 🙌 props to you for staying true.
@@michaels_madnesstrue that..
All psychopaths and sociopaths
Our politicians know this is happening, but the money they receive in political contributions from big pharma and massive hospital groups outweigh the desire to help the common person. The system is so far beyond broken
🎯
My dermatologist suggested a prescription cream to take care of a persistent skin problem.
With my insurance, the cream would cost me $300 out of pocket.
The dermatologist called an out of network pharmacy and I could get the cream for $60 without insurance.
I use the GoodRx discount card. It's usually less than my forced Medicare pharmaceutical insurance.
Working in a large hospital system for 10 years was an eye-opener! When my allergies were acting up, a coworker suggested to use what she used. I told her that my pharmacist informed me that it was not covered and asked how she (since we had the same health insurance) got hers. Turns out that she went to a different drugstore - and not the one who OWNED the insurance company!
Another colleague, a surgeon, stated that he could fix healthcare in one day by regulating the insurance companies. He said that as long as the same people who own the hospitals own the insurance companies, nothing would change.
Very sound advice from Brigham to disclose/share as little as possible!
This was 25 years ago - and it has only gotten worse!
I’m a therapist and I refuse to work with insurance companies. They’re evil.
Good luck getting paid
Yeah, cause people are known for seeing therapists for years, paying thousands of dollars, and not getting any result. It's a bigger scam than drugs.
@@proof.120 All you have to do is set a cash price. My doc does the same thing. Everything is 50% off if I pay cash.
I think more and more medical professionals are going to go that route. Not all can, of course but the ones that can should. It will cost people less than having insurance with a $5000 deductible. The overhead for the medical professional will be a lot less. It takes a lot of people to manage all the insurance crap at a doctors office. And hospitals, oh, don't even get me started. There's more administration, then there is actual patient care.
Sooooo how do you get paid. Who visits a therapist who doesn’t accept insurance. I smell BS
I’ve been waiting more than 20 years for people to start talking about this
Thank you…finally
I’m an Independent Latino. Thank you Rogan. One of the best informative episodes ever!!! But yet heartbroken of the medical system in the USofA.
I've been in healthcare management for over 30 years and what he is saying is true. It's about the money first and patient second. Hospitals must play the financial game to survive. "Patient centered care" is not possible without financial success.
My wife suffered bad depression for almost a decade. Was fed a variety of pills which never worked or just made things worse.
She decided one day that if she was going to get better, she'd have to do it herself.
Fast forward to 4 years later. 100% better mindset, works in management, bought our first home with me and is a great mum to our 2 children. So we tried to get her life insurance. NOPE. every single provider wouldn't cover her because of her history with mental illness. I asked why they couldn't just put a clause in her policy to void insurance in the event of suicide and they said they couldn't as it would be unethical... no pre medical, no phone call to my wife regarding her history. She's just a liability that they can't make money off.
Insurance is not your friend.
A friend of mine had a spot of cancer removed and she can’t get life insurance either.
@DebraGill that's horrible! But, not surprising 😒
How did the life insurance company find out about your spouse's medical history? Did she have to provide this information to the insurance company voluntarily?
@@karpoganymedebasically, where i am, you give insurance companies permission to look at your medical records. We were upfront and honest about her history as they wouldve seen it on her records anyway. I was just taken back by the 0 correspondence between them and us. No psych evaluation or anything. And because she left the mental health system, her medical records said that she'd basically refused treatment and couldnt confirm nor deny whether she was still mentally ill or suicidal. I hope that made sense 😅
@@mainey1512 yes, it did! Thank you for explaining it so well. Also, kudos to your wife for making it through! I hope you and your family stay blessed and healthy! 🙏
Protect this man he is speaking the truth, and I’m sure the government doesn’t like him telling us this info.
The government clearly doesn't care; do you mean insurance companies?
My family is in Belgium and its the opposite there, healthcare is free and doctors are given uncentives and bonuses to keep people well including alternative healthcare.
Pharmacist here also own a retail pharmacy and compounding lab. Thank you for spreading the truth for us 🙌🏻
former CMA and medical office manager here of 14 years.. he is spot on. The medical field is a nightmare if you actually care about healing people and you aren't somehow still surviving has a private practice.
That’s why I left medical field never looked back. Medical field is full of unethical messes. Capitalism right 🙊 $$ profit over everything yes even your life
Is that profile picture a picture of you?
Edit: In hindsight I realize my question probably came across in a bad way. I asked because if that is a picture of you, you look way to young to have 14 years of experience.
Do supplement salesmen want to heal people?
This is one of the main reasons I’m so hesitant getting into nursing/medical field. I genuinely want to help ppl but from personal experience I know the field is corrupt. So many ppl need real help but all doctors want to do is put them on meds that they don’t need to be on just because it makes their pockets fatter. It would break my heart knowing that I can’t do anything to fix the problem.
@lilyouyou and fighting insurance companies to approve things the doctor wants to do... its rough! Honestly it's the people who employ the doctors also that twist their arms. Doctors in groups or hospitals are told what they can do, who to refer to, how to treat, even what intake questions they have to ask. When they are in groups and not independent they get very little freedom to do what they would want to do or even what they say to patients.
This man needs to be heard. Imagine all it takes to become a doctor, learn the business side, and ooen your own practice.. Overwhelming college debt, the years of school, sacrfice, study, internship, on and on.. Basically your entire acedemic life is devoted to being a doctor. Then when you have to operate by the insurance companies rules of course you will, what else you gonna do at that point??? Disgusting and sad😢
Then to take the hypocrisy oath 😂
Why do you think they make it so that you *have* to go into debt to be a doctor?
@@ShayShayChardonnay100b to Ukraine & Israel trains 100k+ physicians
A good friend of mine has been an oncologist at very prestigious universities/hospitals for years. This person is extremely bright and one of the good ones who truly cares about patients and developing better detection and treatment regimens. They're so fed up with the system and attitude of many colleagues that they just can't do it anymore.
Not only are they miserable, they're worried about getting sucked into the same mentality. This happens easier than you'd think. You don't always know what's happening behind the scenes and are often up to your waist in debt and other obligations. Believe it or not, many doctors start their education wanting to make a difference but the system slowly breaks many of them whether they know it or not. That doesn't mean they're all bad but decisions become heavily influenced. I'm sure most of us have seen this happen to a family members at some point in any number of industries.
As for my friend, they've decided to start teaching instead of gambling everything on a private practice. At least for the time being.
He is heard, it's the joe Rogan show lmao
I realised this as a Nutritionist interning at a hospital and decided at the end of it that I would never partner or be part of the sickness care system. Probably the most important guy you've ever had on!
As a pharmacy manager for 7+ years this guy is 100% spot on. The PBMs are running wide open without any checks/balances/regs and the patient is the one holding the bag. "Profiteering off your disease state"
My primary doctor said the same exact thing to me, THEN my eye doctor who has been in business 30 years said he is retiring out of the blue. I asked why and he said the game has begun and he is not playing. He said he sees whats coming just like this guy is saying but much worse. He literally is shutting down his practice with thousands of patients and would not sell to big corporate. He gave every patient a letter telling them to find an independent but would not refer to any particular doctor. This shit that is coming in the near future will have catastrophic consequences.
whats coming? doctor strike? explain.
It is something very very scary, but I am not going to tell you. LOL @@SloppyPowerFart5000
@@SloppyPowerFart5000I think what he might be saying is; corporate/profit motivated medicine is here and gone are the days of doctor owned/patient centered practices. But I could be wrong.
Please elaborate.
Previous medical Professional here, biggest reason I dropped out of med school and choose a different career was because healthcare isn’t about patient health but profits. Worked as a MA for 5 years while in school saw the corruption and decided to get out of healthcare all together. Also dealt with insurance companies for prior authorizations and pharmaceutical companies for patients they don’t care at all about their customers. I had to fight for the patient multiple times against insurance companies to pay for patients medications they rightfully needed.
Same left nursing in the 1st ywar when i saw all the politics and corruption involved ... its disgusting
It's not just healthcare, the entire system is corrupt and there is no longer any hiding the rot from floor to ceiling. I worked in radiology for a dozen years, starting at the last of what I would call the golden years before capitation and "managed care" came in with the first round of BS "healthcare reform." I left for law school. I've been a criminal defense attorney for the last 16-17 years and the "justice system" is just as broken and corrupted. These are all just symptoms of the declining empire. We do live in interesting times, for sure.
Same got laid off during covid while 8 months pregnant they tried to fight my unemployment. I would never work in healthcare again!!! Its all about the money!!!
Thanks to this person & many others who shine a light on these issues! 👍
What a powerful video. Thank you both for bringing this info to light. ❤
I've worked in health insurance software for much of my adulthood. It's disgusting. People's diagnoses are mined like it's a commodity.
I’m voting for RFK, hbu?
Same and you're 1000% right!
yes this is correct
@@letmewatchmyshowsTrump
@letmewatchmyshows what is RFK's healthcare policy?
He is absolutely right. Dr. Marcia Angell wrote a book called ‘the truth about drug companies’ unbelievable read. It broke my heart how many medications should have been home runs for the betterment of curing illness that were froze out because they weren’t profitable enough.
Vitamin C, UV IVs, etc....many nonpatented things. 😢
yeah, there are the theories about Cannabis too, apparently because its easy to cultivate, it is very against profit of those giant corpos, therefore their lobbyists did their job and made it against law in most countries around the world.
(i myself am not cannabis enjoyer, hell i hate that stink)
@@GhostAeonWolf Having had to be in the hospital to stay and advocate for a loved one...I can attest that they will bill over a million dollars but claim they don't have Vitamin C or that they can only give very, very small amounts. They use the cheapest form too. They also use feeding formulas full of seed oils, high fructose corn syrup, and synthetic vitamins. I no longer call it medicine, I call it Magic as one needs to buy into the illusion. Many people playing dress up in white coats.
That's why Lyme disease is decimating the North East. There was a vaccine and they nixed it because it was not profitable. It's criminal, plain and simple.
@@GhostAeonWolfNow, THAT'S the easiest medicine to make yourself. You dont have to smoke it. I work for a testing lab. Legal cannabis goes thru the same testing as other drugs and food. It treats many conditions and there are over 150 cannabinoids that havent all been tested because it's still federally illegal. It will be in time. They want the money.
Same here. Endocrinologist. This is spot on from what I see in practice.
Oh my God, it makes absolute sense, thank you so much for bringing this to our attention
With how Joe has these conversations talking about how the goverment, people of power and the insurance/healthcare companies all culude for profit, I do hope he stays safe. But also, I'm glad someone with his social standing, influnce and morality is willing to put this content out there. Much respect Joe. Keep going.
I don’t think government/major corporate entities, Care about Rogan, it’s not like he’s exposing shit we don’t already know, that being said, it’s still nice he’s not blind to it and will have these people on. I’m sure plenty of people Joe has on are some form of controlled opposition anyways
Yeah the other guy is a total wacko tho lol
People don’t get sick from magical flying Boogey germs. They DEVELOP the “illness” following the resolution of the upsetting event that caused it. Just like they DEVELOP cancer. If you can’t “catch” cancer, you can’t “catch” anything else. The Germ Theory has been fraud for 110 years. Repeating it over and over does not make it true.
@@DumbAmerican-gu2mz Spotted the fed
Dude Joe rogan is in the club lol they use him to rub it in our faces
The powers that be get off on taunting the poor that they are fucking us over and there is fuck all we can do about it.
Chronic pain sufferer and this video brought me to tears. It controls my life and navigating the medical system is so hard, it breaks me to hear that my care is secondary as the medical bills keep coming in from specialists who are supposedly my “care” team.
I’m so sorry for your pain and challenges. I’m a chronic pain sufferer too. And these past few years have taught me to take control of my own healing because I can’t trust the system. We are just a number. I pray for your healing and relief to live a joyful life.
try cbd/thc products
In 2004 I was diagnosed with Chronic Pain Syndrome, while living in NZ, after an injury to my spine and many years of tests. I lived with Migraines also, for 7 years. Upon returning to the US I tried to get treatment, like I had been receiving. But they did not even send me to a Neurologist and instead told me I had "Diabetic nerve pain, without Diabetes" and wanted to shuffle me off to the pain clinic. I put my foot down. I know if I take their hard meds now, there will only be harder meds or higher doses as life progresses. So I said loud and clear "NO".
Daily life is taken slowly and in chunks that I can manage, no rushing here. I rarely take anything, not even Ibuprophen. I do use CBD soap, balm, and other methods like tea and flower. It really works best. It has been almost ten years now, and I feel better for it.
Isha changed me and millions of others
Seas moss changes lives, inform yourself!
Thank you so much for this❤!!! Perfect timing🙏
My son is a type one diabetic and insulin is a necessity. I always knew something was off with the system because every year the insurance would have a new contract and we would have to change our test strips or insulin type. One year we had to switch from novolog to humalog. They are supposed to be interchangeable but we were having problems with the new prescription. The insurance company doesn’t care. If we used novolog we had to pay more because it wasn’t included in their deal. Our doctor made a request saying it was a necessity and we got the cheaper price eventually but the test strips prescription was impossible to change. I couldn’t explain what was wrong. This is it.
I have worked in pharmacy for 20 years. This is absolutely the truth! It's so frustrating. I am happy today because I am helping patients afford these astronomically expensive specialty drugs that they need. These are life-saving treatments for many people who don't realize there are options out there to help. I spend most of my time fighting insurance companies to provide coverage for medications. After they agree to that, a lot of the time, our patient's copays are unaffordable. Then we look for any financial assistance to come in and cut that cost down.
Yes me also I work in this industry it is horrible.
Yes, american system is broken. It breaks most of the people.
Love when Joe has truth telling guests on who only care to push the truth & expose sneaky lies.
Translation: I love it when Joe has guest I agree with on...
Bias confirming guests then
@@Thomas...191 i only agree with facts. Try again
@@Thomas...191 This is why big pharma loves free market healthcare. They are free to crush small business and patient care, divide and conquer. Canadian single payer makes the feds the big dog. Pfizer dances to the tune of the government, held responsible by voters. America loves being fleeced.
@@Thomas...191so...you agree with big pharma? I must be silly thinking this was a non-partisan issue.
Extremely articulate explanation. Thank you
This should be viewed a billion times.
As a nurse trying to get medications approved, this guy knows what he is talking about ! Doctors don't write prescriptions anymore. They have to write suggestions and the insurance company (not medically trained persons) say nah you can have this one.
Patients that have a WORKING medication suddenly have to change because insurance says so.. I could go on and on. 😭😭
Yes this happens to me every few months. I’m type one diabetic and they decide to switch my insulin- or suddenly deny it and my doctor has to write those approval letters that take FOREVER to be approved- at random.
Exactly correct
Medical oncologist here… amen to this! So much unethical behavior with PBM and various middle men in the insurance ecosystem. So corrupt 😢
This man is fascinating, knowledgeable, and a great speaker. He would teach an excellent course/lecture.
Thanks for sharing your Knowledge Joe you Are a True legend Much Respect From the Mejia Family
This is why I was so frustrated when, ten years ago, we were forced to choose an insurance company by our government, and penalized on our taxes if we didn’t.
I agree the Obamacare model was rife with this compromised bullshit
We need a few clear laws about this in the constitution or at least the legal federal code. I can stipulate but the facts are obvious if the precedents of absolute freedom don’t act irrationally
Correct and that was the proof in the pudding that Obama was just another corporate shill
Misinformation
Yep, I was penalized for not having insurance. $600 that year.
@@JohnDoe-zx9ulthis is not misinformation, this is fact. The only "misinformation" is your comment.
Healthcare Reimbursement Professional here. He’s absolutely correct. Mind blowing to me, as I came from the medical device world, about the CEO and the hip joint story but I can completely see where the CEO is coming from. That 90 day discharge period is all they look at now. To know they don’t care what happens after that is bone chilling. It means they do not care about the long term care of their patients. It’s patch them up and spit them out mentality. It’s going to get worse. That means for you and me.
My pharmacist helps me out when im short on cash and charges me exactly what he pays for plus a discount. Really is a great guy who immigrated here to America. Love that dude.
This makes total sense.. i quit nursing after 30 yrs of a caring relationship taking care of ppl in their end stages of life .. esp cancer. I had to end to my career with this reasoning that no one seemed to understand.. as i simply could not articulate in solid thoughts or words, as i thought .. maybe i thought too much into my thinking directly on this subject .. i seen right before i just up and quit my service .. like one say walked out .. i truthfully seen this coming as i watched ppl at the end stages get pulled from the proper care .. as in pain control, home care, Drs recognition as it once was, their out of l diagnosis acute issues for brief emergent care, even the 'new to nursing graduates seemed to not be geared towards compassionate care, was not there.. with no backing with DONs .. all of this maybe not so much the graduates. But pt care was unbelievably heartbreaking.. all of sudden their insurance said no .. via the physician s... that cancer ppt better not be put on that morphine.. or maybe we better decrease it to ... Whats the point .. all the care... I thought ok this person needs to be have their last moments peacefully .. as well as families need to see this .. i mean ..what? ...is this person .. going to become a junky in these last few minutes or days... That was the reasoning thee docs gave us... Now i know i had a reason.. i wasnt just tired...
Used to work for a medical device company. The amount of Doctors getting paid an "Honorarium" at 10K per event is insane. End of the year you send out the 1099's and some of these guys were pulling 100K to 200K a year in speaking fees alone. They also bought tons of product on credit and somehow would get away with not paying for it and instead would get rewarded with dinners and golf trips. If you want to know where all the greedy doctors go to golf, Scottsdale, AZ is where it's at.
You're being too kind. Many of these "doctors" are prostitutes at best.
Can confirm, Scottsdale AZ.
These are some academic docs. We regular private practice specialists don't even hear about these perks. Academic docs make the minimum and supplement with how many studies can get published. It's a horrible system we all hate. 🤬
I have worked for 20+ yrs in Healthcare at a "big pharma", a health system, and a diagnostics company.....this guy is 100% spot on. One of the BIGGEST DRIVERS of cost of care in the US is driven more by insurance and these supply chain middle managers...and the Affordable Care Act and many subsequent US Healthcare "reform" legislation have all 100% missed the mark and not touched any of these major cost drivers in the US Healthcare system....follow the money...
When has fed.gov ever actually fixed anything?
Who writes the bills? - The lobbyists for whatever industry is being affected.
I've been dealing with this health system for 3 years now and I'm just finally getting a spinal cord stimulator hopefully i will be able to get off the pain meds. I've been fighting with disability this whole time and i can't get help from a system that i paid into since i was 16 but people who never contributed can get it no problem. I regret working and being a good productive citizen.
Listen to the entire interview. Wow.
Your guest was so articulate he explained it so well - wow! Thank you Joe for sharing these kinds of guests on your show.
I agree
This needs to be shown all over the US
So how can we make sure we are getting the correct care?
I worked in city government 33 years before retiring. Among the programs I started was collection kiosks (like a larger version of a mailbox) at our local Senior Center to collect unused/expired prescription drugs. You would not believe the quantity of drugs we collected from those seniors every single week. The kiosks constantly being filled up. It taught me two things. First, senior citizens in our age are drug addicts. Second, WAY too many drugs are prescribed. All those meds cost medicare (taxpayers) millions of dollars over time. This was one city of 80,000 people. Imagine this at a national level. All the waste. All the drugged out seniors.
100% agree with this guy. I've seen the inside of a health insurance company with an IT perspective and did not appreciate the way the business end operated.
I concur
I’m a nurse and these insurance companies dictate what we can and can’t do, meds we can and can’t prescribe, tests we can run and can’t run… it’s nice to talk about it but we need to do something about it. Why have doctors and nurses when the insurance company is all knowing?
Why do you think hospitals / pharmacies pop up where there is a geographic older population. $$$$$.
Crazy I've had family who have passed of cancer. Every time when I ask" what's the end game" all I've heard is " well we are going to do chemo" but to what end. Then what. All for profit and have always said this.
One of the best clips joe you have ever had. The info in that clip was phenomenal. Salute to this gentleman
In December of 2023 I was diagnosed with a hernia. My primary care provider sent me to the local hospital for CT scan. The total amount would be $3700.00 dollars. My portion would be $715.00 using my insurance. When I asked how other facilities were charging less than $500.00 for the same procedure I was told that the hospital was well within the normal range for like facilities. The primary care provider leads people to these hospitals to get fleeced! I paid $460.00 for the procedure at Vision imaging. The ACA or Obama care, what ever you want to call it has exploded the cost of every aspect of health care in this country.
Facts! My fiance works in a pharmacy now for almost 10 years and she sees exactly what the insurance companies are doing. It's sad as hell
I’m voting for RFK he addresses this
@@letmewatchmyshowsTrump
She still works for them? What's even worse, she and other people like her know it's evil but still take that blood money.
In a recovering pharma rep that literally had to leave due to extreme corruption. I make less now but I can sleep at night.
So true. I have major medical coverage, just enough to comply with ACA. All else pay cash for. In my 60s, my doctor has never once told me to get a colonoscopy, mammogram, pap, prescribed statins... there is no $ in it.
Incredibly sad, thanks JR for this clip