It's so sad that America is so far behind the rest of the developed world with offering healthcare services as a right to their citizens. America doesn't have a healthcare system, it has a healthcare business. Healthcare is a human right, not a privilege!

@zbaby82

Жыл бұрын

But in some countries with universal healthcare some say the waiting list and wait time is too long.

@joeblow5087

Жыл бұрын

​@@zbaby82 No buts..... Waiting and getting health care is better than going without health care.

@e.g.4483

Жыл бұрын

@@zbaby82 As if never being able to afford to go (ever) is better? The American system is only for rich people who can work or don't have to. Thousands of people die every year of preventable diseases because they couldn't afford preventable care. Pricing people out is shameful

Thanks Dr.Ricardo Nuila; you are an inspiration. It is a shame that the 'richest' country in the world does not deem it important to offer basic healthcare to each and every person, but instead prioritizes profit over well being.

Just had a discussion with a friend who was in Copenhagen in 1983 about how well he was taken care of when he got ill while visiting there at no cost. The for profit system and thousands of lobbyists and bought and paid for politicians have kept the USA from doing the same. Tax breaks for the wealthy, big corporate bonuses, paying dividends to the shareholders are all more important than health care for all in the great USA

As a healthcare provider myself, this resonates so deeply. We need to listen to the stories of people who are actually working in the system and know firsthand the depravity of the system we operate in. Every time I think about quitting from burnout, it just boils down to systems issues that often wouldn’t exist under a single payer or universal healthcare model.

@shellyadams371

Жыл бұрын

I was at an Airway Management course about 10 yrs ago and had lunch with doctors from Canada, Australia, Great Britain and Norway. They were eager for me to tell them about our amazing health care system. They asked, “what would happen in this scenario” about multiple medical situations they complain about in their own countries. At the end of the lunch, the exasperated Canadian doctor finally threw up her hands and said “That’s not practicing medicine! That’s barbaric! You need to quit and move to Canada!” Only problem is, they won’t take us…lol

My first “reality slap” patient was a woman from Mexico in her 70’s that had come to Houston to live with her children when she became too ill to live by herself in Mexico. Her children were all US citizens but she was not. So when it was determined that her current debility was due to her kidney failure, I, as a young resident physician, was told to inform her and her family that she was terminal and was being discharged home to die. She could not afford a kidney transplant because she had no insurance, and she was not eligible for dialysis because she was not a US citizen and therefore she was going to die…not because she couldn’t be treated, but because she was too poor to pay for the treatment. The public needs to understand that EVERY doctor in America had their reality slap patients during training as well. EVERY ONE OF US has been forced to watch patients suffer and die due to lack of funding, not due to lack of medical capabilities. This is not new. This has been part of system all along. So when you talk about physician burn out, keep in mind that a human being can only face this kind of inhumanity and be unwillingly complicit in this level of inhumanity for so long before you either quit medicine or quit being a feeling human being. And now, post-COVID, we not only feel impotent but we are also reviled by the people we are trying to care for. So yeah….burn out is a thing…and yet we keep showing up for work and caring and loving and committing ourselves to the people we swore to care for with all the compassion we can muster….guess that makes our entire profession one big group of masochists 🙂

@reneeseance5367

Жыл бұрын

This is so spot on. It’s impossible to live by the Hippocratic oath when the system is inherently harmful. I feel like every other healthcare provider I talk to is beyond emotionally and mentally burnt out. We are not meant to function this way.

@kathyq6167

Жыл бұрын

🎉🎉 👏 👏👏👏So, so eloquently stated. Thank You Dr. for ALL that YOU DO!! We give of ourselves at our own risk. Much gratitude from a commiserating Frontline worker.

@shellyadams371

Жыл бұрын

@@reneeseance5367 At least the dysfunction we’ve lived with for so long is being exposed more to the general public now. We’ve watched the creeping rot grow for decades and maybe now we’ll live long enough to see some change👍

@fredericrike5974

Жыл бұрын

@@shellyadams371 Don't just wait- it will take the work of many to get this done and it will take the work of many many more to make it happen- most of that will have to come from the practitioners and the state funded colleges with medical programs. It can happen, but it will take a lot of folks shoving the process along to make it so. The deal many educators are getting in our public schools- poor support funding and constant hectoring from the Gov and nothing but sorry "directives" written by "esteemed politicians" who don't know jack about ed or even children. Reach out your hand, Shelly, Renee- there are others ready to grasp it, to add their shoulders to your cause and hope you will lend yours to their cause.

@shellyadams371

Жыл бұрын

@@fredericrike5974 You misunderstand me. I do not have a cause….I live this reality. We do fight the good fight….every single day with every single patient. And we have learned the hard way that we can’t do it alone. We’ve been fighting all along behind the scenes without anyone knowing there was even a fight to be had. My point is that there is not enough time in the day to be a practicing physician, a political activist, a legislator, a lawyer, and a hospital CEO who actually gets to make the important decisions all at once. I personally can not be all of those things. Simply sticking up for your patient doesn’t work. All it does is get you fired. We have medical associations who are supposed to fight for all of us that take as much money from special interest groups as any senator or congressman. We have a populace that blames doctors’ greed for all the spiraling cost of healthcare, and look at our profession as the enemy now. We have to fight our CEO’s, fight our lawmakers and fight our patients attitudes and mistrust of us every single day we work….and somehow STILL give good care. What my point was that we HAVE been fighting and that’s WHY burnout is so high and our mental states are so ravaged. We have been fighting alone and mostly in silence for decades. But in order for us to win, we need allies, supporters, and fighters to stand with us who have more power and more energy than we ourselves do. We have to change our economy, our laws, and our attitudes about health care en mass as a culture to make headway. Medical education is not where the changes need to be made. Schools simply teach what is need to survive in the current culture, they do not dictate the culture. We need others who have the will to reach out a hand to us…if that happens, I’ll shake that hand right after I finish sewing up that dog bite, treating my stroke patient, and holding my patients widows’ hand for a few minutes. And to close out my rant, I do honestly appreciate your sentiments Fredrick. I too once believed that gathering enough like minded good people together in common cause was enough to change the world. I do feel and appreciate your enthusiasm and you encouragement. But it takes planners, and spokespeople, and powerful political Allie’s and the lobbyists to create those Allie’s, not just hope and belief in the goodness of people. It takes a movement. I have considered giving up my profession to become a political activist, a lawmakers, or a corporate climber in order to attempt to change our medical climate. But I was not willing or able to abandon my patients in order to do that. I am not unwilling to spend my energy doing what I can to facilitate change. But my patients come first and always will.

We need a free hospital in every city and town. And we need free universities to create the doctors and nurses to staff them.

Yes. It can. 90% of the developed world already does this with universal healthcare.

@katsong3302

Жыл бұрын

they understand People are the reason for the country, the resources taking care of people are an investment, caring is innate unless they are trained out of it. something dastardly must have happened for settlers to have been unable to share, disregarding the first nations people…. patriarch misogyny can’t see anything but money.

Stop asking this stupid question. We can do whatever we REALLY WANT to do. Yes. Yes. Yes -we can give everyone healthcare. When you ask that question what you’re really asking is can we give everyone healthcare and still make a s**t-ton of money off their suffering. NO. The for profit healthcare system HAS TO GO.

I wished that he had addressed the ridiculous amount of overhead, ie: administrative ‘service’ and exorbitant salaries paid to superfluous staff unrelated to patient care.

Bravo! This what Public Health looks like. It is open to everyone, no matter your income. We must go in this direction. Algorhythms can only be the start of diagnosis. That's why private insurance & hospitals use them.

Health insurance in this country is run the same way as organized crime. If a corporation and its shareholders make money on people being sick, there is no incentive to promote health. I refuse to pay for health insurance. I pay out of pocket for visits, diagnostic tests, and labs and when I get the bill it lists the insurance price which is hundreds to thousands of dollars more than what I am charged. I put the savings from deductibles, copays, and premiums in a savings account and a high-interest CD. I have PIP added to my auto insurance, I use pharmacy discount programs, and if I need catastrophic care and can't work I can apply for temporary Medicaid or indigent care which I already contribute to with taxes. I use doctors who have independent micro-practices and charge very reasonable rates. My doctors and I are not at the mercy of corporations making medical decisions or refusing coverage. It's very liberating. I don't think people realize how affordable it is to self-pay. I hear horror stories of insurance denying cancer treatment or life-saving surgery because AI processed the claim, or people waiting years to get approval for necessary procedures. Just because you have insurance doesn't mean you're covered.

Several other western democracies have health care systems that provide excellent health care with better health outcomes for every citizen at about half the per capita cost of what our country pays. With our problem of entrenched special interests in the health care industry, I doubt we will ever see anything that approaches the excellent systems of these other democracies. Fortunately, I have excellent VA health care.

In 2023 the USA does not have a "Healthcare For All Work" shows just how bought and paid for of both wing$ of the US Corporate Party by Private Corporate Insurance. Much poorer countries have had "Healthcare For All Work" since the 1960's with much better Health Outcomes.

@fredericrike5974

Жыл бұрын

Brought on by the exigencies of a destroyed Europe after WW2. There was no health care and there was no money in or even to circulate. BTW, many of the Marshall Plans officers were pretty conservative in their time. Community collective healthcare was the only solution they thought they could implement soon enough to prevent a huge European die off in the post war chaos. And your comment about the corporate take is 100% spot on; America's healthcare system is awash with cash, has been for decades- but much of that money is soaked up by huge executive salaries, stock premiums and "other costs" before we get to the part about healthcare. Britain's NHS is one of those created in 1948.

seems to work fine elsewhere

Health Care should not be driven by greater and greater profit. This system is designed to generate profit by making the fulfilment of care so complex. A complex commercial drug delivery system. A partitioning of medical care. An insistence that we are doing the best we can.

The same funding source as public schools. That's as it should be.

All medical personnel should be paid on a salary. Not by procedures.

Where is the safety net for people with health insurance?

@kerinwills

Жыл бұрын

ikr

WHAT a STUPID Question. Can only be asked in the U.S. Amaaaaaaaaazing, like you use to say Ms. Amanpoor, to things that we all usuelly, say to thinks that are awfull by real😆😪

Does capalistc healthcare work? Healthcare turns wrong when politics - either side - tries to gain control. Healthcare is not earned.. It is one of the basic principles of humanity.. We take care of each other..

I wish Congress would make tobacco products illegal. That would prevent a lot of cancers. And maybe free up a lot of hospital rooms.

You mean like it already does in every other country in the developed world? Yes, it probably can once you remove all the blinkers.

We cannot "come together" as long as the Republican Party exists. They are our only problem. As for doctors and other medical personnel speaking up, it's way past time they did so. Grow a spine; make some noise; solve this not just for patients, but also for yourself and your country! Dr. Nuila is doing it; how about the rest of you?

@shellyadams371

Жыл бұрын

I have the same complaint myself everyday…and then I realize I just got home, I haven’t eaten anything in 12 hrs, I really need to pee and shower, and then I have to sleep for 5 hrs before I start it all over again:). Advocacy requires time and energy. We can help, but we aren’t gonna manage it all by ourselves

@tomsweder7459

Жыл бұрын

Physicians for a National Health Program has been around since 1988. Google PNHP. Doctors are more supportive Medicare for All than the public at large. Plenty of us are trying to help the public, despite themselves. But I guess the problem is that we are a bunch of lazy cowards 🙄 I worked most of my career at Cook County Hospital, the Chicago equivalent of his hospital. The problem is not that folks like me don't want to talk about advocacy, but that the media and public at large don't want to hear about "the poors"

@virginiamoss7045

Жыл бұрын

@@shellyadams371 I totally hear you! I witnessed it in my two recent hospital stays. It's the doctors who seem to have plenty of time to play golf and vacation who I'm aiming at. Maybe I'm wrong, but patients are the least able to advocate due to unfamiliarity with the inner workings of the complex industry. Big changes need to be made! I'm doing my small part as an independent voter actively supporting Democrats; I will never, ever vote for any Republican again for the rest of my life, no matter how wise and great they are. Put on that mantle and you are the enemy of morality, decency and democracy.

Europe is happier and healthier.

The algorithm can be annoying and not always correct.

@kerinwills

Жыл бұрын

Almost every experience I've ever had with a doctor has gone exactly as he described.