Paying doctors | Health care system | Heatlh & Medicine | Khan Academy

Basics of how doctors get paid. Created by Sal Khan.
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[@justinbecker4976]

Please let the guy finish his sentences and/or points he's making. I'm sure he has an end point in mind and will not go on forever. The "right, right" is very distracting.

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[@kfeargri]

The videos are very helpful, but find the 'interviewer' annoying in that he cuts off Prof. Baker frequently when he is speaking, often when he is making key points. Would find the clips less distracting if the interviewer acted as a better listener.

[@VM-wt3ti]

Sal needs to stop interrupting him

[@josemauriciogonzalez7835]

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[@t0mq]

Right. Right. Right. Right. Very distracting, right?

[@crusty92]

Yea one teacher all that's needed here

[@Luis-xr6ec]

Right

[@gc-hn4ky]

He's right, stop saying right so much. It is distracting.

[@kemcmah]

I worked in this area for years - the better terminology for this would be 1) Productivity based comp model ( cash collected, RVU's etc). 2) a fixed salary model 3) Salary plus perfomance bonus (based upon a wide variety of things). The confusion with this instruction is that he is confusing how a medical group gets paid versus how the actual physician gets paid. An example is the group is capitated but the doc may be paid by a mixture of productivity and straight salary.

[@DottiConti]

The interviewer's comments are unnecessary and misleading, specifically about doctors choosing to conduct more procedures/images in order to make more money. Sure, there are doctors who use the system (like "order that CT to pay for college tuition"), but the majority of us practice medicine for the patients. Actually... I (a Family Medicine doctor) don't make much money for ordering CT scans, and neither does the Radiologist for reading them... the Radiology Center does. To be more specific, the Radiology center's administrators make the bulk of that money. Implying that this behavior of over-prescribing might be a norm amongst us doctors is wrong, and it oversimplifies the whole issue of overuse of medical interventions. Entire books could be written on this issue, alone. The faults of the healthcare system seem to always be placed on the doctors' shoulders, but we're just cogs in the wheels of a very screwed up system.

[@christopherhardin1848]

Sal never said he was talking about the majority of physicians.

[@healingispower2968]

Great information! As a Medical Assistant in the making I like to educate myself I'm currently learning about the insurance part of it, right at the finish line!!!

[@MKelements]

Even the best of us need reminding. Thanks a lot for free content.

[@iamthepkmaster]

More people need to see this and understand this before we can make an educated decision about socialized healthcare. Not enough people are responsible with their vote.

[@foremount]

Thank you for the video. These sort of stuff are hardly discussed when someone wants to be medicine.

[@rishimetawala]

Ah. Great video. Just a bit disappointed that Khan doesn’t let the person talk completely. A lot of times he says something really interesting and Khan just interrupts.

[@LiaCioni]

This video was really hard to follow with the interviewer constantly interrupting and saying "right" which is unfortunate because this is really good information.

[@SunilSethiRE]

the problem with fee for service is that there is no posting of the fees upfront, like a mechanic's shop is required todo by law. If doctors fee for sevice rates were posted, consumers without insurance could shop for a doctor like they do for any other service provider.

[@donnacollins6902]

It's important to have some kind of insurance, even the cheapest. then you get the insurance company's contracted rate with the doctor or group or especially hospitals.

[@renaisamd]

Great info. At times hard to hear w the host over talking the speaker redundantly 😢

[@dreinertson]

Ten years of hard college classes, $300,000 of school debt, 24-hour shifts in residency programs, and you make less money than you'd think.

[@kathyreed6337]

helpful explanation of payment systems

[@asrr62]

right right right right right i see right right right right

[@pacifist356ermek3]

great talks, thanks

[@emeraldkimble7602]

HMOs are mainly capitation

[@lrs1675]

in capitation, if a doctor orders an expensive test will the amount be somehow deducted from the doctors fee for that patient? Who pays for the investigations?

[@NoodyAlhothaly]

Very informative video. Thank you guys.. i like this way it makes you concentrate more

[@northcarolinaname]

jesus... can the interviewer please stop interrupting...

[@dudewitgunz]

Thank you :)

[@Rawrlor]

@ro33han No, because learning fractions isn't analogous to learning surgery. Fractions are so easy that children learn them in primarily school while surgery is so difficult that only graduate students that pass multiples exams are ever taught it.

[@courtniebreland8911]

This is great information and broken down very well. BUT this interviewer is horrible. He interrupts the speaker way too much. Why ask a question and don't for his answer? He is super rude and annoying.

[@Gryzounours]

nice video but no 720p ? :(

[@dizzolve]

Healthcare and Decapitations

[@alexnjafari]

The 'next lesson' link in the description is not working :(

[@The88Nomad]

haha I can already imagine a med-doctor screaming: "I want my payment, FFS!"

[@moestietabarnak]

I don't know if you already did, but you should do a comparison with other country Khan. So many of your population are so much misinformed about those.

[@SlamminWolfgang]

I like how this is so much longer than many of the Khan Academy physics videos, almost like the healthcare industry's set up this way on purpose to gouge consumers desperate to not die or something.

[@MrSpiritmonger]

well, based on pandemic's dismissal of public health prevention (masks) and overemphasis of curative silver bullets (vaccines), they really do want to spend on high-value acute medicine rather than low-value preventative things. And that's why US healthcare outcomes (aside from cancer) is among poorest in developed world for the money we spend.

[@Rawrlor]

@ro33han Go to medical school to learn medicine. Do you think the Stanford doctor will teach you surgery on Khan's network?

[@rickgratton1477]

Everything to do with physicians ,, nothing about support employees,, last 12 years ,, support employees got 1.60 raise ... ,

[@donnacollins6902]

Insurance bureaucracy has caused practices to require much more in the way of support staff.

[@Junoncross]

Baker is still wrong about the relative problem of over-utilization. Under-utilization is more costly and way more common.

[@donnacollins6902]

Actually, I think I have seen more over-utilization (of labs, scans, and tests of all kinds) due to legal liability if something is missed.

[@hedonism13]

@moestietabarnak Well, up until just recently, all of Sal's vids have been in HD. Now that he's getting more and more famous, you'd think quality of video would go up. Not down.

[@moestietabarnak]

@Gryzounours you want to look at a drawing board in hd ? geez you really don't care about bandwidth.

[@nathasa79]

The interviewer is annoying like it would have been much more interesting if the other guy wasn’t apart of the explanation because u start missing the points of things.

[@The88Nomad]

haha I can already imagine a med-doctor screaming: I want my payment, FFS!

[@SphereMaster001]

It's weird to hear these guys talk about this in such a business-like way. The average person would be spending most of the time talking about which payment plan is better for patients. Crazy how much your perspective on something changes when you're actually a doctor.

[@asrr62]

yes they are morally bankrupt the same morals of a company that kills people

[@WorthlessWinner]

wonder how NHS doctors get paid (probably a mix but what mix?)

[@stineygirl]

Stop interrupting the doctor and let him explain the concepts fully. You butt in then try to explain it or even complete his sentences and you are wrong, very distracting.

[@rachaelarabian3600]

Your ability to receive care, medication, and rehabilitation is now dictated by your insurance. There are now daily co-pays on rehab facility stays up to $250.00 per day. I guess an 85 year old patient with hip fracture "needs a check" to make sure services aren't "over-utilized". Physicians no longer have a say in the medication they prescribe, frequently denied basic medications for their patients. This is no longer "ensuring unnecessary services", this is a money-making scheme. Government pays insurance, patients pay insurance, employers pay insurance, and somehow...healthcare is still unaffordable by most. Terrible representation what's actually happening. WE DON'T NEED INSURANCE COMPANIES!!! We need providers (you know...those people who have medical degrees) determining what patients need...not some joe in an expensive suit sitting behind a computer.

[@HarryWuHexza]

Sal is ME...

[@baljeetgill3738]

Terrible moderator, please let the guest finish his sentence

[@Tendertroll1]

I am confused. Headache. No wonder our healthcare system is screwed up

[@AllstarAG9]

Terrible guys... really really... I’m kinda mad I watched this..not as bad as Antonio Webb’s video.. that’s a complete joke but really second dude who keeps commenting is killing this all. Everytime u get going he makes a joke.

[@jenno5555]

Sal could you just let the dude talk, your making him nervous 😓

[@somedudeIknew]

should the government be involved in Salary Pay.......????

[@SYWPiano]

I cannot stand the interviewer, it’s so distracting...

[@medikitnepal]

Your right is in wrong time .... very distracting..

[@HotPepperLala]

ffs

[@The88Nomad]

HOOKERS also ask 'Fee For Service' they also happen to "F**k For Service"...

[@The88Nomad]

HOOKERS also ask 'Fee For Service' they also happen to 'F**k For Service"...

[@yasminej97]

"Interviewer" : you are annoying and a little bit rude. Let him talk and listen more! gosh

[@ThePeterDislikeShow]

Why do Doctors make so fucking much?