Responding To YOUR Hottest Medical Takes

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[@maggiep6605]

As a cancer researcher, if cancer was cured tomorrow, everyone I know would be happy to find a new area of science to work in.

[@Absbabs88]

It's not the scientists that's the issues, it's the drug companies.

[@agure4061]

Cool, you don't make the money. The pharmaceutical CEO's do.

[@maggiep6605]

@@agure4061 They don't do the research. They wouldn't be able to keep it a secret somewhere with all the testing that is required. Too many people would be involved and there would be whistleblowers.

[@abbodabbo6863]

Oncology nurse here. I’d gladly find another nursing specialty!

[@novamagician2425]

Im pretty sure that even if a cure for cancer is found, there will still be research to be done to find cheaper or more efficient ways to administer the cure. Also, insurance companies are the ones that control the prices of drugs as they are the ones that negotiate the pricing of drugs and medical procedures

[@SydTheSquidneyy]

Hot take: dental and eye insurance should fall under health insurance. They all relate to health and whats inside our body. Health insurance should provide for dental and eye necesites.

[@SydTheSquidneyy]

@@Devilsadvocate23 100% I agree. Insurance is so so stupid

[@M13]

In Taiwan you pay about 30 bucks a month for health insurance and it covers absolutely everything from dental to eyes to psychiatric.

[@LuiZ-jy1pi]

not hot take, just obvious: the more things you add to the insurance, the higher the cost will be and worse the system becomes. There's no such thing as free lunch, the insurance companies should be free to create and offer different "bundles" of health services that are covered and price them accordingly, and then the client picks the ones that benefit them the most. Here in Brazil we have ludicrous regulations on private health insurances, every year some groups go to congress to lobby for more and more mandatory coverage. The health care plans can't even make distinctions between genders and ages, which is INSANE. Imagine the insurance for a competitive race car costing the same as the insurance for a car that a middle aged man drives in a small town. That's what the regulations do. What ends up happening is that prices are absolutely prohibitive for young and healthy people, which lead them to drop out, causing insurance companies to have more and more of the oldest and sickest people enrolled, which in turn make the cost even higher, causing more people to drop out on the other end, and then the snowball effect is set in motion.

[@coconutstory]

Sigh. Wish my fellow Americans voted for universal healthcare.

[@Krushx0]

do you have any idea how much pain and inconvenience and freedom loss that introduce in your life? No sane business person would give people car insurance if your driving behavior constantly damage the car every day... or you would have to pay an insane amount. Life has many aspect don't just see from your point of view.

[@bleachnbones7107]

I absolutely hate when people shame others for deciding to put a disabled or elderly family member in a care home, saying they're abandoning them or that they're a horrible parent/son/daughter/sibling. Because the vast majority of times they clearly have absolutely no idea of what it means for a family to deal with that kind of situation, where everyone, and I mean truly everyone, has to step in and dedicate a good portion of their life to caring for that person. It's not just hanging out and spending some quality time with grandma, it's having no day off, it's washing them and cleaning them and feeding them and keeping them busy, happy and entertained 24/7, organizing meds, doctor visits and planning care turns, physically moving them if they're unable to, depending on the severity of their situation also dealing with violent outbursts and temper tantrums, getting insulted and pushed around, seeing their mental state deteriorate in front of your eyes while knowing you can do nothing to help them. It's feeling guilty and powerless, and constantly wondering if you're doing it right or making things worse. It's hell. You love them with all your heart but it's hell. And I will never blame anyone for deciding to take a step back and prioritize their own wellbeing and mental health. Because if I ever got to the point of being unable to take care of myself I would want my relatives to do the same

[@tollkirschearkham3508]

In a situation like this, I would also be worried that I don't have the stomach or the nerves to help with a person's care. I would be constantly stressed out about whether I gave them the right pill if any of them look similar, I absolutely could not give injections or do anything related to stuff like colostomy bags because I'd be afraid that I'd somehow hurt them or mess it up, etc. And it's got to be so embarrassing to have a close relative bathe you or wipe you.

[@margodphd]

100% agree.

[@bleachnbones7107]

@@tollkirschearkham3508 after a while you get used to the physical things. The hardest to deal with is the psychological stuff. Because not only are you dealing 24/7 with the regular hardships and challenges of things like dementia or other mental issues, but the person who's experiencing it is someone you love so it can get extremely difficult emotionally speaking. You eventually adapt and learn how to behave but you never truly get over it, especially when it's a degenerative kind of disease and you know it can only progressively get worse

[@galeforce3192]

I work in assisted living. I don't work at a home for geriatric residents, but even based on what higher-functioning residents might need, I refuse to judge anyone for making the decision for putting a family member into a care home. I imagine that it sucks making that decision, but if caring for this family member is affecting the quality of life of everyone else in the family, then it's probably time to leave this person's care to someone who's specifically trained to take on that sort of thing.

[@TeacherMaycol]

I've been going through something like this. My mom is 62 years old and she's got a plethora of things. She has rheumatoid arthritis (which we have been dealing with since I can remember) she's a pre-diabetic, hypertension and last year unfortunately she got the shingles which has been her decline. I'm a 28 year old guy and I'm pretty tough for any scenario but this last year has been hell for me. She needs help with mostly everything, not only do I care for her and take care of everything in the house I also have a job to support us. I'm lucky enough to work from home (I teach English and Spanish online through zoom) which I'm extremely grateful for because all of my students understand sometimes if I have to step out for a couple of minutes or if sometimes I'm just mentally drained. These past two weeks I've been considering taking her to an assisted medical facility where she can get 24 hour care and all of her needs are met. It's a struggle with my mental health because I wish she could be better or I wish I could give her a better life. I'm exhausted sometimes and I don't have family to lean on so all I can do is just work my ass off and hope that tomorrow is a better day. I truly wish things were different, it's my mom, she raised me as a single mom and gave me an education for me to be able to support her but sometimes it's too much. It's sad seeing your parent who you believed to be a super hero, seeing them all down and just sucked up by illness. Parents can't last forever but I wish she didn't have to suffer so much, I wish I could take some of the pain away, I wish she were happy and resting pain free. I agree with what was said and anyone going through something similar, sometimes we are dealt bad hands, it's not your fault or anyone's, sometimes life is just cruel that way.

[@h3llr4iser1]

Hot take: Relatively young and otherwise healthy patients often aren't given the due consideration when they first report encountering health issues; many doctors and nurses automatically assume complaints about not feeling well to be borne out of stress, panic attacks, bad habits and so on. This is especially true when it's something intermittent and that has cleared up / is not happening when you get to the doctor's office. Personal experience: had paroxysmal Afib for years and it was always blamed on stress or "panic attacks". It took an hours-long episode and it being caught on EKG at the ER to finally convince everyone I was not making it up - and even in the ER, the nurses kinda went "tut-tut" at me when I described my symptoms - until the EKG machine spat the printout.

[@KMx108]

You don't have to be young to get that treatment. My bladder was not squeezing properly. I was in my 40s and was treated like I just needed to be reminded how to pee properly. When I kept complaining, I was told I probably wasn't potty trained properly as a child. I was also told i could simply be stressed. The reality was I had a B12 deficiency. My parents got a good laugh out of being blamed for causing a problem after decades of zero trouble.

[@Bookluver29]

There are big issues globally with women being disregarded by the healthcare community when reporting symptoms as well. This goes back to not only societal misogyny, but the evolution of medicine being based primarily on the study of male patients, who can often have very different presentations of the same issues. Youth and age bias also exist, as does weight bias. I, personally, have struggled with the healthcare system most of my life, and it's only recently that I've been able to get solid diagnosis and consideration - and that's only because I was able to get enough therapy for my depression from being societally gaslit into thinking that everything I experienced was 'in my head' to finally make the effort to find a GP that would actually listen to me and trust that I wasn't making things up or just get to the end of the diagnostic road and give up. Silent and Chronic Illnesses, too, make things even more difficult. I was diagnosed when I was still in middle school with Chronic Fatigue Syndrome - which is what you get diagnosed with when every test comes back 'within normal range' but you still have undeniable and tangible symptoms. It's only now, with the emergence of Long Covid that the medical community at large are finally realising that Chronic Fatigue is a valid issue. Facing the scepticism of doctors, friends, family, teachers and peers for most of my adolescence was absolutely shattering to my self esteem and ability to form relationships. Being accused of faking it, being lazy or disrespectful became deeply internalised and while I can finally see what happened with that, the damage is something I now have to live with and put an unfair amount of effort into trying to heal so that I can try to move on and develop a healthy life. It's hard, in the face of all that, to try and see it from the other side. I still think, even given ongoing unrelated struggles my family faces with getting recognition and support from the healthcare community, that it's important to remember that healthcare workers are people. They are going to make judgement calls based on experience and personal bias, and it's not malicious. It's not fair, and it does cause harm, and it does need to be brought to attention that this does happen, and it happens every day, but we as a community also need to remember to have compassion and understanding so we don't end up alienating and demonising people just like we were.

[@alice45-fgd-456drt]

@@Bookluver29 The fact that the science is biased is one thing, but honestly yeah I will judge a so called medical professional who refuses to listen to their patient because of their own made up bias. No doctor is told that fat people don't get ill with anything other than things relating to their weight, or that women only suffer from mental disorders and not physical illness, yet that's the way we're often treated. I've had several actual physical diagnosable medical issues be diagnosed as "stress" or "depression" before seeking a second, third, fourth opinion to get someone to actually run tests to find out what the problem is. With that in mind, I have zero compassion for people who are put in a position of power and wealth to provide a service but refuse to do so because of personal bias. These "doctors" are killing people with their negligence and should be stripped of their license.

[@tollkirschearkham3508]

I've had experience with this, too. I have reported to a hospital a few times with a severe pain in my stomach area (I was about 20 at the time). It would start out relatively minor and over time would become bad enough to leave me in tears. It felt like contractions. I was accused of everything from drug-seeking to lying about a pregnancy (I weighed about 130 at the time, if I was far enough along to have contractions, I would have had a beach ball sized lump under my shirt). I never found out what was wrong, all tests came back normal and ultimately they couldn't determine what it was. I know now that I have GERD, but I don't experience this anymore and I don't know if GERD had anything to do with it.

[@kid-ava]

​@@Bookluver29I love this comment. I am sorry about your experiences though and I'm glad you're in a better place now

[@Silentgrace11]

Hot take: insurance companies should not have the right to arbitrarily decide what is “medically necessary” for a patient when they’re not the ones actually providing patient care. Doctors should not have to constantly adapt their care services to meet the insurance company’s demands especially if that’s not the best care plan for the patient.

[@EskChan19]

Agreed. And they also shouldn't be generalizing things as well. This isn't a big example since the treatment wasn't very expensive, but I once went to have a wart removed that was on my butt right where I sit. It would grow for a while, harden and become very painfull, until eventually it chaved off enough to start bleeding for a while, and then the cycle would start over. Sitting was really painfull whenever the hardening phase came about. So I went to have it checked out and after making sure it wasn't a malignant thing, had it removed. I had to pay for that myself, because "Warts aren't a health hazard, so removing them is just for the looks and therefore plastic surgery which we don't pay". Which yes, anywhere else it would not have been a problem, but at this spot it was!

[@mahad1203]

Agreed, but I don’t think this is a hot take. You’re 100% right though

[@xoxolovechristielynn]

AGREE A MILLION TIMES OVER. I have had insurance companies even decide what doctor I can see and override my doctors prescriptions and treatments. People who have never met me, wouldn’t know how to read my medical chart if they ever saw it and have no business on the medical care side of things, and need to stick to the coding and billing side of things. Infuriating.

[@sunsundks3891]

​@@EskChan19I think it is a problem in a lot of the places in a body

[@bencenagy5459]

It's not a hot take if it's true

[@MarnieGolde7]

The problem is that most people think cancer is this ONE thing that needs just ONE cure. And I’m just so, so tired of explaining.

[@nyran_the_kitten1758]

I’ve always found “a cure for cancer” such a strange statement and a bit of a strange thing to focus on. First, we do have pretty effective treatments for a lot of types of cancer. Second, there ARE so many different types of cancer, it might be difficult to find a cure for ALL of them. Third, cancer isn’t the only terrible disease in the world. I get it, it’s devastating and I’ve lost family to it, but it’s not the only thing that does that. It’s always felt like a weird general statement and people act as if we’ll have “won” medicine once we beat cancer. Like, no? There are still plenty of fatal disease out there that anyone can get? It’s not the end-all be-all of medical research

[@ethangriffiths7802]

@@nyran_the_kitten1758very well said.

[@pnut3844able]

No one wants you to explain anyways, so we're all fine with you not doing it too.

[@bhperfig349]

plus theyd make TONS of money off a cure for cancer so its j a dumb conspiracy theory

[@old-slow-and-tired]

So you have taken to complaining instead of explaining. That is certainly a step up for humanity. Okay smart ass remark is over.... but to be fair, most people are not overly/well/moderately educated on the topic of cancer. And to a laymen, all cancers have one thing in common, they are all created withing the host body. Why then could it not be "one cure". If there was an underlying root cause for the cells to mutate, regardless of environment, but from within the cells then it could be one cure. Of course i get the basics, different strains of the flu require different flu shots each year etc etc. But ya still never know.

[@emmyd811]

Fun little fact about the first hot take: Wales actually has the default of being an organ donor and you actually have to opt out instead of in, this was made because they noticed how many people actually wanted to be organ donors but obviously we don’t know when we die so they just don’t get round to like opting in

[@cassandram5232]

Same in France

[@margodphd]

As should be. Life of a person is worth so much more than a rotting piece of meat.

[@Oddballkane]

It's a thing in England as well.

[@alaskacosplay]

@@margodphdis there a form I could sign that says “I am not giving permission on harvesting my organs, even after death for personal reasons.” ? Mostly because I feel like I would feel incomplete in the afterlife if I was gutted like a fish.

[@CynthiaNephew]

Same in the Netherlands

[@orca7025]

Let me just clarify, the issue in the UK is NOT because it is universal healthcare, it's because the current leaders are running it poorly.

[@nopressure8821]

That's because of the people ie Blackrock vanguard statestreet.... lining their pockets.

[@tbone6032]

The big problem with universal healthcare is it just destroys innovation. The financial incentives are why we are so efficient and making new treatments and medicines

[@chuckdraper7776]

What's the difference?

[@raymondjones616]

Agree. But that issue also factors into the decision in the USA. Do we actually trust our politicians to make the correct decisions...and I think that is actually a bigger issue than the $$ for voters. We simply don't trust our government to do it right.

[@GiuseppeGaetanoSabatelli]

Welcome to all government. Abolish all federal government. Slash all government programs.

[@CreamIceMs]

The fact that DENTAL CARE is not considered in insurance, as if your teeth can't get sick! How it's separated from Healthcare like that is WILD to me.

[@GoddoDoggo]

Most health insurance plans cover one exam and cleaning per year; dental insurance is usually used for "everything else," like fillings or other treatments.

[@Dounia101]

is this just a US thing? bc i live in morocco, and dental care is covered by insurance here

[@lamari2753]

⁠​⁠@@Dounia101Unfortunately, a lot of health insurance companies here in the US are separate from dental. You can always get it through your employer or go the private route

[@ShastaMusic]

Even with dental insurance it's wildly expensive. Physical health issues I've had caused my teeth to decay faster than normal, but my medical insurance doesn't cover anything. My dental covers 50%, which means it's only $10k for the work I need instead of $20k....yay..☠️

[@katscratchfever3506]

I completely agree. My dental insurance is so useless that letting a tooth rot and paying $60 to have it pulled is the cheapest route.

[@KnightSlasher]

Doctor mike giving his knowledge on medical hot takes is amazing, it allows him to vent his frustration while dealing with the misconceptions

[@user-te3mg3wn8w]

What are you talking about

[@info0]

Cancer never being cured because it makes money, it's just common sense. No need to be medic here. It's the truth, whether doctors like to admit it or not. Big pharma business is probably 2nd most profitable business right after military.

[@antagonisticalex401]

I understnad what he's saying

[@melissasheppard6674]

​@@omaausbeuterbasically Dr. Mike gets to vent his frustration with false information while debunking it

[@aramenius4293]

He's a bit wokie tho

[@Sai4651]

I remember when I was in school, we were talking about the Cancer cure conspiracy theory, and my teacher said the samething. Very rarely do these medical discoveries happen by individuals, rather in groups. It is very difficult for everyone in a group to hide something as historic as the cure to Cancer. They're people with emotions and they are going to release this information, and there's also the fame that comes with being the team that came up with the cure to Cancer.

[@CelineNoyce]

Again I think the problem comes someplace else, at the top. With the dishonest way some studies are done I wouldn't put it past hospitals or insurance to sabotage some studies so even the doctors think what worked failed.

[@Fabunility]

More importantly the argument doesn't make sense to begin with as there would be a LOT of money to be made if such a simple treatment existed, it would be the holy grail for any company to find such a cure as it would give them an effective monopoly on cancer treatment which they could price however they want. Conspiracists act as if big pharma was a single entity when it is a competitive market.

[@frenchfriedbagel7035]

That’s what “suicides by 20 gun shots” and “mysterious disappearances” are for.

[@mrgalaxy396]

You can just flip the argument. Think about how much money you could make if you could actually cure cancer. Especially if you're the first to offer such a service. You'd be stinkin rich. And even if "big pharma" were somehow all in a cartel to keep cancer from being cured, an upstart independent company can be formed and uppercut them on the market with an actual cure.

[@alice45-fgd-456drt]

@@CelineNoyce I think that anyone who makes these claims has a very limited knowledge about how clinical medical studies actually work.

[@daphnej4189]

Hot take: Hospitals should have open air windows/ decks for patients to utilize (when not contraindicated like with something like asthma during pollen season/ high pollution areas or a mental health risk). As a nurse who has worked in hospitals and then been a patient for an extended time, I have never understood why fresh outside air is so difficult to access.

[@michaellovely6601]

It would be awesome if hospitals had screened in decks for patient rooms so that patients can have access to fresh air and hear the sound of birds chirping.

[@alliemay616]

Liability issues

[@nikogildon117]

The unknown, never know the pathogens, smoke, smog, etc that could be in the air that could harm a patient, even droppings and fur/hair/dander from birds and mammals could all be a risk along with allergens. There should be a way something can be done with the money they get, most hospitals still have blood/bodily fluid stains on a lot of its linen it's absurd. What you're describing, may sound weird, but I believe it's an unalienable human right that everyone deserves even prisoners. Can GREATLY affect even the healthiest of individuals, mentally and physically.

[@TomJacobW]

Wait, you can’t open your windows in US hospitals? wtf??

[@daphnej4189]

@TomJacobW not in most. I have run across some older hospitals that they would open just enough to flick a cigarette, but as you can't smoke in most all hospitals, no longer necessary and the window open is apparently a liability (for aforementioned reasons).

[@mirandarobinson6005]

My husband was an ICU nurse and do you know what he saw all the time in the hospital? Unhealthy healthcare workers, including ICS nurses, not recognizing their own unhealthy behaviors while passing judgement on their patients. My mom, who was also a nurse, use to say, "they did it to themselves." all the time, until she was diagnosed with diabetes. Suddenly, it's genetics or a societal problem and not just her doing it to herself.

[@reaperzwei845]

Eh, not surprising. Healthcare workers are people too.

[@leaffinite3828]

Yeah that behaviors not nurse exclusive, but it can be most harmful in medical situations.

[@rileymosman2808]

I feel like a lot of people in the medical field tend to see the condition before seeing the person. I don't know if it's a coping mechanism or just because it's their job to treat conditions

[@hamcrazy96]

People are just uneducated when it comes to their own wellbeing it’s not all on them (besides the judgmental part.) America is a society where over nutrition is a problem eating and drinking empty calories, this a very new phenomenon in human history. It needs to be instilled at a young age how to actively stay healthy and that starts with sleep

[@M13]

Almost all health derives from food. And oddly both doctors and nurses spend almost no time studying nutrition.

[@eline_van_dijk]

Fun fact: in The Netherlands you actually are a donor when you turn 18 and it's the default to list that you're not. They did it because often people forget to become a donor. But your direct family can still choose not to make you a donor after you've deceased

[@Misshughestrm]

Organ donation is mortifying to me, fyi, you can't donate a heart that doesn't beat, they consider you "dead" so there is no anesthesia. Many coma patients that wake up recall things that happened around them I can only imagine you'd know your heart is getting torn out of your chest and you can't tell them to stop because you're still in there.

[@noahbrown6970]

Same in the UK, and you're even given a list on a special card so that if you want to stay on the register, you can choose which organs will be donated. Which is quite good tbh, cause I feel like its a public service everyone can take part in (one of the few that has no genuine risk to you as a person as well), but I also didn't like the idea of having no control whatsoever! :)

[@TheNotoriousDUDE]

What's awful is that it's not just that people "forget" to sign up as donors, they literally just don't care enough to remember, which is just sad.

[@PaulJones-br6uv]

Same here in Wales. We have presumed consent. Means transplant coordinators will be notified if a suitable person is about to die. They will then ask the family for permission.

[@Mohdaman13]

​@@Misshughestrmpeople in comas still get some brain activity, so thankfully that's not possible unless the doctors don't check for brain activity

[@MediatingLeela]

As a physical therapist, it made me so happy to hear you say "you continue that neural activation pathway to keep good control of your muscle." I say this at least 3-4 times a day to different patients, if not more. We've moved away from following the RICE method, and so many patients are misinformed, or so scared they will only further injure themselves, and they have to be taught safe movements for proper healing. Thank you for including this!

[@supermegaawesomeultragal7820]

I love how empathetic and understanding of all sides, Dr. Mike is. It's such a rare, difficult thing to find in people nowadays ❤

[@svetlanazhigalina]

"To hurt someone who's already hurting"... Such profoundly kind and empathetic words ♥

[@Tina-stick]

Yeaaa! I was like “that’s a great idea at first” but after hearing his opinion it was an immediate no for me, damn

[@martinmarkov9707]

Killing dead people. No, wait, that's grave robbing and a sign of necrophilia.. Will never understand why ppl smoke or drink alchohol. Even less when it comes to drugs. I'd rather go into a food coma than any of those. And forget gambling or courtisans.

[@tkrause1116]

Yes!

[@triv4555]

@@martinmarkov9707 J.Cole's album KOD said it best: "Life can bring much pain...there are many ways to deal with this pain." Some people just choose lower-quality methods like smoking, drinking, drugs, etc.. because it's an easier/cheaper way out than ways that require a more active commitment, like therapy/counseling and so on.

[@DrahcirII]

@@martinmarkov9707 Maybe they've had too many bad days and it's easier for them to chase indulgences or some other nuance

[@MEStrahm]

As a nurse who is also a recovering addict, the misconceptions so many healthcare professionals have about addiction is very sad

[@rdizzy1]

And this includes pharmacists. They also don't know the difference between chemical dependence, and addiction. (Difference in behaviors) I have been physically dependent on prescriptions of opioids for 17 years, for instance, but have never once taken more than prescribed, have never once engaged in risky or negative behaviors, it has never effected my life negatively, have never sought out drugs on the street, etc,etc. I am chemically dependent, however, I am not an addict.

[@jeff4762]

Not even a healthcare professional not an addict but that take made me so sad. What so many people don’t understand is that addiction truly is a societal issue and they believed it could be fixed by decreasing healthcare accessibility rather than increasing it.

[@wobblestone3148]

@@jeff4762 well, that person's probably thinking that increasing the negative consequences for being an addict will make people less likely to become one, although that's not always the case

[@rdizzy1]

@@jeff4762 It is similar to the delusions they have about keeping drugs illegal or making even more drugs illegal. In drugs that people want to use, legality has no effect on usage, it only has a negative effect on society via throwing addicts into prisons. All street drugs should be decriminalized on a federal level, at the very least, if not made fully legal, so addicts have sources of untainted drugs of known doses. Making heroin or cocaine legal will not increase usage to any significant amount. This will result in a decrease in deaths by 50+%, and put a huge portion of the cartels and dealers out of business. But they will not do this, because the puritans masturbate furiously over punishing others for perceived wrong doings, they truly think that addicts deserve to die for their behaviors.

[@jonboy9734]

@@rdizzy1there is a negative connotation to addict. It’s not negative, it is, what it is.

[@user-kx1mb9qq4z]

For the ICU nurse wanting people who live unhealthy life styles to pay more should also think of this: Ontop of what Mike said, most people living excessively unhealthy lifestyles are often already lower class to lower middle class people. To put extra financial burden on people who already experience the most financial burden just seems completely unhelpful. We shouldn't be trying to squeeze water out of rocks. They don't have the money or time to either go to the gym or just workout freely on their own without a gym after working multiple overtime shifts to make ends meet. They don't have time to cook proper meals and may have to rely on high sodium/fat/preservative filled premade microwave cooked food or fast food. This high stress no free time lifestyle also causes people to drown in simple, easy to get pleasures life smoking, drinking, maybe even harder illegal/controlled substances just to get some stress relief for their day. Maybe they get very little sleep and feel the need to ingest unhealthy amounts of caffeine. All that should be a factor as well, not just the fact that you cant always prove it was 100% it was just an idiot making bad decisions vs a society thing. These people are often already poor and the USA's healthcare system is fucked up and expensive enough as is. Suggesting poor people, and while probably unintentional that's what you would be targeting I'm not calling you classist, be the one to shoulder higher medical bills is ludicrous and wrong. Also factor in PoC who are often nudged into poverty through similar points of view because often times PoC fall into these categories, and now you have a systemic racial issue as well as a classist one because that black person or hispanic person or whoever might be more largely targeted for these higher fee's at a higher %rate than a white one through no fault of their own. Again, I'm sure you just didn't think this all the way through ICU nurse. I'm not calling you classist. I'm not calling you racist. I'm not calling you a bad person. I understand it must be frustrating to see some chronic smoker paying the same amount of money for asthma or cancer treatment or whatever else as someone who lived an otherwise healthy lifestyle and got unlucky. It sucks seeing someone who essentially "brought it on themselves" bearing the same medical burden as someone who simply won the worst lottery imaginable. But at the end of the day, its usually more complicated than it looks. You only know their medical history, not their personal history, and thats important to remember. Sometimes, even when its technically a choice...its not as simple as it looks.

[@EL-xg4yq]

You're too polite. He / she is just a twat, especially using that "I'm a nurse" thing to justify their argument.

[@marlymarmala91]

Such an excellent reply. I agree 20000%

[@zachary4670]

I would argue that the extra health strains they put on their bodies, the possibility excessively high tax rates they pay for the products themselves, the high monetary cost of smoking etc, combined with the social stigma (and actual stench) of the “habit” are sufficient “punishment” for folks who choose to engage in those activities. And if all those things don’t change their behavior, and extra five bucks a month for insurance sure isn’t gonna do it either.

[@thecreativegeek7886]

I didn’t even think about the racial aspect of this. Thank you!

[@themosaicshow]

the nurse’s remark genuinely enraged me. i’m so glad you and mike have empathy for those struggling.

[@jadynfeltch8016]

As an overweight woman, I constantly had doctors telling me to "Workout more" or "Eat more fruits and veggies." No one looked into the fact that I was working out often and I LOVE fruits and veggies. They all saw a teenage girl who was overweight and was too young to have anything seriously wrong that could cause my weight. Turns out I have PCOS which made it close to impossible for me to lose weight until I was put on birth control to balance out my hormones. Also adding to the struggle of losing weight was my breathing problems. My airways are already very small and I had an underdeveloped jaw that was crushing my airways that were already too small. All of this caused my extreme weight gain around puberty, but most doctors kept brushing me off. I refused to give up until I finally found a doctor who helped me and since then I have lost over 60lbs just by being treated for the medical reason for my weight gain. We NEED to stop assuming the problem by looking at people. Weather is be a male, female, cacausian, african ameriacn, etc. Find the truth not the assumption.

[@jules3048]

Amen!

[@galaxycraftings]

not "close to impossible" at the end of the day its still calories in vs calories out. If youre eating more calories than your body consumes on the daily then you will put on weight. Your metabolism might slow down a bit due to hormones but its in no way "close to impossible" to lose the weight

[@greatthemeedits1252]

And how exactly are you describing “exercise”? Walking on the treadmill with a max HR of 95 for 10min and dipping all your carrots and celery into ranch doesn’t count…

[@angelpanda8941]

Omg, I’ve always been overweight, but pcos for me has been ruled out. But there’s something wrong with my endocrine system but all I get is “lose weight” something I’ve been reading my whole life to do. I’ve barely aged since 5th grade with no regular menstrual cycle, and a whole other slew of medical conditions

[@SachaRommane]

@@greatthemeedits1252 she literally just said that people (doctors) made false assumptions based on her being overweight... and you're doing exactly that. you dont know this woman but you're already making assumptions on her lifestyle??? She may do HIIT and eat only a super high protein Keto diet, or she may take leisurely strolls for 15 mins every day and dip her veg into ranch. Who knows? not me, not you. only her.

[@peterdobos1606]

it's kinda scary when an oncology nurse thinks cancer is 1 illness that could ever have 1 cure.

[@aliandher]

As a cancer patient, I would be worried having them treat me.

[@ladyjatheist2763]

who ever said or suggested there was only 1 cure? Over generalizations and simplifications will NEVER lead to honest conversation about such matters. There are thousands if not tens of thousands of scientists working on at least as many cancer variants and their potential treatments and "cures". Nice job throwing out the red meat there.

[@those.gamers.]

This was my first thought; cancer comes in so many different varieties

[@buca9696]

Nurses aren't the ones providing the treatment plan, so them believing in misconceptions is pretty irrelevant.

[@2Different4MeOwnGood]

There are already NATURAL cures for cancer. But what big pharma does is promotes all these charities that rake in billions for "cancer research" every year and continues to do so because it's a very profitable business.

[@AymenDZA]

The thing with genetic testing also is that saying "10 time more likely" doesn't mean 1000%, it mean that... Let's say the average chance of getting a disease is 0.5%, then your chances are now 5%. Results like these scare people especially if it's a serious life altering/threatening condition.

[@RogerLackman]

Great point!

[@Darkspoon1506]

Unfortunately Alzheimer’s is quite a common disease, so an increase in relative risk is actually quite bad.

[@Gods_Real]

They alter our DNA without our consent.

[@nischay4760]

yeah, when I heard him just say 8-10 times, the first question in my mind was what is the statistical chance of getting Alzheimer's? Im sure that scene was scripted that way to raise the tension of that show or whatever it was.

[@DevelopedInInk]

Hot take: I think people have become too comfortable with taking over the counter medications for minor issues that can often be resolved without them. Example: having a headache and taking an ibuprofen instead of realizing that you haven’t drank enough water and are dehydrated.

[@rebeccamullett2197]

i personally find that once i have a dehydration headache, it’s just there. i always drink water once i notice but no amount will make it go away.

[@metakat1865]

Being dehydrated makes me feel so sick that I CAN'T drink water until I've had something to get rid of the headache. Like, just the thought of water makes me want to puke.

[@DevelopedInInk]

@@metakat1865 I have a friend that gets like that. Once he’s at that point, it’s too late. Has to go to the hospital.

[@alice45-fgd-456drt]

Most people obviously do both.

[@SoggySlopster]

Water doesn’t actually hydrate you… if you’re dehydrated you need electrolytes which is scarce in water

[@SocialWorkerGene]

As a social worker - it's absolutely terrifying to hear an ICU nurse speak like this. Income brackets are one of the most significant determinants of health - low income families often can't afford the most nutritious food, some have to work multiple jobs (which takes a toll on your health), are more likely to live closer to factories and other sources of pollution, and are more likely to receive subpar medical care (especially in countries where you have to pay for your care). Saying that this and all resulting illness should be blamed on the person and force them to pay is horrendous

[@edNdr]

I think that ICU nurse meant those who destroy their body on purpose, like abusing alcohol even though they know it's not good, abusing drugs just for fun etc. Which your examples wouldn't fit, as those aren't on purpose.

[@singhmastr]

You and the Dr. are completely misconstruing what that person said. On top of that, his argument was such a stupid take. We already have a system that hurts those that are already hurting. The poor are already victimized in our current system.

[@wverms]

In the UK, they aren't struggling to find funding, they are *being underfunded*. A slight difference.

[@quinnquitars]

Exactly. Crazy how he pointed to the UK unironically. The evidence supporting socialized medicine is overwhelming.

[@jishanborno6411]

​@@quinnquitars At least you don't have to pay hundreds or even thousands of dollars for a simple hospital visit.

[@xxkildarxx]

Its crazy how dismissive people are of mental health. Even a supposed ICU-Nurse overlooks it in some desire for the myth off meritocracy.

[@Teal_Blastoise]

I *_hate_* people are like that with mental health.

[@jrmckim]

Yeah not sure they are a nurse... they would know that insurance companies usually make smokers or heavy drinkers pay more for insurance. That is widely known.

[@sharonsangel2]

Yeah a nurse saying that is scary and shameful smh

[@KateSc722]

Actually, they may be dismissing it with the male of the species, but if you are female and walk into an ER or clinic, most of your symptoms will be dismissed as anxiety and/or a panic attack or anxiety-induced migraine.

[@sleepyote]

People like that shouldn't be nurses.

[@sehmcgib]

Dr. Mike's answer to the ICU nurse's hot take on smokers, etc.... could not agree more and it's moments like this that make me love his videos!!!!

[@aaronolsen7116]

As someone who was diagnosed with Delayed sleep-wake phase disorder i can say normal operating hours do suck as we dont always all work on the same schedule.

[@TomHollandEdits]

Hot take: therapy should been available for anyone who needs it and anything mental health related should be included in health insurance because it is just as important as our physical health!

[@Agioia1-]

The brain is an organ just like the rest of your body organs, so when the brain is sick people deserve to be covered. Mental illness can be just as devastating to an individual as a physical illness.

[@paulettemart]

I believe mental health is included in insurance. I do therapy trough my insurance

[@Agioia1-]

@@paulettemart it is me too, only issue is a lot of insurance companies won’t cover you a certain amount of visits depending on your plans. I’m lucky enough to have a top tier insurance through my job but I know a lot of friends who struggle to find a therapist that their insurance will cover.

[@ellav9022]

It’s free in the UK

[@Swordsman99k]

This is unfortunately an insurance issue. Insurance is allowed to decide so many factors in healthcare, it's absolutely disgusting.

[@maggierex5675]

Note to the Editors: I really like how the orange line moves on the bottom of the screen to show how long each of his takes are. It was very satisfying!!

[@stargazer-elite]

Yes

[@tami3456]

What an odd thing to point out

[@cuckoos_]

​@@tami3456I mean, not really?

[@tami3456]

@@cuckoos_ I mean, yeah it kind of is 😂

[@SMTRodent]

I appreciated that as well! I thought it was nifty.

[@fullshewolf]

So, so grateful for your response regarding charging people more or less for healthcare depending on their lifestyle. You're absolutely right that a system like that would just serve to punish the people who are already suffering the most, and it's good to hear you spreading that message. On a somewhat lighter note, it's also great to hear you talk about how society's interpretation of what people's circadian rhythm should be isn't necessarily healthy for everyone! I really appreciate this as someone who struggles with the traditional 9-5 (aka 8-5 with an unpaid lunch) schedule because I naturally feel like going to bed later and waking up later.

[@halconess]

For the people who think big pharma doesnt want to cure cancer because they make too much money off of it, imagine how much money they could make if they cured cancer and monetized it? I believe that’s a much better motivator for the bosses, and drives the researchers and technicians to work harder to see the fruits of their labor.

[@azaril7780]

And the amount of fame that would bring the company, wich translates to more money, and they'd go down in history.

[@carolin9876]

Exactly. Curing someone from cancer doesn't make them immune. The cancer might come back and it often does or the person develops a different kind of cancer or disease 10 years later. You could multiply the amount of money that goes into treatment instead of letting the patient die and never consume any medical products, services or insurance ever again. Plus, the cancers keep on evolving as we introduce more chemicals and micro-plastics into our bodies, new forms will pop up etc, so you'd still need to invest in this field very heavily.

[@ChristerGilbert]

Hearing how you responded to the comment about having to pay more if you live an unhealthy life style made me happy. Mentally healthy people dont understand the range of challenges that less mentally healthy people go through. So thank you for that.

[@tinntinnamp]

Yes, that was such a messed up take from that supposed Nurse. Clearly she has a biased opinion, which you shouldn't have in the medical field, and Dr. Mike is such a great example of that. Of course he's not perfect but he clearly tries very hard to understand every aspect of people and the medical field.

[@ShareenHo]

Man it took me years to quit smoking and went to vaping, and I WISH I could give it up but my vices are what gets me through things daily. I managed to quit caffeine, quit cigarettes, cut down on drinking by a lot... so Im making progress, slow progress , but it would be horrible to hear me not being worth helping just because I have vices that get me through the day.

[@ChristofferLund6]

I believe we're discussing USA here. The country has higher taxes on alcohol and cigarettes, and some states even levy small taxes on items like fats and sugars. Additionally, a portion of federal tax contributes to programs like the Children’s Health Insurance Program (CHIP) and the Affordable Care Act (ACA). This means the less fortunate can benefit from programs like the ACA. Please note that this is just a cursory overview based on my brief online research, so take it with a grain of salt

[@pininja4981]

​@@tinntinnampt wasn't a biased view. She made absolute sense but she removed emotions and cause from the equation. Thats why its not a good idea to do that. But she had the right ideal in mind. That if we make life easier for healthy people, more people will want to be healthier. Its true. Not all people obviously. But many will improve their lives. But she removed important factors from the equation so the idea isn't the best

[@DragonNexus]

​@@pininja4981thoroughly anime avatar take there. The reason people aren't healthy is they don't want it enough? What about low wages leading to limited food choices, meaning worse quality food full of fat and sugar? What about long work hours meaning you don't have the time to prepare food yourself and have to rely on quick calories to keep going? What about just so many different kinds of mental illnesses? Grow some damn empathy, my guy.

[@sharonjohnson8406]

That ICU nurse terrifies me. Yes let's make medical access more difficult for at risk patients. "The beatings will continue until your attitude improves."

[@zacharykaiser5910]

I understand her sentiment somewhat but fear s/he is judgmental of his or her own patients. I also think it would create a system of lying to avoid paying bigger premiums, which could result in not the best care/outcomes.

[@tommoore2012]

People love to talk. I wouldn't be surprised if the nurse has heard hundreds of stories about people with bad health that actively chose to lead lives that would inevitably lead to said bad health. It would get immensely frustrating for a lot of people the have to care for them.

[@GoTron88]

I didn't like the examples she used such as smoking or poor lifestyles, and I know the answer should be that universal health care shouldn't be biased in that way, but then COVID made me kinda second guess that thought when it came to anti-vax versus the vaccinated, in that the anti-vax crowd literally brought the medical system right to its limit during the peak of the pandemic, causing a direct impact to my own medical care.

[@undefined69695]

I mean smoking already does cause insurance premiums to increase this isn’t as controversial as y’all are making it sound lol

[@tommoore2012]

@@GoTron88 collective immunity was proven to be vastly more effective at counteracting covid than the vaccine was. Not to mention all the new life-long health problems that so many people now have as a side-effect of taking an experimental vaccine.

[@awholemess6465]

As someone who was diagnosed with Lyme Disease when I was little, I 100% agree. I never had a rash, and we never saw any ticks on me.

[@bosswoman5128]

Thank you for the sleep thing. My step dad has a very vocal problem with people who stay up late, and believe that it’s wrong, and I tell him when I try to go to sleep earlier it just doesn’t work for me (I end up just lying in bed unable to sleep). He thinks it’s a learned thing cuz my dad is a night owl, but it’s more coded into who I am. If I go to sleep early and wake up early, I’ll feel tired, even if I got 8-9 hours of sleep. If I go to bed between 2-3am and wake up between 10-11am, I feel more well rested and energetic for the day.

[@Latomian]

I just learned this about myself. I thought I was just a loser, haha. But when I go to bed around 1pm, I sleep for 8hrs approximately 92% of the time vs less than 30%.

[@catisyellen9877]

About the sleep thing: I can be sleepy as Hell all day but after 9 pm my body wakes up as if I got enough sleep. This happens so often, and no matter how many times I try to “fix” my insomnia, it always circles back.

[@Legendary_Starlight]

I’m usually tired all day and sometimes have energy to do something like make a bracelet, draw something, clean up something, etc before bed but then around 12am-1am I’m exhausted

[@Moraenil]

Same here, though for me it's as soon as it gets dark, which changes depending on the time of year. I'm like a zombie all day (regardless of how much sleep I may have gotten), then as soon as it gets dark my body and brain wake up, and I'm wide awake until the sun starts coming up. Bright lights even put me to sleep because my eyes just want to close to hide from the light. I have dim lighting in my house that doesn't do this to me. I'm the exact opposite of "normal" people. Of course most people get depressed in the winter because of the lack of sunlight....that's when I'm happiest.

[@oiseaufeu]

​@@MoraenilLook up on seasonal deptession. It's a real thing. I have that and I'm mostly affected by it in late fall. I feel more tired in October than I am in May. I also feel a lot more tired when it's dark cloudy outside.

[@theredhunter4997]

How you are describing the tiredness is possibility adhd as I’m fairly certain their circadian rhythms work differently. However, there are probably a lot of other causes, but I just thought I’d put it out there.

[@MarchOnRome]

Have you tried Seroquel at nighttime? It’s the only non-habit forming/addictive drug that works for my insomnia. Also none of the side effects of drugs like Ambien

[@MayonnaiseJane]

My husband was once misdiagnosed with Lyme. They told him to stay off his feet for like a week. Turns out it was his first Rheumatoid Arthritis flare, and the worst thing you can do for that is stop moving your joints for a whole week... that was a rough recovery.

[@RSainman]

So sorry that you had to go through this. May God give you and your family strength ❤️

[@ordenax]

Those giving such advices and charging for it, should be liable

[@JohnDoe-qz1ql]

Did you sue??

[@MayonnaiseJane]

@@JohnDoe-qz1ql Not every misdiagnosis is malpractice my dude. We had a rough few months of recovery and he's fine now.

[@JohnDoe-qz1ql]

@@MayonnaiseJane No. If it caused Harm, I'm quite sure you can receive compensation. That said, I know not everyone will readily sue a Dr.

[@eugenianovillo4136]

I feel that there is so much compassion and understanding about both sides of the story in your answers... What a breath of fresh air! Thank you!❤

[@ividboy7616]

7:05 this take reeks of "just dont be unhealthy lol, just choose to not do the bad thing"

[@jenm6476]

Hot Take: dental and eye should be covered by insurance! Who decided that it shouldnt?!?

[@HeatherCutright]

YES!!

[@katie-kb6qd]

PLEASE oh my god, why am I paying $400 to update my glasses so i can function as a normal human? it’s insane

[@wahhbajack]

Because insurance is nothing but a scam lmao Health insurance is the biggest scam in the USA.

[@missmochiicecream]

teeth and eyeballs are optional, says insurance companies! that said, some state insurances do provide coverage for dental and eye.

[@oliverjones9041]

It should be free

[@sleepyote]

That ICU nurse that thinks people suffering with addiction should pay more... 🚩🚩🚩🚩

[@Zazezoo]

She’s just not thinking outside the box. Almost like victim blaming. Forgetting these people actually need help!

[@lizardman1303]

Why smokers pay more because it’s self inflicted

[@OS-xt9ii]

@@lizardman1303 So people who get into a care accident should pay more because they knew the risk of driving?

[@lizardman1303]

@@OS-xt9ii they do . If u are the one at fault your insurance goes up . I just got rear ended at a stop light . I didn’t pay anything that persons insurance had to

[@OS-xt9ii]

@@lizardman1303 Not insurance costs, medical costs for the care you receive in the hospital

[@YochevedDesigns]

My hot take: I don't have insomnia. I sleep just fine, I just don't sleep when other people want me to sleep. I've been fired from just about every job I've ever had, for sleeping through the alarm. What is so dang important that you need me there at 7:30 in the morning? I have never been able to get my body to "reset", no matter how hard I've tried. I'm 58, and trust me, I have tried EVERYTHING.

[@theickster3008]

I'm sorry, but I fundamentally disagree with your take here as well as the "capitalism bad" take from the video. As to your specific take, and I'm not trying to detract from your sleep schedule and experience, but why it's so dang important that you show up at 07:30 is because when you signed the contract agreeing to be their employee you agreed to the hours specified in the contract. Perhaps you could've tried negotiating hours more comfortable for you, or found a job that allowed you to work in your natural waking hours. To think a company is out of line for expecting you to adhere to the contract you sign is wild to, I suppose you could be saying this facetiously, although I suspect not.

[@angelmendez-rivera351]

@@theickster3008 Do you disagree with the research demonstrating the forcing everyone to have same sleep schedule is ultimately harmful?

[@theickster3008]

@angelmendez-rivera351 of course not, but my point isn't that the research is wrong. All I'm saying is that it's ridiculous to blame capitalism and that companies are somehow in the wrong for expecting you to adhere to a contract you signed.

[@angelmendez-rivera351]

@@theickster3008 No one is claiming that having a commitment to a contract is the issue here. Your take is just lacking in any sort of nuance here, and not addressing the actual argument being made, which has to do with the very structure of society as it exists today.

[@theickster3008]

@angelmendez-rivera351 I'm being no less nuanced than the guy whose comment I answered to, nor the tweet from the video blaming capitalism for forcing circadian rhythms to sync. Why do you call to me for nuance when there's little to no nuance from either point I disagree with?

[@teribirrell]

I totally read that one “hot take” completely differently than you did. The one that you interpreted as free healthcare, I interpreted as the commenter saying medical school should be free. That’s how it reads to me and, with the current doctor shortage/crisis my province is currently going through (Ontario, Canada), I can understand the thought behind that, that maybe free medical school would produce more doctors, thus no more doctor shortages.

[@georgedestino4788]

The whole point, though, is NOTHING is free, especially something so valuable and resource consuming as medical school.

[@teribirrell]

@@georgedestino4788 obviously. As a Canadian, I’m well aware our “free” healthcare isn’t free, it’s covered via taxes. Just like public school. 🤷🏻‍♀️ Post-secondary education could also be placed under this same umbrella or at least the current setup looked at. In what world is it fair that only the people who can afford to be doctors or those who want to put themselves in tremendous debt can be? I’m sure there’s TONS of people who would make fabulous doctors (or lawyers or teachers or whatever profession) but they can’t because finances stop them. Education shouldn’t be only for the rich and it shouldn’t solely be for profit and your wealth should never be a barrier to being part of a profession you would excel at. 🤷🏻‍♀️

[@MeatHeadMedicalSchool]

All the medical school spots already fill up so how would making it free increase the number of doctors?

[@sarahko1014]

@@MeatHeadMedicalSchoolexactly thank you lol. There’s no shortage of people applying to med school as it is in the states. The accept very few applicants out of the thousands that apply.

[@kathryn924]

i live in BC, canada, and while i do somewhat agree that medical schools should come with a reduced cost for accessibility reasons (shit's expensive. you have at least 10 years of schooling to become a doctor. it's not cheap), i think there are more factors to it than just cost. med schools are competitive because there are limited seats. nursing programs are similar - medical programs like these have an allocated number of seats by the government, which makes them competitive, and a lot of people will look at that and say "i don't want to bother with that" and do something else. i'm even guilty of it. it also makes it so that people who are entirely, 100% qualified are unable to get into the programs they want. it's not uncommon that prospective medical or nursing students apply multiple times to the same program until they get admitted or give up. this is ALSO a cost since there's usually a $60-70 application deposit to post-secondary institutions, depending on the institution however medical/nursing school are not your only options for working in the medical field, either. we have a shortage of ALL medical professionals, not just practitioners, so lab techs, lab assistants, HCUs, medical administrators, etc., are all roles that are understaffed (at least, they are here in BC). and a lot of those programs are open admission instead of competitive admission.

[@sillykyle17]

The biggest, most obvious flaw in the "charge people more for bad health behaviors" idea is it would cause an enormous increase in patients lying to their doctors about their lifestyle and behaviors, leading to much worse health outcomes for a lot of people.

[@oceaneo4603]

Oh yeah ! All kinds of tricks would be find to trick the system, instead of use it to be healtier. 😶 Or may be I've around too many toxic people.. yeaaaah... nope ! 😤

[@lonelylama5222]

If I look at someone and see that they are fat I will automatically know they have poor eating habits.

[@jeffpenst5861]

It’s probably a good thing you’re not a doctor then.

[@1983Tabbi]

I feel like doctors should never dismiss a possible diagnosis based on age of the patient. Or dismissing a diagnosis just because its rare. My late husband was diagnosed with Charcot foot later we moved and had to change doctors. His new podiatrist said “you don’t have Charcot foot, its too rare”

[@bennu547]

You know what rare means right?😑

[@1983Tabbi]

@@bennu547 in this situation i took it as “i have never had to treat Charcot foot and don’t know enough about it”

[@moose5413]

@@bennu547rare means rare. it doesn’t mean never. what even is the point of this reply.

[@benny_tys1644]

I agree. While rare certainly doesn't mean it never happens, it's also not going to be the provider's first thought. When seeking to diagnose we order tests and do procedures that are going to rule out the most common issues first and then work our way down. But to say you can never have something because of its rarity is the wrong mindset to have, I agree.

[@youcansave15ormoreoncarins75]

​@@bennu547goofy reply

[@will9001asd]

I like this quote, that people who are addicted to a substance will want to keep taking them not because it makes them feel "good" but because it makes them feel "less bad".

[@lonelylama5222]

No, because it makes them feel good. If I take cocaine, I will feel good, even though I have a great life. If I eat an unhealthy cheese burger, I will feel good, in the moment at least.

[@drewthedirector]

Mike, your channel is so insightful. Just want you to know we appreciate you and all the effort you put into this channel. The world needs more of this🔥

[@PaulJones-br6uv]

The problem with our NHS are politically caused by a government that is ideologically opposed to the idea of a socialised healthcare. They started charging nurses for uni courses - now we have nurse shortages. We have a shortage of doctors so they reduce the number of training places for doctors. For 13 years they have given NHS workers below inflation pay awards. They are systematically undermining the NHS to create a demand for private healthcare.

[@EleanorCasson]

I whole heartily agree. Dr Mike your take on medicine amazing. The UK health system needs a bit more study. The current government had health secretaries that made no secret on how they don't agree with the NHS. They want a system more like the US. (Err no thanks) so the health service has been under funded for years. The cheaper to run services privatise so the UK tax payer is paying private companies that are making a profit on things that used to be done in house. It's a mess but it's a mess of the current government's making.

[@lzbgenna]

Exactly. I felt that his description of the NHS was reductive and came from a place of ignorance of the nuances on what has been happening on the UK.

[@norota8188]

Yes! How I think about it is this: The NHS as a system is amazing, The governments handling of it makes it dogsh**.

[@LordSStorm]

Okay can you prove the nursing shortages are caused primarily due to the cost of the courses, or are there other factors? I have to wonder how much of this is "undermining" versus trying to actually manage such a system. In my experience, management is complex and hard, and people on the outside rarely have an appreciation for the work that goes into it and it's easy for them to come up with something like "oh someone is undermining NHS" versus it's just not that easy. I mean just based on what you are saying. If you dont have a lot of doctors you can't pay to have un-used training facilities open. IDK.

[@bengoacher4455]

The NHS is better funded now than at any point in history. The fault with the NHS is that too many people require too much health care. 25 years ago people just died of things like heart disease and cancer. As medicine and treatment has improved, people are surviving these diseases more. Which is objectively a good thing, but that means years of expensive treatment and decades of rehabilitation and aftercare. That comes with millions of pounds of treatment, for each person. With an aging population, it means more people requiring long term rehabilitation care, and less people working and paying taxes to support that care. Not to mention the lifestyle choices that result in illness and injury like excessive drinking, drug abuse, obesity and smoking. It's a problem that can be solved if we fundamentally re-design the NHS. If we start charging people for missed appointments or non-essential emergency call outs. If we put money into AI technology and IT technology to massively reduce the amount of admin staff in all aspects of the NHS, from data handling to HR and finance. If we push big medical companies to make existing treatment cheaper instead of developing more expensive but more effective treatment. If we incentive living a healthy lifestyle through proper physical education in schools and targeting demographics most likely to become unhealthily fat, like middle aged men, and young minority girls in inner city locations. The problem with the NHS is not an ideological one, nor is it a funding issue. It's a culmination of increased demand through poor general health and an aging population, reduced workforce supply due to better opportunities in other sectors of the economy, and increased cost of treatment. If Dr Mike reads this, my medical hot take is that as a society we need to stop funding the development of treatment that is hideously expensive, and start making existing treatment cheaper so that it can be accessible to more people. Not just to release pressure on national health systems, but to provide cost effective solutions to private systems like the USA, and allow export to less developed nations where hospitals can't afford the latest technology and are using outdated equipment and medicine in the relatively poorer global south. More people will benefit if the cost of chemotherapy reduces by half than if the effectiveness of the treatment doubles, along with the price.

[@miraculoushufflepuff9526]

Fun fact from a former insurance agent: smokers DO have to pay higher insurance premiums.

[@20thcenturyrelic]

Yes, and every company I've worked at for the last...I'm going to say 20 years, and maybe longer...required employees to sign a statement saying they weren't smokers. I want to say that one company even required it to be notarized, but my memory may be incorrect. And if you didn't, you paid higher rates on the group plan.

[@brendandaly5397]

Corse smokers pay more, everyone knows this

[@billbill6094]

Yeah, people don't understand how leeches like insruance companies love to drain you for having bad health factors. Even if it's genetic or if you have a history of disease that is completely irrelevant to lifestyle choice or any sort of non-communicable disease like addiction or obesity.

[@Jauphrey]

As a healthcare worker I'm aware of this, but I appreciate you spreading this fact around. It's good to know.

[@kaimojepaslt]

there is no such thing in europe.

[@darthimperious1594]

My Primary Care Physician is, I feel, an excellent doctor, and one of the best I've known. He also asks what I think is wrong with me before going into his analysis. And even if I'm wrong, he acknowledges why I may think that, and addresses why he doesn't think it is what I thought. That validation makes me far more willing to be open with him, even if I think I may be a bit crazy. He also admits when he's at the limit of his expertise and won't hesitate to send me to specialists.

[@RoafBeest]

These hot takes really just highlight that people only ever think about themselves

[@SSGoatanks]

Everyone shouldn't be forced to be on the same schedule 1:36 Dr. Mike should know that car dependency keeps society poor and unhealthy 🚗🚙🏎

[@duhnay]

As someone with Lyme disease that's struggled for about 13 years despite antibiotics (oral and IV), thank you for talking about this issue repeatedly. If a doctor had believed me immediately instead of given me the "it's all in your head, Lyme disease isn't in this area" take, my life would be DRASTICALLY different now. Awareness, prevention, early detection, and early treatment is absolutely KEY 💚

[@phil1500]

Thankfully the 'in your head' trend is reversing, thanks to some good research over the past five years. But cases are also skyrocketing. I just finished my doxy cycle a week ago and my back is more useless than before and the random brain fog is utterly crippling when it crops up for a few minutes every few hours. Had the rash on the back of my thigh for who knows how long before I luckily got another one on the front of my left thigh. Awareness is going up and research is getting funded with the increase in cases (though they haven't pinpointed the source of it beyond global warming, whether its due to tick life, deer migration, or rat/vermin longevity, probably all of them tbh). I think Ren has really helped awareness too. Wishing you all the best in your struggles

[@TherealDanielleNelson]

Yes! I thankfully had the red bullseye all over my body before I went in, because I really though it was just a rash. Took antibiotics its went away but came back a year later. Took more antibiotics and it went away, but now when it's really cold my joints ache. They told me it's nothing. I'm telling them it's arthritis from Lyme disease.

[@RachelKay528]

I do think it's important that Dr. Mike is talking about Lyme, but I also haven't seen him acknowledge that Chronic Lyme is real. If you go years without being diagnosed properly, so don't do treatment until like 10 years later, one course of doxy may not cure it. This is what they don't seem to understand. Sure, it works for some people, but for some people the Lyme doesn't go away and it keeps spreading. It can be really hard to get rid of.

[@myrawest]

Ugh he is so right about not laying around too much when you're injured. I went that route with a chronic leg injury and it just stayed bad or got worse for YEARS. And it was finally moving again, slowly, but pushing through some pain that finally got myself to heal.

[@Messup7654]

What is too much because you shouldn’t push through pain you can work on yourself without pushing through pain that’s how you get injured ask any doctor specifically the one who likes your comment (unless your talking about mental pain😂)

[@Messup7654]

It’s a big difference between breaking your leg and spraining something especially a small sprain so how chronic was your injury

[@myrawest]

@@Messup7654 you're talking without knowing ANYTHING about my injury

[@Simplenotion]

@@Messup7654 actually for a lot of chronic and acute injuries/issues you have to work with a certain amount of pain to make it better short and longterm - every good physiotherapist will tell you that. It doesn't mean that you ignore the pain and have to push through every kind and amount of pain but some pain cannot be avoided in treatment.

[@CreamIceMs]

I recently learned that this is the case for you vocal cords too! Keeping your voice at total rest keeps it at a higher risk of atrophying or getting worse when you have a vocal injury.

[@yaaaas9778]

I really like this video. I've already heard most of the hot takes somewhere and it's so eye opening to have a doctor answer them. For most of these I also disagreed, but couldn't say why. I really liked that you put it all into 2-3 sentences and went onto the next one, it was very compact

[@summitdrift8117]

I have to say I've been watching a lot of your videos lately and your patients are INCREDIBLY lucky to have such an intelligent, tactful, and empathetic doctor. You are a shining example of what is RIGHT in the medical system ❤️

[@rservajean]

About the "who pays" take: in France, every worker contributes proportionally to his means and almost EVERY medical thing is 100% refund, whatever your situation, and whether it's surgery, physiotherapy, etc. etc. (while keeping excellence in hopistal care). And we are actually horrified when we hear about how it works in the US.

[@SR-cc1iy]

Isnt France severely short staffed and lacking medical supplies ? Could have sworn I saw a report about that recently.

[@spideyplaysminecraft]

​@@SR-cc1iyUS hospitals are also severely short staffed. It's been that way for quite a while now.

[@rservajean]

@@SR-cc1iy yeah but it's because of bad policies and stuff, nothing to do with the system in itself. To be even more harsh with the US, people say "the US do stuff nobody are able to, but at the same time they are unable to find a solution for something that the whole planet already solved", it's crazy.

[@WWYD0]

​@@rservajean"policies and stuff" would still be the system...

[@HeortirtheWoodwarden]

"Contributing proportionally to his means" just means everyone has half of their income forcefully taken by the State.

[@pandabytes4991]

For me, being placed in a group home has not only been the best thing to have ever happen to me, but has been a literal life saver.

[@mrbear1302]

I am so happy this is your situation! I have worked in several facilities(through agencies) and have seen A LOT of bad things, which I tried my best to correct in the short time I was in them.

[@MrZoomah]

I worked in child protection group homes. For me it comes down to ratios and dynamics. When a system is under strain they put unsuitable people together. Placements are done more to benefit the system than the client. Out of the 35 kids I cared for 3 left better off mainly due to dynamics. I'm now a foster carer so I can choose the dynamics rather than rely on the system.

[@melanyxace]

Yeah, it's people looking at the wrong part of the issue. Group homes are not inherently bad. it's the people that work in them, but then again that's also not the issue. often it's funding and care-related (long hours, too many patients to caregiver, insurance, etc ) at the heart of the issue.

[@Omegawerewolfx]

Cancer might not be cured, not because of profits but the fact that cancer comes from malfunctioning cells you're always going to have the risk.

[@ridgewalker2010]

So glad Lyme Diseas was mentioned! My brother nearly died (not typical, I know) from a bad case. 2 weeks after being bitten, he went into heart failure. Our tiny little local E.R. doc kept on top of him like a hawk, and saved his life twice in 24 hours. My brother was then transferred to a bigger hospital and was about 4 hours away from being given a pacemaker at age 39, when his Lyme test result came in, positive off the charts. He never had a visible bullseye rash. Several weeks of IV antibiotics later, and his heart has been healthy as a horse ever since. Scared the living bejeesus out of me, though.

[@1mol_wAter]

Holy moly that’s crazy. Props to everyone in the story and I’m so so so glad everything turned out well for your brother.

[@gracetanner4132]

That’s such a terrifying experience so thankful he is doing okay now I have a question what symptoms did he have before his hospitalization?

[@ridgewalker2010]

@gracetanner4132 thank you! The symptoms came on very suddenly and got worse shockingly fast. He got very, very pale, short of breath, sweating, severe muscle weakness to the point of it being difficult to walk, dizziness, and confusion. His heartbeat was erratic. I've seen severe panic attacks (which are awful, for sure), and this wasn't like that. It all got that severe in the span of maybe 15 minutes.

[@LipstickDoll]

"you will ultimetely create a system that will target and really hurt those who are already hurting" - Such a good statement! It sounds so easy to let a smoker or obease person pay more, but the other side of the coin could have a tremendous negative effect on everyone.

[@suckit4669]

It would have negative effects on people who are smokers or obese, tf do you mean with everyone?

[@Kreepie11]

@@suckit4669 Oh sorry, do you have no smokers or overweight people in your life? Do you live in a vacuum?

[@boycrazygirllover]

@@annihilam3408from what I understood, he was basically saying it wouldn’t work in today’s system. If there were proper affordable and accessible programs of rehab (or really any kind of support system) in place, I think it could work! I just think Mike was taking the pov that it would fail in the way our system is right now. Also when it comes to obesity, a lot of it comes with genetic predisposition as does addiction. It’s a fine line between personal responsibility and things that are out of your control.

[@suckit4669]

@@Kreepie11 I do have smokers and overweight people in my life, your point?

[@Kreepie11]

@@suckit4669 my point is that everyone around them will have improved experiences if they get medical help when they need it. So it does help everyone. 🤷🏻‍♀️

[@1drlnd]

I LOVE Matthew Walkers book. Granted I don't consistently keep good sleep hygiene habits, but when I'm having difficulty I always come back to what I learned in his book, and it always helps significantly. Just need to figure out how to stick with the good habits and break the bad habits long term...

[@jill4268]

You Dr. Mike Are a very Intelligent and thorough, thoughtful eloquent speaker. Your takes are answered honestly and actually so balanced and fair, make a whole lot of sense. Really enjoyed that vid 👏✔️✨🤍🎀

[@peacefulinvasion684]

Hot Take: Medical degrees should be required to work in the health insurance industry. Id rather the people deciding if my surgery is nessisary or if the blood work i recieved was needed also have a basic understanding of how the human body works so they can understand why its needed.

[@Kazanko28]

The ones that make those decisions I'm pretty sure are Doctors.

[@LGBTQLegend]

Easier and more logical to just abolish needing private insurance for healthcare.

[@OutsiderLabs]

@@LGBTQLegend Great, now a government employee gets to control your medical care... So much better

[@LGBTQLegend]

@@OutsiderLabs That's the way it works in many places who have top class healthcare and the best medical systems in the world. So framing it like it's somehow bad is hilariously ignorant.

[@sidneyvandykeii3169]

​@@LGBTQLegendAsk the British about their NHS system. It can months or years to get treatment for severe diseases. Same with the VA system in America.

[@zoericketts6721]

I think that Dr. Mike should make a mental health episode, he seems so sensitive and aware about the topics :)

[@sarahmoellenberg]

I hope he does! He is a great advocate for mental health and helping to break down the stigma surrounding it.

[@piotrdworowy183]

​@@sarahmoellenbergI think he does in the past ,but it was in form of inrerview with one other youtuber.

[@sarahmoellenberg]

@@piotrdworowy183 He has in a bunch of videos which I love. 😁 Since I spend most of my time in the community mental health world, I am always hopeful for more voices to amplify accurate information that is destigmatizing surrounding mental health.

[@avenged7peep958]

​@@piotrdworowy183wasn't it with Steven He?

[@piotrdworowy183]

@@avenged7peep958 I remember he refered to him as Steve-O, but you might be right.

[@asor_airama]

you're so well spoken, its inspiring

[@uncleben7306]

Something no one seems to be saying about the cancer theory: Big pharma isn't just one company that profits from cancer treatment. Each company is trying to maximize profit, and from an individual company's standpoint, it would be more profitable to find the cure to cancer and sell it to every cancer patient who can afford it rather than just use the same old treatment and get your fair share of the patients, even if you would get more money out of each patient.

[@terryboyd4352]

I recently was assigned to a different doctor, because mine retired. This doctor says he treat the whole person, physically AND mentally. I like him much better than my previous doctor. He's helping me handle my Type 2 diabetes, and wants me to get off most of my meds. (8) by eating better and just plain living better. I hope to be his patient for a long time.

[@jesusofbullets]

That is the sign of a true medical professional. Glad you have a great doc.

[@NEPtune-fy1ug]

thats exactly how it should be! diabetes control comes down to weight management, diet, exercise and finally medications. if diet is too hard to change, or exercise is difficult to fit into one's schedules, then medications need to be used. but if one is willing to put in the work to change up their diet and lifestyle, medications aren't necessary at all

[@SuzanneIYN]

I completely trust my obgyn with my health. Two years ago I was having a hard time with my mental health, I happened to have my annual with her. She spoke with me for an extra hour and gave me a list of about 7 therapists who took my insurance. My last therapy session is next month ❤ She also acknowledges how the medical field treats women of color espeically with childbirth. I told her she has to stay working for about 5 more years so she can be my midwife 😂

[@godfredprempeh6809]

That doctor is a DO. DO typically treat patients in a holistic way compare to MD

[@musthaf9]

A good doctor treats the disease. A great doctor treats the patient who has the disease.

[@AndragoniaFlash]

I feel like when Mike tried to explain the Cancer comment he really focused on not failing with his emotions for his Mother (God bless her soul) and keep it professional

[@gavinjenkins899]

What does personally knowing someone who struggled with cancer have to do with agreeing or disagreeing with that take or it being true or not? Corporations either are or are not dragging their feet, as a point of factual reality either way. Whether you know 0 or 20 people with cancer doesn't change the conversation.

[@patricialdv5220]

@@gavinjenkins899 because he's human? As a cancer survivor, regardless of the facts, it's still frustrating to read it. His mother passed away, they probably didn't everything in their power, I lived, they did everything in their power.

[@gavinjenkins899]

@@patricialdv5220 It makes the issue higher stakes for him, but it has nothing to do with which side is correct. It's higher stakes EITHER way. If the pharma companies are indeed dragging their feet, for example, then he should be all the more furious at them for doing so... and if they weren't, then he'd be angrier at the people claiming they were. Either way, that simply doesn't inform us about which truth is correct, though.

[@ramteja1550]

@@gavinjenkins899 you can LITERALLY Google the list of billionaires and rich people and VIPs and CEO's that died due to various cancers despite having access to the best Pharmas available... You just want to believe in a conspiracy because it makes you feel "aware" in your head

[@durt214]

​@@gavinjenkins899Are you serious? This video is about his reactions to people's medical takes, if he agrees or disagrees with them. Of course his answer is gonna be influenced by his personal experiences. If you want cold hard statistics and results instead of someone's pure opinions, read a medical study.

[@couch2558]

I have a circadian rhythm disorder. My natural sleep cycle is about 5-7 am until 3-5 pm, maybe a little later if im really tired. This is a really big problem, especially because i also have insomnia and narcolepsy, so when it comes to sleep, i'm more or less at the mercy of my body. Trying to keep a "normal" sleep schedule doesn't last long.

[@MrGforce52]

I'm really glad Dr Mike was honest with everyone about how Healthcare is free nowhere in the world and never will be. People work in field that need to be paid. The resources need to be paid for. The cost is paid by someone. I'd be much more comfortable knowing I'm not burdening anyone else with my Healthcare costs, especially if my own choices lead to them.

[@hnichole]

My hot take is that I'm literally completely fine with universal healthcare coming from my taxes, even if those taxes are higher, and I feel like that's what most people mean when they refer to supporting "free" healthcare. Believe it or not taking money out of my taxes so that I and my fellow neighbors don't have to pay thousands of dollars at once for a medical emergency sounds completely worth it to me.

[@lillybarnett4027]

I agree when most people say that about free healthcare. They already know it has to be paid from somewhere. They're just saying they'd like it to be free for everyone to have access to care at that time.

[@luce6799]

I'm based in the UK, we all know it's not 'free' - but it's free at the point of access, and you don't get sent a bill. To be honest the American healthcare system will always seem to me to be a cruel system that is so biased towards those with money. The anxiety of having any kind of problem and thinking about money instead of focusing your energy on healing? Yikes.

[@agirlnamedmichael1670]

I am NOT comfortable with that because I know how my government works and they take taxpayer money which was specifically earmarked for certain things and spend it on whatever the hell they want. The ONLY way I'd be down for it is if they HAD to have the exact same care as the average person.

[@Miss-Anne-Thrope]

​@@agirlnamedmichael1670That's exactly what's happening with the NHS funding here. Universal health care would be wonderful if governments weren't so corrupt; they kill millions by stealing money that should be funding people's health care.

[@lillybarnett4027]

@@agirlnamedmichael1670 well it has happened before that tax dollars have been misused......

[@sylviagreybe672]

The weight one! The assumption that everything is because of my weight is constant and overwhelming. Never saw this when I was thin. Also, having a chronic, debilitating illness that prevents exercise, and food allergies/sensitivities that prevent certain diets is ignored and doctors just say "You just need to exercise more", or "you're afraid of exercise", or "go on a diet and just eat fruit/veg instead of ...[insert any other food item here]", when my illnesses make this blatantly impossible and/or dangerous. It's super frustrating. No I'm not afraid of exercise. No I don't want to be overweight. But that doesn't mean that every single thing that is ever wrong with me or that I go to a doctor for can be blamed on my weight.

[@ShintogaDeathAngel]

I'm not even 'heavy' and I'm really fed up of seeing overweight people being blamed for their illnesses (underweight people too, to a lesser degree).

[@kerrylilys]

Absolutely ❤

[@edanagorham6757]

@@ShintogaDeathAngel The science very clearly indicates that *being underweight (re BMI) is significantly more damaging to our health* than being overweight or even obese, but the societal bias is significantly based on appearance and has now assigned an undue virtue to unhealthy levels of thinness. Underweight people have a higher all-cause mortality rate than any other group in the meta analysis of longevity( one 10 year Canadian study of 11,000 adults showed underweight were 73% more likely to die early than normal BMI, even extreme obesity only came in at 36% more risk). In fact the healthiest group re longevity is the overweight category who had 17% better longevity than the “Normal” range. For insight as to why that might be... the goalposts for the normal category were moved back in the 90s from upper being 28 to it being 25 ... in consultation with::: WeightWatchers!! The diet industry is literally controlling the concept of healthy weight and everyone fell for it hook, line, and sinker. People are damaging themselves to reach life shortening weights and society loves it cause that’s what they believe an attractive woman should look like regardless of her health.

[@elisefreeman8226]

Hypnosis has made such a huge difference in my mental health. Not just the hypnosis itself but the grounding techniques he has taught me for my anxiety and depression

[@elisefreeman8226]

@@timenixe who did you see? I'm really struggling with both of those. It's to the point I've had every test done thinking there's got to be something wrong with me. But nope, just the worst case of IBS my doctor has ever seen :)

[@save_hyrule]

hypnosis can also ruin your life and it is used in many cults for brainwashing. it can be so misused and dangerous. grounding techniques are not apart of hypno but something entirely different. im glad it works for you because pseudoscience but there is overwhelming evidence that it does more harm than good

[@lissaharre]

I used hypnosis for labor and delivery. I didn’t want an epidural and it made birth relatively painless without any side effects.

[@Cornelia150]

In Sweden it is free to study at a university. In fact, you can get paid to study depending if you also get the student loan

[@BunniBeshara]

My kids’ pediatrician didn’t get the CME memo.. she missed my son’s SEVERE autism several times, despite me, non-doctor, bringing it up. “Boys will be boys, boys develop differently…” was all she said. Apparently she got her medical degree from my grandma.

[@sparrowtakesflight]

Autism is severely underdiagnosed, that's why it's one of the few places where self-diagnosis is not only accepted but relatively common

[@texasflood1295]

He didn’t say that doctors don’t make mistakes.

[@Elvoalven]

@@sparrowtakesflight I understand that not everyone has access to proper assessments, I just hope that people who are self-diagnosed make sure to make that distinction.

[@younglagx]

​@_Sparrow_Bailey_ you should NEVER self diagnose. Go seek a professional if you feel like you may have any sort of mental health issue. But self diagnosis should NEVER be done without consulting a mental health professional as soon as possible.

[@sparrowtakesflight]

@@younglagx self diagnosis isn’t bad so I wouldn’t necessarily say it should never be done. A lot of ND people tend to do it because neurodivergencies is such as ADHD and autism are severely undiagnosed so may be missed even if you working with a medical professional You can self-diagnose before you see a professional or while you are seeing one, you just need to make it clear that your diagnosis is just a guess (for example you can say “I probably have autism” or “I'm neurodivergent” instead of “I do have autism” and getting mad when people say you don’t)

[@jessthom1016]

The sad thing… is that doctors are required to take continuing education… but some of them DO still operate in the past, refuse to use what they learn, and gaslight patients until they’re so broken they stop seeking help and are resolved to just deal with discomfort and pain daily for the rest of their life

[@heatherrowles9930]

25 years ago I was told to learn to live with the pain caused by multiple surgeries. 7 years ago I was told that I would have to take pain medications for the rest of my life because LIVING WITH MY PAIN had contributed to my heart condition and had come close to killing me. Problem with telling people to live with severe pain is that we get really really good at it. I was so good at it I ignored a heart attack. Im only here because my body found a work around for the fully blocked artery. I had a bypass done during surgery to replace 2 heart valves 4 years after the original heart attack. This was not a silent (or painfree) heart attack. I knew what was happening at the time and remember it vividly....but honestly it was just more pain in a body that is always pain filled.

[@mrcuso]

I always said that if someone found a cure for cancer, it would make them so much MORE money than treating cancer. They would monopolize cancer treatment for a time. Therefore companies would want to cure cancer for the money.

[@serenapenner3581]

Canadian here. I got tested for lyme disease when they were trying to diagnose me a few yrs ago, turns out I have Multiple Sclerosis. But was definitely in the at risk category for tick bites, as i live in a rural area, love to hike, and am a life long pet owner.

[@Lorqu1n]

I hear what you're saying about the NHS, it's struggling because our govt wants to get rid of it so defunds it. And the phrase we use is "free at the point of care" which is what matters. We still pay less in extra tax than medical insurance would cost and honestly if I never need the NHS then I'll still consider it money well spent, the peace of mind is priceless. The bills from US healthcare are barbaric.

[@cbpd89]

So true! You try to explain to people that their health insurance is more expensive than paying taxes toward a Medicare for all, universal healthcare and they will not believe it. I spend anywhere from $12k-$14k for healthcare coverage for my family of 5 each year. That's, what, £8-9k? If I paid that exact amount but never had to worry about my insurance refusing coverage and I knew I'd never pay a penny more, then I'd be better off, but I bet I'd be paying less.

[@agent57]

This is a really good thing to point out. In the US the small amount of available tax-based healthcare struggles the same way. Politicians and special interest groups continually lobby to defund it... And then they point to the resulting broken system and go "sure the privatized system is flawed, but look how much WORSE public healthcare would be for everyone!"

[@agent57]

There's also the fact that while people in the US are paying taxes, politicians and lobbies generally decide how to allocate them. It's a choice on their behalf to put a certain amount into Medicaid and a much larger amount into military spending. (or bailing out multibillion corporations) With our current system, public opinion takes a very long time to make it up to the budgetary level, and that's a system that's been orchestrated over decades by the people making the most money... which includes a lot of private health organizations.

[@joshuawolfe7526]

When I was young I got really sick. Could not keep anything down. After almost a week of this my mother, who was a nurse, took me to the ER. They said it was the flu, gave me fluids via IV, and sent me home a few hours later. Two days later I was in the same state. My mother took me to the family doctor who took one look at me and said I had Lyme. No targets on me or any other outward signs so my mother was not sure that was the correct diagnosis. He put me on med and a few days later I was feeling much better. Close to 30 years later and I still see that same doctor. He is now over an hour drive but I told him I will continue to have him as my PC doctor until he retires.

[@khaotictrash]

If I was you I wouldn’t see any other doctor either, he saved your life. Hope you’re doing better now! ❤

[@alysondra]

The first person basically stated that we should apply a “you didn’t say no so that means yes” rule onto organ donation and all that tells me is that they don’t properly understand the concept of consent or how important it is in the medical field.

[@JohnKennethHuszagh]

I experienced that 5th percentile doctor being the difference that enabled me to recover. In 2016 I found myself experiencing continuing symptoms following a c diff infection which I was at this point definitely now negative for. However the cramps and spasms continued. I saw one GI who performed an emergency scope and told me she couldn't find anything wrong with me before prescribing me Bentyl saying it was the only thing she could give me. The Bentyl made me feel worse, constantly crampy instead of just a couple times a week. A second GI thought my treatment so far had been wild. He treated me for SIBO with Xifaxin, then started me on desipramine with Levsin as needed and I proceeded to make a full recovery.

[@maggiec5311]

This man is super smart and has high common sense. I wish all doctors were like that.

[@TheMrCC21]

This must be your first Doctor Mike video you've watched. He's all about fact based research, debunking myths, and such. Saying you wish all doctors are like him is ignorant. There are lots of doctors around the world who are smart and have common sense. You'll find many on KZbin. You just have to look.

[@fellowdanbarber3323]

Do you have ANY idea how difficult it is to even get into Medical school??? 😂 They’re ALL smart. Hahahahha

[@dr.rebeccamd]

Makes sense right?

[@nicolad8822]

How much Doctoring do you think he really does?

[@KeariGaming]

@@TheMrCC21 facts

[@melissamorley8099]

As a person with a disability, I disagree with what was said here about group homes, and what is now called long-term care. Unfortunately, sometimes people do get miss treated in these environments but that is not always the case. I live in a group home right now and it’s not perfect but my needs do get met and for the most part, the people who work here are extremely caring individuals and I have rapport and friendship with them 😊 I have a physical disability and my parents wouldn’t have been able to take care of my needs safely for much longer. It was my choice to move out and I don’t regret that decision. It was the best option for me.

[@peterDcontact]

I am sorry that are going through that but you are in a different position that a lot of elderly people. Some of them can't even talk so they end up being abused and there is nothing they could do..

[@laurao3274]

​@peterDcontact That certainly does happen, unfortunately. However, most people who work in those places are caring individuals who are doing the best they can with the resources and staffing they are given. The problem is usually with the people funding the facilities, and something I've witnessed personally, which is the family members themselves. Oftentimes, the family members aren't willing to say goodbye when the inevitable happens, so they push for interventions that in the end are harmful to the patient. For example, when I worked in one such facility, there was a woman who was dying. She had been in and out of hospice for months. It was the very end, and she had stopped eating. Her daughter was demanding that we force-feed her, so she'll get something in her. The staff calmly explained to her that we don't do that. The daughter tried to say we were killing her by not force-feeding her. So yeah, it was a pretty crappy situation all around.

[@prettybyte6513]

My Aunt was badly injured and none of my family lived in her area. None of us could take almost a year off work to live with her. So she had to go to a long term facility who also took in PT and hospitalized people who need recovery time. She was delighted with her help but she noticed some patients who were mistreated when they tried to speak about their own frustrations. I am sure it’s frustrating when trying to accept their current life and increasing disabilities. When they try to express it, the nurses often shut down the patient to avoid a scene instead of talking. The long-term-patients then became upset and acted out more. They wanted to be “heard” but were instead sedated. She saw this over and over and begged us to take her home even though she knew she wasn’t up to moving around on her own yet. She did recover and looks forward to every farmers market.

[@stevepest4143]

​@@peterDcontactyou only hear about the bad so you get tge impression that all are bad. Makes more money for the media. You click on such stories more..

[@josephdahdouh2725]

@@laurao3274 I think "most" is an exaggeration. If you follow up, you'll find out that many that work there are actually evil. There is even video camera footage on youtube on how the elderly are treated in some nursing homes. As they are being abused, drugged... They were taken by the family of the abused elderly as they were suspecting that the elderly's personality completely changed after entering the nursing home. When they viewed the footage, the family felt embarrassed to have placed their parents in a home full of evil workers and took her out of that place. There is nothing better than devoting some time every day to taking care of those that took care of us for a long time since our birth.

[@ThungStudios]

About higher insurance rates for risky behavior- there are also a lot of people with mental disorders that make them more predisposed to risky behavior (e.g. bipolar disorder, ADHD, borderline personality disorder, *obviously* genetic substance use disorders, and many more), and making physical healthcare more out of reach for them, when many already face financial hardships due to disability or systemic issues, is just harmful and (more than likely) perpetuating unhealthy and self-destructive behavior. People with severe mental illness are already discriminated against enough in the healthcare system.

[@mistergaming1232]

crazy thing is the orgon donnor situation is actually like that by default here in portugal, you are by default an organ donnor, and if you dont want to be you have to sign a paper explicicitely saying it. Its pretty great actually because it dramatically increases organs available which means smaller organ transplant waits and lists which means less deaths, less suffering and less money spent on keeping someone alive until a donnor shows up!

[@clckc]

Doesn’t it just make you smile that Doctor Mike cares *so much,* you can see it is truly his passion and he wants to educate people and that is so amazing

[@lillybarnett4027]

I love seeing him happy😊

[@clckc]

@@lillybarnett4027 Me too :)

[@colinekszczecin]

Problems with NHS funding are often related to the government underfunding it, while pumping money into private health care facilities (often benefiting from it). Not to mention bureaucracy that cranks up costs. If a cost of pack of painkillers is 10 x of what the same medication costs in a supermarket, something is wrong there. But while as a society we don't pay specific bills for our treatement, it is still very much a business for people in charge.

[@potatuh2]

With the “patient always knows what’s going on” thing, I’d say it’s almost always right with women or FABs. Because if they have abdominal pain most doctors specifically make doctors with think it’s just period pains.

[@shadowgoku2689]

first, what are fabs? and second, if those women are doctors or are in some area of medicine well maybe yeah, but just knowing "i feel this and that in such place" does not translate to knowing whats wrong, maybe you can feel the result of a problem, but surely not know the problem itself, just because they are women that doesnt mean they know how the whole body functions, and even then, why would this argument make men being wrong with knowing whats going on? i guess that your point was saying something like if its a man the doctor would take them seriously and if its a woman just assume that its what you said, in reality in any case a doctor wont take seriously any person and they would listen to what the patient says he or her is hurting or where they have pain

[@michaelablank]

​@@shadowgoku2689FAB = Female At Birth.

[@alice45-fgd-456drt]

@@shadowgoku2689 Women can usually tell the difference between period cramps and abdominal pain, they feel completely different and if you've had your period for a few years, you definitely know which is which. So if I go to a doctor with abdominal pain and I say it's not period cramps, it's really not period cramps and even a man who doesn't know what ovaries feel like should be able to comprehend that.

[@AC-jn3ry]

OMG the Lyme Disease one: YES! I was diagnosed a few years ago, and my bullseye rash was on my very lower back so no one noticed it until the ER doctors went in for a spinal tap. Thankfully, the doctors in my case had Lyme disease on their radar but they were testing me for meningitis as a potential diagnosis or a complication from possible Lyme Disease.

[@nicolevanherwynen4798]

Here's my hottake: your GP/Dr is not "making money off you" they don't order tests to fill their pockets. It's not like they work on commission! It's the insurance companies you need to be mad about.

[@duckeh1952]

In US lots of undeeded tests are ordered because doctors and hospitals are afraid being sued and we all know how absolutely ridiculous amounts those lawsuits costs. I live in Europe, but even here if you use private sector, they absolutely order tests to get people to pay more and make more money.

[@TheMrCC21]

It's not only insurance companies that are making money. The healthcare system in the United States are made up of many providers such as insurance companies, healthcare providers, hospital systems, and independent providers. There are healthcare facilities that are owned and operated by private-sector businesses. The fully private hospitals are like any other business. They are responsible to shareholders and investors. Where there's a monopoly hospitals, private healthcare costs more. When you need a health insurance company to cover something, they won't. There are things they won't cover and Doctor Mike has had to talk insurance companies to get them to cover something that a patient needed and succeeded in doing so in one instance he's talked about.

[@normantaffefiny8227]

Remember when doctors where getting kick backs to push Oxy?

[@user-kb9kj4zp9t]

Wrong. My grandfather was in the hospital for some lung related issues and his condition was getting worse and the staff literally ordered every single test available for no reason. On talking to another doctor and showing him the results, he said more than half of them were unnecesarry and irrelevant. So yeah, some doctors will definitely order tests to fill their pockets

[@manaspajamas5071]

@@user-kb9kj4zp9t It's not to fill their pockets, it's to try to utilize as much of the insurance coverage that you have as possible, which in my opinion is just as bad and doesn't work out anyway. My dad has worked in the medical billing business for over 20 years, and I've worked for him for the past 2. Most of the insurances, if they pay anything at all, write off the rest so the patient doesn't have to pay, but then the doctors don't get paid, either. I'm also speaking from experience in a hospital setting. I landed on my head after slipping on the floor (with non-slip shoes on) while working at a Subway. After driving me via ambulance (since I passed out for a few seconds) and arriving at the hospital, they ordered everything from head to toe. Then after getting settled in my bed, they wanted to do everything AGAIN, which is what they did. The doctor was livid when they found out they disturbed me more than they should have, since he said I had a major concussion. The whole reason was to take advantage of the fact that I had workman's compensation, and they would end up paying for it. Except what most inexperienced doctors don't know about are the write-offs, so it ends up coming back to bite them in the end. Another thing we tend to forget is the fact that as the patient (or someone in charge of the patient's care), you have the right to refuse "medical care," you just might have to sign something, if they think you're doing it against doctor's orders. I would insist on talking to the doctor about situations like that, but I was so out of it and my parents never knew about the right to refuse care, which is why I ended up with multiple scans and evaluations.

[@KingKraid]

I never understood that cancer take. It's not like it'll ever go away. If you cured every single cancer patient in the world, new cancer patients would still pop up after a while so they would continue to need treatment

[@dodixaverius9176]

Yes. And even if it can be immunized against, it's not like people would stop reproduce to have new generation to administer the vaccine if profit were the only concern.

[@bahhumbug2072]

It has more to do with these peoples view of the world rather then what is realistic. They are completely fed up with the greed and have lost hope for the future. It's also hard to blame them because we can look at history and see "MANY" cases where corporations shut down better futures for short term profits. A good example would be how the Gas and Oil companies have crushed alternative forms of energy.

[@ZackScroggins]

The main argument is that they make more money on treatments then they could ever make on a cure. Cancer treatment is VERY expensive between chemo, radiation, surgery, hospital visits, and the various medication to manage pain and other symptoms, whereas a cure would be (more or less) one and done. The take is still all kinds of shitty, like Dr. Mike said, the executives might not want a cure, the researchers absolutely do.

[@rymikai]

5:05 i remember i had stitches on my elbow, and was told not to move too much my arm (bend or stretch out too much) by the end after stitches were removed, it ended up being actually painful to bend/stretch out my arm, and it was only for like 2-3 weeks; i had lost the ability to bend my arm basically (since then i'm all fine ✌️)

[@zetafish7347]

I wish more people understood that not everyone has the same circadian rhythm instead of accusing it of being a "bad sleep schedule". Going to bed at 1am and waking up at 10 is just as healthy as an early bird going to bed at 8pm and waking up at 5am. There's nothing bad about either of these sleep schedules and night owls are not what needs fixing here.

[@hannahs_harp]

this might be a tiny thing but i really appreciate the moving line at the bottom of the video to show how long your response is going to take and how far through it you are currently. I am autistic and i find it difficult to follow and process information. knowing how long/short the burst of information is really helps me gauge my interaction and energy expenditure. small thing, but thank you!

[@nicolechai1]

I’m not autistic but I still appreciated it also!

[@jake8748]

Oh god I was thinking I was the only one that found following the line also helped me focus on the answer and properly individualise each answer to the next.

[@CallMeByMyMatingName]

Very well arTICKLEated. Similar boat.

[@ledgaming6489]

I just commented saying how sad it was to have the time bar there. You might be the exception but if people need that who aren’t autistic, society is fucked

[@mainstreammutant]

I was filling out the paperwork to get my 100th MRI (probably literally, i have like 3ish per year for 30ish years to follow a my tumors for a rare disorder) and i see these questions on an outpatient facility's questionnaire "Q3: what do YOU think is wrong with you?" "Q4: What does your DOCTOR think is wrong with you?" And i laughed so hard! 🤣

[@MakeyJu]

I mean that's pretty smart of them!

[@v3ru586]

Most appointments with mental health professionals started with them dismissing my self diagnosis. They ended with them asking me what I think is wrong with me.

[@jesafreese657]

6:17 As a former DSP, I completely agree. I would never do that to someone I love. I watched a disabled, nonverbal older man get *SCREAMED* at and threatened to not get his cannula back just because the (primary) caretaker in the room got upset and "snapped."

[@AW-vi3df]

Thank you for this video❤ thank you for debunking some of the misinformation out there, as well as some of the stigma surrounding addiction and drug use So many people depend on Opioid medication . Chronic pain patients acute pain patients…. The terminally ill. … the mentally ill…. And even those who are addicted. They need those medication‘s and stigmatizing them does absolutely nothing to help them.

[@lynnrolaf7422]

I have a friend who was scheduled to have left and right hip replacement, and eventually bith knees. But her doctors wanted her to loose 100lbs before they would do it. She weighed around 300 -320lbs, but she was mad, because she thought they were fat shaming her. She had 2 second opinions 2 DIFFERENT doctors confirmed the first doctors assessment, but still she thinks it's fat shaming, not the fact that replacements are never going to be as strong as what she was born with, and that weight she's carried for YEARS is what destroyed her hips and knees in the first place!!!

[@t.l.c7481]

As a woman who had knee surgery because of tearing ligaments, those doctors are not fat shaming her. After surgery, mobility is key. With the weight there, it complicates the process. Most doctors are concerned about the pressure on her heart during surgery. When you’re heavy, it overworks the heart overwork. I hope she rethinks their remarks.

[@knxcholx]

Your friend just didn't wanna accept the harsh truth