What the US health care system assumes about you | Mitchell Katz

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The US health care system assumes many things about patients: that they can take off from work in the middle of the day, speak English, have a working telephone and a steady supply of food. Because of that, it's failing many of those who are most in need, says Mitchell Katz, CEO of the largest public health care system in the US. In this eye-opening talk, he shares stories of the challenges low-income patients face -- and how we can build a better system for all.
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[@hithere5553]

There are people who killed themselves rather than put their families in debt after they got cancer. That’s the system we have now.

[@sbenton62]

I have worked in US healthcare for over 30 years now. Everything this man just said is true.

[@henrythegreatamerican8136]

All you have to know about the USA healthcare system is stop voting republican if you want to fix it. And Elizabeth Warren was 100% right in her basic explanation of "costs will go down," but too many American's are idiots and buy into the narrative pushed by corporate news networks focusing on your taxes going up. OF COURSE YOUR TAXES WILL GO UP. How in god's name do you expect to pay for it? Your overall costs will drop significantly because you won't have middle men bankers plundering the coffers. Seriously, what's the point of health insurance companies? They were originally brought in to keep costs under control. Obviously they failed at it. And I won't even go into the details of "investors" buying up all our healthcare assets then dramatically increasing the prices of those assets for profit. Look no further than drug pricing as the simplest explanation. But it goes on throughout the healthcare system.

[@sexyyeyo]

@@henrythegreatamerican8136 Choose to pay for something you will only use like at max twice a year or forever pay more for something you'd usually pay less if payed separately. Too be honest idk. My mom and dad are immigrants and they get payed minimum wage or around that and medical bills have never been a problem neither for my grandparents before they moved back to Mexico as my grandpa had many surgeries and it really didn't seem to affect them at all. At most the only effects it had was that we needed to be on a budget for a couple of weeks and that's it.

[@wellbodisalone]

Definitely.

[@lovewarrior2329]

I just enrolled for my MA degree last night. This talk really opened my eyes to the needs of those I'll be serving. Thank you for this invaluable lesson.

[@susanrhodes5681]

Thank you for caring!

[@rcollinge5818]

The health care system assumes you have a great insurance plan and alot of money. The problems start when you don't have both !

[@billreitter7343]

So true: When you try to make an appointment with a doctor the receptionist immediately asks what insurance you have. If you only have medicaid or medicare they push you ahead on the calendar for a month or two, even if your need is urgent and you are getting worse and in pain. If you need help right away they tell you to call 911 or go to the ER. But if you have full coverage you get an appointment right away. How many of you have experienced this treatment?

[@jonny68s52]

@@billreitter7343 powerfull

[@KristiPelegrin]

I had a great insurance plan and financial security and the health care system still failed me and my family. The problems with our health care system are far worse and much more complex than many of us realize or, are willing to admit.

[@wellbodisalone]

Couldn't agree more!

[@jolantamatys2896]

Love your speech. More caring people like you can make huge difference. Thank you

[@tikakou92]

This is such an important topic to discuss and highlight, especially to health employees. We often get consumed in our work and easily frustrated about day to day things within out facilities. we need to remind ourselves to keep the mindset, discussed by Dr.KAtz ,with every single patient and make sure they leave our facilities, comfortable with the help they received , will make worlds of differences to their health outcomes. as healthcare employees , other than treat , we need to educated our patients , in order to help them make the best decisions.

[@user-vn7ce5ig1z]

Thank you! Unfortunately too many people are so self-centered and narrow-minded, they simply cannot put themselves in other people's shoes and see things from others' viewpoints and imagine that things may not be for others as it is for themselves. And it's not just about health-care, but in general. Far too many people are unable to think of or consider other scenarios and explanations. It's nice to see that some do. 👍

[@sownheard]

The US Healthcare system is what you get when you make short term profits the norm and monopolized businesses the law.

[@peggyharris3815]

It also assumes that the doctors will use the correct code on an insurance claim so that it will be approved and paid. Many patients are paying for services that are covered benefits due to coding errors.

[@SWRaptor1]

Would be amazing if we didn't even have insurance companies at all. No more coding errors as an excuse to deny coverage. It's long overdue we have #Medicare4All.

[@eagle3676]

Healthcare is a for profit business in the US. It shouldn't be and the US needs Medicare for all #Bernie2020

[@casawife11]

This man is a TRUE healer! Our system could benefit from CARERS at every point of contact EVERY patient makes. It costs nothing but love.

[@ronaldthompson6403]

I wish I could do more than just give this one like! Excellent talk!! Saving this to share with my fellow coworkers in healthcare! There is definitely a desperate need for more empathy and understanding in our healthcare system. It’s one of the most frustrating things I deal with on a personal level working within the current system.

[@kalenward508]

Wow this was really enlightening. Had to watch for my BSN and it hits the nail on the head.

[@nycgirlnycgirl9991]

He is so passionate loving and caring.. 🙏🏽❤️ amazing person and doctor. Amazing leader!!

[@umbrella0110]

The profit-driven US health care system prioritizes sickness over the actual maintenance and cultivation of health. The rapacious US health care industry assumes everyone wants (and likes) private insurance instead of quality of care. This TED talk just adds more justification for the current US health care system to move over to a single payer program that finally guarantees health care to every individual as a right, not a privilege.

[@justinrenaud4818]

Incredibly informative as well as emotional impactful. Thank you, Dr. Katz!

[@wa209]

AMEN!!!! THANK YOU. I feel like most doctors need a reality check about the realities of lower-income life. Thank you thank you thank you

[@deeb3272]

The US Health System assumes you are already dead.

[@a_diamond]

Or that you will give up and go away

[@a_diamond]

@@cbo3877 nah, that takes effort

[@a_diamond]

@@cbo3877 People want healthcare. It's not "Clintonian" because there is no "Clinton" in charge. President Trump kept talking about this beautiful and wonderful plan he would replace Obamacare with and where is it? Because all we've seen was a "Trump-Don't-Care type proposals.

[@welshzecorgi7903]

And that your wallet is their dibs.

[@Cerbyo]

They use the Game of thrones heatlhcare model, namely:: What is dead can never die.

[@_infinitedomain]

Brilliant talk

[@mississippiprincess3421]

Amazing

[@scottdenoncour6418]

what a nice real person .

[@carinwiseman4309]

This talk should be mandatory for all doctors to listen to.

[@greatestever8976]

Someone once said...the fastest way to die is to go see an American Dr. Food for thought from a chronically ill person living in poverty with suicidal tendencies who has had hundreds of dr visits.

[@magedsaad6336]

I watch this video just to improve my English but I respect this man

[@user-lx7jb3it1t]

Dr. Mitchell Katz’s talk helped shine light on what the underlying biases medicine can have on patients. As we get our training to be physicians we take classes like ethics to help us see our underlying biases and make sure that those don’t haze how we treat our patients. One of the biggest things that he mentions is the lack of translators available in regions to help tend to diverse populations. I appreciate Dr. Katz’s honesty with shining light to the fact that these are places where our ethics principles don’t get focused on. We are not doing justice to our patients by not getting them the translation services they need to help provide the care that they are in need of. This leads into beneficence because how as healthcare providers are we to give these benefits to patients if the system is not there to support us. There is a lot of change that needs to be made in the overarching healthcare system where we don’t assume things about patients but instead have the systems there to support them, and their needs.

[@gloweejay9015]

Woooow this is so inspiration...but how do I come see this live please

[@mpoharper]

It is important to provide care to all!

[@alikhi7817]

that's great

[@zhubajie6940]

One of the best talks. The medical community lives in such a judgemental bubble.

[@EthicsCommentary]

Dr. Katz speaks on many barriers that can arise for low-income or homeless patients compared to middle-class patients within the US healthcare system. One principle I feel he highlighted quite well was the ethics of beneficence. I appreciated how much Dr. Katz focused on putting yourself in the other person’s shoes or having empathy for patients. I agree that healthcare providers can become caught up in their day-to-day activities and easily feel disrespected that a patient failed to show up for an appointment, forgetting that a low-income or homeless patient has additional barriers to overcome before prioritizing his/her health. Dr. Katz consistently reminds that taking care of patients experiencing chronic homelessness or low-income with a caring attitude or beneficence not only allows doctors to fulfill their purpose of helping others, but also increases chances of patient follow-up and symptoms being resolved. When basic needs for shelter, food, water, and safety are met, patients can afford to think about their health and treatment goals with their doctors.

[@frannybecker]

Hello saudações 🇧🇷 Obrigada por compartilhar ótimos vídeos 👍🔔 Uma abençoada quinta-feira 🙏 Love .

[@user-cm3ls3th1l]

One of the key pillars of medical ethics is beneficence, meaning that it is the obligation of the physician to act for the benefit of the patient, promote the wellbeing of patients and choose the course of action that will lead to good outcomes. One of the key features of this pillar of medical ethics is considering the individual needs of the patient. I really loved this Ted Talk because Dr. Mitchell Katz uncovered some aspects of health care that is not easily apparent to some providers, and that is simply because the provider/doctor might not have any idea certain determinants of health individuals from low SES status face on a daily basis. However, through speaking with his patients and not making assumptions, he was able to understand some some of the challenges his patients faced in terms of accessing care. By understanding the individual needs of his patient, he became the best provider to them, and reinforced that being a doctor is more than just knowing about the pathology of a disease and standard of care, but how on a humanistic level one can serve their patients to ensure they receive the best care possible. What an inspiring and lovely talk. Thank you for this.

[@toppertin92006]

Dr. Katz touches on many details that are overlooked in healthcare, and I have certainly overlooked some of them as well. When he brought up the obstacles that patients face in trying to receive their care or pay for it, I can imagine the opposition arguing that they made decisions to put themselves in this tough position. However, God forbid that same person go through a difficult diagnosis or series of life events and wind up in the same boat, they would also be looking for some to be empathetic to their situation. Taking a step back, I can see that our current system is built on patient autonomy, as it is assumed that patients will be at the helm of the healthcare decisions. However, the situation is not always black and white and may require a primary care physician to take the lead of coordinating the various aspects of a person’s complication case. However, because the current healthcare system is built on procedures and not on maintaining health, the incentive to pursue this primary care route is much less favorable from a financial perspective. Regardless, focusing on the financial benefit of the situation is unethical toward the patient’s care as it favors detriment to one’s health in order for them to arrive at that point. There is also an assumption that patients will be able to comply with the instructions, provided they fully understand them and the plan after the visit has concluded. So many aspects of daily living are taken for granted that contribute to someone’s well being that are considered the baseline, even though there are countless Americans suffering from homelessness that do not meet this criteria. Ignoring these social determinants of health is certainly doing harm to the patient since it is not allowing them to achieve the quality of life that they deserve. Finally, Dr. Katz touched on a very heartwarming point toward the end of his discussion. He painted a picture of a patient who has had a rough go through life, but the staff at the clinic gave him a chance to be a human being again. Recently, I worked at a rescue shelter in Denver and met many individuals who were so appreciative to have someone to interact with and leave any unconscious bias or stereotypes aside. This is a brief example, but one I hope to keep with me for many years to come. In my future, I aim to provide this same empathetic kindness to everyone who walks through my clinic door, regardless of race, religion, socioeconomic status or the like. I am very glad to have heard this discussion, as it brought to my attention may key details that are overlooked systemically in healthcare.

[@DavidImrie]

And this is why im glad I live in the UK. God bless th NHS

[@ericknight2934]

This guy seems to be on the right track

[@titaniastinkerings]

I worked a job that screwed my mental health so much that I ended up in urgent care 4 times in six months from physical symptoms caused by my anxiety. Unfortunately they don't have a prescription for "mental health days," and thats why I do doordash now. It pays just as well and I don't end up puking with anxiety over the idea that if I call off I might get fired.

[@stanislavsdzeja]

I really don't know, cause I'm from Latvia 🇱🇻!

[@sownheard]

Queen Lativa 🇪🇸

[@welshzecorgi7903]

The healthcare system I worked for hired a CEO from a hotel chain who then created a business model that tried to treat hospitals like hotels. We even called our patients "customers" or "guests" at one point for half a year, (behind closed doors) before someone with some sense turned it back. Or, perhaps more likely, a patient heard themselves refered to as a customer and complained. In the end it was a meaningless paint job, the higher ups still treat hospitals like hotels and patients like hotel guests. Edit: If you're wondering why that's a problem, it's because the investors who were calling the shots poured millions into cosmetic renovations to attract customers, and the way to make up the cost was to cut patient spending and increase prices. You can imagine how hospital cosmetic appearance, cost of medical care and number of impressed investors went up while quality of care went down. Preventable deaths also went up, though that was always put on the workers and doctors, not the constant supply shortages, overworked "hotel staff" and patients that couldn't comply with medical instructions due to their low incomes smashing to pieces against our high prices.

[@Melissa0774]

It's the consumer demand. People don't know any better. They don't know how to pick a hospital. They pick based on how nice the facilities are and they assume that means it's better. People have to learn to look past that kind of stuff when it comes to hospitals.

[@welshzecorgi7903]

@@Melissa0774 It might be different for clinics, but when you're unconscious or in desperate need of medical attention, you don't tend to make the time to research prices. Our hospitals are notorious for hiding costs until after services are provided, usually hiding behind the excuse that they have to talk to their insurance and see how much the insurance will cover before telling you how much you have to pay. The healthcare system also monopolized the northwest region I live in, so for those living in the center of that region, (or the other regions where competing healthcare systems are) it's either drive 2 hours to see a specialist or give in to the Monopoly.

[@Melissa0774]

@@welshzecorgi7903 I'm not talking about people researching prices. I'm talking about people who assume that a hospital is better, care-wise, just because it has nicer looking facilities or inversely, that the care must be crappy if the rooms are. I've even had my own primary care doctor make this assumption. She was telling me how the local hospital she's affiliated with is so nice now because they have all single rooms with free internet and they just renovated it. (I like her and her office, but I have my reservations about that particular hospital because of certain malpractice related things that happened there before.) I've been in Mount Sinai in New York and the rooms for people with regular insurance are pretty terrible there. Mostly doubles with no closets and you have to pay $7 a day for TV. But you get the best possible care from the most amazing doctors and nurses, who watch you constantly and will be God damned if they let anything bad happen to you. The very same ones who care for billionaires and celebrities. Of course, they stay in a separate luxury VIP wing, but they pay for that out of pocket. If hospitals want to do the whole hotel thing, great, but leave it to the VIPs who can pay out of pocket and stop judging a book by its cover.

[@welshzecorgi7903]

@@Melissa0774 Oh, okay. Sorry.

[@AngelCruz56970]

Dr. Katz mentions a lot of great points throughout his talk and one of them being that the healthcare system is mainly based on the idea that it is for middle-class people while not meeting the needs of low-income patients. This is concerning to me because, as he mentions, this creates such a disparity for those that may need life altering healthcare. This disparity gives patients from low income the idea that they may not need healthcare until absolutely necessary. A lot of is based on the fact that healthcare has created this barrier for low-income patients to not be able to afford some kind of procedure or medication they may need. That jeopardizes a lot of the care for low-income patients that could be potentially prevented. There are several disparities that need to be addressed in healthcare and Dr. Katz mentions one of them being that patients prioritize their own healthcare. Unfortunately, that isn’t always the case and doctors need to consider the dilemma that some patients may be in, like not being able to afford a certain medication. Not only that, but some of the social dilemmas of just getting to a clinic can be a lot for most low-income patients. As a 2nd year medical student, I want to make sure that I do right for patients that need it regardless of their income status. This can be done by providing services in their areas that can be easily accessed and providing them with what they actually need. Dr. Katz provided several ideas of how we can tackle this particular issue and by implementing these ideas we can provide equitable access to patients of low-income patients.

[@whitemansucks]

The Federal government assumes States will comply with federal law. If States complied with ADA laws, many of the needs you mention would be met for persons with disabilities.

[@JonesP77]

I can not imagine to live in a country where you cant get off from work and you loose the money for this day when youre ill. In germany, where we have the "evil" socialistic healthcare, you get youre complete paycheck for the month and you dont have to work when you have to go to the doctor or if you are not able to work After 6 weeks without working you still get, i believe it is 70% or something like that, from youre normal paycheck. When you get ill, you dont have to worry about surviving like in america. Thats one of many reasons i would never want to live in america. I love those socialistic part of our democracy! They simply and only help us. I can not understand why so many people in america doesnt want a system like we have, which is obviously way better if you are in the middle clss or below.

[@karenstauffer5754]

There is an MRI place blocks from my house. The last time I got one, my insurance company required me to drive to one 45 minutes away. What if I didn't have a car? And it took a half a day off work instead of just an hour.

[@marissageorge1416]

The magnitude of this shortcoming in healthcare could not be relayed often enough as it affects the lives of so many individuals within different populations of the US. Mitchell’s comment, “ …healthcare is built on a middle-class model that often doesn’t meet the needs of low-income patients” is a powerful one that challenges the ethical principle of justice. According to the American Medical Association Journal of Ethics, justice, in the context of medical ethics, refers to a fair and equitable distribution of health resources. Healthcare justice gives human dignity to everyone, regardless of who they are or where they come from. It ensures access to equitable and affordable quality care for all. One part of seeking justice is promoting the fiscal sustainability of the health system for the greater good of society. As Mitchell relays to the audience, there are many easily-addressable obstacles in place that prevent access by low-income patients. As healthcare providers, it is our ethical responsibility to remain cognizant of these barriers and remove them so that our patients are not limited in their access to necessary medical care.

[@wpduke]

What if your choice was to die or go to your doctor and die more slowly with great pain, side effects, and tremendous expense?

[@stchaltin]

That's the scariest part. Who absorbs the debt if a patient dies? Will people stop bringing their friends and family to hospitals towards the ends of their lives because they know they'll make their children pay for it? It's horrible.

[@susanrhodes5681]

I am in that situation. My attorney has been directed to let me go...

[@stchaltin]

@@susanrhodes5681 That's not your attorney's call in the slightest. You stay strong. Sending you love.

[@susanrhodes5681]

@@stchaltinI asked him since I have no family, it is cool.

[@stevenunyabidness]

Susan Rhodes it's anything but cool, im sorry for your suffering.

[@user-xe8no1jy7j]

This video highlights an important issue in our current health care model: the inability of lower-resource citizens to access the system. In order to promote the ethical tenant of justice, it is necessary to address these disparities. It is easy for physicians to attribute lack-of-follow-up to short-comings of their patients, but Dr. Katz brings to light an interesting perspective: the model is built for the middle-class. With wealth disparities in America increasing, it would be unsurprising to me if in the next 20-30 years, should we have the same model, health care will only be easily accessible by the upper-middle class and the wealthy.

[@claires9100]

If these people just had a basic income. A UBI for example. That wouldn't solve all their problems, but would help SO much.

[@bicyclebookster6510]

We need universal healthcare!

[@giandealmeidakatz971]

👏

[@RickFerns]

This entire talk much such great points. The United States healthcare system does indeed fail low-income patients in many ways. I worked in a cancer center for two years, and I’d argue that more than most other specialties, Oncology is one that truly does serve all demographics of the population. Cancer does not discriminate or show preference for social class or economic status. Along this point, I remember thinking that it was so insanely inconvenient for the oncologist to work 9AM-5PM and to expect all patients to fit this schedule. Many cancer patients have a support network, an understanding boss, a flexible job. But not all of them. Cancer can afflict also those in strictly houred blue-collar jobs, or night shift workers, who would certainly struggle to take off extended periods of time during the day to see a doctor or to receive chemotherapy. This assumption that all patients could accommodate such a schedule reflects a serious lack of empathy for the realities of low-income individuals. From an ethical perspective, this assumption violates the principle of justice, which requires that resources and services be distributed fairly and equitably. Low-income individuals often have more limited access to healthcare, and this assumption only exacerbates that inequality. It is unfair to assume that everyone has the same ability to attend appointments during the day, and this assumption perpetuates systemic injustices that disproportionately affect low-income individuals. This assumption also violates the principle of beneficence, which requires that healthcare providers act in the best interests of patients. By assuming that all patients can attend appointments during typical business hours, healthcare providers neglect the needs and interests of those who cannot. This neglect can lead to delayed diagnoses and treatments, which can have very serious consequences for patients’ health and well-being. Such an assumption also reflects a lack of empathy for other challenges that low-income individuals may face. For example, many low-income individuals may work multiple jobs, have limited transportation options, or have childcare responsibilities that make daytime appointments difficult. By assuming that all patients have the same level of flexibility and availability, healthcare providers are ignoring the realities of life of low-income individuals, establishing institutionalized barriers to their healthcare access. In order to address this issue, healthcare providers and policymakers must take a more empathetic and nuanced approach to scheduling appointments. This could include offering evening and weekend appointments, which I plan to do as a physician in the future. My dentist starts appointments at 6:30 AM one day a week, sees patients until 7:00 PM one day a week, and offers appointments one Saturday a month. I love that flexibility and will strive to do the same for my patients in the future. Something else that could be done is offering transportation services for patients, which the cancer center did where I used to work. Taking such steps as these, healthcare providers can promote greater equity and justice in healthcare.

[@dridlon1]

That's why patients have to speak up. If you can't read, say so! Don't have enough money for a ride to your doctors appointment? Say something! Sometimes there are resources that can help.

[@consummateVssss]

9:26 that seems oddly specific

[@TheJociman]

yes who knows what it might mean

[@Wargwolf91]

He's talking about himself. That's why he's in a wheelchair

[@taylorbritt499]

@@Wargwolf91 I think they know that, they're being sarcastic

[@therealmaskriz5716]

What health care system?

[@KJ99otis]

Real title: American Part Time Sick Care System

[@grmpEqweer]

45,000 people die per year from preventable causes due to lack of insurance in the U.S. 500,000 people declare bankruptcy due to medical bills. 1 in 10 people are not taking prescribed meds due to cost. For this we pay considerably more per person than any other country.

[@Mariavangelderrealtor]

It seems like yesterday....

[@Devilishsuki]

Primary care is the most important and neglected part of the health system

[@AJ-xm4xc]

Can someone put an end to this madness?

[@welshzecorgi7903]

Question is, who (singular) can?

[@IvanBroes]

This is not only an issue in the USA, I'm in Belgium, +/- no different.

[@niklasmolen4753]

The assumptions are similar in all rich western countries. These are countries that have chosen to specialize and there is no place for people who do not adapt. I have enough life experience to know that most poor people have ended up there because they have made poor choices in life because it has been easier for the moment. It does not require much of you to not become poor. Stay away from drugs and crime, and make an effort at school. The money you have should be used well. If you move to a country, you have an obligation to learn the country's most important language, and make sure that you are compatible in society.

[@grmpEqweer]

@@niklasmolen4753 In the U.S., according to a 2010 census, 50% of the population is poor or low-income. That's a bit old but I doubt it's improved. Don't you think that's a bit much of the population to blame that figure on poor life choices alone?

[@niklasmolen4753]

@@grmpEqweer It depends a lot on what you define as poor. I do not mean low income earners, as they have often made acceptable efforts to fix their life situation. It doesn't take much to go from poor to low-income, especially if you make an effort early in life. Going higher than that, luck and good starts in life start to play such a big role that effort is not guaranteed to lead to success. A certain part of the population will always be poor, because they are born with health problems, or suffer badly by some maniac (often mentally ill) or are so unintelligent that they cannot cope with today's advanced society.

[@grmpEqweer]

@@niklasmolen4753 Actually, I beg your pardon. I must have got a bad source, 29% percent are poor or low income. (That did seem a bit weird...) ...But that's still close to 1 in 3. I believe the same source said the poverty rate was 14%.

[@grmpEqweer]

@@niklasmolen4753 What other things I've read have noted about the American class system is that the far ends tend to be very sticky. That is, if you are born very well off or very poor, you are highly likely to remain so. Also I remember reading the poor die quite rapidly in this country, though I don't remember the degree to which the life expectancy is lowered? It might have been 15 years, but I'm not sure.

[@bmaiceman]

I have something wrong with my ANKLE. Haven to 3 doctors. Including orthopedic Dr... Orthopedic specialist and physical therapy. Several thousand dollars... Which I do not have LATER... SOMETHING STILL WRONG... IT IS THREATNING MY ABILITY TO HAVE A JOB...

[@Devilishsuki]

This issue is not isolated to the us - I’m a healthcare worker in Australia, where we have a free medical system for all Australians but we also struggle with similar issues with the social and cultural situations of patients.

[@stampandscrap7494]

But they do not have the added problem of not being able to see a medical practitioners

[@Devilishsuki]

I suppose I’m not writing this to say who has it worse... but accessibility is a problem in Australia, not regarding financial problems, but lack of rural support.

[@christinejohnson4068]

USA has problems in Rural areas. Its not profitable to have hospitals or clinics to provide care in these areas. They've pulled out if rural areas & even in Urban areas that demographic are those living in poverty. Our system is wasteful & inefficient & devastating. Our life expectancy has decreased. Total HC out comes are poor. We're not even in the top 10.

[@shannonkringen]

no other country does this to their citizens aside from the USA.

[@samanthashields2607]

My grandfather passed away this year on valentines day he had fallen and hurt his hip he went through surgery successfully 2 weeks of him being in the health rehab we get a call to go to the emergency room we get there he was punctured by a catheter and was dying he was very dehydrated from what the emergency room told us he past away later that day my mother had stayed overnight with him in the hospital during surgery and rehab the last week he was in rehab she started going back to work while I was taking care of my great aunt... After he passed we tried to seek help with what we could do no lawyer would take the case because he's past life expectancy this in Fort Worth Texas downtown Harris Methodist btw so ive lost my grandfather that raised me and its not worth anyones time

[@gamewithadam7235]

The right prescription for a homeless person is housing. Well said.

[@jerricapratt8287]

I’m early for the first time

[@simplemebandit2764]

Sadly now have government assuming what in best interest of patients. Labels apply to every patient, regardless of individual history.

[@Chris-ob8ok]

Most of these issues can be solved with private practice and doctors who are willing and able to make house calls.

[@davidgodchilla4413]

Even to poor neighborhoods. Also, home visits are very expensive$$$$$

[@Chris-ob8ok]

@@davidgodchilla4413 they are actually cheaper than hospital stays. Also paying out of pocket is also cheaper than insurance for the consumer. It's well documented that doctors are able to cut costs by 50% or more to the consumer by eliminating insurance.

[@davidgodchilla4413]

@@Chris-ob8ok you live in a bullshit fantasy world. House calls cost Way more than visits. I don't have insurance and when I do use healthcare it cost me more than insuranced customers. You are either Russian, stupid, or a healthcare exe. Good luck with your lies

[@grmpEqweer]

House calls? What reality are you living in???

[@JamesHussain82]

Greatest country on earth!

[@eagle3676]

Richest nation in the history of the world. #Bernie2020

[@sunnymacduffee6849]

When people in the medical field put compassion of their own needs someone will be healed

[@Rezin_8]

🤣🔎 this happened to me too....Department of Industrial Accidents Massachusetts Insurance didn't cover me in Texas Methodist Hospital System.....I had to pay out of pocket (disability $ awarded to me to live on, a limited resource). The Methodist doctors denied logic and ran me through physical therapy (out of pocket, disability checks that would have gone to food/rent). Methodist, "leading medicine" 🤣🇺🇸🙌 I eventually ran out of cash from being dragged through 2 weeks of therapy to justify a MRI. I HAD FALLEN FROM A LADDER AND THEY SENT ME TO PHYSICAL THERAPY 🔎 WITHOUT 3D IMAGING. ANYONE WHO PAYS INSURANCE TO THE DIA IN MASSACHUSETTS NEEDS TO KNOW THAT YOUR PAYING A LESS THAN PAR INSTITUTION THAT HELPS NO ONE....YOUR WASTING YOUR MONEY MASSACHUSETTS

[@Rezin_8]

Oh, and I would have paid $220,000 for health coverage, from 2011 to date, on Obama's "affordable" healthcare 🤣🇺🇸 I haven't made that much money in my entire life....🇺🇸🔥🧠🤷‍♂️

[@joecooper8527]

WHAT DO YOU CONSIDER LOW INCOME ? AT OR BELOW THE POVERTY LINE ? THAT'S A FOREVER MOVING GOAL POST BECAUSE STANDARDS OF LIVING INCREASE SO DOES THE LOWEST INCOME INCREASE.

[@publicguy1664]

This man needs to be in Bernie's cabinet!

[@KnightsWithoutATable]

Our social safety net system in the US is utterly broken. It needs recreation from the ground up with a modern and permanently funded system that includes tons of social workers and resources to lift up anyone whose life takes a turn for the worse. We also need to incorporate mechanisms to prevent people that are in free fall from hitting rock bottom and to allow anyone to attempt to climb upwards from poverty towards self sufficiency if they choose to. We have the money to do it. We just lack the political will. The greatest nation on earth with a massive GDP and we still have hungry children, sick people that have no healthcare, and people dying in the streets. When the social contract starts letting the bottom fall out of society, other, far more expensive problems arise. The country also begins a slow decline since a strong and healthy middle class that includes as much of the population as possible is what makes economies run since you then have everybody buying your product, can find people to make your product, and have the wide talent pool to have innovation improve products and invent new ones. This is what made the USA a great nation and a super power on the world stage. We can have this again, it would just take some really small changes and time to repair the damage to our society.

[@kostaschousianiths6076]

Okay, except some of his claims and arguments that are true and very much important to be solved, I think that most things he accused of the system are things that can not be done because they are either of little significance or even things that no other health system, even European ones, can do anything about them.

[@MartyD]

So it’s garbage?!

[@austecon6818]

I was a doctor for 4 years... the halo we put around health professionals is not deserved... they're extremely judgemental behind closed doors and robotic with following protocols without ever questioning the authority figures feeding it to them

[@ryanwporter]

What the US health care system assumes about you covers... In 16:00 minutes Mitchell Katz explains why problems in US healthcare are only going to get worse...and its also going increase mental issues, and spread drug dependencies, and spread labor shortages, and... Healthcare is one of those top tier issues. If you dont address it, it doesnt just compund healthcare issues, it diffuses into other issues and then compounds. Welcome to the future!

[@fhaf33z]

Ok I agree, US has healthcare problems. But which country doesn't have some of these issues? Weather you are low income in US or low income in Australia, you still need a ride to the hospital or doctor clinic. Homeless people have the same issues in US or Canada or Europe. If you can't speak English in US, you are going to have even bigger problems in some parts of Europe. The first focus should be on having universal healthcare in US and making it accessible and affordable to all before we even start to segment the population and criticize how there needs are not being met.

[@a_diamond]

In Europe people fall through the safety net sometimes. Here there is no real safety net. That is the difference. No. It is not "the same everywhere", this is simply what they can get away with that you have gotten used to being "normal". Insurance companies that rake in maximum premium and say "No!" to as many treatments as possible. My husband had IV antibiotics. The meds were covered but the tubing to get it into his arm wasn't. It cost over $130 a week. How does that make any sense? He ended up back in the hospital because there the tubing *is* covered and he needed the medication. No. It isn't like that everywhere. And yes, universal healthcare would go a long way, but not covering tubing isn't something that can really "wait" until things are fixed eventually. All other things aside it is a horrible waste of cash to put someone in a hospital *just* so he has access to the tubing he needs to administer needed and urgent medication. A hospital stay costs a LOT more than the tubing. There is also no real reason why the tubing costs as much as it does. There are people dying because they don't have insulin. (Google the news, young people that age off their parents insurance are dying because they don't have access to available treatment..) Issues should basically follow "triage" rules. Not first come, first served.

[@albertwang5974]

We need money and AI for these 'maybe'!

[@HelloVastervik]

The US healthcare system is sick. / A Swede.

[@gerokron3412]

Interesting, but missing the point. If a healthcare system is based on market laws instead of solidarity and compassion, then it´s most effecient if you let the lowest 10% of population simply kick the bucket. To improove healthcare is a matter of mindset inside society and not about improoving any kind of efficiency. Beeing from Europe, I am always shocked about the US can afford to thro so many people away like litter.

[@moleybear]

Even in countries with decent welfare and public health still deal with these issues, just not as servere as the U.S.

[@ericknight2934]

UBI would also solve these issues... just saying

[@grmpEqweer]

Um, I take more than 1000 dollars worth of meds a month. The UBI would not cover rent in a lot of locations for disabled, not working people. So the UBI just by itself isn't a cure.

[@PaulO-se6nl]

The uk is at risk of this under a Tory brexit....

[@masyaf897]

Majority of countries around the world especially Europe have Universal Free Healthcare paid via our taxes. Muricans: “BuT bUt THaTs SoCiALisT FrEeBiEs”... A trillion of your taxes is going to military and war yet there isn’t enough for universal healthcare?... I guess Americans are happy with paying $600 dollars for IV bag when it costs $1 to produce... Also paying $30,000 for child birth and even more for holding your own child... also paying $1,500+ for calling the ambulance... USA is a corporation. It was never for the people.

[@giovannip.1433]

Antineoplastons

[@Slimenator]

Vote Bernie 2020 if you want to fix our broken healthcare system

[@SWRaptor1]

Amen! #Bernie2020 #Medicare4All #NotMeUs

[@SWRaptor1]

@Super Saber it very much does matter who you vote for and Bernie is who the establishment is absolutely terrified of getting the nomination. They warm up to everyone but 2 people; Bernie and Tulsi. The rest can be bought off. To ignore that simple fact is literally to ignore reality for a preconceived narrative.

[@TheHSoko]

@Super Saber ah go to bed troll: I agree with @Busted American above not you.

[@Preacher_.]

#Bernie2020 Single Payer Medicare For All There Is *No* Middle Ground.

[@nicholasjackson106]

You need a free NHS

[@curiousfirely]

The NHS isn't free, but paid for through tax revenue. I'm from Canada, where we also have socialized medicine, and I am very happy to be a part of paying for it.

[@OneEyeShadow]

@Super Saber Trust in the government is low and faith in the free market is high. I think that's a big part of why Americans generally hate the idea of socialized anything.

[@nicholasjackson106]

@Super Saber so would you be okay with the whole education system being private ?

[@eagle3676]

@@curiousfirely yes but it's still cheaper than what Americans pay for basically little to no healthcare

[@eagle3676]

@@OneEyeShadow 70% of people support medicare4all. #bernie2020 Stop lying. Trust in both the government and the free market is low right now. And people would still have Medicare over private. Even a lot of republicans. Bernie can make it happen

[@jitinder11]

Hg

[@ThingsbyAmit]

Like from India.I make KZbin video on healthcare and pharmacy. Well explained

[@DJ_efex]

2nd comment :3

[@ArielleVicMaxim]

The health system screws everyone lets be realistic, low income, middle class, homeless, immigrants, in few words we live in a culture full of judgmental people, the way you look, how much money they assumed you make/have (to cover for service, and other medical expenses) type of insurance you have, if you are a person of color(👩🏽👨🏾👳🏿‍♂️🧕🏿🧓🏿👵🏽) or have an accent, because “that’s a give away”, as if that actually meant anything as far as whether the individual is here legally or illegally, or they treat them as if they were stupid, without realizing people whom might have an accent is sign of them being able to speak more than one language, since when is being able to speak more than one language consider stupid or makes someone stupid?, and the list goes on and on, and if you add to that the fact that most of not all drugs because they are drugs they are not medicine, medicine heals, it cures, drugs conceal, trick you into thinking you are better ,numb you, killing you slowly. Most doctors and nurses are not passionate about their jobs anymore, and I get I mean when you in industry where you as a healer are limited as far as what you are allowed to do for someone, when you just don’t care whether save a life or your next patient is here now and gone tomorrow, or whether they become addicted to the drugs you are prescribing them, you know we have a failed system that needs to be rebuilt from the ground up, just like the education system they both are limited, and broken, and last but not least I’m sorry but what this doctor is exposing is not an eye 👁 opener it doesn’t takes to be a doctor, nurse, medical professional to be aware and see what’s happening it takes one trip to an appointment to see how they treat people vs how they treat you sometimes you are in the other end sometime you might be the spectator, and others you might be that corrupted doctor/institution abusing of the lack or you patients insurance. Bottom line we need to take over our health, learn about our very individual,unique body and try to better our diets, use natural alternatives, and don’t even start with alternative medicine is bs it doesn’t work blah blah, keep consuming those lies if you like, those lies are the same lies that keep most people sick, and addicted, yes it is a lifestyle, you have to make major changes and yes it can be expensive and they want to keep it expensive, they make it expensive is more expensive to have a healthy diet that will make you and keep you healthy And one that will slowly kill you, we need to change and keep moving forward from what’s not working anymore, we need unity, and EMPATHY we need to start caring more about one another only together we can make a change that will be felt to improve our life and the one of those around us, what we all need is obvious, is the getting there that scares most

This only proves how stupid the US is. Glad to be European, if sth goes wrong you are taken care of, the rock bottom here is asking your country to help you out. We all pay for the certainty.

[@Benni777]

Doctors needs to prescribe love instead of Xanax to their patients 🤦🏻‍♀️😂

[@sownheard]

Your Totally missing the point. It's not about love. It's about saving lives.

[@dr.c.c.1671]

USA healthcare is awful because it is profit based rather than care based. Before it became profit based it was the best in the world. Before our culture and society became solely profit focused we were the best at almost everything. Remember?

[@escapefelicity2913]

I keep hearing the reality-optional folks say there is no overpopulation.

[@shawnmatthewpyper]

The US healthcare system has lead the world in advancements and has given longer lifespans to countless people. To talk it down because you make poor life decisions is pathetic.

[@arcadiagreen150]

I'd have a little more money for health care if I wasn't paying for professional bums on welfare.