Follow up video to watch after this one: https://youtu.be/USqGmoXjU-I This isn't a medical drama but based on your requests I had ...

real-doctor-reacts-to-quotadam-ruins-the-hospitalquot

Real Doctor Reacts to &quot;Adam Ruins the Hospital&quot;

i said that's the problem with statistics is that they can play into they're not framed just right they can play into the more fearful parts that's exactly what you're doing adam i've watched adam ruins everything in the past sometimes i agree but sometimes i very very much disagree so let's take a look at his episode on hospitals i just need to be healthy just give you everything actually when it comes to medicine getting everything could make you less healthy that is a hundred percent accurate getting more care isn't necessarily better than getting less care not only can it be a waste of money but it can also lead to over-diagnosis which means giving you a diagnosis that had you not known about you live a healthy normal life or it can lead to further downstream testing which then can carry their own side effects if i give you an unnecessary test to check for prostate cancer and then it says you may have prostate cancer gives you a false positive then you end up getting a prostate cancer biopsy which is an invasive procedure with a needle down there and then as a result of that you get an infection and then we find out you didn't really have prostate cancer you'd be pretty mad at me right i know the hospital is expensive but it is worth it if i get the best treatment no it isn't american healthcare is not the best in the world but despite that we spend more per person annually on healthcare than any other developed nation and a big part of the reason for that is that american hospitals overcharge patients massively i've seen this show before and i really like how he takes apart the concept and makes it easy to understand relatable and also it's very data driven however when you take such a complicated topic like healthcare and you try and water it down to a single statement you're often going to be misleading people america's healthcare system is not the best in the world and it's because hospitals are overcharging you that's a drastic drastic oversimplification do hospitals overcharge yes the reasons they overcharge are very important to discuss because if you just allow the regular person to hear that they think hospitals are just trying to get rich off people getting sick it's more complex than that the problem starts with something called the charge master the charge master is a secret document full of insane prices that hospitals use to charge us whatever they want seven dollars for single alcohol swab that's ridiculous and true well i only pay my premium if they want to rip off my insurance company with their fake prices what do i care insurance companies have been paying more and more out of pocket because the hospitals have been inflating their prices the way insurance companies have dealt with this is they try and keep your premiums from rising too much so you don't notice that you're paying more but what they do is they make your deductible much higher which means that before your insurance even kicks in you have to pay higher amounts of money don't have insurance you actually get charged these fake prices let's see heart x-rays that'll be 33 000. this part is is interestingly true if you don't have insurance and you have to pay out of pocket you're going to be paying insane prices a lot of hospitals because i don't want to make hospitals to sound like totally evil corporations they have charity care programs like my hospital where they actually subsidize your care and if you fall below the poverty line you can get care extremely low cost or even free of charge this is why i say that it's such a dense and complicated topic just narrowing down saying hospitals are evil not exactly the case they're not just upping the prices for their own good every hospital has its own charge master a treatment that costs seven thousand at one hospital could cost a hundred grand down the road and you can't comparison shop when you're dying so this is 100 true when i talk about the cost of health care or even the cost of drug prices like insulin i have to make the statement that you can't treat health care like you do any other commodity if a toy is too expensive and people refuse to pay that cost the cost of that toy is going to go down or the toy is going to go off the market however if insulin is too expensive and you need insulin to live whatever cost is set for you you're going to pay it even if it means going bankrupt in the process because you need that insulin to live and the thing that really bothers me there's no transparency here you don't know what pharmaceutical companies are charging you don't know what uh pbms which are pharmacy benefit managers are making off medications without the transparency you can't make an educated consumer decision for example if you look at an industry where the prices are transparent like let's say plastic surgery if you go to one office they'll tell you what it costs to get a procedure done then you can go to another office and they tell you what the procedure is the reason they do that is because you pay cash so they're forced to tell you but when you go through insurance they're not necessarily forced to tell you therefore it becomes very cloudy and you can't make a good decision this is why prices in the plastic surgery industry are much better regulated and are much more transparent because they're forced to be because it's consumer driven in healthcare because you don't have a choice and because it's going to the insurance company and there's no transparency the whole system falls apart how can i stop it what do i do honestly nothing we need to go to the hospital so they have no incentive to change how they do business and politicians have spent decades arguing over how to pay the bill instead of asking why the bill is so high hospitals need to exist and they also need to turn a profit in order to exist if hospitals just start handing out free care or not following up on the bills or taking lower premiums from insurance companies they're going to go out of business and we're going to have no place to get health care so villainizing the hospital system is not ideal working the entire system and evaluating the system as a whole and saying the system is failing us that's more of the big picture that we need to be looking at saying that politicians have been arguing and how to pay the bill instead of actually fixing the problem is a hundred percent accurate it's so much easier as a politician to get people behind you to say we should just pay all your bills then actually figuring out why the bills are so high and getting into the nitty-gritty details of them all that's it i'll get a mammogram it will cure my cold but it will tell me i don't have cancer so at least i will have beaten one disease today i don't understand i thought every woman needed screenings like constantly yeah that's what doctors and advocacy groups have told us for decades in the 80s the american cancer society even ran an ad that said if you haven't had a mammogram you need more than your breasts examined he wants to make it a very visceral primitive reaction to what happened in the 80s but in the 80s the research that we had at the time the best research that we had at the time showed that by getting mammograms we can extend life and save lives and prevent people from developing worse breast cancer now because we did that research and we over screened people unfortunately part of the course when you're doing preliminary research we've realized that we should push the start date of when you should be getting your mammograms to a little bit later in life unless you fall into a very specific set of uh circumstances like if you have a specific gene mutation or family history that sort of thing based on randomized clinical trials if you took 10 000 women in their 40s here's how many might die of breast cancer if they didn't get any mammograms for a decade and here's how many of those same women might die if they did get those mammogram screenings take off your blindfold they both look the same exactly very oversimplified with how he's presenting the data this research that he's talking about is about people that died in that decade not taking into consideration how that breast cancer affected them in their quality of life in the decades moving forward but that is the reason in general why we moved our recommendations to getting screenings later in life and getting them less frequently now that doesn't mean you shouldn't get mammograms you absolutely should get mammograms it's just about when you get them and that's why i recommend everyone at home to go and talk to their doctor about what's right for them mammograms find cancer i have many pamphlets that say that well they definitely find cancer but not all cancer is the same there's the kind of cancer you were thinking of the kind you hoped to catch early yeah that one hasn't reached the finish line yet a mammogram could stop it in time it might [Music] the problem is mammograms can't tell the difference between these types of cancer that's true but that's why when you get a mammogram we don't just do a mammogram and then say oh well you either have cancer you don't we follow that up with a biopsy which then tells us which type of cancer it is and that's how we guide our treatment so again an oversimplification that can confuse the average person there's a chance the x-ray will show something suspicious when the woman doesn't even have cancer that's called a false positive this happens to about 1 out of 10 women and it can be very stressful and the more often you get mammograms the more likely you are to get a false positive i try and watch this from an average person perspective and when i do that what i feel is mammograms are useless and can actually hurt me that's not the message we want to send to people the message we want to send to people is go talk to your doctor and if you need a mammogram your doctor recommends them it's a good thing now challenge them and ask them why or should you wait and ask good questions but putting the information out to the general public like this that doesn't have a lot of scientific knowledge you can really confuse people and actually encourage them to not get screened most people will do anything to skip out on one of these cancer screenings and to have a show like this tell them that it's not the greatest test in the world a woman who's 55 will watch this and who already has a predisposition to not want to get a screening will watch this and say i'm just not going to get it and that's not what we want to happen if you do feel a lump or an abnormality please go see your doctor and if they recommend a mammogram get one at that time exactly that's good advice but the problem is all that advice comes after you just scared the bejesus out of people who might actually need mammograms so i'm not a fan of the way that this mammogram special was presented even though factually accurate there is some good news our treatment of breast cancer is so much better than it used to be the mortality has dropped significantly the reason why our treatment is so much better is because we found so many of these cancers early because of mammograms they spent all this time knocking mammograms at least give credit to mammograms for causing breast cancer mortality rates to drop one in eight in a lifetime and it's of a diagnosis not of death i see that's the problem with statistics is that they can play into they're not framed just right they can play into the more fearful parts that's exactly what you're doing adam i mean yes we don't say one in eight women will die from breast cancer we say they'll develop it so if you're being clear with the statistic that you're giving a patient or a person can make their own decision on how they feel about that statistic adam has great intentions and you want to present information he wants it to be controversial and edgy and disruptive that's good but unless you've had clinical experience where you understand how patients normally come in you won't be able to tailor that information to do something meaningful like if i was to make this show i would make it with the presumption and the knowledge that patients come in generally afraid of mammograms and i would be able to tailor the show with that in mind and maybe won't be as funny or edgy or disruptive but at least it'll be meaningful because that's the idea of making quality health content it's to not only entertain but to somehow give a piece of education that's going to make a lasting impact and that's why we have to always measure the intentions and then see if the outcomes match the intentions because i bet if i show this to 100 women who are let's say at the age let's say 50 years old to get a mammogram and i let them watch this really quickly and ask them what they feel about mammograms after i guarantee you the majority of them will be more turned off on mammograms even though they shouldn't be because of the show and that's a negative outcome did you see where dr mike ruins detoxies click here and stay happy and healthy

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