47 Comments

As a practicing oncologist for over 30 years, I have witnessed and have been exposed to the money first approach of non-for profit healthcare. The biggest problem is that they are usually run by executives and their lackeys. They have created a business model where labor becomes the practicing doctors. The electronic medical record is the cash register disguised as a documentation and patient care tool. This is a pervasive, inhumane system that reeks of immorality. The system is not broken, it’s working perfectly as designed.

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I am disgusted by my former employer. They welcomed this DEI cancer into what used to be one of the greatest medical institutions in the world. Dr Joyner is an exemplary physician and a genuinely good man. He is right, and Mayo is wrong. I hope he retires a billionaire.

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Having spent seven years of my surgical training at Mayo Clinic Rochester, I am disappointed to hear about the actions they took against Dr. Joyner. I still believe there is no finer place to train, and the care I have personally received recently at Mayo was incredible. It appears that the current Mayo leadership is bending to political winds for political gain which will eventually tarnish the Mayo brand. Academic freedom is essential to protecting that brand.

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Sad. The end of academic diversity of ideals & of medical debate & innovation is very near.

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For over 20 years now my comment has been that at non-profit hospitals hospital doesn't make any money, but everyone associated with the hospital seems to be getting quite wealthy.

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A tiny slice of who they are: A couple of years ago, my husband was referred to Mayo in Jacksonville, Florida, for treatment of AVM’s in the small intestine. Only place in the South with an experienced surgeon . In the very well orchestrated system, one of the first encounters was with a young female employee who directed the flow of lost and wandering patients and visitors. On her sweater, there was a pin that informed “My pronouns are she/her.” It was my first encounter with gender and personal,pronouns, so I thought to myself, “Why is she confused, or does she think we are just blind?” I had everything to learn about the gender issue. I am sad that what was a prestigious place has been bought out.

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We can only hope that these Leviathan ventures implode under their own weight as they certainly never deliver better care, more efficiency and lower costs. The fact that insurers and systems employ on average 10 administrators for every physician is bluntly telling of what is most important and it is certainly not patient care in the sense that we know.

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They should lose their non profit status over the issue of 340b drug buying at a deep discount and then pretending to provide indigent care. They can scale up capital expenditures and then dole out a pittance of what’s left over to “qualify” as a 340b entity

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When will they just say men vs couching it with all the qualifiers? "Before puberty" etc....there is a difference...no hairs to split.

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Good for Dr. Joyner. I look forward to him winning his case. Where can I donate to support his legal fund?

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A “red pill” moment

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Unequivocally they are for profit they are just not for taxes.

I was on a panel as part of Medaxiom with the head of the Cleveland clinic. He then took a job running a hospital system in Illinois.

He made a big deal about saying how their doctors are not paid per procedure, so they're above the fray .

I pointed out to him on the panel that while they're not paid per procedure, he just said that if they don't meet a certain RVU limit they get terminated .

So I asked a simple question, which is going to be more of a driver of overutilization - a desire for extra money, or the fear of termination for lack of production?

You decide .

The recent debacle of John Hopkins, and the $261 million lawsuit, exposes exactly what you get from many of the centers .

A hospitalized child removed from their family because of suspected child abuse. Unfortunately you can't bill for child abuse so while they have the child in the hospital with the diagnosis of Munchhausen by proxy they're billing the insurance company a half $1 million for CRPS which is what the family said the kid had in the first place.

At the time the child was getting high-dose ketamine, which while not high-dose, is used at times for these type of syndromes.

They portrayed themselves as caring for the child, but when the mother killed herself, the physician or social worker texted to one another, that they have to tell "ketamine girl" her mother was dead .

A quarter of 1 billion was just the tip of the iceberg now they're going to be sued for the sexual assault that happened while the kid was in the hospital .

Our practice in Austin made a lot of money competing against a large central Texas healthcare system that felt that they were the mayo clinic of the south. The physicians there are nice and decent people and I worked there at one point, but their system is challenging for docs . It is a place where physicians get a couple years experience after training, and then jump on to another job.

We owned a for-profit physician hospital and never sent a patient away. We only ask for the weight and the room for the helicopter. Good luck trying to send some of the same patients to the "not for profit". Unequivocally the administrators in the for profit system had a better handle on things because the metrics for their success were fairly simple and it didn't have to deal with going up C suite chain.

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Using fear to sell is ALMOST the oldest profession. Sad to see our healthcare doing it more blatantly than ever.

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Given there is no such thing as a “non-biological women” using the term “biological women” is redundant and unnecessary. All women are women precisely and solely because of their biology.

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I picked Mayo for an opinion on a specific case of epilepsy with my child, I was hugely disappointed. The same, arrogant, know it all neurologist I am used to

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Corporate owned doctors are slitting their own throats because they do not see the gaping whirlpool at the confluence ahead. Those inept foolish practitioners who only regurgitate the corporate "accepted guidelines" as treatment will be drowned in a tsunami of automation. I don't like the term "AI" because it's nothing close to real human intellect or capacity for innovation. But large language models (pseudo AI) WILL replace the corporate GP's, pediatricians, and eventually all non surgical positions.

It will also fail the patients horribly, but no worse than the bought and paid for humans already have masking toddlers and murdering healthy teens with a dangerous gene therapy. It will be orders of magnitude cheaper and more attractive to the administrative largesse so it will be done.

I'm not sure what can really be done but we need to somehow protect the few remaining medical professionals who can still critically think.

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