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.
Speaking from Canada's "public" ACCESS healthScare systems, all the policies are driven by FOR PROFIT Medical Industrial Complex.
The "public" healthScare system is a lie. The more fear-mongering they create, the more false promises of miracles they create, the more profits they glean.
Today's Pharmaceutical Industry is no different than the Church and Clergy, sell the fear to earn the profits.
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.
Two of my relatives are doctors. During Thanksgiving, they asked why I cared so much about the trans kids issue. I shook my head in disgust. How do such "smart" educated people lose all morality and common sense?
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.
Just at the periphery of the scientific world, the American Ornithological Society have just banned all eponyms from the bird world. All eponyms carry "hate".
Banning all eponyms coming next to the medical field, to the plant world, to astronomy, etc, etc, etc
Well the nonsense started filtering in the world of science back in the 70s when Navratilova's male tennis coach got his shlong lopped off because he was turned on by pretending to be a woman and playing tennis against these women. Governments condone this bs by handing out fake sex id.
Science has been sliding for the 50 years that I've been aware of, since my teens. I assume people older than me can site areas of science sliding before that.
Maybe science has always been in a process of sliding backwards, whether lobotomies, phrenology, all the Rx that get removed from circulation too late, so much back sliding.
Well, what do we do? Everybody in town is talking about how Mayo is just in it for the money. Over three days, three separate groups of people said the same thing to me. These were researchers, staff and townies. So my question is what are we going to do? What's the best way to correct and perfect Mayo? What's your opinion?
The board’s fiduciary duty is to protect Mayo. They are playing in the political winds and just like Harvard is doing with President Gay, Mayo will permanently injure 100 yrs of reputation if they continue down this path. Look at who is on the Board of Trustees. Physicians and scientists must have academic freedom. Without it, Mayo is just a political organization governed by administrators.
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.
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.
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.
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
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.
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
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.
By the way- the APA was supposed to take care of Trans; (a) Providing useful, accurate and respectful vocabulary. (b) Highlighting the difference between what one feels emotionally vs. what one is physically. (c) PSA to inform on psychological aspects of sport competition, fairness and honesty.
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.
Parallel healthcare systems are starting to come up as the current model is breaking. Trust in mainstream academia, institutions and medical journals has been lost ! We need systems free from regulatory capture, where intelligent discussions are allowed without fear or losing one’s license or career . God bless us .
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.
Speaking from Canada's "public" ACCESS healthScare systems, all the policies are driven by FOR PROFIT Medical Industrial Complex.
The "public" healthScare system is a lie. The more fear-mongering they create, the more false promises of miracles they create, the more profits they glean.
Today's Pharmaceutical Industry is no different than the Church and Clergy, sell the fear to earn the profits.
This absolutely sums up the truth. Thank you.
Cannot say it any better. Patient care is not important anymore.
At the end of my medical career and feeling morally injured by the above.
Perfectly stated.
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.
Two of my relatives are doctors. During Thanksgiving, they asked why I cared so much about the trans kids issue. I shook my head in disgust. How do such "smart" educated people lose all morality and common sense?
Strange to ask why you do care. A better question is why don’t they care?
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.
Just at the periphery of the scientific world, the American Ornithological Society have just banned all eponyms from the bird world. All eponyms carry "hate".
Banning all eponyms coming next to the medical field, to the plant world, to astronomy, etc, etc, etc
I just had to say something. When this nonsense filters into the bird world, it's true everywhere. Where do these people come from??
Well the nonsense started filtering in the world of science back in the 70s when Navratilova's male tennis coach got his shlong lopped off because he was turned on by pretending to be a woman and playing tennis against these women. Governments condone this bs by handing out fake sex id.
Science has been sliding for the 50 years that I've been aware of, since my teens. I assume people older than me can site areas of science sliding before that.
Maybe science has always been in a process of sliding backwards, whether lobotomies, phrenology, all the Rx that get removed from circulation too late, so much back sliding.
Well, what do we do? Everybody in town is talking about how Mayo is just in it for the money. Over three days, three separate groups of people said the same thing to me. These were researchers, staff and townies. So my question is what are we going to do? What's the best way to correct and perfect Mayo? What's your opinion?
The board’s fiduciary duty is to protect Mayo. They are playing in the political winds and just like Harvard is doing with President Gay, Mayo will permanently injure 100 yrs of reputation if they continue down this path. Look at who is on the Board of Trustees. Physicians and scientists must have academic freedom. Without it, Mayo is just a political organization governed by administrators.
Sad. The end of academic diversity of ideals & of medical debate & innovation is very near.
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.
Exactly, all the "non-profit" policies are controlled by the FOR PROFIT Medical Industrial Complex.
Welcome to the eyes wide open side.
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.
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.
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
When will they just say men vs couching it with all the qualifiers? "Before puberty" etc....there is a difference...no hairs to split.
Good for Dr. Joyner. I look forward to him winning his case. Where can I donate to support his legal fund?
You should contribute to FIRE which is supporting his case.
A “red pill” moment
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.
Using fear to sell is ALMOST the oldest profession. Sad to see our healthcare doing it more blatantly than ever.
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
Mayo is good place but some on staff are not doing much to push the science of medicine. It’s becoming less innovative and more about the business.
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.
By the way- the APA was supposed to take care of Trans; (a) Providing useful, accurate and respectful vocabulary. (b) Highlighting the difference between what one feels emotionally vs. what one is physically. (c) PSA to inform on psychological aspects of sport competition, fairness and honesty.
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.
Parallel healthcare systems are starting to come up as the current model is breaking. Trust in mainstream academia, institutions and medical journals has been lost ! We need systems free from regulatory capture, where intelligent discussions are allowed without fear or losing one’s license or career . God bless us .