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Failed Back Surgery In A Flawed System | Luigi Mangione Exposing Layers Of Lies.www.youtube.com/watch?v=rdnZA73iADs
561 sats \ 3 comments \ @398ja 14 Dec podcasts
I was really looking forward Dr Goobie's take on the Luigi Mangione case. For context, Dr Goobie is a trained neuro surgeon, he recently posted a viral video, in which he tells his story, and how he turned his back to his profession. (Check it out, if you haven't already)
Here, he reviews and comments on Luigi Mangione's x-rays, then he explains the perverse incentives in the medical system, how vulnerable patients are lured into expensive and often dangerous surgical procedures, when, in most cases, they would have been better off with lifestyle improvements (sleep, nutrition, social connections etc). It really shows the huge gap between the practice of medicine and the science.
It's quite interesting to watch someone of his calibrer talk about these things.
PS: The video can easily be watched at 2x speed.
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100 sats \ 1 reply \ @south_korea_ln 15 Dec
Here, he reviews and comments on Luigi Mangione's x-rays, then he explains the perverse incentives in the medical system, how vulnerable patients are lured into expensive and often dangerous surgical procedures
How can this be solved?
For better or worse, to me, this seems to be a side-effect of the free market doing its thing, no? Doctors/hospitals have the freedom to push people towards expensive treatments, for their own benefit as well as those of big pharma and medical equipment manufacturers, where the cost is pushed onto people's private insurances. Those insurances then will try their best at not paying back the expensive treatments. Victims: the patients.
Whereas in a more regulated (state-owned) healthcare system, as is the case in Europe (and partially, in Korea) for instance, doctors have less freedom to push for expensive treatments, whereas the state as a large entity, has more negotiating power against big pharma and medical equipment manufacturers, hence pushing the cost down. Private cost is thus lower. Exemplified by hip replacements that are much more expensive in the US than in the rest of the world.
Of course, this kind of public healthcare has many negative side effects too (long waiting times, some people pay more into the system than what they get out of it, corruption if done in a corrupt country, even a well-intentioned government may succumb to the powers of big pharma, etc), so I'm not gonna say this is necessarily the go-to option.
It just seems to me that some form of regulation might be beneficial, all things considered, based on personal experience having lived in Europe, US and Korea.
My question is then: how to get quality healthcare without any form of regulation?
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10 sats \ 0 replies \ @398ja OP 15 Dec
For better or worse, to me, this seems to be a side-effect of the free market doing its thing, no? Doctors/hospitals have the freedom to push people towards expensive treatments, for their own benefit as well as those of big pharma and medical equipment manufacturers, where the cost is pushed onto people's private insurances. Those insurances then will try their best at not paying back the expensive treatments. Victims: the patients.
Absolutely. The problem however, is when big pharma/business uses its money to corrupt the state, and turn it against individuals, to prevent them from choosing alternative, more effective, and cheaper treatments, as we've witnessed during COVID times. This is not free market anymore.
My question is then: how to get quality healthcare without any form of regulation?
I'm not going to pretend that I am knowledgeable enough to answer this very complex question. But I'll just say that it makes me very hopeful that we as individual have very inexpensive tools in our own hands to live a healthy life and even recover from serious illness. Dr Goobie shares this simple message in his videos, and as a doctor, he's witnessed it thousands of times, and can therefore authoritatively confirm it.
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0 sats \ 0 replies \ @Rothbardian_fanatic 14 Dec
Yeah, the guy was probably pissed because his condition got worse, after surgery, than better (as expected). Another case of someone disappointed by quackery Western medicine. He decided to do something about it.
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