Source: mygumsarebleeding
this post was submitted on 29 Jun 2026
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The shit thing is that the American healthcare system is designed to put the blame on the healthcare providers and not the politician, hospital administrators, private healthcare networks, and insurance companies that actually control the cost of healthcare. Media like this just reinforces this and errodes what little public trust we still have with the providers.
I am a provider specializing in orthopedics and rehabilitation, and I have literally no ability to tell you how much my care cost, or how much money the hospital is making from my own labour. That's unless I break the law and just treat you for free and write the appointment down as a consultation, which I do as much as I can get away with.
Healthcare doesn't pay the way it used to, very few specialties make an obsesne amount of money compared to the time you spend on education, and the time you spend at work. If your goal is to make a lot of money, there are a lot easier fields of study with much higher returns than healthcare.
Most physicians nowadays make slave wages until they are 30, even longer if you do a fellowship. Then you spend another decade paying off your student loans. Most physicians graduating now won't really make anything until their 40s, and so you have about 20 years if you don't burn out to make enough to one day retire. At the peak of their career in your 40s, the average MD is pulling in 250-300k and working 55-60 or more hours a week at a hospital. Meanwhile a person with an MBA is making more with a master's degree with a 9-5 at a bank.
My other half and I have been dealing with an elderly family member recently, and the amount of intentional stupidity and obtuseness on the part of the people on the money side of the problem is breathtaking.
Yeah, getting a straight answer from the billing department even for providers is super frustrating. A lot of it is because hospital networks and private insurance companies have secretive reimbursement contracts that they don't want providers or patients to have access too.
It's not just getting a straight answer, its getting the same answer twice from the same person that seems to be too hard.
Yeah, same thing here. A good practice is to write the date and time of the call, who you're speaking to, and the calls reference number. I will usually summarize what we discuss and then repeat the information back to them.
If you have all that information you can usually hold them to what they told you.
That's what we have to do. Even then they play stupid.
Well, I know in my hospital the first step would be to complain to the clinic manager. They can usually act as a go between for you and the billing department.
If that doesn't work, pretty much every hospital has some kind of patient advocacy department. Ours is a third party called the Joint Commission for Quality and Ethics, they actually do it for a lot of hospital networks. You could register a complaint to them and back it by saying you plan to register a complaint directly to CMS if it's not resolved. Even if you don't have Medicare, if the hospital accepts Medicare they have to follow CMS Guidelines, which include protection concerning accurate billing.
This will make the alarms go off and probably cause an internal face to face meeting between the provider, management, and the billing department. So it's kind of a big gun to reach for if your problem isn't very large.
I just wanted to say that this cartoon needed doctors to visually work. It would not have been as effective to have a "hospital administrator" name tag on a random person listening to the dude lament his dead son. Like the joke doesnt work as well in that way.
Maybe have one doctor and one suit, with the suit asking the question? Make it clear that the doctor is there for medical reasons and the suit is an obnoxious parasite that had no business being involved at all.
America is the one who invented tipping culture.
it was always all about shifting the blame off of upper managment who do nothing, paynothing while they rake it in
but then what did we honestly expect of a country designed by slave owners.
And absolutely don't sleep on the fact that tipping was implemented as a way to not pay former slaves working in restaurants.
Always amused me (not in the funny way) how hard some people fight for literal slave wages
When you really get down to it, it's the people who vote against single-payer who are to blame. The insurance companies are acting in their own self-interest, and the politicians simply represent the people who voted for them.
Eh..... Yes and no. The capital side of medicine wouldn't be spending the big bucks to influence the media and politicians if it didn't work.
If onlyβ¦
You sound like a good person. Don't let the system wear you down!
Thanks, I do my best! I'm lucky enough to work at a children's hospital, so that helps in the morale department.
Cosmetic surgery, for one.
... cosmetic surgeons are still medical doctors, so they have the same insane schooling/residency requirements as everyone else. Plus, they have a purpose in a hospital in helping to plan surgeries to reduce the appearance of scars. It's not just vanity, my dude.
Chiropractor, though, that's a "medical" field that has no actual resemblance to medicine or the massive debt burden therein. Plus, they're a joke to begin with. Much better punchline.
Definitely on the higher end of medicine, but I'm still not sure if it's really going to be a higher pay off than someone with an MBA. You still have nearly 20 years of school, residency, and fellowship before you start making any money.
There are only around 7500 cosmetic surgeons practicing in the US, compare that to almost half a million investment bankers...... I'm pretty sure you're going to have an easier time pulling in a million a year in banking than in surgery.
We aren't talking about the average MBA, I specified an investment banker, most of which have an MBA. There are just a lot more people and positions for someone with an MBA.
You're playing the hero in basically every medical TV show
You would be surprised how frequently healthcare providers do this. We are more aware of the outrageous expense of healthcare than just about anyone, and most of us know exactly why.
When the United CEO got shot it was a bizarre day. There were senior pediatric physicians making jokes during work meanings about a dude getting gunned down and everyone was pretty jolly about it regardless of political leanings.