This is too true. The biggest reason why people don't do primary care is because of money. PCP is the core of US healthcare. They should be compensated fairly.
No. It shouldn’t cost $200k for tuition on top of $150k for undergrad. Young people are being robbed by these University so that the schools can pay for all their useless bureaucratic bloat. Check out the amount of money these Universities spend on administration vs instruction.
@Qwerty0791 , When I was in college, my private loans had to have co-signer (family member did it), which is standard and means if I died then they had to pay it back. This is probably what @scarcat666 was thinking of.
Luckily DNP is an affordable option at only... $150k tuition. Wife is going for that. $60k undergrad, $90-$100k for the doctorate program. Tuition rates are fucking bullshit. How can this shortage ever be addressed then it requires so much financial sacrifice to get an education?
@@zZrEtRiBuTiOnZz at least they're helping. Who cares? It's like a literal humanitarian crisis we need people to be primary care doctors. They're people.
@@ashleysmith9516 Well it's hard to understand a lot of them and some of them are just awful at their job. Sometimes you're better off to Web Mb your problems and solve the issue on your own.
I remember celebrating my mom paying off her law school loans. She'd graduated before I was born. Based on how things are going, I'll probably pay off my med school tuition sometime in my 80s.
@@shadowrylander paying of loans for people is the wrong way around, you have to ask how they have that huge loans in the first place. If you look back in history and what higher education did cost todays doctors should be able to tell your condition by simply giving you an handshake
@@shadowrylander I would freeze them, put together a bunch of people who know stuff to really dissect the whole thing. At that moment enough pants should be on fire to solve the issue. For my opinion they paid a lot of crooks with tax money (universities) and nothing has changed as is. And it is hurting an country if people the country depends on do not study because debt. It is not an private issue, it is an very public issue, it is at an selling your country out level. US did best after WW2 with GI's having education tax funded, tons of educated smart people, even if one removes all other factors it would have meant still an economic upturn. There is no excuse that even if one pays out of own pocket any education means lifelong debt (if the student is reasonable) Basical the us gov. paid the mafia all gambling debts back people accumulated
The 200k goes to paying the vastly overinflated medical educator's salaries. Those MDs don't work for free and they could be making serious money in a private practice.
@@hoagielamp6543 Capitalist incentives lead to less administrative bloat not more. Capitalists look to reduce overhead not expand it. If you have to many administrators you have to many regulations and protectionist laws in place.
My ex is an internist and paid off her loans within 3 years lol. You just have to live like you're still in residency for a few years and not succumb to lifestyle creep.
@@gamesguyalso its fucking dumb to tell people that they should live like rats, get educated, continue living like rats and spend their first 35 years old life living like shit, while the people at the top of society gets to live off all of these well educated rats labor. The system is rotten.
This is good insight. It explains a lot. My gp was always talking about Prozac. Turns out I just had a broken leg! never could understand why they kept talking about depression
This is scary. The cost of medical training in French universities is very very low and we get excellent doctors as well. The American model should be made illegal. Cost of tuition+loan system --> into the fire.
I agree completely! Education is an investment in the next generation and the future of a nation. Sadly, America has shifted all of that burden onto the people it expects to carry the future of the nation. This is what happens when greed drives a nation.
The costs are good. Sadly the bureaucrat run quota system that denies people a medical education even if they pass the exams needs changing. Especially when they're now scrambling to fill positions. Short sighted idiots running things doesn't help. Complètement con.
Education was turned into a BUISNESS. Buisnessmen also control the media. People have been brainwashed into thinking school is "supposed" to be expensive, and ask gov to pay for it. If education system was not worthless, the educated people would know that gov's job to to stop the business from price-gouging the students in the first place. Not to give the rich businessmen free tax money.
It's insane that they charge you the equivalent of a literal house to train in an occupation that our society would literally fall apart without. Absolutely shameful
Pediatrician in private practice here. My partner did Indian Health Service and I did Army HPSP. We have 3rd and 4th year allopathic and osteopathic students rotate with us. I’ve come damn near needing resuscitation after hearing what some of these kids owe.
I paid $42,000 yearly starting in 2009 for an osteopathic school. My school increased tuition $2,000 yearly while I was there and sent all of us some white washed email (same one every year) to “validate” themselves. I can’t even bring myself to look at the disgusting overpriced tuition now because I’ll have a heart attack. I had panic attacks over tests knowing if I didn’t get a physicians job my life was ruined due to my loans. I did pay my loans off shortly before Covid hit but I don’t believe medical school needs to be as expensive as it is.
@@stellawil think about coming to brazil. Pros: Public medical schools are free and have good quality. Some of them, like university of São Paulo, university of campinas, and most of the federal universities are references in treatment. Plus, one dollar is equal to aproximately 5 reais. Cons: You will have to study medicine in Portuguese, and it can be quite challenging for foreign students. Plus, the entrance tests are pretty hard, with lots of candidates (100-300 per vacancy), and demanding knowledge about portuguese, Brazilian and European history, geography, maths, physics, chemistry, biology, sociology, philosophy and an essay
@@pietroromano1001 I’d love to visit Brazil. I think Portuguese is a beautiful language. I already speak Spanish fluently. I’m not sure that i could learn Portuguese quickly enough.
You should do one about the “No Surprise Act”. You MUST be in-network, which out-of-network was the only option for a physician who didn’t agree to insurance terms. SO now insurance companies have all the power and can basically says “If you want to bill my patient, you must be in-network AND agree to my reimbursement terms.” Physicians can’t unionize to negotiate better terms.
1000% I’m so sick of insurance companies devaluing physicians and healthcare and hospital leadership blaming physicians because “they cost money”. What the F?! I actually heard this in a finance meeting with the hospital.
@@greefkarga7898 Over simplification. However, many are classified as managers even though they are employed. The justification is people "under them" such as NPs. It's a tenuous argument, and will be subject to inevitable legal challenges. Physicians used to be self employed small business owners. Large corps have taken over the last 30 years.
Yeah so like, the craptastic urgent care I went to recently could still bill me an extra $200 some three months after my visit while I’m on Medicaid because you need to pay your Mercedes note. 🎻 🎻
I feel you. I got 3 degrees (highest one is a Master's in Pulic Health) thinking that I will get financially stable and be able to pay off my loans. Nope I am under qualified to work in the health field due to lack of experience (everyone wants the experience but no one is willing to give it) and extra certification and licenses. It's so bad that I am working as a deli clerk at a supermarket for $13.50/hr where the minimum wage in my state is $15/hr. Yep I will never pay off my $100,000 debt in the next 100 years. Hurray for the broke ass job system.
I don't know how it works in USA, but in my country (Poland) you inherit both possessions and debt, so your loans won't die with you (you can reject your inheritance, but it means rejecting both)
Family Doc here too. We are sooo desperate for young new docs to join. our whole city is closed to taking any new patients, so they all end up at the ER for things that could have been addressed outpatient. It's a crisis. If reimbursements were higher more people would go into primary care.
So frustrating that fields of healthcare that can prevent people being hospitalized get paid the least. Our system gives incentive to reactionary care when people have gotten far worse.
You should hear about dental school. Many general dentists make roughly the same as a PCP, but loans for dental school can be as much as 450-500k. That doesn't even account for the interest over the years of school. Not only that, but dental school application is more expensive, and there are more hidden fees in the tuition.
That last line hit home so hard. My student loan servicer keeps reminding me that if I die, my loans are forgiven. Perfect advice for a clinically depressed 20-something.
My doctor is in his 40’s and still trying to pay his med school bills. He’s the top rated where we live and cares for each patient as an individual. He deserves to not have to worry about the loan anymore.
Yep. The system is broken. And it's only getting worse. But when money is involved, nothing stands in the way of companies wanting more. Not logic, not morals, not even death, because I am sure they will try to figure out how to wring the cash out of your corpse.
More specifically, the bean-counters (accountant-driven approach to managing business strategy.) Money isn’t the problem - it’s an excellent means of exchange - it’s the love of money before all else.
Having a father who started out as a neurosurgeon but is now in his late 60s (retirement age in Denmark is 67), and doing primary care because he likes primary care and he has no more loans to pay off (including the loan he took out to pay for my sister’s college tuition in Spain, which costed money unlike mine here in Denmark) so now you have a man who’s way overqualified doing basic medical care because he likes it 😂
That's great! Send him here to the US where we need more PCPs or primary care physicians . They are the backbone or foundation of the healthcare industry.
easy there chief, just because he was a neurosurgeon, doesn't mean he's qualified (much less over qualified) to do primary care. completely different field. A neurosurgeon doesn't manage hypertension, diabetes, COPD in an inpatient setting much less an outpatient setting.
"Once you die, your loans die with you." Important note!! This only applies 100% of the time to federal loans. There is no federal law requiring private loaning agencies to discharge debts upon death of the beneficiary. Private firms can still collect debts from your estate or any cosigners if it's not prohibited by state law. In fact, if you live in Arizona, California, Idaho, Louisiana, Texas, Nevada, New Mexico, Washington, California, or Wisconsin, your debts can actually be applied to your spouse upon death, even if they did not cosign the loan (though California has an exception specifically for student loans). This is due to a legal concept of "community property" which states that partners in a marriage share assets.
My friend makes 120$ an hr as her first job doing primary care. She paid off her loans in about a year. It may not make as much, but imo they still make bank.
It's almost like a centralized system that isn't built upon profit could benefit everyone, and not gatekeep anyone who wants to become a doctor from becoming a doctor.
@@jolenearnold6716 actually it's not just ramen, I have a loan forgiveness program I'll be doing for working in disadvantaged areas. Which is my thing. HRSA if anyone else is interested in loan forgiveness/scholarships.
I’ve been an RN/BSN for 31 years this year. I’d LOVE to go back for my MSN/CRNP, but being single, there’s no way! I’m terrified of having to take out loans to pay for school, books, & housing/living expenses, insurance, & something happening where I couldn’t pay them back!
This is why I studied in medical school abroad. It helps to have an EU citizenship but its still cheaper for American citizens, too. Downside is that over the recent years, the US has made it a requirement to study certain practices/fields in the states (not that the medicine or related fields are taught differently or somehow worse elsewhere- in fact, my sister-in-laws BA in Psychology was so extensive and practically focused, it was basically a Masters equivalent in the US). There are internationally recognized high ranking medical schools that are competitively Harvard equivalent and are free for EU citizens and low tuition for international students compared to the US. (e.g. Karolinska Institute in Sweden) So you'd have to see what you can study abroad and still practice/get licensure in the US. Know your options!
@@mup1537 In my opinion education shouldn't be a part of costly market unless it's a private school by choice. It's not economically stable for the citizens who have now normalized having thousands in debt and not being able to afford cost of living without going into more debt. Perhaps that would be incentive for priorities to shift
I know they have advisors now, but I wish someone sat me down and laid out how much loans were going to be a burden on me unless I paid them off aggressively. I am the first in my family to go to college so I had no guidance what so ever. After a friend who was an accounting major sat me down and explained everything to me after I graduated, I felt like a complete moron not knowing the hole i dug myself into to. Don’t get me wrong I am passionate about Cardiology and EP, but I would played my cards a bit smarter knowing what I know now.
Man this makes me so mad for younger docs. The primary care docs that are like in their 60s now made so much money. And that's just never gonna happen again. I adored the docs I worked with at the peds clinic I was at, but the older docs, my God. They made so. Much. Money. When you started talking about your issues with your medical bills, and your student loans it really started to hit me that docs under the system as it is are just so fucked. I mean I'm way worse off, but we ALL get underpaid. I'm a clinical lab scientist and I'm make $50k a year. You know very well how not a damn thing gets done without us. I've got $75k in loans I'm never going to pay off. Luckily, I really love what I do. And my plans for retirement are to walk into the sea when I can work anymore. Gen X grit.
Sad part is I’m a Naturopathic Doctor and my student loans is the same as regular Med schools! Difference is we make half of a PCP! I’ll never be able to retire 😭😭
I decided a long time ago i just don’t have it in me to pay Sallie Mae. She will get continue to get crumbs. And thankfully my co-signer will die well before I ever do 😂😭🥲
Crazy that journeyman electricians in the union are making 100k/yr. Even crazier that I’m considering going to college to become a doctor now that I’m an electrician 😂
A few times since I've been watching this channel I have gotten an ad for what I think is a repayment agency for medical loans, with the person being a medical student is finally able to eat because he doesn't have to worry about loans anymore.
Primary care here. I paid off my 250k including interest 2 years after finishing residency. My advice is find a good practice to join, negotiate the best deal, and live like you’re broke because you definitely are until your loan is paid back. I’m debt free and I enjoy the field I’m in.
I know a couple of struggling primary care physicians. It shouldn't be this expensive to be a DOCTOR of all things! I would be totally on board with a portion of my taxes going toward doctor education and the sciences.
Debt does NOT die with you. My father had to drain hundreds of thousands of life savings, on top of completely withdrawing his retirement plan just to pay off the debt and taxes that his father left behind when he passed…
For many of us, our student loans are the cheapest debt available compared to other forms of borrowing money, say to open a practice, invest in equipment, or purchase a home. For example, a $200k loan over 30 years at 3% fixed interest leaves little incentive for me to pay it off prematurely. Unfortunately for today’s students the rates are closer to 7%, but that’s only an extremely recent development. In short, student loan repayment is generally the LEAST problematic thing for the practicing physician…….even for those of us in primary care.
Some people just genuinely want to make the world a better place and are willing to live humble lives to do so. God bless them. I wish they got more notoriety and society tried to emulate them instead of the celebrities we currently do.
I'm loving your channel& was wondering how you find time for it (being a busy doctor and all?) so I hopped over to your webpage.....I have to say, I love what you are doing for First Descents! ❤️❤️❤️ That's awesome 👍😎 Hope you are well. Keep up the fantastic work
Unrelated but I was talking to 1 of my friends who studied law for 3 years at University and couldn't afford to go further and wasn't local to enough to London (UK) to get a sponsor with a law practise. Really bright, nice guy. The amount of potential talent lost due to these issues. It's so unfair :(
Medical school should be free. This would cost less than $10 billion per year. (Remember, the US now spends over 200x more than this every year on healthcare.) Free med school would dramatically increase the pool of potential doctors, especially for less-lucrative specialties. Add reasonable healthcare price controls proven to work in every other advanced country, and financing both their education and services is a done deal. See: Why Medical School Should Be Free By Peter B. Bach and Robert Kocher, New York Times, May 28, 2011
My mother’s school loans still try to collect now and again. She’ll be dead six years in February 2022. She actually defaulted when she became disabled about twenty years before that. The government had officially forgiven her loans ten or fifteen years before her death. So no, they don’t die with you.
If you’re willing to work in rural or underserved areas for a couple of years, you can get a significant portion of debt cleared with the Uniformed Public Health Service/National Health Corps.
Remember folks only your spouse inherits your debt. So if the bank calls you about your dad's unpaid bills you can hang up and never have to worry about it! Nurses told us when my FIL was passing to just not pay a single dime after his health insurance pays anything.
Sometimes I feel afraid for Dr. G. cuz all the truths being said. As a med student, seriusly in debt, I'm totally aware of all this truths . We are with you Dr!
Public Health is only not worse because it's 2 years instead of 4. Even so, have fun paying off $100k on a government salary. Isn't it nice that you can maybe possibly get them forgiven after a decade, depending on who the Secretary of Education is at the time?
Remember, USA healthcare is NOT about providing healthcare. It's about making the most profit for the fewest people. And the system won't die until either they do, or we stop letting them control us.
Best friend from high school went primary care. He retired in his mid-40s. His words on people not being able to pay their debt was "that's because they're idiots". $200k in student loans. $800k business loan starting his own practice in Northern Virginia. Sold that 20 years later and works about 15 hours a week for someone else's practice and spends the rest of the time being at home with his wife and kids.
In some countries in Europe we actually get paid better than most clinical specialities because they dont have that many family physicians. Maybe we finally get recognised for the work we put in and more passionate, kind and intelligent couleuges will join later and make a good base for the health care system. Thank you so much for the representation and not forgetting about us 🥰❤
This sounds about right for college loans, too! Ouch! If the terms aren't right then walk away and look at scholarships etc. I went to college (not a doc, obviously) and don't even really use my degree... so, ugh!
You may not be working in your studied field but I’m willing to bet that you still benefitted greatly from higher ed. Your community certainly did. Studying economics, history, business math, college level writing, communications, etc. is beneficial for everyone in your workplace and community. For instance, business math helps people understand loans and interest. College level writing can help you build a better resume and present an an argument for changes you want to make at work or in town hall. Learning is never a poor investment.
@@Helen3691 If it costs you a lot more than you can afford it is! Too many people feel forced to go to college, and that's not right. And nope, I didn't learn anything in college that I didn't already know from personal experience or my GED. Nothing I studied and learned is applicable now. Hell, at colleges these days barely anyone teaches what you mentioned, all of those courses are electives, not requirements. Times have changed, a lot!
@@fluffymountainbunny that’s sad. I’m grateful for everything I learned in college. From economics to music theory to American history. Econ, writing, history, and math were all requirements where I went to school. I wish everyone in this country could attend at low cost. It would do this country wonders.
every problem in every job is because of capitalism. every complaint made by every person in every job is a result of capitalism. they get granular and say “no it’s this small issue, it’s this small issue, there are a lot of small issues,” it’s all the same issue.
Indeed. Everyone pines for the return of the USSR. Even in today's day and age no one has better living standards than communist North Koreans and Cubans. You are absolutely right!
As a PhD student, I don’t get paid much, but at least I get paid *something* and I don’t have to go into more debt. The fact that my friends who went to med school not only don’t have a stipend, but actually have to give money to the school, is crazy.
![UCF Professor Richard Quinn accuses class of cheating [Original]](http://i.ytimg.com/vi/rbzJTTDO9f4/mqdefault.jpg)
![UCF Professor Richard Quinn accuses class of cheating [Original]](/img/tr.png)
This is too true. The biggest reason why people don't do primary care is because of money.
PCP is the core of US healthcare. They should be compensated fairly.
They should also be trained better
💯
No. It shouldn’t cost $200k for tuition on top of $150k for undergrad. Young people are being robbed by these University so that the schools can pay for all their useless bureaucratic bloat. Check out the amount of money these Universities spend on administration vs instruction.
I had know I idea love boat was the core of us healthcare fascinating. Ima go smoke a dipper to that
💯
"Once you die, your loans die with you." Such a sad line and such a funny line at the same time. 😅😀
Is it bad that I think it's something to be happy about
It’s also not true, federal student loans are foisted upon your descendants upon your death
Nice to know.. cause all other loans are passed to your family..
@@scarcat666 No debt is transferable. Whatever debt collector told you that is breaking several laws just hinting at that.
@Qwerty0791 , When I was in college, my private loans had to have co-signer (family member did it), which is standard and means if I died then they had to pay it back. This is probably what @scarcat666 was thinking of.
Meanwhile we need more family doctors than ever before.
Luckily DNP is an affordable option at only... $150k tuition.
Wife is going for that. $60k undergrad, $90-$100k for the doctorate program.
Tuition rates are fucking bullshit. How can this shortage ever be addressed then it requires so much financial sacrifice to get an education?
Feels like all our family doctors in the US are from India.
@@zZrEtRiBuTiOnZz at least they're helping. Who cares? It's like a literal humanitarian crisis we need people to be primary care doctors. They're people.
@@zZrEtRiBuTiOnZz I'm native, with that attitude you can get back on the Mayflower and go home yourself.
@@ashleysmith9516 Well it's hard to understand a lot of them and some of them are just awful at their job.
Sometimes you're better off to Web Mb your problems and solve the issue on your own.
I remember celebrating my mom paying off her law school loans. She'd graduated before I was born. Based on how things are going, I'll probably pay off my med school tuition sometime in my 80s.
sad
"Why should we have to pay off someone else's liberal arts degree?"
"If this is liberal arts I don't wanna see biochemical engineering..."
@@shadowrylander paying of loans for people is the wrong way around, you have to ask how they have that huge loans in the first place.
If you look back in history and what higher education did cost todays doctors should be able to tell your condition by simply giving you an handshake
@@pouncepounce7417 No, no, I get that, but forgiving loans is also a necessary measure, to alleviate the current symptoms; we really need both.
@@shadowrylander I would freeze them, put together a bunch of people who know stuff to really dissect the whole thing.
At that moment enough pants should be on fire to solve the issue.
For my opinion they paid a lot of crooks with tax money (universities) and nothing has changed as is.
And it is hurting an country if people the country depends on do not study because debt. It is not an private issue, it is an very public issue, it is at an selling your country out level.
US did best after WW2 with GI's having education tax funded, tons of educated smart people, even if one removes all other factors it would have meant still an economic upturn.
There is no excuse that even if one pays out of own pocket any education means lifelong debt (if the student is reasonable)
Basical the us gov. paid the mafia all gambling debts back people accumulated
Sometimes those pauses are almost more funny than any words "200k?! Where does that money go?!" "... so anyways..."
The 200k goes to paying the vastly overinflated medical educator's salaries. Those MDs don't work for free and they could be making serious money in a private practice.
@@human_brian Is it the educators or the administrators? Administrative bloat is a huge problem thanks to capitalist incentives.
@@hoagielamp6543 Capitalist incentives lead to less administrative bloat not more. Capitalists look to reduce overhead not expand it. If you have to many administrators you have to many regulations and protectionist laws in place.
No they don't sorry
@@fellows7121 Oh okay. I guess we should just ditch meat inspections cause they’re causing too much socialist bloat or whatever.
I feel this, my moms been a pretty exceptionally well pain primary care pediatrician for 15 years and still has significant debt.
omg seriously???....
My ex is an internist and paid off her loans within 3 years lol. You just have to live like you're still in residency for a few years and not succumb to lifestyle creep.
@@gamesguy no, you don't understand. Loans can increase despite paying, if the interest is high enough.
@@gamesguyalso its fucking dumb to tell people that they should live like rats, get educated, continue living like rats and spend their first 35 years old life living like shit, while the people at the top of society gets to live off all of these well educated rats labor. The system is rotten.
@@gamesguy she was definitely lying
This explains why my GP is so depressed
This is good insight. It explains a lot. My gp was always talking about Prozac. Turns out I just had a broken leg! never could understand why they kept talking about depression
This is scary. The cost of medical training in French universities is very very low and we get excellent doctors as well. The American model should be made illegal. Cost of tuition+loan system --> into the fire.
I agree completely! Education is an investment in the next generation and the future of a nation. Sadly, America has shifted all of that burden onto the people it expects to carry the future of the nation.
This is what happens when greed drives a nation.
Na sorry capitalistic hellscape over here
The costs are good. Sadly the bureaucrat run quota system that denies people a medical education even if they pass the exams needs changing.
Especially when they're now scrambling to fill positions. Short sighted idiots running things doesn't help.
Complètement con.
Education was turned into a BUISNESS.
Buisnessmen also control the media.
People have been brainwashed into thinking school is "supposed" to be expensive, and ask gov to pay for it.
If education system was not worthless, the educated people would know that gov's job to to stop the business from price-gouging the students in the first place. Not to give the rich businessmen free tax money.
It's insane that they charge you the equivalent of a literal house to train in an occupation that our society would literally fall apart without. Absolutely shameful
Pediatrician in private practice here. My partner did Indian Health Service and I did Army HPSP. We have 3rd and 4th year allopathic and osteopathic students rotate with us. I’ve come damn near needing resuscitation after hearing what some of these kids owe.
I paid $42,000 yearly starting in 2009 for an osteopathic school. My school increased tuition $2,000 yearly while I was there and sent all of us some white washed email (same one every year) to “validate” themselves. I can’t even bring myself to look at the disgusting overpriced tuition now because I’ll have a heart attack. I had panic attacks over tests knowing if I didn’t get a physicians job my life was ruined due to my loans. I did pay my loans off shortly before Covid hit but I don’t believe medical school needs to be as expensive as it is.
@@docbee1830 I want to become a D.O. I’m seriously thinking about leaving California. D.O school tuition is almost 100k a year! 🤦🏾♀️🤦🏾♀️🤦🏾♀️
Yeah, Indian Health Service has a loan repayment program for working for them. Even for RNs.
@@stellawil think about coming to brazil.
Pros: Public medical schools are free and have good quality. Some of them, like university of São Paulo, university of campinas, and most of the federal universities are references in treatment. Plus, one dollar is equal to aproximately 5 reais.
Cons: You will have to study medicine in Portuguese, and it can be quite challenging for foreign students. Plus, the entrance tests are pretty hard, with lots of candidates (100-300 per vacancy), and demanding knowledge about portuguese, Brazilian and European history, geography, maths, physics, chemistry, biology, sociology, philosophy and an essay
@@pietroromano1001 I’d love to visit Brazil. I think Portuguese is a beautiful language. I already speak Spanish fluently. I’m not sure that i could learn Portuguese quickly enough.
You should do one about the “No Surprise Act”. You MUST be in-network, which out-of-network was the only option for a physician who didn’t agree to insurance terms. SO now insurance companies have all the power and can basically says “If you want to bill my patient, you must be in-network AND agree to my reimbursement terms.” Physicians can’t unionize to negotiate better terms.
Why not?
Physicians can unionize. I worked at a clinic in Dulut, MN where it happened.
1000% I’m so sick of insurance companies devaluing physicians and healthcare and hospital leadership blaming physicians because “they cost money”. What the F?! I actually heard this in a finance meeting with the hospital.
@@greefkarga7898
Over simplification.
However, many are classified as managers even though they are employed. The justification is people "under them" such as NPs. It's a tenuous argument, and will be subject to inevitable legal challenges.
Physicians used to be self employed small business owners. Large corps have taken over the last 30 years.
Yeah so like, the craptastic urgent care I went to recently could still bill me an extra $200 some three months after my visit while I’m on Medicaid because you need to pay your Mercedes note. 🎻 🎻
“When you die your loans die with you” that just killed me 😂😂😂
Guess the joke also erased your loans then ;)
How much in loans just died?
Congratulations! You are no longer in debt!
🥳🎉🎊
Are you sure about that? Your estate will be paying off those loans.
My primary made me go see a specialist. That little lump I was ignoring turned out to be cancer. YET SHE GETS PAID LESS. WTF
the more I watch your channel, the more amazed I am that anyone ever bothers to become a doctor in the US.
Compared with the UK where a junior doctor (fully qualified post med school) is paid a whopping £14/hr. Sure.
@@dovie2blueYikes 😬
@dovie2blue uhhh how much do you think residents make in the U.S.????
@@CmdFixxxer $110 according to my friend
This hurts me and I am not even a med student. Just a regular student debtor feeding the system that keeps us in debt most of our lives.
I used to want to move to the US. Thank fuck I didn’t. This is horrible
I feel you. I got 3 degrees (highest one is a Master's in Pulic Health) thinking that I will get financially stable and be able to pay off my loans. Nope I am under qualified to work in the health field due to lack of experience (everyone wants the experience but no one is willing to give it) and extra certification and licenses. It's so bad that I am working as a deli clerk at a supermarket for $13.50/hr where the minimum wage in my state is $15/hr. Yep I will never pay off my $100,000 debt in the next 100 years. Hurray for the broke ass job system.
"once you die the loans die with you"
RIP cosigners, do you think the funeral homes do two-for-one deals?
Apparently student loans in large do not require a co-signer.
"Well once you die, your loans die with you!"
Hmm... maybe not anymore...
Please, for the love of all that is good, elaborate.
@@WigglyTuffStuff if you have a co signed for loans they can make them pay your loan even if you died
@@ffabarbie-9002 bruh they gonna commit grave robbery if they have to just to get the loans back 💀
I don't know how it works in USA, but in my country (Poland) you inherit both possessions and debt, so your loans won't die with you (you can reject your inheritance, but it means rejecting both)
@@jobda1211 Exactly what I was going to say. It's the same in Austria. You inherit both together or neither.
As a family medicine doctor… this makes me laugh and cry at the same time
Family Doc here too. We are sooo desperate for young new docs to join. our whole city is closed to taking any new patients, so they all end up at the ER for things that could have been addressed outpatient. It's a crisis. If reimbursements were higher more people would go into primary care.
same here. so funny but so sad
"Aaah, the deluxe package"😏 👌
They're cooking up a way to make it where your loved ones or friends will carry it.
I mean, if a parent or partner cosigns, they're already responsible for paying if you die
So frustrating that fields of healthcare that can prevent people being hospitalized get paid the least. Our system gives incentive to reactionary care when people have gotten far worse.
Meanwhile Masters of Health Administration people swimming in money.
You can't afford to go see your PCP so you end up in the ER clogging the true emergency cases. Not a good healthcare model.
You should hear about dental school. Many general dentists make roughly the same as a PCP, but loans for dental school can be as much as 450-500k. That doesn't even account for the interest over the years of school. Not only that, but dental school application is more expensive, and there are more hidden fees in the tuition.
That last line hit home so hard. My student loan servicer keeps reminding me that if I die, my loans are forgiven. Perfect advice for a clinically depressed 20-something.
That’s the funny bit. When you die your loans, don’t die with you. They go on to your family
then what happens if the children decided they wanna become doctors as well 😂
@@Hayleyoocrazyhopefully they decide on neuro 😂
My doctor is in his 40’s and still trying to pay his med school bills. He’s the top rated where we live and cares for each patient as an individual. He deserves to not have to worry about the loan anymore.
True. Never pay a deceased family member's debt, it's a scam.
Currently living this nightmare.
As a general pediatrician, this one hurt, but is also so funny 🤣
Once you die the loan die with you, Such an inspiration line.
Yep. The system is broken. And it's only getting worse. But when money is involved, nothing stands in the way of companies wanting more. Not logic, not morals, not even death, because I am sure they will try to figure out how to wring the cash out of your corpse.
This money madness is particularly prominent in the us
More specifically, the bean-counters (accountant-driven approach to managing business strategy.)
Money isn’t the problem - it’s an excellent means of exchange - it’s the love of money before all else.
“Not everything that counts can be counted. And not everything that can be counted counts.”
Lol Dr flecken is a sarcasm god, this was extremely funny as well as sad.
Having a father who started out as a neurosurgeon but is now in his late 60s (retirement age in Denmark is 67), and doing primary care because he likes primary care and he has no more loans to pay off (including the loan he took out to pay for my sister’s college tuition in Spain, which costed money unlike mine here in Denmark) so now you have a man who’s way overqualified doing basic medical care because he likes it 😂
That's great! Send him here to the US where we need more PCPs or primary care physicians . They are the backbone or foundation of the healthcare industry.
easy there chief, just because he was a neurosurgeon, doesn't mean he's qualified (much less over qualified) to do primary care. completely different field. A neurosurgeon doesn't manage hypertension, diabetes, COPD in an inpatient setting much less an outpatient setting.
"Once you die, your loans die with you."
Important note!! This only applies 100% of the time to federal loans. There is no federal law requiring private loaning agencies to discharge debts upon death of the beneficiary. Private firms can still collect debts from your estate or any cosigners if it's not prohibited by state law. In fact, if you live in Arizona, California, Idaho, Louisiana, Texas, Nevada, New Mexico, Washington, California, or Wisconsin, your debts can actually be applied to your spouse upon death, even if they did not cosign the loan (though California has an exception specifically for student loans). This is due to a legal concept of "community property" which states that partners in a marriage share assets.
My friend makes 120$ an hr as her first job doing primary care. She paid off her loans in about a year. It may not make as much, but imo they still make bank.
It's almost like a centralized system that isn't built upon profit could benefit everyone, and not gatekeep anyone who wants to become a doctor from becoming a doctor.
Oh the last line has been my mantra since returning to school as an adult...
I plan on doing primary care, you gotta be ready to eat ramen for another 10 years! and im okay with that!
you shouldn't be honest, you should actively fight for better since you deserve so much more
@@jolenearnold6716 actually it's not just ramen, I have a loan forgiveness program I'll be doing for working in disadvantaged areas. Which is my thing. HRSA if anyone else is interested in loan forgiveness/scholarships.
A true hero, honestly.
I always take my primary care doc friends out for lunch/dinner. It's the least I can do to thank them for their work. Love, radiology.
@@JackDespero They definitely are!!
My firm paid off my law school loans. Hospitals get huge grants and donations. They should start doing that instead of exec bonuses
I’ve been an RN/BSN for 31 years this year. I’d LOVE to go back for my MSN/CRNP, but being single, there’s no way! I’m terrified of having to take out loans to pay for school, books, & housing/living expenses, insurance, & something happening where I couldn’t pay them back!
This is why I studied in medical school abroad. It helps to have an EU citizenship but its still cheaper for American citizens, too. Downside is that over the recent years, the US has made it a requirement to study certain practices/fields in the states (not that the medicine or related fields are taught differently or somehow worse elsewhere- in fact, my sister-in-laws BA in Psychology was so extensive and practically focused, it was basically a Masters equivalent in the US).
There are internationally recognized high ranking medical schools that are competitively Harvard equivalent and are free for EU citizens and low tuition for international students compared to the US. (e.g. Karolinska Institute in Sweden)
So you'd have to see what you can study abroad and still practice/get licensure in the US. Know your options!
Preventing this is market protection for high ticket education. It might make the US better but it would create new competition within the market.
@@mup1537 In my opinion education shouldn't be a part of costly market unless it's a private school by choice. It's not economically stable for the citizens who have now normalized having thousands in debt and not being able to afford cost of living without going into more debt. Perhaps that would be incentive for priorities to shift
I know they have advisors now, but I wish someone sat me down and laid out how much loans were going to be a burden on me unless I paid them off aggressively. I am the first in my family to go to college so I had no guidance what so ever. After a friend who was an accounting major sat me down and explained everything to me after I graduated, I felt like a complete moron not knowing the hole i dug myself into to. Don’t get me wrong I am passionate about Cardiology and EP, but I would played my cards a bit smarter knowing what I know now.
there are so much information online and books
@@samueljang1902 yes but this was over 10 years ago
Thanks for studying EP!
Man this makes me so mad for younger docs. The primary care docs that are like in their 60s now made so much money. And that's just never gonna happen again. I adored the docs I worked with at the peds clinic I was at, but the older docs, my God. They made so. Much. Money.
When you started talking about your issues with your medical bills, and your student loans it really started to hit me that docs under the system as it is are just so fucked.
I mean I'm way worse off, but we ALL get underpaid. I'm a clinical lab scientist and I'm make $50k a year. You know very well how not a damn thing gets done without us. I've got $75k in loans I'm never going to pay off.
Luckily, I really love what I do. And my plans for retirement are to walk into the sea when I can work anymore. Gen X grit.
You have the most gorgeous expressive eyes that help a lot with the expressive acting and humour
Some things you never ask about money:
"Why is tuition so expensive"
"Why is my medical bill/taxes so high"
Men the way his face changed when he said Primary care is epic..... Shows how dark the system is ...
Sad part is I’m a Naturopathic Doctor and my student loans is the same as regular Med schools! Difference is we make half of a PCP! I’ll never be able to retire 😭😭
I’m an attorney wanting to go to med school for rural primary care and this resonates in my soul
Hits too close to home :,)
I decided a long time ago i just don’t have it in me to pay Sallie Mae. She will get continue to get crumbs. And thankfully my co-signer will die well before I ever do 😂😭🥲
Technically your loans will die with you. But the banks will approach your family and pretend they need to pay off your debt.
He he , well done ☺️So so much gaslighting in the Health Care system ! On many levels ! 😢🤦♀️
That last line made me squeak-snort in empathy.
Crazy that journeyman electricians in the union are making 100k/yr. Even crazier that I’m considering going to college to become a doctor now that I’m an electrician 😂
Every specialist demands that you see a PCP first, but there are no PCPs, because they all either quit or became specialists!!!
A few times since I've been watching this channel I have gotten an ad for what I think is a repayment agency for medical loans, with the person being a medical student is finally able to eat because he doesn't have to worry about loans anymore.
Now THAT'S depressing
"Where does all the money go?"
Directly to the pockets of a few select rich people. They laugh about it.
Your a noble guy for exposing it.
Primary care here. I paid off my 250k including interest 2 years after finishing residency. My advice is find a good practice to join, negotiate the best deal, and live like you’re broke because you definitely are until your loan is paid back. I’m debt free and I enjoy the field I’m in.
"Once you die, your loans die with you," that was brutal!
I know a couple of struggling primary care physicians. It shouldn't be this expensive to be a DOCTOR of all things! I would be totally on board with a portion of my taxes going toward doctor education and the sciences.
Debt does NOT die with you. My father had to drain hundreds of thousands of life savings, on top of completely withdrawing his retirement plan just to pay off the debt and taxes that his father left behind when he passed…
I’ve watched this video before, but when I actually looked up what some of the schools on my list cost I reacted the exact same way 😫
Imagine charging an arm and a leg so that someone can work in terrible conditions to save people's lives
That pause 🤣
Remember, if you're married your loans, don't die with you
For many of us, our student loans are the cheapest debt available compared to other forms of borrowing money, say to open a practice, invest in equipment, or purchase a home. For example, a $200k loan over 30 years at 3% fixed interest leaves little incentive for me to pay it off prematurely. Unfortunately for today’s students the rates are closer to 7%, but that’s only an extremely recent development. In short, student loan repayment is generally the LEAST problematic thing for the practicing physician…….even for those of us in primary care.
The last part got me bad 🤣🤣🤣
Some people just genuinely want to make the world a better place and are willing to live humble lives to do so. God bless them. I wish they got more notoriety and society tried to emulate them instead of the celebrities we currently do.
You can a tack actor on your resume because that reaction was amazing.
I'm loving your channel& was wondering how you find time for it (being a busy doctor and all?) so I hopped over to your webpage.....I have to say, I love what you are doing for First Descents! ❤️❤️❤️ That's awesome 👍😎 Hope you are well. Keep up the fantastic work
He has Jonathan!
He has Jonathan!
Unrelated but I was talking to 1 of my friends who studied law for 3 years at University and couldn't afford to go further and wasn't local to enough to London (UK) to get a sponsor with a law practise. Really bright, nice guy. The amount of potential talent lost due to these issues. It's so unfair :(
Medical school should be free. This would cost less than $10 billion per year. (Remember, the US now spends over 200x more than this every year on healthcare.)
Free med school would dramatically increase the pool of potential doctors, especially for less-lucrative specialties. Add reasonable healthcare price controls proven to work in every other advanced country, and financing both their education and services is a done deal.
See: Why Medical School Should Be Free By Peter B. Bach and Robert Kocher, New York Times, May 28, 2011
My mother’s school loans still try to collect now and again. She’ll be dead six years in February 2022. She actually defaulted when she became disabled about twenty years before that. The government had officially forgiven her loans ten or fifteen years before her death. So no, they don’t die with you.
$0 in Norway. Free healthcare and free education.
How is it paid for?
@@Iluvpie6 Rich people.
@@dubious6718 how did you trick your rich people into paying taxes?? Lol
@@Iluvpie6 Norway magic
@@BillSW Norway has given 14 billion to Ukraine, about 1.4 Billion US dollars.
That money goes to buying athletes and their coaches, and the construction of a bigger stadium.
If you’re willing to work in rural or underserved areas for a couple of years, you can get a significant portion of debt cleared with the Uniformed Public Health Service/National Health Corps.
You should watch his rural medicine video
Remember folks only your spouse inherits your debt. So if the bank calls you about your dad's unpaid bills you can hang up and never have to worry about it! Nurses told us when my FIL was passing to just not pay a single dime after his health insurance pays anything.
This is why I’m scared to go to college and be in the medical field. Just the amount of debt you’ll have to pay off in the future
Sometimes I feel afraid for Dr. G. cuz all the truths being said. As a med student, seriusly in debt, I'm totally aware of all this truths . We are with you Dr!
I was lucky enough to get a grant! Yes, a grant. I didn’t have to pay off anything. Those were the days!
Public Health is only not worse because it's 2 years instead of 4. Even so, have fun paying off $100k on a government salary. Isn't it nice that you can maybe possibly get them forgiven after a decade, depending on who the Secretary of Education is at the time?
I laughed and groaned at the same time.
The slow change to the sad look was perfect!
Remember, USA healthcare is NOT about providing healthcare. It's about making the most profit for the fewest people. And the system won't die until either they do, or we stop letting them control us.
Truth!!
Best friend from high school went primary care. He retired in his mid-40s. His words on people not being able to pay their debt was "that's because they're idiots".
$200k in student loans. $800k business loan starting his own practice in Northern Virginia. Sold that 20 years later and works about 15 hours a week for someone else's practice and spends the rest of the time being at home with his wife and kids.
You can always work in primary care in a rural area for a few years and get them paid off for you 👌
In some countries in Europe we actually get paid better than most clinical specialities because they dont have that many family physicians. Maybe we finally get recognised for the work we put in and more passionate, kind and intelligent couleuges will join later and make a good base for the health care system. Thank you so much for the representation and not forgetting about us 🥰❤
What is sad is in communities like mine our pcp to individual ratio is 1:2,020 the average in my state is 1:1034. We NEED pcps.
Ohhhhh that's why there aren't any primary Doctors any more and only Nurse Practitioners.
“Once you die your loans die with you.” This is a lie. I inherited loans from my father after he died. They do not go away.
You don't legally have to take the debt unless you want the inheritance
The punchline made me chuckle quite loudly
😂😂..😢😢..sad but true!! You're hilarious!
"Why dont we have enough doctors?!"
Okay, but where does all that money go?
Because the faculty and staff at the med school tend to be the most overpaid department at the university outside of athletics.
Sallie Mae has my interest rate up to 11.5% now and since it was an anthropology BA I'm expecting to die before my loans are even half paid off😂
I love this joke 😭
This sounds about right for college loans, too! Ouch! If the terms aren't right then walk away and look at scholarships etc. I went to college (not a doc, obviously) and don't even really use my degree... so, ugh!
You may not be working in your studied field but I’m willing to bet that you still benefitted greatly from higher ed. Your community certainly did. Studying economics, history, business math, college level writing, communications, etc. is beneficial for everyone in your workplace and community. For instance, business math helps people understand loans and interest. College level writing can help you build a better resume and present an an argument for changes you want to make at work or in town hall. Learning is never a poor investment.
@@Helen3691 If it costs you a lot more than you can afford it is! Too many people feel forced to go to college, and that's not right.
And nope, I didn't learn anything in college that I didn't already know from personal experience or my GED. Nothing I studied and learned is applicable now. Hell, at colleges these days barely anyone teaches what you mentioned, all of those courses are electives, not requirements. Times have changed, a lot!
@@fluffymountainbunny that’s sad. I’m grateful for everything I learned in college. From economics to music theory to American history. Econ, writing, history, and math were all requirements where I went to school. I wish everyone in this country could attend at low cost. It would do this country wonders.
"Well once you die your loans die with you"Me as a social work major. Thank God!
Not necessarily. The money you owe can be taken from you after your death.
every problem in every job is because of capitalism. every complaint made by every person in every job is a result of capitalism. they get granular and say “no it’s this small issue, it’s this small issue, there are a lot of small issues,” it’s all the same issue.
Indeed. Everyone pines for the return of the USSR. Even in today's day and age no one has better living standards than communist North Koreans and Cubans. You are absolutely right!
Spoiler alert - the money goes to the pharmaceutical companies that run these schools.
Glad to live in France lmao
Glad I don’t live in France
as often, that last part made me burst in laughter. Thank you, Doc !!! XD
As a PhD student, I don’t get paid much, but at least I get paid *something* and I don’t have to go into more debt. The fact that my friends who went to med school not only don’t have a stipend, but actually have to give money to the school, is crazy.