Former Pharma Rep on Health Insurance Corruption and Pharmacies

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Taken from JRE #2079 w/Brigham Buhler:
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Pharmacist this guy is spot on, "this is a profit driven system, not a patient outcome driven system"

mabrancaccio
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I went to med school in 2013. Every self-respecting doctor knows this guy is telling the truth.

snjspring
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I moved from the US to Mexico. I got a job here and they offered me government health care or private. I went with private expecting the same service I got in the US, such as Kaiser or Blue Cross. I made an appointment one day about my shoulder that has been bothering me for years. Expecting the same nonsense, muscle relaxers and pain killers. Went in, they took an x-ray, then a scan, they noticed something torn on the rotator cuff and said they can do surgery tomorrow if I'd like. I was like "wtf!?" they patched up my shoulder next day and put me in PT quickly after. Something is wrong with American healthcare and people refuse to see it.

SuperVladamere
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Surgeon and health system executive here - thank you for this episode! Meaningful transparency about how these systems churn disease for dollars is the only hope for meaningful change. More people need this info.

drphilipbrown
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Been working as a pharmacist for 34 years, and I've never heard a more sincere description of the profession.

Telonious_Terp
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Joe Rogan doing the job the mainstream media is supposed to do. Thank you Joe Rogan!!

ronnimm
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Just want everyone to think about how lucky we are to have people actually holding accountable, telling the truth, watching our back. Without people like this it would be x10 worse

whateveritwasitis
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Corporations bought up all the small physical therapy clinics too

DrBeauHightower
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My dad had both knees replaced a few years ago. They needed done way before the procedure actually happened however they kept my dad doing cortisone shots till they couldn’t anymore. The dr flat out told my dad the insurance company was stalling hoping that he would either die or switch jobs or any other reason to keep it from being their problem. What this man is saying is facts more people need to realize this.

stangman
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Health insurance call center rep here. 100% TRUTH! “The more confusing, the more convoluted they can make it, the more profits” I started doing medical billing in the 80s. It was terrible back then, and it’s only gotten worse. I had to quit my job at a major health insurance company as a call-center rep because it was so apparent to me what they were doing. We had 28… 28!….Different computer programs that we may have to check to try and find out why a provider was not paid. They were clearly doing this on purpose. My conscious would not allow me to continue working for that company.
Insurance companies have way too much power, and they need to be laws to hold them accountable.

Mspiggy
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I've been a pharmacist for 28 years. Here's my soapbox: having insurance is the single thing that hides the true cost of healthcare in America. If no one had health insurance, including prescription benefits, the cost of healthcare would necessarily have to drop because we (all providers) would all be competing for everyone's cash. If the government got involved (single-payer) the problems would NOT change, it would ONLY shift the hidden cost to another entity AND cause more fraud, waste, and abuse that is inevitable with ALL government programs.
The other positive thing that happens when people are required to pay for their own healthcare cost, out of their own pocket, is that we all suddenly become willing to make the necessary life-style changes that treat the causes of 80% of the diseases that are plaguing our society.

TRUFIVE
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My wife and I own a primary care and private lab collection site... We fight insurance companies so much that it is literally bringing us to our knees! we want so badly to help our community and keep our patients but they are making it impossible. we are going to either get rid of insurance and go private or simply shutdown by the end of 2024... It really is breaking our hearts but there is nothing we can do. Nothing! If we go private pay only, we risk losing 70% of our patients because they can no longer afford anything outside of what insurance pays for. It's tough decision but breaking even only one week a month is beginning to crush our business and we strive so hard to do good by our patients and employees.

qdrdxon
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I'm a former Pharma / Medical device rep and this guy is 100% correct.

davidkelley
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imagine what a world we would live in if all the knowledge we have is used to to benefit people instead of profiting off them.

minikern
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He is so spot on. I was a Primary Care Provider and I witnessed this all first hand. I also see large medical providers who also mandate the use of certain drugs and exclude other cheaper drugs. For example anti virals. There are many and their actions are essentially the same but my employer forced me to only offer one antiviral even though it interacted with 199 other very commonly used medications. The only reason I can imagine that we were restricted to that was that a kickback was going back to my employer for promoting and using a certain heavily promoted medication. I worked very hard to try and teach my patients to work on lifestyle changes, quit smoking, quit drinking alcohol, quit drinking so much coffee and tea, eat a predominantly whole food plant based diet, exercising daily or they were going to find that their full time job in their retirement years is doctors visits, handfuls of medications and buttloads for tests and procedures instead of playing with grandchildren, traveling or volunteering to help others. I retired because I could no longer fight the battle on so many fronts!

teresawoodside
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Medical assistant here, I always knew this deep down I just didn’t know exactly how it worked. Nice to see confirmation!

helenrodriguez
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This guy is speaking facts. Been in the medical field for 25 years. You can’t imagine what I have to go through to get prescriptions and tests approved through the insurance companies.

michelleweir
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As a psychiatric provider I routinely see patients' insurance deny coverage for the treatment that is most likely to help the patient and least likely to harm them, and make the patient jump through hoops trialing inferior or outdated treatments first. We're living through a mental health crisis and people are falling through the cracks, losing their psychiatric stability and functional capacity, and all these insurance companies care about is making more money. It's disgusting.

SoulfulMole
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As a physician, this is objective fact. Salute to Joe for providing access to these subjects in an open manner. When some of us take the time to explain this to patients its extremely depressing, because like he said, by the time you need the benefits, you've paid tons of premiums, only to truly see the limitations. Same happens to us and our families smh.

abdullahhasanprattmd
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9:25 spot on! I read a diabetes brochure and it is disguised as true diabetic care yet it recommends sugar/carbs to be taken all throughout the day to “balance insulin levels.” It’s to keep people on insulin meds & remain unhealthy.

nevastrong