Doctor Reacts to John Oliver | Last Week Tonight: Bias in Medicine

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John Oliver discussed medical bias on his latest episode and you requested that I react to it. This episode is slightly different than most of my other reaction videos as I gave a watch before doing the reaction video in order to vet the research discussed on the program. If you'd like for me to cover this topic in more detail please do comment below.
Original Video: trvision.net/detail/video-TATSAHJKRd8.html
Diversity Video: trvision.net/detail/video-KWkF2N4BFRA.html
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- Doctor Mike Varshavski
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  • "systemic issue" "other reasons" often caused by bias. if we don't address the bias, there's not going to be a way to address the other issues.

    birdn4t0rbirdn4t0r17 dakika önce
  • Socio-economic racial disparity seems to either pre-dispose or reinforce many of the weaknesses of the appaling US health system outcomes. But I think Doctor Mike is underestimating the potential differences in patient-focussed medical education. It isn't at all satisfactory to say that poor treatment will improve when all the now-45-years-old doctors are retired or dead. By that time the now-young-thrusters may have become old, jaded cynics looking forward to early retirement

    Wilhelm MoggeridgeWilhelm MoggeridgeSaatler önce
  • Kinda got stuck on the part where doctors are genuinely worried about patient non-compliance and stuff like that in the context of opioids. Yeah, but if the doctors are genuinely worried about possible substance abuse and the like when it comes to black patients more than when it comes to white patients, that's precisely what bias is. I do get the point about lower quality hospitals having fewer resources, but in that case, work needs to be done to remove those inequalities, which is, happy to see, a recurring theme in this video.

    Natalia S.Natalia S.4 saatler önce
  • I'm a 35yr old f, I fractured a vertebrae in a car accident when I was 18yr old and had surgery. Ever since then I suffer from chronic back pain and even doing household chores can trigger a muscle spasm. In my late 20s I started developing severe headaches and neck pain on and off, but it would stay for days or weeks. It made functioning so very hard, I was always in a bad mood in the morning at work, my coworkers knew not to talk to me before 10a and expect a happy response. I've only recently at age 34 been given an MRI for my cervical vertebrae, I have No disc gel in between two verts and deterioration in another two. I have two bulges where my verts are crushing up against themselves. I've been in every day pain over this for the last 3yrs, I honestly cannot even get up to walk my dog some mornings! Before I met my pain Dr who did the MRI, no doctor would give me ANYTHING but ibuprofen, Meloxicam, baclofen Or cyclobenzaprine (hate it, won't take it) and tell me to do some stretches. It took me going to a pain Dr, signing a contract and getting an MRI to get a regular small dose of mild narcotic rx (tramadol). Why?? Oh because I'm so young and I couldn't possibly be having that much pain even though I have a goddamn incision scar along my spine that they never bother to ask to see as proof. No x-rays, not even me crying in their office telling them I can't get normal, would do it. My pain is still there, but I at least have tools to manage it somewhat. I'd like to see the study of Females under the age of 50 who DON'T receive adequate pain treatment and WHY? My pain condition has made it impossible for me to consider becoming a mother. If I can't even take care of my dog, I have no chance being a great parent to a child.

    CPCP4 saatler önce
    • My pain Dr suspects the rapid deterioration of my disc gel was brought on by the impact of the accident. He said I have the neck spine of someone twenty years older. That's just my neck problem. My back is still always an issue, my muscles always want to cramp, always stiff. Yes, I do OTC and prescription topicals, I have a massager, a yoga mat and some foam rollers, I go get professional massages when I can afford them and I've visited physical therapists. Too expensive to continue due to high deductible and not helpful in the sessions I was able to afford on a 50k+ single person salary! Which now I don't even have did too COVID, I GOT LAID OFF. Now pain Dr can't see me, no "cash patients" and so in essence I'm fk'd when my 60ds runs out. Did I mention I'm a pharmacy tech? Been one for 15yrs, even THAT didn't earn me any credibility points with the Drs before.

      CPCP4 saatler önce
  • Do you actually remember all those studies off the top of your head or do you sneaklily pre-watch the videos you are going to react to and then look up the relevant literature?

    Alexandra TorrensAlexandra Torrens6 saatler önce
  • I love Dr. Mike but I feel like in this video he made excuses rather than the facts. He constantly equated skin color to low social economic...but some of these studies he mentions (yes I have read them all) clearly show that the refusal to give opioids and the death of black mum's in child birth was consistent irrespective of their social economic status.

    Jeanne B. d'ArcJeanne B. d'Arc6 saatler önce
  • The emergency room at the hospital in the town I live in they almost got my best friend killed because they were blaming the symptoms on another condition he had, I went at least three times when I had pneumonia and they couldn’t help me I went to see a pcp and one of them didn’t help then the second one took two seconds to diagnose me

    Bayleigh ConradBayleigh Conrad8 saatler önce
  • Okay listen. The biological differences that are being missed, right? Why are they being missed? A bias is not just an individual one; a system can also be unintentionally biased. The whole thing about narrative styles? That’s a bias towards the male ‘matter of fact objectivity’ vs. a female narrative style. A narrative style shouldn’t matter, it’s just how females are more likely to talk than male counterparts. One isn’t better than the other. And when women’s symptoms are misunderstood and their narrative styles dismissed; I don’t understand that you feel the need to emphasize that the studies don’t point out the causes of the disparity. It seems intuitive that it is. Even at the end when you’re talking about black people, you emphasize that biological differences and social inequalities (geographical differences) are somehow separate from a bias. It’s still a bias which may have different reasons as you rightly pointed out. But still a bias. And one thing that I take away from John Oliver is that women and people of color are believed less when they talk about pain. I think the way that you framed those factors to be outside of the definition of a bias rather than just an added layer of nuance within that definition (different kinds of biases) was problematic.

    Anushri RastogiAnushri Rastogi13 saatler önce
  • What is the expectation of doctors taught before new studies to follow up and continue learning? From the sounds of “in 10-20 years I think this study will read different” a doctor isn’t continuing to keep up to date with new research. There is a healthy interaction of older vs newer doctors in terms of receiving care you endorse and appreciate. If doctors ARE expected to keep up to date - why are these studies showing they aren’t? And if they are not what it going on with maintaining a license that frankly should not be as women are not receiving the best care available but rather a roulette wheel of who they happen to be assigned?

    Sailor StitchSailor Stitch18 saatler önce
  • I agree with the pragmatic aproach he has. Yet, I understand in the real world it won't always work this way.

    CristhianCristhian22 saatler önce
  • My mum spent six weeks in the hospital with pnumonia and some other undiagnosed illness, she couldn't breathe and was having panic attacks because she was terrified by what was happening. So instead of figuring out what was wrong with her, they just doped her up, they labeled her a problematic patient and put her in the goddamn psychward!!! Our family basically went to war with our local hospital to just listen to my mom, the daughter of a nurse and a GP, someone who doesn't play around with Dr's or medicine.. it was horrific and we have a newfound distrust for the hospital.. it was eye opening and I prey were the minority as I wouldn't wish that experience on my worst enemy. She also can't walk anymore because of this extended hospital stay, and they simply refuse to give her a hip replacement when she's finally quit smoking after 40 years, she's only 55 and quite capable of undergoing the surgery... I'm saddened but relieved she's not alone.

    Art blenderArt blenderGün önce
  • After watching this video, I have no doubt that Mike is guilty of most if not all the things John discusses. Mike is not being an optimist, he is dismissing most of the issues raised as some sort of honest misunderstanding on the part of the doctors or misrepresentation by John, all while black and brown people, esp women, are dying. This video is the definition of gaslighting. Please don’t talk about issues of race until you’ve done more research into how actual humans are being affected by this bias.

    Zenas WaleloZenas WaleloGün önce
  • Dr.Mike is saying that the bias isn't because all the doctors are out to get women. Its because females and males are different. They present symptoms differently and are more at risque for different diseases. And guess what? There are some shitty doctors. Shitty to everyone, not dependant on race or gender. Im not saying gender bias doesn't exist, but I'm saying there can be other reasons.

    basma chandourbasma chandourGün önce
  • “I didn’t get the care I wanted because the doctors thought this and that”... wow I didn’t know so many people can read minds and hearts 😂

    T LuceroT LuceroGün önce
  • In regards to adding humour with patients, I feel many are afraid to joke around with the elderly population. Believe me they love it! They’re old, not dead and often times still feel like they’re 35 years old 😊

    ValerieValerieGün önce
  • Gee whiz folks. It's almost like you need universal healthcare like, y'know, THE ENTIRE REST OF THE DEVELOPED WORLD

    Ryan SheldrakeRyan SheldrakeGün önce
  • My mom when she had her heart attack was given and antacid (milk of magnesia) and then sent home. Her symptoms was pain in her back and left abdomen pain. Things got worse so went back to the ER then diagnosed with a heart attack.

    Lacey MorlanLacey MorlanGün önce
  • My grandma died at 75 bc everyone kept telling her she just had a bad stomach ache and indigestion from the food she ate. She she drank peppermint tea and had tums before bed. She was found in the morning on the floor outside of her bedroom. She had a massive heart attack. She could have been saved if she went to the emergency room the day before. Years later my aunt thought she was having a heart attack bc she was having the same symptoms as my grandma and she got checked out. Turned out it was just gas and indigestion and was really embarrassed but we all told her she did the right thing!!! Don’t ever feel embarrassed about that!!! Don’t ever be scared or worried about getting help! And please never let money or worrying about the cost of going to the doctor keep you from getting help! Your life is more important! There are financial aid programs everywhere and charities to help you with that. I know too many people who avoid help for this reason and it makes me so sad.

    Amanda RaeAmanda RaeGün önce
  • You are missing the point.

    Brittney MarstersBrittney Marsters2 gün önce
  • Here in Switzerland, more men than women are willing to take opioid medication. We women are better informed about the side effects and more afraid of them.

    Andrea HessAndrea Hess2 gün önce
  • I will never forget telling my OB I was experiencing extreme pain during a vaginal exam, him dismissing it, continuing with the exam, and me screaming and blacking out on the table. My pregnancy was insanely difficult, and he constantly dismissed me. This was my first time being pregnant as well as my first time at an OB, and it makes me not want to have any more kids.

    Hannah O'FrielHannah O'Friel2 gün önce
  • It's good that Dr. Mike not only validated John Oliver's video piece, but he also augmented it with a more holistic medical perspective. DM and JO are two of my most trusted online personalities because not only do they just provide insightful discourses, they also present them entertainingly and engagingly. Good job, both of you!

    Norberto D. PinedaNorberto D. Pineda2 gün önce
  • As a female patient with endometriosis and adenomyosis and suffered with infertility, debilitating pain, and chronic fatigue I can say that doctors DO NOT BELIEVE WOMEN'S PAIN! I have had doctors tell me it is all in my head and gave me antidepressants. I have been ignored about my pain and symptoms for years by numerous doctors and other medical professionals. It took 6 years to get a diagnosis from a doctor that finally listened to me. After he retired it took me another 5 years to find a doctor that would believe me despite the fact that I had a surgical diagnosis. Even now to get proper care I have to drive 5.5 hours to see an endometriosis specialist and 2 hours to go to physical therapy because most pt's are not certified in pelvic floor physical therapy. In all these years I have come to learn that most obgyns do not even know the actual definition of endometriosis and how it works. Endo is considered 1 of 10 most painful diseases by the WHO. Most endo patients know way more about the disease and appropriate treatments than their doctor. There only around 100 endo specialist in the U.S. and about 200 worldwide. If a doctor refuses to treat you or run tests ask them to note in your file that they refused treatment... sometimes this makes them reconsider and if not you have proof of the negligence. If I have to go to the ER for pain or even a new dr about my pain to make sure my husband is with me so the doctor will take my pain seriously. Women do not get the same care as men on average and I can not imagine what it must be like for women of color. WE DESREVE BETTER!!!

    Belinda MoodyBelinda Moody2 gün önce
  • Im so disappointed in this video it sounds like gaslighting

    lulibo kulatilulibo kulati2 gün önce
  • He says this after the issues with Serena Williams...i am pretty sure she is not on the lower part of the socioeconomic latter. This video really feels like he is making excuses, and THE SAME excuses that have put us in this situation.

    tawhneebabytawhneebaby2 gün önce
  • Doctor Mike, I have emailed you inregards to my experience with doctors and why I try to avoid going at all cost. I have had good experiences; however the issue referred to in the email, I feel is treated with bias despite my complete transparency with the specialists and doctors. I have never experienced racial/sexist bias per say, but I have experienced bias interactions.

    Ray GabrielleRay Gabrielle3 gün önce
    • I don't know how to tag a name on YT

      Ray GabrielleRay Gabrielle3 gün önce
  • I'm sure you won't see this comment, but I think you defined bias as discrimination, which is far too narrow. These studies are not necessarily saying that providers are overtly racist and sexist (i.e practicing discrimmination). Its an implicit and systemic basis that is built into our medical systems and medical training etc. I think younger doctors are getting better training on these things, but not everyone has access to younger doctors. And short appointment times and hurried appointments inherently disadvantage women who describe symptoms more narratively, women who are more likely to ask a lot of questions, people with anxiety who struggle with explaining things etc. After years of feeling dismissed by doctors, women and people of color are often going in feeling nervous about being dismissed.

    Heather LaVigneHeather LaVigne3 gün önce
  • Idk, Dr. Mike, I really like your videos but to me it just seems to me you were trying to hard to defend your colleagues by looking only into the studies that talk positively about the situation and not allowing yourself to really take a dive into the gruesome information that's also out there.

    Camille GiraudCamille Giraud3 gün önce
  • I’m happy to say that in the Veteran’s hospital, I do not personally find this disparity. I guess our Drs understand that the women get rode just as hard as the men do in their branches of service. 😄

    A WachaA Wacha3 gün önce
  • Is it possible that doctors are prescribing fewer opiates for abdominal pain out of fear that a woman is pregnant? If so, why is it not standard to run a urine sample as soon as a woman comes in for acute abdominal pain?

    M CurryM Curry3 gün önce
  • In the Middle East the doctors are very very sexiest.... even the female doctors are sexist here .... it’s so outrageous 😤😤😤 adding to this classism , racism and of course homofobic and religion playing a role in the type of medical care you get ...... that’s in addition to the lack of work ethic

    Box boxBox box3 gün önce
  • No matter how much I suffer as a woman I am not believed .. no matter what is medical problem it’s always psychological to them and dismissed until it’s too late ..... I bet if I was a man I wouldn’t be told it’s psychological as often as I do 😞 to be honest I hate all doctors now and avoid them as much as I can .. I lost all hope in medicine, it’s not designed for us 😤🤬🤬🤬

    Box boxBox box3 gün önce
  • When I explained the pain I get on my limbs from the sudden change in temp (like when I'm in a store blasting it's ac then go outside and it's 100f) to my dr, he told me a lot of Hispanics believe that. I switched drs after

    Maribel ReyesMaribel Reyes3 gün önce
  • I've had syncope for a few years now, and I've asked many doctors why that's the case. Some were very helpful and tried to rule out issues by taking ECGs and suggesting MRIs, but many doctors would just say "you're a small girl, many small girls faint". How unhelpful is that!

    RoseRose3 gün önce
  • Thank you for validating this for me. Just a few years ago I was redoing my first aid certificate and the facilitator spoke of heart attack symptoms. I remember reading/seeing somewhere before about females presenting atypically and when I asked about it he shut me down, made me feel really stupid and questioned why a woman would have different symptoms to a man. I shut up and have always remembered that, cause I knew in my gut that I'd heard it before from a reputable source I just couldn't remember where.

    Life With LizLife With Liz3 gün önce
  • These biases can also be self inflicting. When I first got period pain I didn't seek pain killers because I thought that's what I was supposed to feel. Back than the pain only lasted 40 minutes. Before I wouldn't get pain at all. I only started using Panadol when I learned it helped. Soon panadol only worked if I took it early enough. Then I started getting mild discomfort during other days. Now panadol doesn't work at all. I get the first day of severe pain that lasts up to four hours. Then I'm fine for like an hour or two, but then comes several days of general discomfort which is bearable but only just and sounds a lot worse than it sounds. All this and I only just learned that it wasn't normal to feel that way. I've recently started taking Ibuprofen and take it constantly until the heavier bleeding leaves. I'm terrified to go to the hospital for fear of that kind of treatment.

    LimerenceLimerence4 gün önce
  • www.nytimes.com/2014/03/16/business/income-gap-meet-the-longevity-gap.html

    Paul HexagonalPaul Hexagonal4 gün önce
  • Someone needs to build a line of thinking that can deep dive into these social problems and unpick them objectively like Dr Mike is trying to do here. It's easy to diagnose a disease by looking at the symptoms, crossing off what it couldn't be and slowly narrowing it down. Like Mike's question on why there was gender disparity for opioid medicine, but none for nonopioide. We all know how the internet is great at solving mysteries, which is basically a super brainstorming session. I'm sure they could figure it out or other academics. But no one can because when everyone is biased when it comes to political discussions like this. It would be nice if someone wrote constant laws like they did for the laws of physics. I'd say the social sciences are just so much more complicated than that. To build a logical set of rules for society sounds impossible. You'd have to pull knowledge from philosophy, anthropology, psychology, neurology, rules of language, lots of history. The law. Coders. Coders would be very useful as they have to think extremely logical to write their codes or the computer won't understand them. All these fall under social sciences anyway but they're all treated as separate entities. All to build a type of thinking that can be applied logically and can deconstruct social norms, all in an effort to combat harmful biases. Also something like this would have to be self checking to make sure the humans practicing it aren't biases. I don't know.

    LimerenceLimerence4 gün önce
  • I went to an urgent care in the upper west side of Manhattan (so a very good zip code to get care). A bug flew into my ear and wouldn't get out. I kept hearing its wings fluttering in my ear. I was also 33 weeks pregnant. Doctor: oh, you must be hearing your own heartbeat. Lo and behold, when I asked them to humor me and irrigate my ear, they found a bug. Also, I once went to an urgent care in Washington heights in NYC (not a good zip code) bc my daughter's pediatrician's office was closed. They saw me and I could see them already judging me. My 2 year old was very obviously sick, high fever and abdominal pain.turns out she had strep. Basically dont go to the doctor pregnant. They all think you're hysterical

    Leora FersterLeora Ferster4 gün önce
  • RACHAEL RAY!!!

    Jax ZimmermannJax Zimmermann4 gün önce
  • *If your idea of sanity is injecting deadly toxic chemicals and biological waste into your blood that is designed to genetically modify your DNA then you will have to suffer the consequences.* If you do that to yourself, or allow some eugenicist psychopath to do that to you, and it still doesn't make you immune to a disease (which many of us already know that it will not) will you be surprised? They will tell you that you need another vaccine "upgrade" which may be even worse than first vaccine. They will convince you, and you would believe that it did not fully work and that you need yet another vaccine "upgrade". And, then you be convinced that the only possible reason why it didn't work is because you didn't force everyone else to do the same? That is literally the “herd immunity” argument. You know that thing about insanity? doing same thing over and over and expecting different results?1 yes, that will be you, at that point, you will be so sick that you would never accept the truth, you will never use logic and reason, you will never admit that you have been screwed up by those that you defended as your saviors. My argument is simple. Injecting toxic chemicals and biological waste into your blood causes severe illnesses and most certainly does not make you immune to any disease at all.quite contrary. If you do not understand this I have nothing more to say to you. still do not believe me? fine. But, if you want to understand what they will be injecting you with and what will be the outcome you should read the books: 'What Really Makes You Ill?: Why Everything You Thought You Knew About Disease Is Wrong by Lester, Dawn" and "Virus Mania: How the Medical Industry Continually Invents Epidemics, Making Billion-Dollar Profits At Our Expense, by Engelbrecht " facts and statistics do not lie. either of those books may save your life, literally. BTW, Amish do not take vaccines and yet they have the healthiest children and least amount of adult diseases. No measles, no autism, not even a flu. Explain that.

    C0gitoZ33 DroidC0gitoZ33 Droid4 gün önce
    • www.theatlantic.com/health/archive/2015/01/why-are-anti-vaxxers-rallying-behind-the-amish/384151/ "Actually, members of the religious sect are prone to some terrible diseases." Cheers!

      Paul HexagonalPaul Hexagonal4 gün önce
  • Ah good to see people picking up “Invisible women”. It’s a book citing facts based on research about bias acting against women. And healthcare is only one chapter.

    Ana-Maria YanakievaAna-Maria Yanakieva4 gün önce
  • it's kind of weird to talk to white people about non-white healthcare because they always just assume everyone's body behaves exactly like your average white male's but it doesn't. The first thing I noticed as a half-chinese half-white person is that even my skin scars in a different way and eczema presents differently: pink in white people and more of a brown in asians. I don't know how to tell people that I'm not a white person dressed as a chinese person; I'm biracial and my body behaves differently. I also kind of resent the idea that women present "atypically" because it assumes that white men are "typical." There is a typical for women, it's just different than the typical for men and nobody's bothered to study what it is.

    Helena CheuHelena Cheu4 gün önce
  • I would say the question of why would the bias of men to women getting pain meds not carry over if it's an actual bias against women is pretty easily answered. Men are seen as "tough" while women are viewed as "weaker/dramatic". So this could reinforce the idea of bias to women by the medical community. In that when needing a normal type of medicine doctors prescribe it equally to men and women. But when pain comes into the equation the doctor may think "oh well it's not actually that bad she is just being dramatic"

    21pilots tillidie21pilots tillidie4 gün önce
  • you’re a rare doctor from what my experiences have been lol. “you’re crazy”, “it’s lady troubles”, “i see you have psychological hospitalization on here more than once. is it possible that it’s just that?” when i had severe ehlers danlos that needed treatment all along.

    life’s a bitchlife’s a bitch4 gün önce
  • Where's my PEEWHOOP? 🥺

    Nikita MohansinghNikita Mohansingh4 gün önce
  • Left wing propaganda aimed at division.

    Bare-bones JOEBare-bones JOE4 gün önce
  • In MSC training Health psych, Health Care Professional Bias was one of my favourite topics at University. I am doubting the fact that bias has a substantial impact on medical error-related deaths. Love to talk about this issue with any doctor. (Y)

    Skylar Ch.Skylar Ch.4 gün önce
  • "He is ACTUALLY right there!" I didn't question that before but now I feel like I should have

    unimportantFactunimportantFact4 gün önce
  • 10:58 "As time goes on..." 😋

    Modupe SandaModupe Sanda4 gün önce
  • Another bias that people don't discuss is how people with mental health problems are more likely to be dismissed and disbelieved for any physical health problems. I had a family member who died as a direct result of such bias.

    Duo WestDuo West4 gün önce
  • I am chronically ill, seen about 35 doctors over the last 5 years, I can count on one hand the number of doctors that did not screw up my medical care and on more than one hand the number of doctors mistakes/discrimination that has harmed me. I almost died once, came closer than I should have many times, I am reassured that I have a couple of regular doctors I can trust but I’m still without a trustable GP. In my experience the gravity of the problem is not well known, the silence of it is horrifying. This is my norm. Oh and yes MAJOR prejudice WAS the cause of the harm. When I almost died it was because I said I was anxious on the way in (because my doctor scared me about a bad ecg) so I was ignored while suffocating in a hospital, no exaggeration, no comforting excuses for why it was just a mistake, they were blatantly discriminating, even after other patients literally yelled at them to help me because my face was “turning blue” according to one of the patients. They literally moved me to a different room to leave me there so that the other patients would be less outraged thinking that they weren’t ignoring me. I had panic attacks when I was a kid, believe me when I say that suffocating to death was no panic attack. I can’t believe I was actually calm when I started suffocating because I thought being in a hospital everything would be ok.

    Andrea LAndrea L4 gün önce
  • The diagnosis of autism in women is something that is highly missed. So many women mask very well to the point where they get turned away with "You're to high functioning to be autistic" when they actually have many symptoms but, they don't show it. I hope that changes. It could help so many girls to not feel alone and feel crazy.

    Bleh BloopBleh Bloop4 gün önce
  • John Oliver seems more interested in creating descent between people by vilifying our culture than he is in finding solutions. Our culture isn't perfect, but you dont promote positive change by turning people against the system. You do it by working within the system to make changes one step at a time. What will this segment achieve? Will it make minorities and women more skeptical of the system, more confrontational with doctors, reducing their quality of care even more?

    sv650ftwsv650ftw4 gün önce
  • I really appreciate your understanding of the medical system and the various social factors involved.

    Kander Di'AtramentoKander Di'Atramento4 gün önce
  • The study toward the end of your video controlled for SES, which likely also (at least partially) controls for hospital quality, so no, that most likely is not the issue. I get that you're trying to look at all angles, but attributing the disparity to hospital quality seems like a reach, as were some of your other explanations. I've seen some racist myths being propagated in medical textbooks, and know that many more are passed on during lectures and rotations. So, bias is the water med students swim in; it is implicit in lessons to the point of being hegemonic. The studies John Oliver cited offer pathways away from the biased hegemony, but off-handedly insisting on (often shoddy) explanations separate from racism reverses the move away from hegemonic biases. All doctors need to take seriously the existence of bias and assume that it is something that they're all capable of-only then can they take steps to remedy it. Simultaneously externalizing the bias (framing it as a problem only OTHER doctors might have) and explaining away overwhelming evidence reifies the environment that allows bias to thrive in the first place.

    Danielle BellDanielle Bell4 gün önce
  • Dr Mike, what factors do you think account for the discrepancies between wealthy patients of colour and their equally wealthy counterparts? Patients who have access to top-tier health insurance, private hospitals, well-paid doctors and all of the overpriced medication money can buy, but whose pain and symptoms are regularly not taken seriously or treated differently by doctors?

    Azaria ZuluAzaria Zulu4 gün önce
  • With regards to racial disparities I think a major variable that needs to be researched a lot more is the argument of socioeconomic differences. It is one thing to argue that black people may have less *access* to quality healthcare because of their socioeconomic situation BUT when you have black people *across the board* experiencing the exact same type of negligence, it indicates that it is not purely a matter of poorer people being in understaffed or under-resourced hospitals. Yes, there are many poor black people but affluent and middle class black people with access to private healthcare are often treated exactly the same way...I think this is a dense topic that Dr. Mike should revisit with even more research and attention to variables because the argument that black people are treated differently because they are poor, simply doesn’t hold water.l and does not account AT ALL for black patients like myself who do not fit into that category. Where is the discussion on those disparities between me and my equally wealthy white peers. We can not just put all black people under the umbrella of poverty because that perpetuates a very very dangerous stereotype that is exactly why people are having these negative experiences. I understand, he’s not a perfect man and but focusing so much on the fact that “black people tend to go to lower quality hospitals” and doctors at those hospitals are overworked feels like a *STRONG* apologist move. Very disconcerting coming from a young doctor 😕 I won’t lie it felt very “racism is on the past and once all the old people die, racism will die with it” 😖

    Azaria ZuluAzaria Zulu4 gün önce
  • Minor correction: almost everyone being female is not diversity, any more than it's diversity if almost everyone is male. Also you are talking really quickly like you're hastily defending yourself.

    Alex CAlex C5 gün önce
  • I used to be a big fan of JO but over the last year or so his deep dives have been deliberately framed to be incendiary and critical, often misleading. He only tends to include context or nuance when it supports his stance. Thanks for making this video Dr Mike. New sub and really impressed by your thorough and balanced content

    jib jabs mcadoojib jabs mcadoo5 gün önce
  • “Don’t be anxious about your symptoms” Me with anxiety: *unworry?*

    Shaila WalshShaila Walsh5 gün önce
  • I experienced a really painfull family loss this spring and had some pain in the chest for a couple of days (clearly stress-induced, but that causes real problems). So I went to the cardiologist and asked to do the EKG. And during the conversation I said something like "I hope it's nothing serious, but who knows. Better check, symptoms may be for so many things and strange in different cases. Like you know, heart attack is also different in men and women". And what did he reply? "They are not different! They are the same for both sexes". I was shocked. Mentioned that it's a well known fact since a while, there are studies etc. He still thought that was a bullshit. A 50 y.o. cardiologist with own practice for decades in Germany. (German medicine often sucks in multiple aspects, despite stereotypes). But this was unbelievable. And of course he ignored me, because what a paitent may know *facepalm*

    Ольга КурчаковаОльга Курчакова5 gün önce
  • I appreciate that you dive deeper into things. Instead of just going with the loudest voices in the room that claim correlation is the same as causation or the correlation is proof of racism. Also, I love that you don’t just look at where we are and say “it’s not good enough because it isn’t perfect.” But rather, you look back, then to the present to see how far we have come and then to the future and hope we will go even further. Awesome perspective, thanks for making these videos and being willing to take a hard look inside

    ZachZach5 gün önce
  • You should know that due to the high likelyhood of becoming addicted to Opiates that non-opiates are the first line of defense if it is determined that ibuprofen is not enough and opiates are avoided before determined to be the most needed last resort then yes it is possible to have a disparity between the genders with opiates and not with the non-opiates. Because the non-opiates aren't as scandalous as the opiates. Thus an equal dispersion in the non-opiates between all skin tones and genders.

    Candice TrueloveCandice Truelove5 gün önce
    • That's not to say that all skin tones are getting equal treatment.

      Candice TrueloveCandice Truelove5 gün önce
  • The opiate prescription disparity has a ton to do with private insurance and income, which results in racial disparity.

    BenafooBenafoo5 gün önce
  • So John Oliver, who is constantly criticizing Donald Trump for speaking on medical issues he has no clue about, goes on to speak on medical issues he has no clue about? Would that be hypocrisy or irony?

    BenafooBenafoo5 gün önce
  • "Female hysteria". made a visit from the early to mid 20th century to my emergency room visit in 2018

    karine edwardskarine edwards5 gün önce
  • I appreciate this so much, but when you say you want to make aware what your colleagues are doing, and not you. it exempts you from those biases. The worst part about these biases is that they infiltrate even when you don't intend. You, as a white male (and I speak as a white female guilty of all of these) are also guilty of the biases... they are ingrained, and it is the systems, not the individuals, that we need to work on educating and changing. It is not only our colleagues, but the systems in which we are educated, trained, and that we operate that need changing.

    Ruth NielsenRuth Nielsen5 gün önce
  • It means we always had the worst mortality for women in childbirth. And no it documented.

    Crystal LuttonCrystal Lutton6 gün önce
  • All of your excuses ARE bias. I almost died because doctors dismissed me - giving me repeated referrals to psych evaluations instead of running medical tests. My gall bladder died inside me. By the time they removed it I was septic.

    Crystal LuttonCrystal Lutton6 gün önce
Doctor Reacts to John Oliver | Last Week Tonight: Bias in Medicine