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

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
If you have an idea of something you want me to cover in-depth, please let me know because I take your requests seriously. We will be back with more Doctor Reacts Series, Memes, & Responding to Comments so please submit more names of shows/episodes & questions you'd like for me to watch. Love you all!
- Doctor Mike Varshavski
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** The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional professional **

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YORUMLAR

  • I wish they would stop calling women's heartattack symptoms atypical. They are not atypical, they just aren't typical for men. They are typical for women. Even the Red Cross's curriculum does this. Stop using language that makes women sound faulty.

    Jennifer HargisJennifer Hargis24 dakika önce
  • THANK YOU for this insightful and important video on the topic! I'm a medical intern and at the start of my career with not much experience. But I can safely say I agree with you on almost all accounts. You touch on some very vital points. Among the most important is 1) Medical knowledge is not definitive and 2) Doctors are humans. None of these are excuses to providing poor medical service based on unscientific data, or behaving badly towards a patient. But it should prove that there are still new things to learn about the body, and that we are nowhere near being "omnipotent". Heck, just a few years ago we discovered a new organ we didn't know existed. And a large part of the brain functions still need to be understood better. What is important to note here is that we ARE making progress and improving, constantly! Also, doctors (most of us) are not indifferent to patients' stories and it does effect us emotionally when we aren't able to provide good healthcare. Doctors aren't immune to stress, being overworked, and not getting enough sleep. We rely on the things we learned in medical school, as well as what we experience in our professional work with patients. All of these factors matter in the role of being a good caregiver. That's why it is so important to have a constructive, objective, and multifaceted discussion about medical bias and the various prejudices we have. I also love John Oliver, for his often well researched topics and his impeccable presentation of them. Even though it doesn't change the fact that it is after all a comedy show, and that some topics are deliberately made more sensational than they really are. You now have a new subscriber! Keep up the good work!

    Thomas TThomas T37 dakika önce
  • While there are many factors, as Dr. Mike points out, he also says there is no causation. And if you pause to take a look at that weird quiz he tries to defend a 2nd year med student should be able to answer them and he didn’t really say which ones were definitely real. He also keeps mentioning Black people going to “lower quality hospitals” which wouldn’t always be the case since the studies control for socioeconomic differences. He also mentions woman explaining their symptoms differently may lead to them not getting heard. Why? Listen to your patients. I was also disturbed by the doctors not knowing female biological to be a valid excuse. That in and of itself sounds like a bias to me. And lastly I was very disappointed that he didn’t mention the black woman who died. I understand sharing different points of each study but they way he presents his rebuttal sounds like the way an abusive partner would. It comes across as disingenuous gas-lighting. He mentions John and his temp don’t dive deep into a study, they pull a few sentience from one study and that’s not good enough. So for his Rebuttal Dr. Mike pulls a few extra sentences from a different article or study as well.

    CrystalRainFilmsCrystalRainFilms2 saatler önce
  • Doctors never needed any cause and effect evidence to prescribe anti-depressants. And they hand them out like candy. Now even giving so many anti-psychotics you are beginning to see commercials about tartive dyskinesia.

    Jack ArmstrongJack Armstrong2 saatler önce
  • I've got ankylosing spondylitis, meaning I have a serious disease that is often mishandled by doctors. That disease is by far the most common in white males. So, ya, bias in medicine in my case disproportionately harms white dudes some times.

    Daniel OrtmanDaniel Ortman5 saatler önce
  • My mother, a woman in Europe, was ridiculed when she tried to tell doctors that there was something seriously wrong with my little brother's body and immune system, they told her that she was "just a desperate mother of an infant"... Two years later he died to a syndrome that could have been suppressed if treated early, for example when my mother tried to tell them.

    Kean GiledaksKean Giledaks6 saatler önce
  • I heard, "Why this disparity occurs" about 20 times throughout this video. You're constantly saying it's not racism, saying it's "systemic" problems instead. It's systemic racism. Put two and two together - you're a doctor ffs.

    Tom JTom J6 saatler önce
  • It seems as if Dr. Mike misunderstood what the title of the episode meant. Bias in medicine isn't necessarily doctors being biased or discriminatory. Bias in just means skewed treatment for nonobjective reasons here. If the system is biased against a group because of something that group did, it doesn't necessarily mean there is discrimination, but there still is bias. All the things Dr. Mike is talking about that lead to unequal quality of care are reasons for systemic bias too.

    ShiroiKage009ShiroiKage0099 saatler önce
  • I think there's just a lack of thinking outside the box in the medical community now. I, a white male, spent 10 years plus seeking answers for symptoms I had. Finally after the 6th doctor, and my offhand comment about the issues because I was resigned that it was imaginary, I was diagnosed with a genetic disorder that requires weekly therapies. Not just to provide comfort but to extend my life. Things are just too factory like now. There will be disparities almost everywhere you look these days.

    Space OtterSpace Otter10 saatler önce
  • The systemic problem IS racism. Stop looking for another one. That's the one. And to continue to ignore that is the problem. But I get you protecting your status quo. However it would be better if the doctor just tried to counter balance the racial imbalance in themselves. So when a black person is in front of you. Just listen to them.

    Corey SaucierCorey Saucier10 saatler önce
  • I would like him to react and give his point of view about the av hospital incident, where they dumped a woman in the car park, with her top up and left in a spit mask while she was having a seizure

    sale consale con12 saatler önce
  • I was pregnant about six years ago. I had learned that something wasn't right with my body. I went to the labor and delivery ward. One female doctor told me to go home until my water broke and the nurses kept "fishing". It wasn't until a few weeks later, they found out that I was suffering from HELLP syndrome. I am currently pregnant. I am having a completely different way of being pregnant. Back then, I couldn't walk or do much. I was literary using a wheelchair and my husband was afraid I was dying at my 35 weeks. This pregnancy I am 36 weeks pregnant and I am going for walks, swimming, and other things with my daughter. Why do people fish?

    Liz HannLiz Hann13 saatler önce
  • Just check this guy following.....that's all you need to know

    prettya sariprettya sari17 saatler önce
  • This "doctor" mike is nonplussed. He's like congressman Jim Jordan, but in healthcare.

    Max CovertMax Covert22 saatler önce
  • From the information that you gave in response to the studies, it sounds less like a boss issue and more like a lack of medical information issue. Of course, I have no doubt that some medical practicioners do have their biases that interfere with how they treat patients. However, it's exactly like you said... In 100 years, we're going to be looking back at ourselves like we're barbarians, just like we do to the plague doctors now.

    BicBoi SpyderBicBoi Spyder22 saatler önce
  • You sort of dropped the ball on the second half of the video. You were still discounting their experiences

    Cyberwar101Cyberwar10123 saatler önce
  • You kinda brushed over the maternal death thing by saying it's only increased because of better detection. Whether it's increased or decreased over the last ten years it's still higher than every other developed country. It was a good video but I think you came off too defensive. I think this because you wanted attention on all the contributing factors the quality of care gap but it did take away from the video.

    Jack RJack R23 saatler önce
  • 26:00 but he said the study controlled for socioeconomic status though 🤔

    Paola PaniaguaPaola Paniagua23 saatler önce
  • The explanation for much of the gender discrimination seems obvious to me. Women are perceived as less tolerant to pain, and men are seen as more tolerant to pain, and more withholding in terms of complaining. It's of course not true at all, but this *is* unfortunately a very widespread, I'd say socially constructed, idea. As to the nonopioid prescription having no disparity, it's obvious - men are receiving opioids because the doctor perceive the pain as really strong if a *man* comes complains about it. Whereas a woman is more likely to have her pain perceived as less severe. The lack of disparity in nonopioids is likely just because women who would get opioids if they were men, get nonopioids instead. Men with similar pain don't get nonopioids, and therefore the nonopioid disparity is a direct result of the opioid disparity.

    Julian Nikolay Krogh-FredriksenJulian Nikolay Krogh-Fredriksen23 saatler önce
  • 1:25 This is a generalization and I am not talking about all black people but we dont share our business for nothing. We stay private, we’re too prideful to be whiners. To the point of fault, we never want to show weakness. If a black person says it hurts, something probably wrong..

    Paola PaniaguaPaola Paniagua23 saatler önce
  • That is a studied racist notion sitting in the subconscious of so many - that black people are invincible.

    Paola PaniaguaPaola Paniagua23 saatler önce
  • You said that unfortunately there are doctors out there that are 70 years old who are essentially out of touch.. old school thinking if you will. What I find interesting is someday that doctor will be you. So how will you ensure that you break that cycle?

    MrLovelogMrLovelogGün önce
  • This is the kind of video we need. Conversations and explanations by people who know what they're talking about. Enjoy the sub.

    Demonic musicianDemonic musicianGün önce
  • The other day I went into the ER at like 10:30 at night because I thought I was having a miscarriage. I had like 6 questionably positive pregnancy tests where other friends said they saw 2 lines but the pregnancy one was so faint. I just assumed I was pregnant because I had other pregnancy symptoms and knew I had unprotected sex multiple times during my fertile window. When I went to the ER, I only got male doctors which made me a bit uncomfortable because of past bad experiences with men. One male nurse gave me a pregnancy test, looked at it for 2 seconds and said you’re not pregnant and walked out. Then another male doctor came in saying how their pregnancy tests r the best because they detect HGC levels lower than any other test. (In my opinion, the test looked like it came from a dollar store) I asked if I could get a blood test because that was my intention when I went in. I already knew the pregnancy tests would say I’m not pregnant or b a very faint line and I wanted a blood test so it couldn’t b another maybe. The doctor implied it would b ridiculous to even get a blood test because their pregnancy test (that this doctor didn’t even look at) was so accurate. He basically said to just come in again in 2 weeks if I was still concerned. I was so annoyed with how he talked to me like I was just crazy and didn’t know anything and he knew everything about the female body and didn’t even need to look at me to tell me what was wrong or why I’ve been nauseous all week and experiencing symptoms not normal to my usual PMS symptoms. It made me so mad and I still don’t know if it’s a miscarriage or a regular period. There are a lot of blood clots and I usually don’t have cramps or blood clots but I am. I didn’t feel listened to or taken seriously and I left crying without any answers.

    Mia RantsMia RantsGün önce
  • I think the real issue is overwork and compassion fatigue making some people in healthcare more cynical and ready to rely on their internal biases. No amount of sensitivity training is going to overcome stress and the pressure to get patients treated as quickly as possible.

    R HR HGün önce
  • Heart attacks in women was shown on Grey's Anatomy. Please review the episode. Can't remember which one it was.

    Cameron SolomonsCameron SolomonsGün önce
  • I'll try not to make this comment too long although it is quite extensive but my husband whom is almost 40 years old has never been able to get Quality Healthcare from any doctor he has tried to go to and he has had many they always push him out the door telling me he's fine even though he knows that he's not fine they won't do the testing that needs to be done to make sure he's okay they always just say he's looking for meds and he's not he's never looking for meds I think it's a disgrace that the country does that now my husband is considered a minority he's hot half Korean but you should still be able to get Quality Healthcare but he cannot we have not found a doctor in our area or beyond that will treat him properly or even treat him with respect in any way whatsoever I'm not saying he's being discriminated against but it certainly feels that way every time he goes to a doctor any suggestions as to how he can find a doctor that will treat

    Amy AveryAmy AveryGün önce
    • I tried to edit my comment so it made more sense but I couldn't figure out how but basically what it boils down to is that my husband has never in the last what what 20 years been able to get Quality Healthcare from any doctor emergency room or regular family physician he's not necessarily unhealthy but there are definitely problems he has that could be medically taking care of a doctor would just pay attention to him and listen to what he has to say instead of throwing out the door

      Amy AveryAmy AveryGün önce
  • Doctor Mike is like the Rev Chris of medicine like Rev Chris is to christianity.

    Tnsae AlemayehuTnsae AlemayehuGün önce
  • I went to the ER with abdominal pain. After the waiting room, after seeing the doctor I was put in the hallway with no medication and ignored for about five hours. The doctors did no tests and simply didn't believe I was in that much pain. It was an abdominal abscess that eventually ruptured. I'm white male. It's not ALWAYS racism, sexism or whateverism. I will say, on the opioid thing, as a rule I prefer not to take opioids unless I really need them. After my operation there were times I would ask for painkillers and the only thing they would offer was morphine. Nope can't have ibuprofen or Tylenol, but here, have all the morphine you want... I spent a lot of time in moderate to high pain because I didn't consider it severe enough to take morphine.

    Jake AndJake AndGün önce
  • john oliver would agree with everything here, he specifically frames his show for shock and awe because he wants to get people fired up about the issue, which is great, because then people are more likely to watch a video like this afterwards

    Josh ManitowichJosh ManitowichGün önce
  • Unfortunately, the African community attends lower quality hospitals. That's the quote of the year right there.

    SamSamGün önce
  • This is the first video I really feel the responses the Doctor provides comes from a defensive perspective and defensive demeanor. Following up every “that’s a good point” with a “but” or exception response comes off as callous and uncaring. Bias in our legal system exists, bias in our centers of education exists, bias in our corporate offices exists, and bias throughout pretty much all of society exists. I am not singling out the field of medicine and it’s practitioners. I can appreciate there are important issues beyond gender and race which impacts health outcomes like economic and educational background. I also believe bias is something which professionals in positions of authority throughout our society, especially professionals making life determining decisions, should actively be required to receive ongoing training to overcome innate biases all humans carry within us. I know board certified physicians must maintain their license(s) to practice by attending Continuing Medical Education (CME) courses. I also know most of these are B.S. vacation like experiences, or strictly online only requiring minimal attention, and even dubiously sponsored at times. I honestly think the CME requirements are becoming a joke, so my suggestion which would cheaply and immediately begin addressing these underlying issues of bias is to #1 really enforce CME requirements nationwide among all licensed practitioners and #2 include a set minimum of hours towards annual bias training to keep it fresh. Yes I had a female (millionaire white elderly obese) relative die before her time because she complained after a surgery she was in pain, but not even an absurdly priced private care facility had physicians willing to listen to this fat woman complain about pain. She ended up dying because they left surgical equipment inside her 😿 which became infected and she died in complete pain and agony of sepsis. I myself experienced a four year delay in diagnosis for Ankylosing Spondylitis and was told many times I should seek breast reduction surgery 🙀 (hello!) between the ages of 17-20 for my back pain. Amazingly for me I had an ophthalmologist whom just attended a CME type conference linking iritis with AS and because of this recent training he was able to connect my symptoms. I feel very grateful to this day for Dr. Riske going above and beyond treating me like a human being and not simply a task to complete during his job. I believe there are many many wonderful physicians like Dr. Riske, but not 100%. Therefore it is the burden of the AMA and fellow physicians to hold yourselves accountable since in the US physicians are essentially self-governed and self-regulated (to be fair basically the same as lawyers, dentists and engineers). So I feel the Doctor has an opportunity here to set by example some good guidance and speak with his peers about the ongoing concern of bias in the healthcare system and to focus on solutions not excuses. Even for me in my work I constantly consider the various stakeholders and public interests the regulations I work on might impact. I actively seek training opportunities on environmental justice, updated court case outcomes, best writing practices, community communication and of loads of technical training so I expect fellow professionals with a doctorate of any kind to stay informed because our communities need us to be at our best and not find excuses if we fall short in achieving the goals in our chosen profession. It’s not enough for me to just do it myself but to also sign up my peers and coworkers. Now that I regularly attend, they go too, because it’s the new normal. I encourage anyone reading this to try the Harvard bias test, even if you think you have no bias, believe me you do. We all do, but the good news is if you acknowledge it, actively take steps to address it, bias expressed by your decisions can be overcome. It starts with you. implicit.harvard.edu/implicit/takeatest.html

    Carrie PickettCarrie PickettGün önce
  • When he mentions mortality rate of women I got a bit frustrated. John DIDNT say that the mortality rate has increased, he said that it’s was HIGHER than the rest of the developed world You undercutting this comment by strawmaning the argument by bringing up a completely different point (which doesn’t change John’s statement what so ever) is terrible. I understand it’s a theory, but presenting it after his comment makes it look like it’s closely related or the same thing, which it isn’t. The only relation it has is that John was looking at the recent number, and knows its higher than other developed countries. That’s the ONLY relation to what you brought up.

    HeroRodriguesHeroRodriguesGün önce
  • I feel like he thinks bias always means malice, and that highlighting it would potentially demonize the medical community. It's important to know that bias is not a personal thing, because issues like racism are systemic. That means the goal of pointing it out isn't, for example, to make fun of those medical students, but to point out that this kind of prejudice should be addressed more in the classrooms so we can eventually counter decades of racism. Every medical student should be taught that race doesn't influence the sensitivity of the nervous system. Likewise misogyny and racism have been largely found (by women and black people) to be a societal problem, and as such it would be naive to think the medical community is an exception. People can be told all sorts of bigoted things when growing up and never question them, so yes, we need to encourage everyone to examine their bias and most importantly listen to what minorities have to say. But sadly this isn't enough, a patient's health shouldn't depend on whether someone has felt like reflecting or chosen not to. We can't ask people whose health has been endangered by racism to just be optimistic that things will change. Personally I believe it would be better to make sure there's a solid support system is case of prejudice: people should be able to choose to be seen by someone of the same race and gender, and request a doctor that supports queer identities. People should be able to request that a doctors behavior is examined if they believe they have been discriminated against, and if there are multiple reports the doctor should be required to attend a seminar about these topics. It's fine to expect the best of people, but the government can only protect its citizens by preventing the worst.

    red cocoared cocoaGün önce
  • You bring up a good point that Doctors see a lot of people trying to get drugs, however: If you have a record of this persons medical history (as their doctor you should be) then you can see if they have had a long time on drugs or are going through their drugs too fast If someone comes in and it’s only their first or second time coming in for pain relief, THAT is not okay to simply dismiss with a “but I see a lot of people wanting drugs too sell” And alarming amount of black people in this comment section are sharing their stories about being racially profiled for wanting drugs so the fact you think this is a good argument to bring up is a little worrying. Yes, you can be aware of it, but also don’t make excuses saying that doctors don’t trust their patients because of this. You should trust your patient in till they prove you otherwise, ESPECIALLY in a medical system like America where you pay for healthcare. Unless multiple instances of worrying behaviour are found, TRUST YOUR PATIENTS

    HeroRodriguesHeroRodriguesGün önce
  • There is so much to unpack when it comes to bias's in medicine. There are studies that show men go to the doctor less than women do. I'm not justifying anybody going to a doctor have their medical problems get ignored, but there could be a reason doctors develop an attitude that could lead to men getting taken as more serious when they go to the doctor than women. We can't separate out psychological differences between patients as something that could lead to different treatment. As for the issue of most studies being based on male biology, yeah that's because being used as a guinea pig is DANGERUOS!?! I don't hear a lot of women complaining that only men were marched into nuclear test sites in the fifties or that women weren't given syphilis during that particular study either. Human drug trials were people are asked to put a substance into their bodies that the doctors aren't 100% sure their safe, guess what?, they do that to men. I wonder why medical science knows more about how the male body responds to things than female bodies do? Does anyone here know how we know that German scientists were repeatedly braking Jews bones in Nazi Germany and what actually happened to that medical information? If you guessed that our doctors took it and used the information to improve our medical understanding you would be RIGHT!! People who think that it isn't fair that doctors don't know as much about medical issues women face should really consider how that information is gained and wither or not they would agree with doing the same things to women that has been done to men. There are a lot of things we can and should do to learn more about women's health, but some of the complaints comparing men's health to women's health show a profound ignorance. The guidelines on the treatment of men and boys put out by the APA states that men are LESS likely to seek treatment for mental health issues and there is a study that shows that men visit the doctor a lot less than a woman over the course of their lives (if you knew the study were doctors had soldiers marched into a nuclear test area I am sure you wouldn't trust them either). Oddly enough this seems to directly impact wither doctors are going to consider the male patient as being more serious than the female patient. My point being biases can exist for reasons that are not sexism and racism and an honest look at it needs a no holy cows approach in order to address it. When I first read the title of this video I thought you would be discussing things like over diagnosis of medical conditions like ADHD. I am guessing the problem occurs more in the mental health field, but it does impact the medical professions across the board and would be an interesting thing to discuss.

    Darrek WorkmanDarrek WorkmanGün önce
  • John and his crew did good researches for every topic they mentioned

    司此雷司此雷Gün önce
  • I don't understand your point that the maternal mortality didn't increase, it's just better reported now. That doesn't change the fact that it's higher than any other developed country. The fact that it was already the case before doesn't really make it better.

    Alice TeagueAlice TeagueGün önce
  • I find it curious that the country with the largest GDP in the world is number 43 in terms of average life expectancy...

    TheBlackadder EdmundTheBlackadder EdmundGün önce
  • the lack of the correct medical car also hinders upon what medical insurance you have . right now my wife can not get the best medication and care to treat her diagnosis , because Medicare will not pay for it . not that it is not covered in her current plan, but that they will just not pay for her best care option

    christian wolfchristian wolf2 gün önce
  • It’s odd that you left out the part of John Oliver’s piece where the man pleaded with medical staff for hours asking them to give his wife a CT scan. By the time they got to her, her stomach was filled with over 3 liters of blood and she died. It’s great to see improvements, but it’s not enough to even remote begin celebrating. That woman died for no reason and he now has to raise his child alone.

    Jay DJay D2 gün önce
  • Medical bias is true I was having sever abdominal pain, when the ultrasound came out it wasn't appendicitis but there was fluid in my abdomen, doctors in my hospital were laughing thinking females exaggerate their pain but only I know how much I was suffering, I was having headache too, I wanted to pass out. PS : I'm a medical student so I still got better treatment in my own hospital, I can only imagine what treatment other female patients would be getting

    Aditi RanaAditi Rana2 gün önce
  • I have a rare genetic kidney disease and I can't count how many times I've tried to tell a doctor "This symptom isn't normal for me" only to be dismissed.

    QiennaQienna2 gün önce
  • I wrote a paper in college about redlining. The common misconception is that redlining only dictated where someone could live, when in actuality, redlining dictated where hospitals, grocery stores, insurance companies, goods and services, etc. were placed. Which means redlining (no matter how brief, which lasted 3-4 decades) played one of, if not the biggest factor, in segregation and the social constructs of America.. and it was ALL BASED ON RACISM!

    Jock ThompsonJock Thompson2 gün önce
    • Which is why leaving things as is continues to perpetuate it.

      jcast39jcast39Gün önce
  • In regards to the medical residents making false assumptions about the way patients differ by race, I think what Oliver and his staff are a bit freaked out about is the idea that doctors can get major things wrong like that on an exam at all. However, not knowing a basic fact like that doesn't seem to me, to have much of an effect on the administration of medicine. I mean, you can just look it up. I'd agree that you can't know everything all of the time. There are tools that doctors use to collect, process, and make conclusions about data. It isn't just done from information off the top of their head. Also, it is his job to use comedy to present things because ratings are prioritized over giving every bit of data so I can understand the hyperbolic parallels to racist granddads at Thanksgiving dinner. 😊

    JCWJCW2 gün önce
  • Seeing this, I´m really happy to live in Europe. Especially in Germany. We have some problems here too. It takes time sometimes to find the right doctor who really takes his time to find the issue, but everybody is treated the same. No matter where you live. With our healtcare, everybody is safe to go to the doctor without beeing afraid of the costs. You can go and do whatever you want. If you dont feel like the doctor isnt taking you seriously, you just go to someone else until you find someone who does. Cant imagine how it would feel like when you have to pay to see a doctor. Thats frightening.

    SchrumpelfulSchrumpelful2 gün önce
  • Maybe this video should be titled, "Cognitive Dissonance in Action: Doctor Makes Excuses for Medical Bias." Or is that too long?

    Sarah MadisonSarah Madison3 gün önce
  • "Why doesn't it hold true for non-opioid medications?" Um... because doctors think African Americans are more likely to be drug addicts...??? Oy please don't apologize for your colleagues!

    Jane SrygleyJane Srygley3 gün önce
  • Doctors are people too. In things that are subjective judgement call situations.. like the Opiates to black people thing... if this is pushed too hard to eliminate differences, then things won't get better, they'll just give fewer white people the drugs. You'll meet the statistical parity, but a lot more people who should get it wont.

    anonymous opinionsanonymous opinions3 gün önce
  • I have so many stories and experiences I could share, I think I could write a book Doctors have been callous, cold and when you ask questions like how a procedure works and what are the risks they get irritated I started avoiding medical care to the point where I went into Septic shock and got rushed to hospital

    ReignOfKnowledgeReignOfKnowledge3 gün önce
  • React to Vaccines by John Oliver please

    Shaswat BetalaShaswat Betala3 gün önce
  • I feel like you're mostly doing a good job of a measured response, buuut it's almost too measured sometimes. It also sounds like you're pushing a lot of this into "let's have a conversation about it"--but we're HAVING that conversation now. After the conversation, if bias is in fact impacting some group's health negatively, we should get up in arms about it and we SHOULD hold health care providers accountable. Teaching doctors about this is important but at the end of the day I think the point of this John Oliver segment is to teach people to advocate for themselves as patients. That's not something we should brush off, and saying "this study isn't designed to address causality so we can't make changes about it either way" is minimizing the issue instead of helping it. The scientific community IS creating more research on the daily, with updated methods and structural models, but that doesn't really affect the conversation about how we should adjust health care right now. Improvement is awesome but we can't be satisfied with improvement as long as these disparities still exist. Also you talk about systemic issues as if they're not related to bias, when most of the modern conversation about racism and discrimination is now focusing on how systematic biases influence individuals (not necessarily the other way 'round). I'm glad you're aware and educating about these issues, but you mentioned the 67-year-old doctor who's not studying up on this stuff, and I do feel like you're more likely to get one of those than a Doctor Mike. It seems like you're more skeptical about the women-pain thing than any woman I know would be. Women are extremely discouraged from showing pain, and most of us learn in our early teens that feeling a lot of pain, sharp or dull, out of nowhere, is normal and shouldn't keep you from normal activity. For me personally, but also for other afab people I know, we avoid getting health care if the only or most major symptom is pain. You're right that the cause of that discrepancy is different (it's not necessarily a bias on the part of a health care provider, although lord knows that when you get to the doctor because you're in a ton of pain, it probably will be), but the root cause (lack of general education about women's health experiences) is similar. Anecdotal side note, I take a few super restricted and abusable medications. I've been stunned at how willing doctors are to prescribe them to me--if I were a doctor hearing myself talk, I'd suspect that I'm drug-seeking. But I also had a prescription typo a few months ago that meant I didn't have access to the meds I need to function healthily (the prescription instructions had the correct dose but the actual pill number was half the correct dose), and everybody--multiple pharmacists, secretaries, people at my doctor's office--all treated me like I was trying to get extra drugs and sell them on the side. It was awful, and I was dealing with not having my meds on top of questioning myself and wondering if I even deserved my meds in the first place, since everyone (who wasn't my doctor) seemed dead-set on the idea that I didn't need them! I'm white and young-looking girl besides. I wonder what my experiences would have been if that wasn't the case. I think it would have been much harder to my prescriptions in the first place if I wasn't white. If I was a guy, though, would I have gotten as much pushback from everyone about the prescription typo? I appreciate the info about the childbirth mortality rate. That should be reported way more widely!

    DonteatacowmanDonteatacowman3 gün önce
  • Your condescension is breathtaking.....

    Jason ConlanJason Conlan3 gün önce
  • This is total bullshit.. Oliver is an idiot. The people complaining should be asked to explain their approach to the visits. CONTEXT, remember? Imo, it has nothing to do with being black, female or anything else. Bad drs are bad drs. I would wager that those very same drs would treat a white male the exact same way

    Dik TracyDik Tracy4 gün önce
  • 3:56 It would be like that scene in Star Trek IV when they break into the hospital to rescue Chekov.

    Mike LewisMike Lewis4 gün önce
  • One thing to note: You keep saying that it'll be better in 20 years, or when the next generations of doctors start practicing. The thing is, that doesn't help much now. IMO there needs to be mandatory training programs for existing practicing doctors too. Some may be too "indoctrinated" in their old ways, but I am sure most people would improve if they received the required training.

    Martin FinnerupMartin Finnerup4 gün önce
  • Bias? I'm not bias, nope, couldn't be, don't tell me I'm bias, because I'm definitely not bias, and I will not accept any evidence suggesting that I'm bias...

    Ben WalkerBen Walker4 gün önce
  • I'm glad to hear eveidnec on both sides I live in Ireland so it's a completely different health care system. But I will say when I severe dysmenorrhoea like doc was bit dismissive

    lily monroylily monroy4 gün önce
  • I really appreciated your point of view. I wanted to address a statement you made because I think bias against fat people, which is prevalent, contributes to a worse quality of care. You mentioned, as a side note, that obese women have more complications in pregnancy, birth and postpartum. The assumption that it is the weight that is causing this difficulty for larger women. However, I'd like to point out implicit bias towards fat people, especially fat women, and fat women of color as intersections of race and gender can compound bias issues, and this bias often causes doctors to behave differently with fat women. Fat women often express that they feel like their symptoms are not addressed or paid attention to and they often feel dismissed and ill-treated. Doctors and medical staff will insult fat patients and never be aware of the pain they are causing. Going to a doctor can be very scary and painful for fat women. So like women, and people of color fat people thy avoid seeking medical help. Exercise and eating healthy can improve general health, but it doesn't cure pnemonia, fix a broken leg or cure cancer. Yes, fat women are told to lose weight when they need emergency care for acute illness. Since so many people are fatter it makes sense to better understand how to interact with them, and provide the best quality of care. If you're open to this dialogue, I'd encourage you to explore the work of Linda Bacon Ph.d. Thanks for listening.

    Maika ClarkeMaika Clarke4 gün önce
  • feminists: there are nod difference between genders also feminist : you need to pay more attention to women way of experiencing things

    Maciek BugajskiMaciek Bugajski4 gün önce
  • This might be just something silly to ask but the thought passed through my mind while watching this video. Could the over prescriptions of opioid towards the white population have something to do with their money capacity's to buy the medicine? Something like: hey he can pay, let him buy all this expensive medicine and get benefits for it.

    Ire KobayashiIre Kobayashi4 gün önce
  • This is very true. I was prescribed liquid Tylenol after bariatric surgery and only allowed a two week recovery time before going back to work. I have never in my life been prescribed anything stronger than this no matter the pain level, even during a week long ordeal with pancreatitis. I have non minority friends (from work, so i know we have the same insurance coverage) who go to the doc with something relatively minor such a bruised toe and have been prescribed tramadol. I never noticed the difference in treatment until we started comparing our experiences.

    Blurb123Blurb1234 gün önce
  • I'm sorry. As much as I want to be optimistic, it is just not enough. Even my cousin, a black educated PA almost died due to childbirth complications, being treated in Brighams Womens Hospital in Boston, one of the best hospitals in the country. All because they werent taking her swelling symptoms seriously. B/c she was in the medical field herself and knew something was wrong, she lives. But if she had just listened to her doctors, she would have DIED. That aint right.

    carrotforger8934carrotforger89344 gün önce
  • I once went in for abdominal pain. I could barely walk. My doctor concluded I had ovarian cysts. I said “On both sides?” He left the room and then came back and asked more questions. I had been moving house and apparently strained my abdominal muscles moving heavy boxes and furniture. He gave me steroids. No pain meds though.

    Pickles432 NonamePickles432 Noname4 gün önce
  • It took me more than a decade to get diagnosed with my endometriosis. I had my surgery back in April 2019 and I'm still suffering. I got told I was exaggerating, and that I just had a low pain tolerance! I didn't even know about this until 6 months before my surgery. I've broken my leg, two fingers, my elbow, had my big toe nail ripped off completely and nothing compares to the cramps and other pains I get because of my endo. I had my surgery but I'm still suffering because there's really nothing else to do. There's surgery and birth control and they only help so much. It's not just the doctors but the researchers too. Dr. Mike, how can I trust the medical field when for TEN YEARS! they let me suffer? They told me it was my fault?? They told me to just get over it! So why should I trust them when I know they aren't going to do anything for me?

    greendancingpuddinggreendancingpudding4 gün önce
  • why is it unfair if there are three women and 18 men in a program but diversity if the ratio is reversed? its still unbalanced if the balance favors a minority.

    Summer NoybnSummer Noybn5 gün önce
  • So basically the bias is self selective. I wonder if one could put on a whole program on medical bias against men. I am sure one could.

    Jake CasasJake Casas5 gün önce
  • In the end it's the same reason minority people have worse education and other things, that's because they on average live in poor areas where hospitals and schools are worse, have less funds so they cannot pay high wages. Therefore the top-performing students don't want to work there because they seek the highest salaries and only the worse teachers and doctors end up working in those areas. That's why on average, the quality of education and healthcare for minorities is worse. I'm sure this has absolutely nothing to do with doctors specifically being more racist than other people, actually it must be the opposite. It's just like any service you buy from a business: you're rich you get good service you're poor you get bad service. Except in this case it can have a huge impact on your life. Ultimately I see only 2 solutions to have the same quality of healthcare for everyone in the US: either you have some sort of socialism or communism and every doctor gets paid the same regardless of their skills or grades in medical school, which seems very unlikely to me, or you get some sort of big movement with a big part of the top students voluntarily choosing to go help these communities despite the lower pay which is very unlikely aswell.

    Flying SquirrelFlying Squirrel5 gün önce
  • People like John Oliver are great for bringing issues like this to everyone's attention. People like you are great for using expertise to break these things down in more detail. Thanks!

    chummer2060chummer20605 gün önce
  • I think the worst culprits for the bias are from people with less or no experience with POC and/or the older doctors in the field. So I feel like this bias isn't necessarily about you Dr. Mike, or even your immediate colleagues.

    Grace SaccoccioGrace Saccoccio5 gün önce
Doctor Reacts to John Oliver | Last Week Tonight: Bias in Medicine