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

  • Δημοσιεύτηκε στις Πριν 6 μήνες

    Doctor MikeDoctor Mike

    διάρκεια: 28:11

    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: grfilms.net/v-%CE%B2%CE%AF%CE%BD%CF%84%CE%B5%CE%BF-TATSAHJKRd8.html
    Diversity Video: grfilms.net/v-%CE%B2%CE%AF%CE%BD%CF%84%CE%B5%CE%BF-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!
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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 **

Turtle Shell
Turtle Shell

So you just watched it and repeated what he said.

Πριν 18 λεπτά
ben fuller
ben fuller

Normaly I have the upmost faith in our healthcare personnel but ice lost alot of faith in my local hospitals after taking my dad to one becuase his kidneys and liver function were dangerously low the kidney doctors came in and after the conversation we were assured they could get it back under control to a point well he also had a infection at his elbow so they had a doctor come and deal with that am I'm positive he never even looked at my dads chart becuase the first thing on it was kidney failure and liver dmg and he went ahead and but him on a antibiotic that is know to shred your kidneys and he passed away less then a week later I visited him everyday and everytime I asked a nurse how he was doing they said good good I asked he hed had a doctor visit him to check on him I was told no it was just very upsetting

Πριν ώρα
Roy Batterham
Roy Batterham

Bias is not the same as discrimination. Bias can include systemic factors

Πριν 2 ώρες
emju119
emju119

Many doctors are very biased towards wanting patients illness to be stress because it makes their job easier and they don’t need to work or dig further. They have an incentive for it and don’t even recognize their subconscious bias

Πριν 3 ώρες
emju119
emju119

I was told I was hysterical even cuz I suggested I had c diff based on google and I was right even tho the doctor said there is no way I have it. Fast forward... I went to multiple doctors and was told I was stressed and anxious Etc etc turns out I had afib and a cyst in my spinal cord.

Πριν 3 ώρες
Nic C
Nic C

Hospital policy for the teaching college I was sent to in case of complications for pregnancy was basically my body my birth plan for my first and only born. Thankfully I had no problems, but the doctors were the worse part of being pregnant for the first and last time for me. I had an illness a few years before that left me with two choices, treatment or eventual death. Being pregnant and being told I have choices in how to give birth took a way some of the resentment I had from little to no choices before. if I wanted to have anymore children to how I wanted to give birth was ignored to the point that I finally broke down and cried before anyone would listen to me. It was a seasoned Male doctor that listened to me. The women from their words to body language screamed we are going to push to ignore your CHOICE. The longer this behavior went on the more my anxiety went up. No questions were asked why. I could see them listening with one ear and planning how to say in a polite way " This way is better, you don't know what is best for you"

Πριν 4 ώρες
why?
why?

Doctor Mike is a great human being in general and we're here for it :)

Πριν 9 ώρες
Cleo Younce
Cleo Younce

Before being diagnosed with Endometriosis I was in and out of the ER and one of the times I had a doctor who saw I had been in 3 times already that week, decided without looking at my chart that it was all in my head and gave me a shot of Haldol. 1. He didn't tell my mom(was like 14 at the time) before giving it to me 2. I was on lithium at the time. You really aren't suppose to have the 2 together. I couldn't sleep for over 2 days, had a racing heart, jumpy and felt dizzy. Took 6 years before I found a doctor that would do the Robotic Laparoscopic surgery, at that point it was bad enough it had reached my left ovary.

Πριν 11 ώρες
Alexandria Beck
Alexandria Beck

There is a good documentary on Netflix called "The Pharmacist" that details the perspective of a retired pharmacist and his experiences/bias in relation to the opioid epidemic; it's a must watch!!

Πριν 12 ώρες
Rose Blue
Rose Blue

How many times did you say 'lower quality hospitals'? So you're saying the bias is not necessarily due to gender or race, but to the patient's socio-economic status, bad attitude, suspicions of drug use etc. "You're not treated differently because you're a woman or because you're black; you're poor, you have crappy insurance or no insurance, the nearest hospital lacks funding, has insufficient and overworked staff and they're doing their best". Treating people differently because of x, y or z reason - it's still wrong. So while I understand what you were trying to say, you were discussing medical bias; so if race is brought up, finding other reasons for appalling behavior or errors is just what-about-ism. Maternal mortality got money for research into its causes? As in people are paid to write reports on how poor people die in greater numbers, but let's look into genetics, preventive care etc. John Oliver did a show on Medicare for All - he had a good joke about the American healthcare system - it's great for the rich, but too many Americans are born with a pre-existing condition of 'not being Beyonce'

Πριν 20 ώρες
Danielle Joseph
Danielle Joseph

I was subscribed to this channel but after watching some of your responses to these snippets - I had to unsubscribe! How could anyone, medical student or not just assume that Black people have “thicker skin” or are in some way created SO differently that your automatic presumption would be to treat them differently than you would yourself or anyone who looks like you? THAT is preposterous! And to have you defending this as a “mistake” is part of the problem. Yes, genetically - we as different “races” may have different pre-dispositions to certain ailments but to think that an MD is really having to consider whether he should give the same standard of care to someone based on their skin color... I can’t stand behind. It’s disheartening to hear that you would defend the misconception of an MD rather than ask yourself why that MD thought differently of someone with a darker skin tone in the first place! SMH!

Πριν 21 ώρα
Felix Ray
Felix Ray

As a fan of John Oliver, it's great to see someone add context and perspective without having an axe to grind.

Πριν 22 ώρες
ryan lerouche
ryan lerouche

so race is not a social construct.

Πριν ημέρα
ryan lerouche
ryan lerouche

a lot of men I know don't like going to the doctors

Πριν ημέρα
ryan lerouche
ryan lerouche

theirs a bias, I know for a fact the girls get more perscibtion drugs to sell on the street then the boys do.

Πριν ημέρα
James Jones
James Jones

14:51 "Black men in America are living almost as long as white men" I think that may be due to, in part, white men's lowered life span due to higher rates of suicide and drug overdose.

Πριν ημέρα
Steven Gordon
Steven Gordon

so the half usa/uk John Oliver.. multi emmy award winner comic did the work, built a team to work too.Thats why he is one of the most watched people on the planet.

Πριν ημέρα
A Dumbo Octopus
A Dumbo Octopus

Why can't you admit that this problem exists instead of fail to prove that it doesn't?

Πριν ημέρα
Thought Stricken
Thought Stricken

Would be good to see a study or conduct a study on the effects that illegitimate patients, ie; the drug seekers, the hypochondriac’s etc have on the diagnosis of legitimate patients. I am not a doctor but I imagine that it would become increasingly difficult to properly diagnose and treat a patient when I am having trouble discerning the genuine need from the non genuine need. At some point you would start taking a “one size fits all approach” to the detriment of more genuine patients. It’s a real no win situation.

Πριν ημέρα
Mike Mathieson
Mike Mathieson

Hmmm this is interesting, as a gay man I have encountered covert antagonism and negative attitudes from doctors when asking health questions, not exclusively but sometime pertaining to my specific health needs regarding my orientation. Now as an older gay man Im encountering agism as well as subversive anti gay sentiments. Its a bit disturbing as I get older to contemplate the possibility that I may need aged health care and that I may be denied that because of discrimination. Im in a rural city in Australia where there is a huge amount of covert homophobia that still occurs...and I recently read an article that agism in the Australian medical field is rife. I must say the future is looking a bit frightening.

Πριν 2 ημέρες
Ena Fisek
Ena Fisek

“[Women] tend to present with atypical symptoms” - WHUUUT? Those symptoms are only “atypical” because symptoms in males are considered “typical.” Women have typical symptoms for WOMEN. 🤦‍♀️

Πριν 2 ημέρες
shit lista
shit lista

How can you be sure you can trust your doctor and you are getting a quality care??

Πριν 2 ημέρες
orlando
orlando

I'm a little concerned with how much you seem to be trying to excuse these issues as not "bias," like blaming women for not seeking treatment or presenting "atypically," instead of considering why women might be less inclined to go to the doctor or why normal symptoms in women are thought of as "atypical."

Πριν 2 ημέρες
Terance Hore
Terance Hore

Who do you want to believe? A doctor? Or a comedian news reporter/presenter? Both show snippets of actual research, both show facts and data. One is experienced and knowledgeable of hospitals and one has and will continue to have an invested interest in this topic. I know who Ill believe.

Πριν 2 ημέρες
Zachary Prezotti
Zachary Prezotti

I am a nurse and I remember in school (circa 2014) we had classes about cultural sensitivity which would talk about avoiding generalizations about groups of people, but then the next breath would be blanket statements about certain ethnic groups such as outrageous claims like “white patients tend to be more stoic where as black or latino patients are more likely to cry out in pain”. It was always troubling to me that a school that I otherwise thought to be very good would continue to perpetuate racist stereotypes.

Πριν 2 ημέρες
Christopher Wentling
Christopher Wentling

Even with all this women utilize medical services significantly more than men and in the end live longer than men. Maybe male under utilization of medical services should also be addressed?

Πριν 2 ημέρες
Jasmine Amer
Jasmine Amer

I actually had a female doctor in the ER who was acting like I was making up how much I was in pain because I was about to start my period. However thankfully I had a male doctor there and he took it seriously. It ended up being a bladder infection.

Πριν 2 ημέρες
Zeta X.
Zeta X.

I wish he’d talk more about the “biological differences between races” because that’s a pretty inflammatory statement. He went a lot into defending residents (who are practicing medicine on patients) and their mistakes even though this is affecting real people. Having biases about biological factors is not a harmless mistake and fails to address that doctors, just like other people, do have real biases that do affect their decisions and thoughts. Especially the part about mortality rates and Black women and going so far as to suggest “should we be looking at genetic factors?” There have been countless studies that show that racism and biases affect people today. It IS important to address systemic issues and to acknowledge that systemic racism is very real- to try and move the focus away from that racism or bias though is to move away from your and other privileged people’s responsibility to acknowledge very real biases and prejudices.

Πριν 3 ημέρες
The Celtic Bros.
The Celtic Bros.

Haah this guy is actually one of the hottest doctors I've ever seen 😍

Πριν 3 ημέρες
recklessmb
recklessmb

Never watched one of your videos before, but loved your analysis

Πριν 3 ημέρες
Luya Wish
Luya Wish

I feel like he is shifting the blame

Πριν 3 ημέρες
RaYd
RaYd

Who else is just watching Dr.Mike's hand move

Πριν 3 ημέρες
Hex
Hex

I'm just happy Dr. Mike can talk about this without going on the defensive.

Πριν 3 ημέρες
Natasha Monk
Natasha Monk

From the time I was 9 years old I suffered horrible back pain. An x-ray apparently showed scoliosis. Parents called me a cry baby...no one would listen to to the pain I was in...fast forward to age 17. I woke up one morning and could not walk. Finally they listen. I have spondylosthesis(?). A disk has been warn away by a vertebrae literally sitting on the other one below it. Bone of both vertebrae is gone. If the the top vertebrae slipped off the other I would have been paralyzed and it had slipped 90% off the other...most of my life I had a "hole" in my spine...literally you could push your finger on the spot and loose half of it. I ended up having surgery...80% coming out paralyzed. 8 days paralyzed...had to learn to walk again. Goes to show they don't listen!!! They go to the quickest and easiest answer.

Πριν 3 ημέρες
thatonegamergirl 11
thatonegamergirl 11

I honestly feel like he is minimizing what is going on in healthcare here. Especially with the maternal fatality stat. Who cares if it is because of better reporting... it's still the highest of any developed nation. England has about the same rate of obesity as the US and women are having children later in life over there too... I get that he wants to think the best of his profession but there comes a time when you have to realize what is actually going on and take off the rose colored glasses.

Πριν 3 ημέρες
Aeryn Cowell
Aeryn Cowell

Oliver is also a professional liar and commonly misframe's subject's to carry the narrative. ANYONE who trusts this grifter is to be pittied.

Πριν 3 ημέρες
Charlotte Innoecent
Charlotte Innoecent

And if they have changed the death certificate to better ascertain if someone who has passed was pregnant or recently pregnant, then what we have is a poor maternal mortality rate FOR A MUCH LONGER PERIOD OF TIME. I believe it is an economic issue related to health insurance and under insurance. And it began in the 1980's, and is steadily getting worse. And yes, it predates 2003!

Πριν 3 ημέρες
GuardianDarkAngel
GuardianDarkAngel

So what I'm gathering, is that the level of bias is less due to bias and more due to differences in communication between direct types of people. And I appreciate the good doctor here for trying to look at this objectively. Good on him.

Πριν 3 ημέρες
Charlotte Innoecent
Charlotte Innoecent

Although these studies don't deliberately state a reason for these facts, me and other women can tell you this: DOCTORS ALWAYS SEEM TO BELIEVE WE ARE EXAGGERATING PAIN. They are far more likely to think we just need a normal over the counter pain relief, where as men are taken more seriously, hence they are more likely to get serious pain relief. I have five sisters and three brothers. I know that is not the same as a conclusive study, but it feels frustrating that people will continue to overlook what we find constantly happening until someone does do a study and until then it won't be believed!

Πριν 3 ημέρες
Space Otter
Space Otter

I call BS. It took 15 years for a doctor to zero in on hemochromatosis as my problem. Multiple doctors said to me, in so many words, the pain and such I was experiencing was caused by depression. Well they were wrong. I'm a 46 year old white male.

Πριν 4 ημέρες
Heather Woods
Heather Woods

This was awesome and educational! I just wish he would also have covered ageism and medical bias as well. My heart condition went undiagnosed for so long bc "you're too young to have heart issues" and this is so common 😒

Πριν 4 ημέρες
David B
David B

The problem here is the fact some people jump from a personal story of poor quality medical care to, it must be because I'm a women... or I'm black! Etc. Then the leftist virtue signalling media like John Oliver jump on it to push their sex and race baiting message! As you have shown, John Oliver pointed out numbers from the studies which fit his narrative and ignores all the real reasons that go againt that narrative and ignores the fact the discrepancies are closing!

Πριν 4 ημέρες
Jordan Holleman
Jordan Holleman

"we're not robots" AI have to learn from something, and the best medical knowledge is from humans. Humans are based, so the AIs learn that bias. Robots don't always know the right answer.

Πριν 4 ημέρες
Eli Holmes
Eli Holmes

I have a phd in psychology. Having been in multiple medical setting, it is fact are not trained in psychological biases! I have witness it happen numerous times, having point out and educate medical doctors on the biases they are exhibiting! My speciality was in diagnostic reasoning so saw it every time I was around physicians. Furthermore, physicians don't to refer to psych because they can give medication. It can ruin lives. My ex gf worked in insurance where a women called in at 40 being rejected for life insurance. My gf investigated and out she diagnosed with a an anxiety disorders years earlier because of anxiety and 3 boys. Only took the medication for about a month because of the husband gone. This clearly a family therapy issue. Yet do coding she anxiety dx, and can't get life insurance!!!!

Πριν 4 ημέρες
Corey Webster
Corey Webster

The intellectual dark web now has a medical doctor.

Πριν 4 ημέρες
epiccollision
epiccollision

Dear google I accidentally watched one of dr mikes video, I don’t need 25 more in my recommended, I’m good thanx, great videos dr Mike Google seems to love you. Also when I clicked on that coffee machine review I was not interested in all the videos about coffee, just that one video I already watched, you’re really not good at this, do you need help?

Πριν 4 ημέρες
Sean Su
Sean Su

I'd love to hear your thoughts on medicare for all, and the potential it has for reducing some of these biases.

Πριν 4 ημέρες
Ithaca Comments
Ithaca Comments

As a woman, I select a female practitioner over a male practitioner because....women practitioners, for the most part, listen when I talk. I also like to support a woman in her medical career. If I have a choice....I choose an osteopathic practitioner.

Πριν 4 ημέρες
Karen C
Karen C

Can I just say...I appreciate Dr. Mike actually taking the time to read the mentioned studies and give a more objective view. I’m a huge fan of John Oliver, but this particular episode was hugely (and ironically) biased against doctors and didn’t seem to take into consideration the environment and conditions they work that lead to these disparities between gender and race. As a pharmacist, I see it all the time. The same doctor at an ER working during my shift can write for the same UTI antibiotic and tramadol every 4 hours #30 for a white patient but every 12 hours #6 for a black patient. Obviously, idk how severe the UTI is unless I ask the patient or they volunteer that info, but it’s still an interesting thing to notice. But I agree that as healthcare workers become more aware of these biases, the better we’ll get at identifying them and learning how to treat more objectively despite them. Excellent video!!

Πριν 5 ημέρες
Lawrence Brookman
Lawrence Brookman

A med student asked his professor, "What if my beliefs make me uncomfortable treating a God fearing straight white guy that voted for Trump?" The professor replied, "Find a different career." We need professors like this.

Πριν 5 ημέρες
M P
M P

He was a little bit too apologistic, like there isn’t discrimination

Πριν 5 ημέρες
Kelsey Courtney
Kelsey Courtney

medical bias is pretty rampant in basically every hospital I've been in, as woman, and every hospital my husband has been in as a black man. We've both suffered as a result of doctors not listening to us, specifically about our pain, and having to look around for second opinions to finally get treatment is really hard when your insurance only lets you go to one place, and you're in too much pain to walk.

Πριν 5 ημέρες
kate leavelle
kate leavelle

oliver and sykes mention that black patients are less likely to be prescribed opioids than white patients for severe pain. doctor responds with “that’s true, whites are disproportionately affected by the opioid epidemic. dude, what. the problem is that black patients aren’t having their pain taken or treated as seriously by doctors as white patients. the problem IS NOT that white people are more affected by opioid addiction. that is a SEPARATE problem, and while it is an IMPORTANT issue, it has NOTHING to do with addressing THIS issue — and the fact that you completely dismissed the original point and replaced it with concern for an entirely separate issue affecting white people is incredibly problematic. this whole video is honestly just gross. i honestly don’t know what’s worse — the fact that you seem more concerned with defending your colleagues and excusing the prevalence of racial and gender bias within the medical community than you are with considering that these unacceptable facts may indeed be the result of an uncomfortable truth, or the fact that you are so passionately inclined to research and present so many possibilities for why these in-equivalencies might *not* be due to racial or gender bias because “we just don’t know” — instead of researching and presenting ANY contributing factors that point to why they may in fact very well be due to racial and gender biases. if your defense for all of these is really going to be that “we just don’t know” — then shouldn’t you actually spend just as much time and effort, or even be at least as willing to consider and explore the uncomfortable possibility that the issue may be racial and gender bias? you talk a lot about how important it is to have discussions around this issue, and keep pointing out how important it is to further medical research on the differences between medical knowledge and effective treatments for the different genders and races; yet you’ve done nothing here but attempt to shut down the discussion as a preemptive defense for anyone who may wonder if they’d fall prey to such bias under your care, instead of thoughtfully considering and exploring these issues and adding to the discussion to ensure that you wouldn’t. honestly the whole thing made me feel sick, and i mean.. you’re a doctor. that should’ve been my last reaction. do. better.

Πριν 5 ημέρες
Ryoei
Ryoei

He absolutely explored the possibility of racial and gender bias. You're acting as if these issues aren't being explored at all. They are. But they're issues that have only been widely exposed in the past 10 or 20 years. Stuff like that takes time, money, and manpower to conduct studies for. And for a decade or so of research, there's been incredible progress. But there's a million reasons why there are racial and gender disparities in medicine. Some of it is absolutely due to bias, and he made that incredibly clear. But systematic issues that go beyond the doctor's office and the hospital are also liable. It's not a "shut down" of discussion. It's a nuanced look at the problem. There was a lot of hyperbole and oversimplification in John Oliver's segment. Dr. Mike was defending the medical field, sure, but you're mistaking academic transparency for deflection.

Πριν 4 ημέρες
John Nazario
John Nazario

4k dislikes probably cause he acknowledged males and females are BIOLOGICALLY different lul. Fucking science people!

Πριν 5 ημέρες
Shirin
Shirin

As a woman, I can say that the comments by women about their health care is 100% true. I'm a middle class white woman and get doctor's who think I'm being hysterical all the time. Especially when trying to get help for my kids. My teenager has Von Willebrand and it took 6 doctors before some believed me when I said he bled too long and took a real look. I kept being told he was fine and didn't have hemophilia but just needed iron supplements. On top of that, for my own care, I'm allergic to penicillin and erythromycin. I get treated like I'm crazy and the number of doctors who have told me that I can't be allergic to both and then treat me like I'm asking for narcotics when all I want is an antibiotic that doesn't threaten my life. I'm lucky because I have been able to find doctor's who listen to me now, but every time I have to find a new doctor it's devastating to go through again.

Πριν 6 ημέρες
luckyjinxer
luckyjinxer

Realize that John Oliver has a bias and presents things that solely back up whatever narrative he is pushing.

Πριν 6 ημέρες
Marc Whinery
Marc Whinery

Another factor why Black people have worse outcomes: They are afraid of doctors. "But isn't that blaming the victim" No, their fear is valid. The US sanctioned horrible experiments in the past. Tuskegee Experiment. It ended in 1972. That's less than 50 years ago, so not "ancient history". If you go to the doctor, the doctor WILL KILL YOU. So, Black people don't go to the doctor as early or often, and when they do, they are less likely to blindly trust the doctor. I don't know if that effect still holds true today. I don't have the funding to run a study on it. But I know it has existed before. I've talked with people who were unwilling to trust doctors for that and other reasons. But to ignore it is to whitewash history and the effects it has on today's results. I saw the JO piece long ago, and I don't remember if he covered it. Until doctors recognize and accept that Doctors in the US were paid by the US government to kill Black people, we won't be able to get past it.

Πριν 6 ημέρες
AliveGhostCarii
AliveGhostCarii

It's nice how you're spreading information on this issue, though it kind of feels like you're brushing off the fact that this is due to things like racism and sexism and discrimination in medical practice. You count it as "bad apples" and say how the doctors "just don't know any better". Like, I get you're trying to be optimistic, but it isn't all just some harmless mistakes and a couple bad instances. It's real discrimination and bias against certain groups of people.

Πριν 6 ημέρες
Desiree de la Pena
Desiree de la Pena

I went to the ER with an upper respiratory infection during an asthma flare up because I was the State Fair and I was allergic to all of the animals and hay. When I tried to explain it to the doctors they kept asking me if I might be pregnant even after I told them I wasn't they asked a grand total of 5times and said nothing was wrong with me and said it's my anxiety for why I feel short of breath... but they gave me the antibiotics and prednisone for my asthma? Even though they were convinced nothing was wrong with me. Regardless the medication did work and I felt fine in a few days and finished the medication.

Πριν 6 ημέρες
C&C Engineer
C&C Engineer

You should retitle this as "Doctor tries to defend medical bias".

Πριν 6 ημέρες
Moondust2365
Moondust2365

@Patty F Yup. He's not trying to defend medical bias but rather saying that there's more to these disparities than just personal bias and systematic bias. Which is true. The world is more complex. Everything is caused by more than one reason. There can be major reasons, but you can't just focus on only one major reason. Nor can you only focus on the major reasons. There needs to be attention to the minor reasons, whether eventually or separately. Because if the minor reason is left unchecked, the problem will still happen. Maybe less, but less is not none.

Πριν 5 ημέρες
Patty F
Patty F

Wait, he was referencing the studies and saying that it was valid

Πριν 5 ημέρες

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