Response to Adam Conover’s Tweet | Hospitals & Mammograms | Wednesday Checkup

Doctor Mike
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After the last Real Doctor Reacts to Adam Ruins everything there were many questions and critiques of my stances. Also Adam did a great job or replying to my video via twitter (link below) so I thought that this is the best way to continue the conversation. Keep in mind that if you missed the last video you should watch it here: usvid.net/video/video-2jaLv8Fbhag.html
Also, please refrain from name calling in the comments section as that doesn’t help you make your point or us to change our minds.
Tweet Link: twitter.com/adamconover/status/1124902116148023296?s=21
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Dr. Mikhail Varshavski D.O. ( dr mike )
** The information in this video is not intended or 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**

Published on


May 16, 2019




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Comments 5 900
Jacob Willette
Adam is a scam artist, no need to explain yourself man. Your video was spot on.
Raymond Davis
Raymond Davis 2 days ago
OK Mike if not greed please explain a $35.00 asprin How about Doctors investing in iimaging centers and buying an MRI machine followed by every single patient of theirs needing to get an MRI every visit.
Lisa Love
Lisa Love 4 days ago
I enjoy the content of Doctor Mike and Adam Ruins Everything. I would love to see them do a collaboration!!!
Robert Payne
Robert Payne 5 days ago
Our local dr. Small town USA, WAS A very good dr. When I was much younger 50 years ago he had one RN his wife in his Employment by the time he retired in the late 1980's he had one RN and 2 LPNS plus a receptionist/insurance filer..cost continued to increase, after his retirement he continued to practice by volunteering at the local Nursing Home finally quiting that after his wife told him that malpractice insurance was too costly. He was in his mid 80's when he finally quit practicing med he's been dead about 10 years now.
Mizino: In Over My Head.
To me, having seen the episode it feels more like adam is placing blame for a large portion of healthcare costs on insurance. He states plainly that in the past hospitals ran very much as you'd expect a business to run. They charged patients for the materials used, the overhead, and a slight premium to make a profit. Then insurance companies came in. They asked for bulk discounts the way that purchasers of services often request when they are doing large transactions (you don't think that walmart pays the same for the water they use that you do do you?). The result was that hospitals couldn't provide those discounts and insurances removed them from covered areas, or networks. Without the in network referrals hospitals lose money, after all do you go to the place that is going to charge you a full price (even if its less than your insurance would have been charged) or do you go to the place that is in your coverage network where your insurance will pay for the bulk of it? The result is that hospitals had to play ball. So they created the book Adam talks about that inflates the cost of medicine and procedures so they can claim to be giving the insurance companies a bulk rate. In reality what this does is mean that insurance companies (the vast majority of interactions the hospital has) pay what is the hospitals rock bottom price: the cost of the medicine, labor, administrative fee/service charge, and overhead (rental of space, electricity etc), while those who don't have insurance get billed the inflated cost. If this were not about profiteering the disparity between the insurance cost and the uninsured cost would be smaller, they wouldn't charge people the inflated cost in spite of being uninsured, and you would have a leg to stand on. Remember: if hospitals lost all insured traffic through their doors, they would close, if all uninsured traffic stopped then they probably wouldn't notice, or hell even do better. In fact medical bills support this idea in several ways: firstly they are needlessly confusing (for instance instead of billing you for the cost of a pill they lump the cost of the labor and a few other things together, or even worse they don't itemize at all), second the bill for both insured and uninsured look exactly the same right down to the prices (if they weren't in it for the money the prices would be different at the very least if not itemized differently). Hospitals have to make insurance companies happy, that requires at least making it seem like they are playing quid pro quo. Insurance companies provide them with patients and hospitals provide special treatment to insurances. The only way for them to do this (as providing differential care based on insured vs not insured would be discrimination) is to provide price breaks as incentive to allow insured patients to go to their hospital. Its not so much profiteering but rather survival in a rigged system.
Danielle Dunn
Danielle Dunn 10 days ago
I’m not gonna lie I’m on a dr. Mike binge but I believe it’s because it is nice to see someone that is my age actually acting like a adult. This is how you have a conversation. Hats off to this the younger adults coming behind this take note.
Rex 10 days ago
I was surprised how clearly angry and insulted Adam clearly was. It was clear, even though he obviously used his public relations consultant to make his rant more "kosher". I've seen what moderate success can do to people's ability to handle criticism, though. Aggression is the most common psychological cover-up for feelings of vulnerabilities, such as guilt or shame.
Who Dunnit
Who Dunnit 10 days ago
The mammogram video absolutely scare women from getting mammograms. Because it scared ME from getting a mammogram lol. Scared to waste my money.
Who Dunnit
Who Dunnit 10 days ago
The fact that I now ONLY remember the skit and how it made me feel like mammograms were a waste of time, money and sanity, and completely forgot there was an interview at the end, just goes to show...the video arrangements in Adam's videos can lead to misconceptions.
CJ Bowles
CJ Bowles 10 days ago
I think that where some of the issue lies in understanding how to take the information (such as how Adam presented the mammogram segment) is that we need to find a way to educate people to take everything with a grain of salt, this is why they say it's sometimes good to get a second opinion. We need to stop taking the first bit of information we get and immediately accepting it as true, or dismissing it because we disagree, and instead learn to take that information to spark further research into it. If we can find a way to do that, then we can avoid situations such as someone scared of a mammogram who needs it getting further scared away. This is of course no easy feet, so your concerns about it are still valid, but thats my thoughts on it as you requested Doctor Mike. And i liked your video analysis of Adam's as it reminds me to always look deeper into a subject he covers just in case something has more to it than what he presents, especially since sometimes the network forces him to change / remove something due to how the networks sponsors might disapprove.
edo0girl 11 days ago
A little late to the party but I thought I'd add my 2 cents. 1. While he still maintained a professional air, Adam obviously took Dr. Mike's critique personally and was pretty defensive and arrogant as a lot of people have already pointed out. And for someone who's job it is to criticize things I find it funny that he couldn't take a little constructive criticism. 2. Saying that he discussed mammograms in more depth in a podcast is inadequate in my opinion because from what I understand the majority of Americans don't listen to podcasts as it is and while I don't know for sure I can bet he never mentioned the podcast in the episode. 3. As an average woman who has reservations about mammograms I can confirm that if I had only watched Adam's show and not Dr. Mike's reaction I would have been completely turned off to the procedure because Adam made them sound unnecessary and expensive and scary.
Mathew Thorne
Mathew Thorne 12 days ago
Theres a new one... Adam Ruins Everything: Stop drinking water...
Eleanor Williams
Eleanor Williams 12 days ago
You amazing Dr. Mike and I love your channel! Don’t let those haters get to you
Don't Worry be Happy
Doctor Mike binge 2019 💜
Pam Hernandez
Pam Hernandez 14 days ago
I'm a fan of Adam's show but also Dr. Mike, I'm so surprised how Adam gives criticism daily on all kinds of topics but when someone questions a small point of his he gets all hurt & his comments back were shady. Great job on your reply Dr. Mike you for sure showed how great of a person you are & Adam showed how his ego was hurt by someone trying to do the best thing for the people at home watching the episodes.
Rebecca Conlon
Rebecca Conlon 14 days ago
Without Profit how can hospitals invest into more things... I mean it's likely that people believe that they are entitled to dr's time for free...
Samantha Darling
Samantha Darling 14 days ago
Oh lord, bless your heart Mike. You are so eloquent and calm with your points. Adam, the problem is very much oversimplification. As a man who says he is for information and the power of knowing, he should know that oversimplification is a gateway to ignorance.
Lynn Perry
Lynn Perry 14 days ago
I think that ARE could have addressed these point and made it funny. Personally, I think it was the use of the graphic. When each graphic was crossed off as unnecessary, I got more frightened each time. Specifically because when we find cancer early we can treat and get better outcomes. It just looked like if you have 10 mammograms, you wouldn't need any of them. Or something like that. I loved this segment, Doctor Mike! Thanks. I watch you to learn how to have calm and crucial conversations.
OddSocksQueen 17 days ago
The problem with going into a podcast to present more information on a subject, especially information that would be beneficial, is that not everyone who saw a video will listen or watch a podcast that follows it up. Imagine if he covered smear tests in this way, in the UK at least, we have a drop in the number of women getting them done already and here they're covered on the NHS.
John Roscoe
John Roscoe 18 days ago
Adam is a blowhard knowitall and his cult following is almost as bad as Trump or Jordan Peterson cultists.
John Roscoe
John Roscoe 16 days ago
@Interplanetarypurplythorny dragon The analogy is being made based on how rabid personality cultists are. Trump Cultists and Peterson Cultists are on about the same level in terms of sycophancy.
Interplanetarypurplythorny dragon
@John Roscoe im serious
John Roscoe
John Roscoe 16 days ago
@Interplanetarypurplythorny dragon not sure if serious
Interplanetarypurplythorny dragon
Imagine comparing trumps fan base to JORDAN PETERSON i agree adam is a arrogant person and not good at what he does but come on JORDAN PETERSON
Mark C.
Mark C. 18 days ago
Wow, what a lame pile of excuses. REALLLY dishonest in making them, too. Plus, your entire critique is essentially you shitting on the ability of the "average person" to understand anything more "complex" than a bubble-gum comic. Intellectually patronizing while not being exactly a thousand candlepower luminary yourself. And what a gigantic hot-air balloon of an ego. Repulsive.
Richard Andrews
Richard Andrews 19 days ago
First time Dr. Mike gave me a headache.
Stephen Petersen
Stephen Petersen 20 days ago
Do I believe a comedian with a very obvious objective in his video or a genuine doctor? Hard choice... Adam has a bad habit of handling people countering his work, just watch Joe Rogans podcast with him. I thought Adam was an ok guy but the jre showed he is only hyper intelligent when there is a script.
Jindi John
Jindi John 21 day ago
Your ability in handling critique as well as your eloquence in replying to this criticism is highly commendable and inspirational. Honestly mate your empathy, humour and love for your patients is admirable and as student nurse hopefully going into medicine one day you are a huge inspiration to me.
Ray Rowley
Ray Rowley 22 days ago
literally a response to a response to a response video
LizzyMarieTina 22 days ago
You and Mama Doctor Jones should do a collaboration!
Bruce Hearn
Bruce Hearn 23 days ago
A fantastic episode. What's the percentage of hospital and doctors costs for insurance?
Luke Marriott
Luke Marriott 24 days ago
Not talking sides or anything but I think a lot of people misunderstood the situation here so I will clarify it to the best of my understanding, Adam wasn't taking any shots at dr.mike or anything like that he was asked by fans of dr.mike and his own show to criticize dr.mikes reaction video. He did this in a respectful way by not insulting or discrediting dr.mike, now the way adam structured his criticism was not perfect and he did misunderstand some things dr.mike said in his reaction video but regardless he did try his best to criticize or correct things he felt dr.mike was implying or saying but he did still agree with many of dr.mikes points and explained why they had to make the mammogram section so simplified. Finally to be fair in dr.Mike's reaction video mike wasn't clear on some of the things he was saying either (which is fine) and that is probably the thing that Adam got wrong when criticizing dr.mikes video. This Is what I understand at least and if you want to correct me or tell me how to make this comment clearer on the message I was trying to convey please say so.
Marqan 25 days ago
Adam Conover is trying to pull a Cathy Newman. "Mike says [misquote]" "Mike claims [misquote]" It's really disgusting. Or maybe he's just stupid and actually didn't understand what you said.
Colin Rist
Colin Rist 25 days ago
I definitely feel like this was a well articulated response to the tweets while attempting to remain as unbiased as possible. That alone is a massively difficult thing to do. It also does well that you managed to stay solid on the points and concerns you had without it being in a stubborn, for the sake of debate way. They were logical and well explained, and helped for the sake of clarity throughout the video. I believe Adam was definitely in the right place with responding and keeping this alive, however I believe that he took the good criticism first and mayne a bit too well, and front loaded his tweets with it to illicit a more open reaction to the following statements. While continuing to push the positive criticism throughout, I was disappointed at how little he had to think of the negative, even going so far as to mention having a specialist look at the script and more or less using it as a justifying factor for the way things were presented. This didn't sit well with me, as it seems to willingness to further clarify was left more to you. I also wholeheartedly agree that oversimplification can be a dangerous thing, and I think Adam missed that point. While profiteering is an issue, I don't believe that essentially demonizing most hospital costs is a good thing without getting into the heart of it. This is especially important when messages are going out to the public, who may be uneducated on the topic specifically. A response that plays into pre existing bias will be taken on a lot easier by the consumer, however there's also a bit of an issue having bias on an issue that one doesn't fully understand or care to understand. At that point, unnecessary divisions are taking away from the main topic and shifting focus on blame. Personal note now: I really want to be a doctor, though as I watch your videos I worry sometimes about if I'm cut for it. In high school I had a major problem accepting negative criticism, much less giving criticism in a meaningful and unbiased way. While I've worked to improve and have a long way to go, I can't help but wonder if I'll ever get to a point where I can give and take it in a productive way while being able to put my pride aside. Hubris sucks, man. While online it's a bit easier to take a step back now and regroup, in a face to face situation I know that reevaluating those immediate reactions can be difficult for me. Any advice?
Broxalax 26 days ago
Adam is retarded and simply misrepresents facts to suit his agenda. He hates white people for being capitalist yet capitalises on it.
Nick P
Nick P 26 days ago
Adam is such a pretentious douchebag.
Illusion67 26 days ago
Dr. Mike, just become a lawyer already, I mean you could win with no problem. I literally used this tactic in school, like how he presented and reviewed his information and how he makes it clear. I won the debate easily with this tactic. I wouldn’t suggest using a tactic like Dr. Mike in school and take a big risk to your grade, but if your sure is gonna work VERY well, than go ahead and use it also. I was a portion of Dr. Mike that day at school, thank god the teachers didn’t find out that I was copyrighting Dr. Mike type of speech.
Maple Hound
Maple Hound 27 days ago
I know I'm late to the party but here I go anyway. I live in Canada which means as long as you have OHIP (Ontario Health Insurance Plan) which makes basically every basic medical and emergency needs are payed for by the government VIA Tax. This is good because it means most of us here in Canada will most likely never pay the ridiculous prices doctors have in America. At the same time, if your going in for a check up this means that it's first come first serve. Which is not really a bad thing for basic medical needs like a simple check up. Sure it means your going to be stuck in the waiting room for potentially hours if not the entire day, depending on how many people are there. But at the same time you can wait because it's just a health check up, your not dying. The issue with OHIP is that medical professionals here aren't payed NEARLY as much as their American counterparts. Which leads a lot of these medical professionals to pack their bags and go to America. Here in Canada an average family doctor such as yourself makes around $230K per year with their American counter parts making around an average of $339K per year.
Stormy Chang
Stormy Chang 27 days ago
I don't think you should even give this Adam guy a second thought for his 'criticisms'. His show is there for sensationalism. Whether or not there are any facts in his shows, he's doing it in a television, entertainment-leaning sensationalist delivery. And not to be mean, but stupid people, who believe anything on tv (like an ex friend of mine's mother), would start to freak out and take jokes and sensationalism as real facts. When you present people with themes like "you think you know something, well guess what, here's what's *really* going on", that draws people in to believe in things they typically wouldn't. Because it contradicts 'the system'.
Andrew Gehl
Andrew Gehl 28 days ago
This is what I like about DR Mike he explains his comments without sounding defensive unlike Adam
BabaYaga 29 days ago
Adam's response was passive aggressive, but to be fair your reaction video not only missed some of points he made but also reiterated the same thing but differently.
Skobo Do
Skobo Do Month ago
13:45 that's a thing with science generally. People just do not know what science actually is.
Bo Yang
Bo Yang Month ago
So basically, the US healthcare system is super inefficient, largely because of the insurance companies 😡
Preston K. Productions
Mike, Adam debates to win and I don't think he's interested in discussing things for the sake of learning. He probably watched your entire video with the mindset of "winning". I'm just saying, he might not be as friendly as you think he is. You might see it as a healthy conversation, but he might not share the same mentality. I'm not even saying he is necessarily that way, but just that he might be. Maybe you already know that, but you seem like an optimistic guy so I didn't want you to get surprised. I don't know.
Ryyi23 Month ago
Adam seems to be ignoring how incredibly important presentation is when it comes to personal health.
Duncan Month ago
Adam ruins everything... He touches... Especially his own hair.
Krissy Ojos Azules Profundos
The perfect man. 💍
prajwal g
prajwal g Month ago
I like how Dr Mike has still not followed Adam's Twitter profile
Dajiana Burroughs
you are so nice
L Duncan
L Duncan Month ago
Dr. Mike, you are a scholar & a gentleman. Thank you for being so delightfully earnest.
KatieLiz Month ago
I am an oncology certified nurse and work in radiology. I was very upset by this episode and stopped watching Adams show as a result. I highly doubt the doctor they interviewed put her seal of approval on the FINAL cut of this episode, either that, or she was a bit clouded by the excitement of being on TV. Thank you for your CONSTRUCTIVE criticism, and especially for your explanation of how evidence based practice works! Love your videos. Keep them coming.
N R Month ago
So let me see if I understand this correctly we patients have to pay for all these redundancies in and inaccuracies in paperwork
Jumbledguts Month ago
I have pretty much no respect for Adam Ruins Everything because he is biased, oversimplified, and he spreads misinformation. The herpes episode brought all the nasty people out to dating sites screaming "you need to love my scores because everyone secretly has herpes like me!" ARE is a damn joke. This guy is 100% amazing as an individual and a medical professional.
The212b Month ago
Wow! This really shows who Doctor Mike and Adam really are. Adam gives a needlessly passive-aggressive tweet that would irritate even the calmest of people and that aggression washes right off Doctor Mike's back. Bravo! I have a lot to learn about emotional intelligence from you.
Manel Jaballah
Manel Jaballah Month ago
It's a whole other level of maturity when a public criticism on Twitter is considered an exciting opportunity for an informative debate.
Jason Tiver
Jason Tiver Month ago
Adam Conover goes into every TV show he films with a level of bias. Afterall his show is called "Adam Ruins Everything". He doesn't go into a show with the subject he's so called investigating to find what their doing right. I used to watch his show but I gave it up. It's just to one sided.
Brandi Bastian
Brandi Bastian Month ago
adam is a dick :)
Brandi Bastian
Brandi Bastian Month ago
some of the shows i've watched you watch i have seen before but not most of them... ... ...THIS one yep, & house yep!
meghanne hemphill
We need more humans like Dr. Mike!
Mirkatte World
Mirkatte World Month ago
Dr. Mike! I work in CME & love your channel!
Birdman PB
Birdman PB Month ago
The medical billing system is so jacked up. When my wife was pregnant we went in for a (perceived) emergency , since baby wasn't moving and hadn't in several hours. Wife is crying and scared. And all she wanted was them to confirm a heartbeat. Instead, first thing they ask for after getting her in the room is her insurance card. 20 minutes later they finally came in.
gwnfan Month ago
Dr. Mike, there is a DO in Grand Rapids, MI who is very similar to you in demeanor and geniality. Oh, yea, and he is a D.O. as well! You and Brian Wilder, D.O. should do a workout video together where you discuss basic fitness, injury, recovery, and lifestyle fitness choices!
William Howard
William Howard Month ago
This is part of why I love Doctor Mike, he takes criticism well, and then explains his processes and clarifys on the points he made and information he has shared.. and in the process teaches us about ourselves and each other and how to not make a drama out of things... if only more people were like him...
P.J. Duerbeck
P.J. Duerbeck Month ago
I don't have an opinion of mammograms either way. I found 3 of my 4 benign lumps when I was 16. A womens' hands are the best tools to find abnormalities as a first line of discovery. Now that I have a history of lumps, mammograms will be part of the rest of my life for the ones I can't feel. Know yourself and your body. You know what is right and what is off.
When I watched that video, I was terrified of mammograms. I believe Dr Mike is correct with the tone and telling of the episode could be better.
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