Dr. Marty Makary
๐ค SpeakerAppearances Over Time
Podcast Appearances
And we take these bright, creative young folks and we beat them down with this old baton. guard dinosaur curriculum, memorize and regurgitate, memorize these thousands of drugs and learn to get an eye, a hawk eye for when you can use them. And, oh, there's an indication. Here you go. There's an indication. Here you go.
We put them on this treadmill where they have 10 minute visits, 15 minute visits, and they're just diagnosing and treating and doling out diagnoses and meds. We've done a terrible thing to these doctors, to these young folks.
We put them on this treadmill where they have 10 minute visits, 15 minute visits, and they're just diagnosing and treating and doling out diagnoses and meds. We've done a terrible thing to these doctors, to these young folks.
We put them on this treadmill where they have 10 minute visits, 15 minute visits, and they're just diagnosing and treating and doling out diagnoses and meds. We've done a terrible thing to these doctors, to these young folks.
It's a crazy hamster wheel. And I was on it and I got off of it. I said, I'm going to focus on my passion, which is public health research. I had a degree in public health in medical school that I got. I got basically walked away from medicine after three years of medical school. disillusioned. This isn't for me. What are we doing? And I enrolled in graduate school for public health.
It's a crazy hamster wheel. And I was on it and I got off of it. I said, I'm going to focus on my passion, which is public health research. I had a degree in public health in medical school that I got. I got basically walked away from medicine after three years of medical school. disillusioned. This isn't for me. What are we doing? And I enrolled in graduate school for public health.
It's a crazy hamster wheel. And I was on it and I got off of it. I said, I'm going to focus on my passion, which is public health research. I had a degree in public health in medical school that I got. I got basically walked away from medicine after three years of medical school. disillusioned. This isn't for me. What are we doing? And I enrolled in graduate school for public health.
I ended up coming back to medicine. I missed the bedside care and I love being a surgeon. But after being on this treadmill that everybody gets on, I said, no more dangling bonuses at the end of the year. I don't care what my throughput is. The system is designed for throughput and billing and coding.
I ended up coming back to medicine. I missed the bedside care and I love being a surgeon. But after being on this treadmill that everybody gets on, I said, no more dangling bonuses at the end of the year. I don't care what my throughput is. The system is designed for throughput and billing and coding.
I ended up coming back to medicine. I missed the bedside care and I love being a surgeon. But after being on this treadmill that everybody gets on, I said, no more dangling bonuses at the end of the year. I don't care what my throughput is. The system is designed for throughput and billing and coding.
Why do you think we have 35% of doctors burn out and doctors are one of the highest professions for suicide? We're doing a terrible thing to these people. And a lot of doctors now are rejecting it. They're saying, we're not going to have anything to do with this. Half of my students at Johns Hopkins don't want to have anything to do with this crazy broken system.
Why do you think we have 35% of doctors burn out and doctors are one of the highest professions for suicide? We're doing a terrible thing to these people. And a lot of doctors now are rejecting it. They're saying, we're not going to have anything to do with this. Half of my students at Johns Hopkins don't want to have anything to do with this crazy broken system.
Why do you think we have 35% of doctors burn out and doctors are one of the highest professions for suicide? We're doing a terrible thing to these people. And a lot of doctors now are rejecting it. They're saying, we're not going to have anything to do with this. Half of my students at Johns Hopkins don't want to have anything to do with this crazy broken system.
They don't care about the big pay and the house in the suburb. They want to be a part of something bigger. They want to deal with the root causes. They want to start businesses. They're entrepreneurial. They're getting second degrees. They want to spend time in a Medicare Advantage model where... Basically, they get paid on a lump sum for a population.
They don't care about the big pay and the house in the suburb. They want to be a part of something bigger. They want to deal with the root causes. They want to start businesses. They're entrepreneurial. They're getting second degrees. They want to spend time in a Medicare Advantage model where... Basically, they get paid on a lump sum for a population.
They don't care about the big pay and the house in the suburb. They want to be a part of something bigger. They want to deal with the root causes. They want to start businesses. They're entrepreneurial. They're getting second degrees. They want to spend time in a Medicare Advantage model where... Basically, they get paid on a lump sum for a population.
They can spend an hour and talk about the sleep quality of a person that affects their blood pressure, not just doling out antihypertensives. Maybe we need to talk about school lunch programs instead of putting every kid on Ozempic. Maybe we need to talk about treating diabetes with cooking classes instead of throwing insulin at people.
They can spend an hour and talk about the sleep quality of a person that affects their blood pressure, not just doling out antihypertensives. Maybe we need to talk about school lunch programs instead of putting every kid on Ozempic. Maybe we need to talk about treating diabetes with cooking classes instead of throwing insulin at people.
They can spend an hour and talk about the sleep quality of a person that affects their blood pressure, not just doling out antihypertensives. Maybe we need to talk about school lunch programs instead of putting every kid on Ozempic. Maybe we need to talk about treating diabetes with cooking classes instead of throwing insulin at people.
Maybe we need to talk about environmental exposures that cause cancer, not just the chemotherapy to treat it. We're going backwards. We're watching all of these chronic diseases consume our culture, and we've got to get off this myopic focus. So luckily, good stuff is happening. A lot of doctors are speaking up. They're getting off the treadmill. They're spending time with patients.