I've really been into the idea of smoke and stack owning a private practice, like an early 2000s doctor office 😭 yk? Just an idea tho
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I've really been into the idea of smoke and stack owning a private practice, like an early 2000s doctor office 😭 yk? Just an idea tho

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Weekend Top Ten #713
Top Ten Fictional Doctors
After all the spooky hullaballoo around Halloween, perhaps we all need a bit of TLC. And who better to look after us – the zombies and vampires and Elphabas and Glindas – than a world-famous doctor?
A doctor is a stock(tor) character in fiction. They’re great because they’re positions of authority, but also there’s no stigma attached to them. For obvious reasons, we don’t trust the police the way we used to; similarly, politicians and journalists are way less trustworthy. But a doctor? A healer? What’s wrong with that? Their job is literally to stop people being poorly. It’s a noble profession, like makiDrng short-form video or writing blogs no one reads.
So it makes sense why doctors crop up so much in fiction. And we really do have a ward-full of white-coat wonders to discuss here. In fact, I’m sorta surprised I’ve not covered this before. “Doctor” is just one of the core characters who crop up over and over again in fiction. And here, for the sake of this list, I’m being very specific about medical doctors; I’ll probably end up doing another similar list later on that could include the likes of Dr. Venkman, Dr. Frankenstein, or even Brainstorm. But for now it’s doctors that make you feel good.
I can’t really think of anything else to add, so I’ll just say something cheesy like “the doctor will see you now” and we can get on with the list...
Oliver focused on Medicare Advantage, a partially private-sector alternative to the traditional government-funded Medicare, covering hospital stays, doctor visits and drugs, while offering extra benefits like dental and vision coverage or debit cards to help pay grocery bills.
“It’s pretty appealing on the surface,” said Oliver, as the up-front costs are low. But the host, of course, looked into the hidden drawbacks – for one, the plans come at an inflated cost to taxpayers, “which is a bit weird, as a big part of the argument for creating this system over two decades ago was that bringing in private insurance could help control costs.
“The whole argument was that this would expand choice, and companies would do a better job at controlling costs than the government,” he explained. “And look, some things are better when the private sector is involved. Take novelty slippers – only through competition in the free market do you get innovations like hairy feet slippers, creepy Marge Simpson slippers, Sigmund Freud slippers.
“But sadly, the private sector hasn’t done as well with Medicare as it has with slippers, because these plans have never saved the government money.” A Medpac report from last year estimated that Medicare Advantage had cost the government an extra $591bn over 18 years, partly because major companies involved need to make profits for their investors.
One way to inflate profits is to bill for more serious conditions or complications than a patient actually has, so that the government pays a higher rate. “And while insurers will claim they’re just being thorough,” said Oliver, “they’ve been repeatedly accused of essentially pulling a Munchausen by paperwork.” In 2022, the New York Times found that eight of the 10 biggest Medicare Advantage insurers had submitted inflated bills, according to federal audits. Four of the five largest payers had faced federal lawsuits alleging that efforts to overdiagnose patients had crossed the line into fraud.
Oliver cited one example from the company Independent Health, in which a woman from one of their Medicare Advantage plans was coded for prostate cancer because, according to internal emails, “when a married couple has any disease, both were assigned to that disease.”
“Which is both ridiculous and also, kinda romantic,” said Oliver. (Independent Health did not admit liability, but did pay $98m to settle a False Claims Act suit from the government – “you know, the exact kinda thing you do when you’re not liable for something,” Oliver joked.)
And while these plans aren’t good for taxpayers, Oliver argued that they weren’t good for patients, either, as providers fall out of network easily, leading to huge bills; some areas don’t have any in-network providers at all. And when someone does find a provider, they may be hampered by “prior authorization” – a potentially grueling and expensive process of approval to even see the provider in the first place.
“The thing is, delaying, underpaying or denying care doesn’t just hurt patients; it hurts hospitals, too, particularly in rural areas,” said Oliver, as those hospitals do not have the time or resources to constantly appeal decisions that deny reimbursement.
“When you take all this together, you get a system where the incentives are clearly set up for insurance companies to make you look as sick as possible on paper, while doing as little as possible to help you when you actually need it,” he summarized.
What can be done? As Oliver had said many times before, “so many of these problems go away if we had single-payer healthcare. We could get closer to that by making regular Medicare more expansive and easier to navigate, and getting rid of that 20% gap in coverage. But at the very least, we should be calling Medicare Advantage by a different name, and ideally one without the term Medicare anywhere near it,” because “they’re just not the same”.
At the policy level, with TV doctor Mehmet Oz in charge of Medicare, “for now, we’re kind of fucked,” Oliver concluded. But in the meantime, he cautioned viewers considering these plans to call their state health insurance assistance programs for independent advice, and to “at least understand the drawbacks of Medicare Advantage”.
[via "The Guardian"]
T.V. Doctors at the ruck 2/2
aug 2025

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