What is interesting is that anecdotally in my experience and those I talked to the VIP patients in VIP rooms tend to have worse outcomes. It may be because th

What is interesting is that anecdotally in my experience and those I talked to the VIP patients in VIP rooms tend to have worse outcomes. It may be because there is a tendency for VIP to demand that something be done and it not be uncomfortable. So they may go through more tests and procedures for every little complaint and maybe get more pain meds which ends up contributing to worse outcomes. In addition, the doctor may be reluctant to say "no". For the ultimate example of this, see Michael Jackson. Finally, teaching hospitals provide some of the best care in the country. So because of that, a VIP may go there. However, many of them don't want to be seen by residents and medical students and residents. They want to be seen by the famous department chair. Well, in many cases the department chair may be good at research and politics and fundraising, but may not be the best actual doctor. In addition, they may be years removed from actual day to day patient management, relying on the residents to manage the details. You can imagine how things can go wrong.