While the previous Scream Queens promos (which you can see below) focused largely on the return of the Chanels, this week’s spot gives a more holistic overview of the show’s hospital setting. For example, it appears to have been constructed on some kind of foggy, haunted swamp, which just happens to be the most perfect place to dump a body or 12. Some of the new hires earned their medical degree online. If a patient is lucky, he or she will be selected at random to be hacked open by a doctor who looks like John Stamos, a fact that probably eases your pain a little bit but not enough to stifle your screams. Say it all together now: thanks, Obamacare.