Blade Doc
@BladeDoc
Trauma Surgeon, Father, Rational Optimist
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F is for Free
Senator, your state has had a Hospital Construction Moratorium since 1984. Not certificate of need. A moratorium. No one builds a hospital. No one adds a bed. Unless your legislature says so. 35 exceptions in 40 years. Each one required a lobbyist. Each one protected the people…
The time for talk is over, the time for action is now. If Congressional Republicans don't act to extend the health care tax credits by next week, millions of Americans will see their premiums double or even triple.
This is such an important point. People don’t realize that the reason for high administrative costs in healthcare isn’t private insurance. It’s Medicare. That’s right. The endless bureaucratic needling all adds up. Just the Medicare approved electronic medical records costs…
I don’t see where significant “provider-side savings” would come from. In small practices, the biggest cost driver isn’t insurers—it’s the EMR. Mine runs about $10,000 a month. That inflation began with the HITECH Act, HIPAA and accelerated as CMS kept expanding documentation…
I’ve long been a fan of the Singapore system. We could do it even better in the US. Guarantee every American $10-15k in a yearly HSA for purchasing insurance, and for covering out of pocket costs. Use it for a DPC and a catastrophic plan and you’d have money left over. We…
Singapore is not a bad model to follow! Just making the point that part of America’s health policy problem is trying to solve every possible problem. Singapore: Aren’t a citizen ? Buy private insurance or get it through your employer. Emergency care : there are 30 some…
Let's settle this will a quick economics 101. Imagine an island with 100 people. All of them have just a crude spear allowing them to catch 1 fish per day. GDP is 100 fish per day. So long as everyone eats one fish per day, the economy will never grow. They're consuming their…
I'm rich & this is a lie. When politicians lower my taxes, I don't create additional jobs (only demand does that). I simply save that money Trickle-down economics has been repeatedly debunked yet conservatives lie to you so they can give their wealthy overlords more tax cuts
The big lie about Medicare having low admin Costs…. Whenever someone tells me that Medicare or the government has “low administrative costs,” I always think of this chart and roll my eyes. Because those numbers never account for the regulatory burden created by Stark,…
Peter Orszag was one of the architects of Obamacare and clearly stated that the goal was vertical integration. He then leaves the Obama administration and becomes CEO of Invest Bank Lazard, and makes millions through the takeovers of: • CVS taking over Aetna • CVS taking over…
The Affordable Care Act banned the creation of new physician-owned hospitals. 15 years ago, @BarackObama, Harry Reid, @SpeakerPelosi, Andy Slavitt, and Peter Orszag sold America on a fantasy: that MBAs and private equity suits would be better stewards of healthcare dollars than…
The alt-right racists are too numerous in absolute, but not numerous enough (Thank God) to make them election-critical, and the right should expel them with great vigor rather than, as Democrats did, mistaking a small but noisy online faction for a critical part of their base.…
Look at the abuse Vivek is getting for posting an innocuous photo with his boys. This is the sh*tshow that Heritage and Tucker have brought upon us. If this continues, I would not be surprised to see mass desertions of blacks, Latinos and other minorities from the GOP. Unreal.
There are NOT enough surgeons. When I was in private practice I got paid about $500-$600 by private insurance and rarely above that level. Medicaid would reimburse about $150-$200. It does not take a genius to realize that our practice eventually failed. Despite being excellent…
The media mistakenly relies almost exclusively on the number of crimes reported to police & doesn't look at total crime data. As arrest rates fell, people reported fewer crimes to police. Newly released data shows how crime soared during Biden's full term realclearpolitics.com/articles/2025/…
Healthcare policy continues to just be various experiments in hiding costs and pretending that such experiments don't contribute to the cost problem.
CNN breaking it down: if Republicans let ACA subsidies expire, your health care premiums will skyrocket. One example—$7,225 a year now (8.5% of income) would jump to $25,000 (nearly 30%). That’s the reality for millions, especially in CA, TX, FL, GA, and NC.
This is what "no enemies to the left" resulted in. If the right adopts "no enemies to the right," it will produce an equal but opposite result.
The only thing this has in common with the Holocaust is that it also ends with the liberation of some emaciated Jews
The AMA is completely out of touch with reality. No wonder ~90% of us are not members
Did you know the latest physician fee schedule update has significant cuts across the board. AMA: "but have you thought about the carbon footprint of the care you're providing?"
Remember when researchers claimed gas stoves were responsible for 1-in-8 asthma cases in the U.S.? That didn't hold up. The meta-analysis was done incorrectly, and correcting it rendered its result nonsignificant. Then, a very large, well-done study found no risk elevation.
🧵 Health Systems didn’t beat independent physicians. Health Systems bought Congress, rigged the rules, and outlawed competition. Here are the 11 structural advantages that protect health systems and punish independent physicians. This isn’t free-market healthcare. It’s a…
26-year-old Coast Guard rescue swimmer Scott Ruskan saved 165 lives during the Texas flash floods. A former KPMG accountant, he coordinated Blackhawks and MH-65s to reach survivors and get them to safety.
I love when smug healthcare policy wonks throw out that old “Medicare and Medicaid only have 2–5% administrative costs” line, as if it’s gospel truth and not a completely misleading stat from a 2011 Health Affairs article. Let’s unpack this nonsense because it violates basic…
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