Just an old doc trying to make a difference
Joined July 2015
- Tweets 5,558
- Following 170
- Followers 194
- Likes 202
4 Photos and videos
Jun 13
Does anyone else think Gwynne Shotwell sounds like a Bond character?
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Jon Bignault retweeted
Jun 12
Nearly 20% of our GDP goes to the health-care industry. There is too much money going to health-care, not too little. Once people understand this, we can have a real discussion about policy. Until then, though, demanding MORE be handed over to an industry that is canabilizing our entire society is just making matters worse.
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No, this is a framing mistake
California allows doodles instead of signatures, paid ballot harvesting, hand dated ballots, and unlimited count time
Stop trying to claim "fraud" because it is not the definition of cheating
Democrats have codified cheating so its legal
Jun 10
โThe evidence is in the structure of how the elections are actually carried out. These elections are designed to allow fraud that cannot be detected and will not be prosecuted. And that's really the thing that we must focus on."
And in the curious responses of our institutions.
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Jon Bignault retweeted
Higher ed does it upfront, but healthcare uses a predatory, blind version of price discrimination.
They hide the prices, bill insurance companies & then force uninsured or underinsured patients to submit complete asset & income disclosures just to escape bankruptcy-level bills.
Why is education the only purchase where weโve decided itโs okay for the provider to demand full income and net worth info in order to execute on a price discrimination strategy?
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Jon Bignault retweeted
Jun 2
Wow.
Obamacare simultaneously destroyed lower cost independent physicians and maxxed out fraud.
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Jon Bignault retweeted
85% (at least) of the data in Electronic Medical Records is worthless digital slop, we are all being forced (still) to pay for it, and it will just get worse with AI.
They were *never* great
And the reason we *know* they were not great is we had to be FORCED to buy them
Never, in the history of innovation, since the invention of the wheel, has anyone needed to be *FORCED* to buy a product that made their job easier
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Jon Bignault retweeted
The biggest lie told during the passage of the HITECH act was that physicians wouldnโt adopt EMRs because we were Luddites
No.
At the time this was happening essentially every doctor had a smart phone, typically the latest model
Doctors hated EMR because they were expensive, and clunky and slowed us down.
Everything I thought would be bad about EMRs at the time of passages has become true. 100%
The sad fact is, EMRs did not ruin medicine
The HITECH act ruined EMRs
By ossifying EMRs in the technology of the 2010s; aided and abetted by Epic and Judy Faulkner, we ensured that EMRs would evolve at the pace of a Washington bureaucrat
Never moving forward without their blessing
In the same time frame we have -
Smart phones that are light years ahead of 2010
AI
Self driving cars
Re-usable rockets
Robotic surgery
And
An EMR based on 1960s software that can only have one window functional at a time โฆ
Weโll never know how awesome EMRs could have been right now
I have no doubt that in an alternate universe without the HITECH act, EMRs would be AI native and phenomenal tools for doctors, hospitals and patients
I mourn the loss of what could have been
But โฆ theyโll *NEVER* move forward if lobbyists and Congress determine their parameters and we are FORCED to buy them no matter how bad they are
Where is the motivation to innovate when your โcustomerโ will buy the product whether it sucks or is great???
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Jon Bignault retweeted
The sad fact is, EMRs did not ruin medicine
The HITECH act ruined EMRs
By ossifying EMRs in the technology of the 2010s; aided and abetted by Epic and Judy Faulkner, we ensured that EMRs would evolve at the pace of a Washington bureaucrat
Never moving forward without their blessing
In the same time frame we have -
Smart phones that are light years ahead of 2010
AI
Self driving cars
Re-usable rockets
Robotic surgery
And
An EMR based on 1960s software that can only have one window functional at a time โฆ
Weโll never know how awesome EMRs could have been right now
I have no doubt that in an alternate universe without the HITECH act, EMRs would be AI native and phenomenal tools for doctors, hospitals and patients
I mourn the loss of what could have been
But โฆ theyโll *NEVER* move forward if lobbyists and Congress determine their parameters and we are FORCED to buy them no matter how bad they are
Where is the motivation to innovate when your โcustomerโ will buy the product whether it sucks or is great???
Whose idea was the EMR and have they apologized?
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Jon Bignault retweeted
May 30
35% of every healthcare premium dollar goes to administrative overhead. Another 20% goes to insurance company profits.
No wonder your deductible keeps climbing. My bill puts your money back in your hands through expanded, tax-free Health Savings Accounts.
Your money. Your doctor. Your choice.
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Jon Bignault retweeted
May 30
Is this done at a hospital-owned facility or an independent physician's office?
Medicare pays around $190 to an independent physician and $425 for a hospital-owned physician.
Hospitals shouldn't own physicians!
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Jon Bignault retweeted
May 30
The argument is about capital allocation. Most billionaires have proven track records of creating massive value for society at ever lower cost. Most governments have proven track records of lighting money on fire in โbridge to nowhereโ programs of ever increasing cost
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Jon Bignault retweeted
May 29
Standardized testing>>>GPA
BUT we need to return to more g-loaded, pre-1994 SAT vs the current iteration that the mediocre children of tiger moms/affluent parents can be tutored into acing
More than five years after the UC system lifted its standardized testing requirement, a coalition led by UC Berkeley math professors argues the drop in studentsโ math levels is โsevere.โ sfchronicle.com/california/aโฆ
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Jon Bignault retweeted
May 28
Health insurance makes the most sense for catastrophic events, but many everyday healthcare services can often be cheaper paying cash directly.
This video is for educational purposes only and is NOT medical advice.
#Healthcare #HealthInsurance
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Jon Bignault retweeted
May 28
When will you people learn that the entire healthcare system in America is subsided by private payers?
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Jon Bignault retweeted
May 28
If Paula Jones was 1) a completely crazy person who couldn't even remember when she was assaulted and 2) whose lawsuit against Clinton was only enabled by a GOP legislature passing a temporary law to obviate the statute of limitations just to get Clinton and 3) her lawyers were funded by a GOP megadonor billionaire with some serious ethical issues -- there would have been wall-to-wall news coverage of the obvious injustice.
I don't really need to say this but imagine the reaction on the right if Bill Clinton's DoJ opened this kind of investigation into Paula Jones.
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Jon Bignault retweeted
โA growing bipartisan consensus is emerging around one of the biggest drivers of Americaโs healthcare affordability crisis: hospital consolidation.โ
Both sides agree: hospital systems are becoming too big and driving up prices. And the fact that hospitals get paid more than physician offices for the same same procedure is fueling the fire to acquire!
#txlege
May 26
Certificate-of-need laws were supposed to protect patients. Instead, they often protect incumbent hospital giants from competition by blocking new providers from entering the market.
forbes.com/sites/sallypipes/โฆ
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Jon Bignault retweeted
Thereโs serious methodological flaws in the two papers that came up with those totals. You can see some of those problems in the screenshot below.
They also had no counterfactuals. If a patient was on a blood thinner and had a bleeding complication, that was considered an error. But if the patient wasnโt on the thinner, they likely would have had a stroke or heart attack. Yet the blood thinner was considered an error. If the patient hadnโt been on the thinner and had a stroke it also would have been considered an error.
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Jon Bignault retweeted
May 26
Californiaโs Medicaid model is brutally simple:
Rename social spending as healthcare.
Attach vendors.
Add credentials.
Route the money through managed care.
Collect the federal match.
Accuse critics of cruelty.
Repeat next budget cycle.
That is how the invoice becomes untouchable.
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Jon Bignault retweeted
May 24
And half of their time spent on admin work that has nothing to do with healthcare. We can solve the shortage of doctors by freeing up the doctors from having to do any work that has nothing to do with providing healthcare to patients.
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