Orthopedic Surgeon. Bioethicist. Health Policy Wonk Wannabe. Opinions my own. @pennmedicine @AOFAS @OurAMA

Joined January 2017
426 Photos and videos
Prepping for a long day. I have my caffeine and my fur coat of dopamine. #democracy #TrustWomen
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Casey Jo Humbyrd retweeted
This video is incredible. Everyone should RETWEET it so the whole *world* sees it.

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RT @ivBEiGE: NAACP IS GIVING OUT FREE LYFT RIDES FOR YOU TO VOTE!!! CODE: NAACPVOTE24 NAACP IS GIVING OUT FREE LYFT RIDES FOR YOU TO…
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Casey Jo Humbyrd retweeted
A century ago, Germany’s democracy was hijacked by a bombastic and charismatic tyrant — and in this five-minute video, you’ll learn how he did it. Why did I produce this? Because I believe that history is speaking to us, and all too often, those who refuse to learn from it are doomed to repeat it. As you watch, imagine filling out a Bingo card filled with Germany 1933/USA 2024 parallels: big rallies, rage-filled and hateful rhetoric, simple answers promising quick and easy solutions to complicated problems, empty promises of a great-again future, scapegoating outsiders, and political enemies silenced on day one. And notice the caring wisdom and concern from my German friends as they share these lessons from their dark history. It’s hard to understand how Trump could, on the eve of a tight election, paint a picture of Liz Cheney before a firing squad by actually saying, “Let’s put her with a rifle standing there with nine barrels shooting at her, OK? And let’s see how she feels about it when the guns are trained on her face.” You can’t get into the mind of a dictator with an insatiable appetite for power — but you can recognize the playbook they all seem to follow. Just watch this clip. It’s excerpted from my hourlong public television special “The Story of Fascism in Europe,” which is streaming free (and ad-free) at ricksteves.com/fascism. If you care about our democracy and love our country, it’s hard to stop watching. When I produced this in 2018, I hoped this day would never come in our country. But November 5th is upon us. Please share this with anyone in your life who might need a reminder that the stakes are high...and this is very real.
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Casey Jo Humbyrd retweeted
I’m not going to sit here and say I love Liz Cheney with all my heart— but it’s absolutely bullshit that she’s out there for the most part standing alone because men like Mitt Romney and George Bush don’t have the courage to stand up for the constitution.
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BREAKING: The Minas Tirith Post will not be making an endorsement in this year's contest between Aragorn son of Arathorn and the Dark Lord Sauron.
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Casey Jo Humbyrd retweeted
Physician conversion factors: 2000: $36.6173 2003: $36.7856 2006: $37.8975 2009: $36.0666 2012: $34.0376 2015: $35.7547 2018: $35.9996 2021: $34.8931 2024: $32.7442 UHC stock up 8,556% Insurance premiums up 342% Inflation up 86% Physician pay down 10% We should keep cutting physician pay so families have more money in their pockets through reduced costs and reduced premiums based on the last 25 years of experience.
Average US family health insurance premium... 2000: $6k 2003: $9k 2006: $11k 2009: $13k 2012: $16k 2015: $18k 2018: $20k 2021: $22k 2024: $26k That's a 342% increase since 1999 (6.1% per year). (Note: US CPI inflation has increased 2.5%/year) youtube.com/channel/UCRoWRnX…
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Johns Hopkins (where I did ortho residency, got a masters, and was faculty for 6 1/2 years) sends a letter asking for money. Ah the joys of a bigender name. But de-doctoring me too?
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Casey Jo Humbyrd retweeted
I’m hearing so many people cite conflict of interest as the reason physicians shouldn’t own hospitals. This also happens to be the main strategy the American Hospital Association used to lobby Congress to ban POHs in the Affordable Care Act, paving the way for the consolidated corporate nightmare we enjoy today. The conflict of interest argument is absurd in a for profit healthcare system. Hospitals force their employed physicians to refer to other specialists within their own hospital system. Physicians recommend surgery then do the surgery themselves collecting both a clinic fee and a surgery fee. Optum forces patients to see their doctors, use their pharmacies, and be admitted to their own hospitals. If there is profit to be made in patient care, there will be a conflict of interest among the entities/people collecting that profit. The closest thing to a conflict of interest free system is one that is devoid of profit. Call me cynical, but that will not happen in the US. So we can wring our hands about the potential corruption and malfeasance evil greedy doctors will inflict upon our great country if physicians owned hospitals, while ignoring the actual corruption and malfeasance already displayed by hospital corporations. We can ignore data that shows POHs as a whole (~250 in the US, holdovers from pre-ACA times) have better outcomes at lower costs. Or we can introduce some actual competition in the healthcare marketplace to give patients a chance for better care from people who actually got into this business to treat patients, care that is not dictated by a private equity company or insurance company. Just give physicians a chance to show that we can do a better job. That’s all we’re asking. If we suck at it, we won’t get very far, right? Isn’t that what the free market is for? Repeal the ban on physician owned hospital.
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Casey Jo Humbyrd retweeted
Amazing first few weeks at Vanderbilt! VUMC made a bold investment in the Center for Transplant Science - this new center will bring together the diverse disciplines that make organ transplantation a phenomenally innovative field.
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11 Sep 2024
Execution after birth is not happening in America. Except in schools.
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Casey Jo Humbyrd retweeted
Facts are important. 🚨 There is no such thing as abortion after birth. I deliver babies and provide abortion care.
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From Jennifer Carter, a teacher at Apalachee High School in Winder, Georgia. What the hell are we doing?
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We will keep beating the drum until those in power listen. This is a threat to the health of our country and the health of the economy. Small businesses are being pushed out. Consolidation is increasing costs. The economy will suffer. Time to get this fixed!
🚨🧵”Facing a 5th consecutive year of Medicare payment reductions, @AmerMedicalAssn issued a clarion call today to @CMSGov urging the agency to be fully transparent about the impact of these payment cuts on physicians and patients.”
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Casey Jo Humbyrd retweeted
Proposed Conversion Factor of $32.26. in 2025. It was $36.69 in 1998. So even w/o inflation adjustment, doctors in 1998 made more from Medicare than doctors in 2025. Adjusted for inflation, it should be $71.33 ($32.26 in 1998 would be $17.05) #MedTwitter
Breaking: CMS has again proposed a negative Medicare physician fee schedule update for 2025 with dangerous implications for beneficiary access to care. A 2.8% reduction to the conversion factor would be alarming in the best circumstances, but to propose doing so at a time when 92% of medical groups report increased operating costs and are otherwise struggling to remain financially viable is critically short-sighted. Medicare physician reimbursement is on a dire trajectory and these ongoing cuts continue to undermine the ability of medical practices to keep their doors open and function effectively — the need for comprehensive reform is paramount. @MGMA is once again calling on Congress to pass the Strengthening Medicare for Patients and Providers Act to implement an annual inflation-based physician payment update tied to the Medicare Economic Index, and modernize Medicare’s antiquated budget neutrality policies by enacting the Provider Reimbursement Stability Act. From CMS: cms.gov/newsroom/press-relea…
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Casey Jo Humbyrd retweeted
To bring you up to speed today #MedTwitter, hospitals and ASCs get a 3% raise, we get a 3% cut and @uhc committed 8.7B dollars worth of Medicare fraud in 2021 alone. But yes tell us how it’s all the doctors fault. #notaprovider @DOJCrimDiv @DrCorriel @pppforpatients @Suburbanbella @fuzzymittens @MayaBabuMD @neurosurgery
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Our new paper in @NEJM examines the widespread acquisitions of medical practices by UnitedHealth, Humana, Cigna, and other insurers—what’s driving this trend and what are its implications for patients and clinicians? 1/x
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