emergency physician, author of Your Money or Your Life: Debt Collection in American Medicine. Opinions my own. attending @BrighamWomens, @harvardmed

Joined March 2018
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Your Money or Your Life: Debt Collection in American Medicine (coming November 1) is available for pre-order, with a discount code (AAFLYG6) for 30% off. You can also access the discount with the QR code below. It's filled with reasons for rage and reasons for hope.
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Luke Messac retweeted
*NEW STUDY in JAMA Internal Medicine* Where do our healthcare dollars go? We looked at one part of the answer: corporate shareholders.
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I’m an emergency physician and a constituent of @SenWhitehouse . I called his office to talk to his health leg assistant about how dangerous RFK Jr would be for my patients, and for all Americans. The staffer didn’t have time to take my call. talkingpointsmemo.com/edblog…
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As Trump claims immigrants are carriers of disease to justify cruelty, journalists should talk to historian Beatrix Hoffman to understand how this is an old reactionary trick. Her new book, Borders of Care, couldn’t come at a more necessary moment. press.uchicago.edu/ucp/books…
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The defunding of global health (eg Global Fund, GAVI) will be the deadliest policy shift of the next Congress. It will lead to millions more deaths from preventable and treatable diseases like HIV, TB, and malaria, but it won’t be well covered. nytimes.com/2024/12/19/healt…
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The rosy spin at the end of this article is really not the right way to close. There doesn’t always have to be a silver lining.
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We worked with @Dollarfor_ to show the huge range of income cutoffs and other reqs for charity care at nonprofit hospitals. Some hospitals offer no free care at all, others offer free care to a family of 4 making $180k. Higher cutoffs in richer areas. healthaffairs.org/doi/10.137…
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Luke Messac retweeted
3 Sep 2024
Virtual: Tu, Sep 17 @ 12pm - "The Transformation of Medical Debt Collection and the Financialization of Health Care Delivery" @LukeMessac @UCBerkeleySPH @OxUniPress - mailchi.mp/berkeley.edu/virt…
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Grateful for the thoughtful review of Your Money or Your Life by Marianne Amoss in Health Affairs Forefront today:
In her new #HAReads review, @mkamoss, Associate Editor @Health_Affairs, reviews "Your Money or Your Life" by Luke Messac, which she calls a "concise yet comprehensive look at the rise in medical debt...and the impact this has had on Americans." bit.ly/3W7dHPE
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Luke Messac retweeted
Millions of Americans are burdened by medical debt With negative consequences for their finances, healthcare access, and physical and mental health Since day one, @VP Kamala Harris has spearheaded @WhiteHouse policy to reduce this burden
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So great to talk with @MaikenScott about medical debt collection. Listen to 2nd half for a truly harrowing story of medical deportation, a problem I knew nothing about before hearing it here.
Health care is a billion-dollar industry, and the business aspect often impacts the treatment and care patients receive. On this episode, we explore how money shapes our health care system — from treatment, to medical debt, to the pharma industry. 🔗lnk.to/whyy-thepulse
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Luke Messac retweeted
We are the only major country on Earth where an emergency visit to a hospital can cause patients to lose their homes and their life savings because of the high cost of medical care. Getting sick in America should not mean going bankrupt, losing your home, car, or life savings.
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Luke Messac retweeted
17 May 2024
Just want to underscore the level of heroism underway here: Sen. Tammy Duckworth has been working to evacuate Dr. Adam Hamawy (who saved her life after her helicopter crash) from the hospital the IDF is besieging and bombing. But he and his colleagues have insisted they not leave unless the IDF allows in a new rotation, otherwise the patients will all die and the IDF will overrun the hospital and leave it in ruins as they have done to every other hospital in Gaza. Five staff were evacuated today but Hamawy refused to go, leaving his body on the line to defend and to treat his patients. He is effectively saying, if they are going to kill everyone in the hospital, they'll have to kill him too.
17 May 2024
🚨Update: Israel offered to evacuate Dr. Hamawy and others from the hospital but refused to allow new medical aid workers to replace them. Five volunteers accepted the offer but Dr. Hamawy refused, insisting on staying with his patients. He sends this comment through a colleague: “There is a palpable gloom and foreboding that had set in at the hospital. The children and staff are asking for everyone by name. All the Americans and Brits left. That can’t be a good sign.”
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Luke Messac retweeted
Ever wonder why your insurer charges a copay for statins (and other high-value meds)? Don’t they want to prevent heart attacks, strokes, etc? Copays never made sense to me. In this new paper in @QJEHarvard, we show copays kill. 🧵 tinyurl.com/nhk4v93f

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Some day, when our grandchildren ask, most of us will have always been against the slaughter of so many babies, aid workers, journalists, doctors, mothers, and fathers. I am grateful for the brave students organizing peaceful protests to stop it, while we still can.
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Luke Messac retweeted
A statement by our faculty at Columbia and Barnard. More to come. I am behind every word.
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I don’t usually endorse quick fixes to societal ills, but here is one: presumptive eligibility for hospital financial assistance would avert billions in medical debt for low-income patients. The @IRSnews has been too lax on hospitals since the 60s, but it can change course.
2 Apr 2024
Today, @LukeMessac explains how nonprofit hospitals use administrative hurdles to deny financial assistance to patients, and what the IRS could do to mitigate this problem. lpeproject.org/blog/how-nonp…
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Luke Messac retweeted
How can we build an economy enabling all people to have what they need to experience wellbeing? Excited to announce a new Health & Political Economy Project to tackle such questions. @DarrickHamilton @victorroy Join us for our 4/2 launch event in NYC! bit.ly/newagendahealth
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Afrikaners in S Africa were put in concentration camps by the British decades before they instituted apartheid. Freed US slaves who emigrated to Liberia denied political rights to the native majority. The oppressed in one historical moment can oppress in another.
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I learned from @anshelpfeffer's book Bibi how much effort Netanyahu has put into cultivating US cable news personalities, and training to use TV to set the terms of political debate. In the early 80s, he hired coaches to learn TV skills and worked to become their favored guest.
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