Medicare reimbursement rates for physicians have dropped 29% in real dollars since 2001. Hospital facility fees? Up 60% over the same period. The money didn't disappear. It just stopped going to doctors.

UPDATE: Colorado's Rep. Joe Neguse is trending across social media after this withering exchange with Attorney General Pam Bondi today. Here's how you strip the hide off someone without ever raising your voice: coloradopols.com/diary/22100… #copolitics

UTAH! Get me two!

Once you know someone is a narcissist, remember, don’t try to tell them what they did wrong, don’t try to tell them how insensitive they were, none of that matters. They don’t care. And they won’t care. They’ll simply deny, deflect, evade, and gaslight you. Just cut them off.

As a doctor, The Pitt represents everything we wish the public knew about healthcare and our role in it, and above all else: THAT WE CARE ABOUT YOU. Please know that we are just humans, taking the best care of other humans that we possibly can in complex, often broken system.

No matter how lonely the road feels, never open the door again to the ones who once brought you pain. Healing is hard, but peace is priceless.

...When you don't understand history, you are doomed to repeat it. Either Tami is a bot, or she's really. fucking. stupid.

AOC: Are you aware that President Trump's DOJ is investigating United Health Care for criminal insurance fraud? RFK JR: I am not aware of that investigation AOC: You are not aware that the Trump DOJ is investigating the largest insurance company in America for fraud in Medicare Advantage?

The moment you find yourself Googling someone's behaviour just to make sense of how they treat you, that's the biggest red flag you'll ever need.

Nonprofit hospitals pay their CEOs $10M. Then call you greedy for wanting fair reimbursement. They don’t need more money. They need to lose their tax-exempt status.

Board Certified OBGYN exposes what they must go through just to get one prescription approved by health insurance companies “This is what doctors are dealing with in 2025. So my patient needs a medication, an indicated medication for her condition. So I send the prescription to the commercial pharmacy - The pharmacist tells me that this medication needs a prior authorization and sends me a fax with a 1-800 number - The 1-800 number leads me to a pharmacy benefit manager that wants to ask my npi, my date of birth, the patient's information, what kind of the prescription is, how long do they need it for. Only to tell me at the end of the phone call that I actually have to call the patient's insurance company to authorize the prior authorization for the needed medication - So I call the patient's insurance company and once again, I have to verify my information, the patient's information, the prescription information, what the patient needs it for, only for the insurance company to tell me that this is not how they do prior authorization - So they're going to have to fax me some forms that I'm not allowed to do a prior authorization on the phone - So then the fax comes through and I fill it all out. The patient's information, my information, my npi, what the prescription is, how long they need it for, clinical documentation. And now we sit and wait and see if the powers that be think that the patient actually needs the medication” “I went to school. I went to undergraduate medical school, 4 years of OBGYN residency, then went back and did an integrative medicine fellowship, all for these people to dictate how my patient gets cared for. Please know that your healthcare providers are fighting for you day in and day out on things we don't get reimbursed for.” US Healthcare Insurance executives need to be thrown in prison for what they’ve done to our healthcare system

The Senator from Ohio is a piece of shit.

This woman is a Board Certified Emergency Medicine Physician in America She says she’s seeing more and more doctors leave practicing medicine because what US Health Insurance companies are doing to healthcare She explains why, this is important information: “I believe what we are seeing with healthcare professionals is not just burnout, it's something far more insidious and painful. This is moral injury. — Moral injury. The pain of knowing what the right thing is for the patient, but being unable to do that because of systemic barriers. And over time, this wears you down. I have seen so many people leave the profession because it has eroded their sense of purpose, their love for the job. And we take a Hippocratic oath to do no harm. But in a system that doesn't place human health at the center, that becomes harder and harder to uphold. And that disconnect from what we are trained to do, from what we can actually do, creates a very painful wound. And when the healers themselves are wounded, when their hands are tied, when their clinical judgment is overruled, they don't just feel that defeat themselves, they that trickles down to the patient. — So when we see our providers juggling insurance company protocols, productivity metrics, hospital bureaucracy, the relentless pull of the electronic medical record, all of these things take the doctor away, the patient. If we really want to understand why the United States spends more on health care than any other nation, while delivering some of the worst outcomes, we need to start being honest. The system just isn't inefficient. It is deeply misaligned with care and having it be patient first” US Health Insurance companies are absolutely destroying American Healthcare and we all must keep sharing these important stories because something has to change

Private Equity Firm purchases Pennsylvania Hospital, paid all their executives hundreds of millions of dollars, sold their land, then started charging the hospital $35 million per year in rent forcing the hospital to shut down “The private equity firm that owned and shut down this Delco hospital pocketed hundreds of millions of dollars in the process, while it left its community stranded of emergency services. And it has already ruined lives. - Prospect Medical Group bought the nonprofit Crozer Hospital System back in 2016, while the hospital system was struggling financially - 2 years later, in 2018, Prospect took out a $1 billion loan and then paid out investors over $450 million - The CEO, Sam Lee, pocketed almost $100 million And obviously, when you take out a loan, you have to pay it back. So Prospect sold all the land and buildings of all the hospitals they owned across the country to a real estate Investment Trust for $1.4 billion. That real estate trust then rents out the land and the buildings back to the hospitals in what's called a sale leaseback agreement. For the Crozer system in Delco, this now meant that they had to pay $35 million a year in rent to the trust. That's $35 million a year in rent that they didn't have to pay before Prospect took over. On top of that, Prospect was accused of aggressively cost cutting, reducing quality of care at their hospitals, and got sued multiple times for Medicare fraud. Surprise, surprise. Prospect had to file for bankruptcy back in January, listing debts of more than $400 million, which is also suspiciously similar to the 450 million that was paid out to investors back in 2018. So Prospect had to shut down two of its hospitals here in Delco, making it much harder for the people in this area to get the proper care they need. Quite literally, some people in emergency situations will now, because of the extra time it takes to get to another hospital. And mind you, that is not an exaggeration. It has already happened — The Prospect investors basically got away with all of this, and they're now hundreds of millions of dollars richer.”

This is a Neurosurgeon at UCLA He has a patient that has brain tumors 🚨 UnitedHealthcare has denied his patient a MRI for lifesaving imaging and THEY’RE DENYING DOING PEER TO PEERS A Peer to Peer is how doctors could appeal the insurance company decision “So UnitedHealthcare has once again disappointed me as an insurance company because they not only denied an MRI for one of my patients that needed advanced sequences for tumor surgery, but they denied a peer to peer. Now, I thought things were supposed to get better after all the complaints on social media, the heat that they've had from all the public opinion. But to take away the peer to peer process and have us fill out a form that they're going to fax to us at some unknown time and date, this patient literally needs the SARI so that we can do a safer brain tumor surgery, and yet now they're removing the avenues through which we can even apply for that. — UnitedHealth, if you are going to deny our ability to order scans or labs that are crucial for carrying out safe patient care, at least make the appeal process easier so that we can do so”

Those who do not study history, are doomed to repeat it. instagram.com/reel/DKp6YOgSA…

Today they have crossed a deep red line. We, the people, must hold the president and his appointees accountable for this outrageous abuse against American liberty.

🧵What Clinicians Should Know About Psychosis in Borderline Personality Disorder (BPD)🚨1/8 Salience operates on a continuum. Under stress, the salience system doesn’t ask for permission -it amplifies threat based on past wiring. We can’t predict the response, but we can track how it’s expressed. 1/8👇