Physician founder. For health system reform. Former @NHSbartshealth NHS Consultant. @lbs MBA. Founder Really Intelligent Health and Pomegranate Health šŸŒŽ

Joined July 2019
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I’m a consultant in private practice in London and I treat patients covered by private medical insurance every day. If you think it’s better in the UK, think again. I’ll share some stories I and my colleagues see every day. After reading these please DM me or share your own 🧵
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CALLING POLITICIANS. Just STOP using that phrase ā€œworking peopleā€. What about people who can’t work because of illness? What about children? What about retirees exhausted after a lifetime of work? Don’t you care about them? It’s an empty, cynical, hackneyed phrase. JUST STOP !!
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If you want to help disrupt legacy healthcare and build the health system of the future, join the waiting list for Really Intelligent, builders of Pomegranate, and share it with your friends and colleagues. reallyintelligent.health/
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AI and tech will disrupt legacy healthcare from the end user up, and it’s going to happen very soon. Of that, I have no doubt. The days of Big Healthcare are over.
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It’s because everyone gets sick and insurance wasn’t designed for something with 100% probability. Bottom line is insurance isn’t right for healthcare. Even the most basic healthcare is unaffordable for most people, so governments and societies have to find equitable ways to get healthy people to pay for the healthcare of sick people.
The concept of health insurance is simple: you pay your premiums today for the promise of the insurance company paying for future medical services! However, the truth is more like the story of Dr. Jekyll and Mr. Hyde! When you sign up for your health plan and are paying the premiums the insurance company smiles and is great, it is Dr. Jekyll! However, when you try to get the insurance company to pay for medical services, they quickly turn into the villainous Mr. Hyde! They throw every obstacle they can in your way to get the medical services YOU paid for! They hit you with: • Delays and denials of service • Prior authorizations • Deductibles • Co-pays and Co-insurance • Maximum out-of-pocket charges • In and out of network We were promised that the Affordable Care Act, AKA Obamacare, would solve all the problems. Of course it made matters worse. As a physician, I am tired of the games the insurance comapanies play and how the government lets them get away with it. As a physician, I am tired of the game that the insurance companies play and how the government allows them to get away with it. Ben and Amy deserve better than this! @realDonaldTrump @realRFKJr @DrOzCMS You three can hold the insurance company to their duty to pay for the care Ben needs. Please help this great American. My prayers are with Ben and his family. @Freddy_Media @noahkaufmanmd @DutchRojas @mhp_guy We were promised that the Affordable Care Act, AKA Obamacare, would solve all the problems..lems.ems.
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telegraph.co.uk/opinion/2025… This is a simplistic and incorrect view. Reforming the NHS will not make the nation healthier or reduce already unaffordable healthcare costs. Making the nation healthier requires a wholesale shift from disease treatment to prevention and prediction 🧵
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I was talking to an upper GI surgeon in his late 50s a couple of nights ago at the opera (as you do in London!), and he told me that he’s doing oesophagectomies for cancer faster now with Da Vinci robots than he could in his early days. He’s sitting down so he doesn’t get so tired, so he can do more. Teaching is easier as his junior colleagues can watch and assist from additional consoles. The surgical access is smaller so the wounds are less painful and recovery to discharge is faster. The complication rate is less. /
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No, reforming the NHS (whatever that means) will not make the nation healthier. It’s a top to bottom change in mindset - but it’s a mindset few politicians or health professionals with vested interests have.
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I’ve had Teslas for years and I would never feel safe doing this. There is a ton of evidence their camera-based sensing technology just isn’t safe for use on public roads. You can see the safety driver in the front passenger seat, which is a pointless publicity stunt. Why don’t they just put him behind the wheel so he can do something for his pay ? I bet he has a secret brake pedal. So, a specially adapted ultra expensive Tesla; a local regulatory environment that’s somehow (and I’d like to know how šŸ’°) been incentivised to allow road use, putting other road users - including cyclists and pedestrians - at risk, all for a trick marketing video. You can tell @elonmusk is back at his day job trying to save @Tesla from the Chinese car industry, but that horse bolted while Elon was in DC. We have passed peak Tesla.
Never gets old to see the future! Another vlogger captures their first autonomous ride as Tesla expands self-driving fleet. Science fiction becoming reality. Source: Kim Java on IG, @Tesla
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The NHS has become fat, complacent, and overtly political. It needs competition. Only competition can save it. Successive governments can keep throwing money into its fiery pit and the best they’ll see is a little flash of flame before it wants more money for less productivity. It is doomed, but until some brave future government (because this one won’t) faces up to that fact, it will suck all it can out of the shrinking corners of UK competitiveness.
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Dr Nigel Kellow retweeted
Hello World! šŸ‘‹ Really Intelligent healthcare has just been born! If you work in health insurance or legacy healthcare, brace yourself because we're coming for you. If you want to be in the future rather than the past, pop over to our website and leave your details. TTFN šŸ˜Ž
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The US spends $1 trillion dollars on interest alone servicing the national debt. That’s the same as the entire GDP of Saudi Arabia. Let that sink in. worldometers.info/gdp/gdp-by…
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I just cannot get my head around how this could possibly happen. If you factor in all the costs of that CT - property, staff, utilities, equipment finance, servicing, etc, etc if it's utilised reasonably, the cost to the imaging center shouldn't be more than $150, so who pays this exorbitant money, and to whom? The imaging center? The doctors? The insurer? Can anyone please explain that to me. šŸ¤ÆšŸ¤•
I can get the same MRI for a cash pay price of around $300 But The problem with these posts… Is the conclusion people draw that we need more central control? Or we need more insurance… That is the exact ā€˜solution’ that created the issues that created this situation in the first place… but bureaucratic geniuses will double down on the idea that we need more more regulation or centralization Which inevitably leads to less choice and competition Driving up prices
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