If you are a physician and don’t realize our profession is dead, you haven’t been paying attention.

Who knows who contributes to the Competitive Enterprise Institute who defend PBM as 'free Market'? As you can see on their tax forms, they have contributors who give $2.8 million, $1.6 million, and 9 other contributors in the six figures (there are 2 pages of unidentified contributors) cei.org/wp-content/uploads/2… 4/5 🧵

I know about PCMA, the lobby group for PBM, but I did not know about The Competitive Enterprise Institute (CEI), who are also defending PBM as 'free market' so I did some looking. They are a non profit who has lobbied with $2million over the last several years and collects $10 million in revenue each year, from what I could find 100% is from contributors. Who contributes? 3/5🧵..... cei.org/wp-content/uploads/2…

It's tough for me to see PCMA, CEI and Sen Toomey calling PBM 'market based', when they help themselves to medicaid money, through something called the 'spread', collect kickbacks (also non transparent) which creates a monospony ... a series of monopoies among pharmaceutical products, and cause the shutdown of independent pharmacies. Last time I checked in the Bible of free market capitalism, monopolies, kickbacks and anticompetitive behavior were not Included 2/5 🧵 Here is article in #BucksCounty Courier Times where pic is from phillyburbs.com/story/opinio…

Yep

This👇 They ( the government) hire the insurance companies, give them subsidies, pay the hospital more than the indie physician for the same service and let wealthy middlemen collect kickbacks. To the government: stop doing and start undoing.

It surely does smell, but I would not call this the biggest way medicine is corrupt. Why? -you can go to physician sunshine database and see exactly how much $ each physician is conflicted by. -Physician advocacy organizations create foundations, have conferences and get corporate sponsors. We need ☀️ light on this money too, as these organizations often speak for physicians when they do this, it looks like unanimity if not consensus to the public. -Our specialty boards extract physician money through a process called MOC. The heads of these specialty boards, then make 10 times the working physician salary. They funneled our 💵 to offshore accounts in the Cayman Islands. Likely juicy retirement accounts. For sure, you are describing corruption with physicians, taking pharmaceutical money, but at least the public can see it easily. The other examples I gave above, not so much. @AaronGoodman33 @InfoNbpas @PPA_USA @doctorwes @chadinabhan @MartyMakary @anish_koka @Surgeon_General @VivekGRamaswamy

Relative Monopolies in many sectors of health care…. Hospital, payer, PBM, pharmacy, pharmaceutical manufacturer, GPO, even medical boards that control physicians… those monopolies also drive prices higher.

I cannot believe Italy is going back to Mussolini times. America is at risk of going down the same road if we don't show up at the polls. We have to take this seriously. When Jews tell us that the U.S. resembles Germany in the 10 yrs before the Holocaust, I believe them.

VETERAN’S DAY 2023 Thoughts taken from Vietnam Uncensored @KarensStories @grgpetro @fett1111 @SZettlerAuthor @BooksToReadBTR

For the viewing pleasure of my Derm and Plastics colleagues...Two FNPs in Yakima, WA with a Dermatology clinic. Mind you, there are no accredited Derm programs for NPs in the U.S. and no specific requirements. FNPs have no business performing surgeries, even in an unsupervised

@PhysiciansFound @drbreenheroes Sept 17 is National Physician Suicide Awareness Day

Today I read an anonymous post from a colleague who is an alcoholic seeking help. Yet many state laws required MDs to report their mental health issues are take the doc’s license away. Recipe for disaster our high suicide rates. We can do better! #takebackmed

At what point does one leave Twitter. I have blocked so many a$$holes lately.

pbs.org/newshour/amp/show/mi… WTF.

When your colleague breaks the law to mislead patients, you should side with the patients. m.youtube.com/shorts/Y3N7ls-…

Did you serve? Then shut up. My service represented Americans and their civil rights, you dolt.

@RBlockMD x.com/mottiel7/status/165842…

Knowledge is a patient’s greatest tool for protection against corporate exploitation.