I’m no Elon fan, but the Washington Dems demonizing him in the name of ‘free healthcare’ while they’ve spent my entire career funneling taxpayer and patient money to *checks notes* multi millionaires is right on brand these days. All hail the Uniparty.

I wish they'd just stop with the lip service. They talk, they meet, they have hearings, they talk some more.... then DO NOTHING! American businesses aren't built on meetings and hearings, they're built on hard work - something our government doesn't grasp.

If someone doesn't pay this guy to go on a tour of SEC football this fall, we have failed as a society.

Everything but reliable data.

A program built to help vulnerable patients is being hijacked by large hospital systems pocketing billions. 340B has grown to $80B with little accountability. Proud to support the Trump admin's Rebate Model Pilot Program to strengthen oversight & program integrity.

Hmm… hearing Rick Scott… who became a very high net worth individual… from healthcare (mainly from one very large hospital system)… lecture people about healthcare affordability… makes me think the simulation is mocking us. The irony of the man, the absolute poster child, for benefiting from government induced and incentivized dysfunction, talk about government induced and incentivized dysfunction as - now - a member of that government which he took for hundreds upon hundreds of millions of dollars…it’s sickening. In fact, wasn’t he the CEO of the company that settled for what was (at the time) the largest healthcare fraud in the history of the US? Almost $2BB - and that was in the late 90s/early 00s. It’s stunning to watch.

Along with removal of facility fees, HOPDs and employed physician groups should have to abide by the standard generally accepted accounting principles we all do.

Now do CKD

Hahahaha🤣🤣🤣

How does this guy, as a physician, have SOOO many stupid takes?

Another new week, another new and unnecessary hard stop in epic. I hate these dipshits with every fiber in my soul.

Talking to independent physicians, it's obvious that the big insurance carriers are doing to them, what their PBMs are doing to independent pharmacies. They deny, underpay, slow pay, clawback, and create administrative mazes, knowing their victims don't have the time or resources to fight. Why ? By putting financial pressures on physicians and pharmacies, it makes them more likely to sell their businesses to them , close their doors, or refer the business to their captive pharmacy or provider. All benefitting the biggest insurance companies We need to ditch the concept of "claims" and make every delivery of medications or care as a billable event that must, by law, be paid on a timely basis , with interest charges for any delays. If the physician or pharmacy doesn't deliver , the carrier has plenty of legal options already. As does the patient. This is not an efficient market. This is the big guy abusing the little guy. It needs to change to better the care we get in this country

I honestly can’t see why any doctor who deals with Medicare and sees the steady reduction in pay, the DRG manipulation, the arbitrary RVUs, the quality metrics, the EHR mandates, the ban on physician ownership, stark law…. Would then say, yeah, give me more of THAT!

The fact this is occurring (or even being discussed) is testament to just how willing this administration is to cave to end this debacle

Silver medal for HHS incompetence. Should fit right in for California.

H.R. 8163 passed Ways and Means on May 21, 2026. It needs to pass the full House, clear the Senate, and be signed into law. The four structural repairs it makes are necessary but not sufficient. The 2026 final rule made the insufficiency concrete. While Congress attempted to raise overall physician payment, CMS changed course and resorted to redistribution. A 2.5 percent efficiency cut to procedural specialists. A 50 percent reduction in facility-based indirect practice expense. A transfer from in-hospital physicians and surgeons to office-based physicians, engineered through rulemaking. That is the fee schedule behaving exactly as designed: zero-sum, producing winners and losers inside a system that does not have enough money for any of them. The next legislation has to break that structure. Physicians are the only Medicare provider category without an automatic annual payment update tied to inflation. Every hospital, every nursing facility, every home health agency has one. Physicians do not. A permanent, MEI-tied annual update for physician services is not a complicated ask. It is time to correct a 34-year omission. One-year congressional patches resolved annually are not policy but instead evidence that policy has failed. Site-neutral payment reform belongs in the same conversation. The Lower Costs More Transparency Act and the SITE Act, S. 1869, address the payment differential between hospital outpatient departments and independent physician offices that makes hospital acquisition of physician practices financially rational. That differential is not clinically justified. It is a payment rule artifact and is one of the primary structural incentives driving consolidation that neither H.R. 8163 nor the 2026 site-of-service change fixes. H.R. 4002 and H.R. 3022 would restore physician-owned hospital expansion rights that have been blocked since 2010 with no comparable restriction on corporate systems. Physicians have been systematically marginalized in today’s healthcare system. That needs to change. H.R. 8163 is the right starting point but the work does not stop there.

Or….hear me out…make the health maintenance tab actually useful and not a cumbersome 1992 style interface so we can all just easily see what the patient needs. There no reason AI has to compensate for the shit product you put out.

Um, yeah, no shit. Wow, nothing slips by you.