Drue De Angelis @druedea

The one subject every one of my favorite podcasts avoids is healthcare. Sure, they talk about vaccines. They talk about peptides, longevity, and the latest medical device. Cool, bro. A new robot. I do not care. I care about the $30,000 disappearing every year before an American family receives a dollar of actual care. I care about Medicare, insurers, and health systems extracting money from patients, employers, taxpayers, and physicians. And increasingly, those are not separate institutions. The insurer owns the physicians. The health system owns the health plan. The pharmacy benefit manager owns the pharmacy. Everyone owns everyone, and the patient owns the bill. Law makers talk about breaking up the insurance companies while protecting Certifiacte of Need laws in their own backyards and protecting their precious "non-profits". And I would not care how large these organizations became if they won in an open market. They did not. They used government to restrict competition, protect reimbursement, block new entrants, and write rules that favor incumbents. Then they spent nearly a billion dollars hiring lobbyists to keep it that way. The lobbyists take their cut. The lawmakers take the money. The public elects the lawmakers. And then people wonder why healthcare keeps getting more expensive. Healthcare is not ignored because it is boring. It is ignored because nearly everyone with a microphone is more comfortable discussing the symptoms than naming the people getting rich from the disease. -Rojas out

Every family is paying about $30k annually for healthcare they barely use, and that typically comes with a high deductible and out of pocket costs. The median healthcare spend is $500 annually. Now imagine an alternate version. Every American has a tax exempt HSA, but to participate, you must purchase at least a catastrophic insurance plan. If we allowed pre-ACA plans, we are looking at $6000-12000 per year. For the poor, instead of Medicaid or an ACA subsidy, the government just funds their HSA for them. Now every family is putting $15k a year into an HSA. Most people would barely touch that. Maybe use some to pay for a DPC and the occasional lab or prescription. But by retirement, everyone would have $2-5 million saved up. That could pay for all lifetime medical expenses for 95% of Americans. The only people who have to deal with insurance companies are those with catastrophic high cost events (trauma, cancer, etc). The only role government has is as a reinsurance to keep premiums low and help people with pre existing conditions get plans. Or for the truly destitute who burn through their HSA and cannot care for themselves (universal backstop coverage). This would provide truly universal coverage, give money back to patients, simplify healthcare, and make every American richer.

Nikhil Krishnan @nikillinit

2 days ago

this always gives me such sticker shock - the average annual health insurance premium for families is nearly $27K now! I updated the numbers for the upcoming Healthcare 101 course (starts July!) - one of the points I try to get across is that most people don't realize how much

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Building a Successful ASC with Strategic Implant Selection | TJO Masterclass orthotw.com/masterclasses/…

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‘Looking at the totality of up-to-date evidence, and what you’ve heard from eminent witnesses today, in my view, millions of Americans and millions more across the world may be in clear and present danger of suffering premature cardiovascular disease and cancer. Without allowing all scientists to debate this openly without fear of censure, we will not be able to identify who is most at risk and how these risks can be mitigated. When it comes to making money, multi-national corporations have been diagnosed by Forensic psychologist Robert Hare and Law Professor Joel Bakan as legal entities that fulfil the criteria for Psychopathy. Characteristics include callous unconcern for the safety of others, incapacity to experience guilt, repeated lying, and conning others for profit. The evidence presented here today exposes the corporate tyranny underlying public health practice. This profitability over people rooted in the neo-liberal economic model has led to trust being at an all-time low in the medical profession. A full public apology from government bodies and medical leadership to the vaccine injured and bereaved is an essential first step in restoring that trust. Tyranny emerges when people are afraid to say what they think. When you have something to say, silence is a lie. When everyone lies all the time, the tyranny is complete. To save the health of the American people and to save democracy, it is our responsibility to expose, resist and dismantle the era of corporate tyranny we currently find ourselves in’

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linkedin.com/posts/orthoped…

Wow. Obamacare simultaneously destroyed lower cost independent physicians and maxxed out fraud.

Imagine getting a new cancer diagnosis and being told you can’t even start treatment for two months. I can’t even imagine the agony in waiting That’s what happens in the UK It turns out calling healthcare a “right” doesn’t do much if you can’t actually treat cancer patients.

Sally Pipes @sallypipes

6 days ago

Nearly 30% of British patients wait more than two months to begin cancer treatment after referral. When bureaucrats control the health system, patients are forced to wait. mycentraljersey.com/story/opinion/…

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High hospital prices are the reason your insurance is expensive. They’re the reason you haven’t gotten a raise. They’re almost entirely driven by government policy. We can fix this.

ATR @taxreformer

a week ago

Hospital prices have skyrocketed 281% over the past 25 years; outpacing inflation, wages, housing, and childcare. Meanwhile, government distortions like 340B abuse, provider tax schemes, and bans on physician-owned hospitals have weakened competition and driven up costs for

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Ortho DME Supplier Sentenced to 16 years, Fined $111 Million ryortho.com/2026/05/ortho-…

One of the core failures of the current platforms is that the mechanism for determining what gets seen has nothing to do with whether something is worth seeing. An algorithm optimized for time-on-platform surfaces content that generates interaction. That is not the same as content that is clinically or commercially useful. A post with 200 comments saying variations of the same thing outperforms a post with ten substantive responses from people who actually know what they are talking about. A users feed does not reflect thier preferences becuase the algorithim is not weighted to exclusively prioritize quality. A forum operates on different logic. Content rises because the professional community that reads it finds it valuable. The person with 200 followers who posts a genuinely useful case study reaches the same audience as the person with 20,000 followers who posts something the community considers less relevant. Account size does not determine visibility. The community does. This is not a new idea, it is how professional discourse has always functioned in the settings where it works best. The clinical literature works this way. Peer review works this way. The presenter with the most important case gets the attention, regardless of their seniority or institutional affiliation. Building that logic into a niche, yet diverse platform is what is new.

You have no idea how much more physician capacity would be created if you just take away all the regulations stopping us from building. There is no doctor shortage. There is only a regulation excess.

Palmer Luckey @PalmerLuckey

2 weeks ago

@mcuban The biggest hospitals etc are already running the system more or less as they want. The question isn't what they would do with less government control, it is what kind of competition would spring up. Doctors would be allowed to start/co-own hospitals again, for example.

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Since everyone is talking about how much HR sucks . . . ok we won't be the first company with no HR. But you get my point.

Fight With Memes @FightWithMemes

3 weeks ago

The HR department exists for one reason: to perpetuate the HR department.

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This is the problem with socialism. The answer is always more money. Never a number. Never a limit. Never a point where voters are allowed to ask, after we spent all this, why are the results still mediocre? NYC Public Schools is already running a roughly $44.6 billion budget. Depending on how you count the all in costs, that puts spending in the neighborhood of $40,000 plus per student. That's more than most private schools charge. So what's the amount of money per pupil that will make New York public schools adequate? How much wealth should be redistributed to those Queens teachers to make the system "fair?" We see this in healthcare, too. Any potential cut to Medicaid is dooming poor people to die. @SenSchumer claimed over 50,000 people were going to die if we made even the slightest cut to Medicaid. Fine. Then say the quiet part out loud. What is the target spend per Medicaid enrollee? What happens when spending rises and patients still cannot get care? Let's get those numbers out there, find a way to fairly tax the wealthy to fund the safety-net, and then be done with it. $50k per student per year? $10,000 per Medicaid beneficiary with some age-adjustment? $200,000 per mile of high speed rail track? They can never tell you. One, because they have never run a business before, so they have no idea how to actually look at a balance sheet. But, two, they don't want the money to go to the teachers, students, patients, or choo choo train. They want wealth redistributed from class enemies like Bezos to their political allies. They want to fund things that sound nice. "Free childcare" "Free diapers" "Free Faith Healers" so they can take money from people they don't like and give it to people they do like. But, again because they have never run an actual business and because their only motiviation is to just not fail badly enough to prevent their re-election, the services come in way over budget and under-quality. They're spending other people's money on other people, and as Milton Friedman points out, that's when you stop caring about both price and quality. So the people to whom they promised free stuff look at their free stuff and are disappointed. "I was supposed to get healthcare but now I need to wait a year for my knee replacement." So they blame their class enemies and say "well it would work if we could just take MORE of their money and redistribute it." So they take more money, but the quality doesn't improve. Their political allies, the union bosses and NGO CEOs get big paychecks they then funnel back into their campaigns. And again, and again. Until all the people who actually produce wealth have been taxed into oblivion. You have no more Amazon. No more abundance. Just bread lines and poverty. And that teacher in Queens still isn't getting paid what they are worth.

Mayor Zohran Kwame Mamdani @NYCMayor

3 weeks ago

I know a few teachers in Queens who would beg to differ.

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The red arrow points to hospital prices. The blue points to insurance. There's plenty to criticize about insurance companies, but its you, the hospitals, which are driving prices up. @SalpyKanimian has shown insurance premiums are pass-throughs for the high prices you charge

Texas Hospital Association 🏥 @texashospitals

3 weeks ago

Texans want affordable premiums and deductibles, and dependable, meaningful coverage. Instead, insurers continue to prioritize profits over patients – raising premiums, pushing skimpier plans, and delaying care through prior authorizations – often pointing fingers at hospitals

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It’s a million small annoyances compounded every day that drives doctors to quit. Being condescended to by administrators when we ask for simple fixes to basic problems. “No we won’t replace the broken keyboards in clinic.” “Yes you have to pay for your own translator.” “No you can’t change what note template you use.” “Yes we will refer to you as a provider.” Then when you try to get actual patient care done, it’s even more roadblocks. Can’t get a bed to transfer in a patient. Can’t get OR time. Can’t get working equipment. At some point you become jaded and bitter. You see what your expertise can get in the non-clinical marketplace: often the same money for 10% of the hassle. So you leave and never look back. And there’s one less doctor out there practicing medicine.

Crémieux @cremieuxrecueil

3 weeks ago

Neat new survey: Reasons doctors cite for no longer practicing medicine. The top reasons are that it's stressful, that it's a hassle, and that patients have unrealistic demands.

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orthotw.com/redeem/OTWADV3

Mskceosummit.com An invite only CEO summit in Paradise Valley Arizona on Monday, November 9th 2026. #orthotwitter

The IRS test for tax exemption is “community benefit.” Median nonprofit hospital spends 2.3% of revenue on charity care. For-profit competitors spend 3.8%.