Sanjay S. Dhall

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Sanjay S. Dhall

Sanjay S. Dhall

@ssdhall

Chief, Division of Neurosurgery, Harbor UCLA Medical Center Professor of Neurosurgery, UCLA Vice President, California Association of Neurosurgeons

Torrance, CA Beigetreten Nisan 2026
46 Folgt182 Follower
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Real Doc Speaks
Real Doc Speaks@realdocspeaks·
This needs to be on a Times Square Billboard! 50% of health care spending is going to hospitals. The majority of which pay no taxes, and their version of community benefit is: 1. Paying the CEO $30 million 2. Suing patients for unpaid bills that qualify for their Financial assistance policy 3. Opening up offshore investment funds 4. Sponsoring professional sports teams 5. Closing down less profitable service lines like labor and delivery units 6. Putting the 340B money into the general fund 7. Lapping up the facility fees 8. Spending more money on administration than patient care 9. Having zero fear that the IRS will pull their nonprofit status There is NO justification for a hospital system to own hospitals across state lines!
Heath Veuleman@HeathVeuleman

Hospital care hit $1.635T in 2024 (31% of total NHE), but that undercounts the real footprint ✨significantly✨ With hospitals & health systems now owning/employing ~47% of U.S. physicians, they control a massive slice of the additional $1.11T in physician & clinical services too - pushing their total influence on healthcare spending well beyond the $1.6T headline. Note that’s just the physicians and clinical services category. They own in every NHE category - that spend is never quantified correctly. Vertical integration changes the math.​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​ Hospitals and health systems control ~49% of the total healthcare spend. It’s enormous.

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The Doctor’s Lounge Podcast
Dr. Sanjay Dhall on Trauma, Medical Training, and the County Hospital That Doesn’t Bill This week, Drs. DiGiorgio and Koka are joined by returning guest Dr. Sanat Dixit and special guest Dr. Sanjay Dhall, chief of neurosurgery at Harbor-UCLA and a leading spinal cord injury researcher. Dr. Dhall traces his path from a "commando shift" in a Houston trauma bay as a pre-med student to running solo trauma call at Grady Hospital as a young attending, then discusses the strange reality of his current institution: a major county hospital that doesn't bill professional fees or for implants, leaving millions on the table. The conversation moves through hospital alignment under for-profit versus non-profit models, the Christopher Duntsch case and what it reveals about resident training and the GME system, Dr. Dhall controversial Wall Street Journal letter on NIH indirect costs, and a guideline fight over early surgery for spinal cord injury that got him removed from a neurosurgery executive committee. The episode closes with a wide-ranging discussion on AI and robotics in surgery — what they might realistically take off physicians' plates, and what they almost certainly can't replace. Chapter Markers 00:00 Welcome and introducing Dr. Sanjay Dhall 01:49 From a Houston "commando shift" to a trauma bug 05:10 Running Grady's trauma service solo as the only neurosurgeon 09:25 The unsupervised resident era and its billing aftershocks 14:03 Harbor-UCLA doesn't bill for neurosurgery profies — or implants 19:44 How county hospitals account for six-figure implant write-offs 24:30 Fiduciary duty, taxpayers, and the case for billing aggressively 28:00 Drug rep economics at county hospitals 31:10 Comparing Cleveland Clinic, Mayo, and the county model 34:29 The "color-coded sticker" idea and the bureaucratic mindset 37:59 For-profit alignment vs. "non-profits functioning as for-profits" 43:24 The Devi Shetty suture story and physician-driven cost control 44:13 Physician ownership, conflicts of interest, and carve-out hospitals 46:00 Jefferson's neuro hospital and the private anesthesia advantage 48:45 The Christopher Duntsch case and a failure of training oversight 52:10 How does an incompetent surgeon make it through residency? 56:04 Troubled personalities in neurosurgery training 1:00:04 Work-hour restrictions and the self-selection of old-school neurosurgery 1:02:29 Is dissent tolerated in academic medicine anymore? 1:06:31 Inside NIH indirect costs — where 40-60% of grant money goes 1:10:19 The spinal cord injury guideline fight and getting removed from committee 1:13:44 Burnout, call coverage, and the safety net argument 1:20:27 Will robots ever do neurosurgery? 1:23:11 AI for administrative burden vs. AI in the OR 1:28:34 The pilot analogy, a ruptured aneurysm story, and the limits of automation Co-Host Handles @anish_koka and @drdigiorgio Show Handle @drsloungepod Subscribe Links Spotify: open.spotify.com/show/44vw8eirs… Apple Podcasts: podcasts.apple.com/us/podcast/the… YouTube: @TheDoctorsLoungePod" target="_blank" rel="nofollow noopener">youtube.com/@TheDoctorsLou
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Anish Koka, MD
Anish Koka, MD@anish_koka·
There are county hospitals that don’t bill for neurosurgical services or neurosurgical implants. The taxpayers are very generous. 🤯 @ssdhall @DrDiGiorgio @sdixitmd
The Doctor’s Lounge Podcast@DRsLoungePod

Dr. Sanjay Dhall on Trauma, Medical Training, and the County Hospital That Doesn’t Bill This week, Drs. DiGiorgio and Koka are joined by returning guest Dr. Sanat Dixit and special guest Dr. Sanjay Dhall, chief of neurosurgery at Harbor-UCLA and a leading spinal cord injury researcher. Dr. Dhall traces his path from a "commando shift" in a Houston trauma bay as a pre-med student to running solo trauma call at Grady Hospital as a young attending, then discusses the strange reality of his current institution: a major county hospital that doesn't bill professional fees or for implants, leaving millions on the table. The conversation moves through hospital alignment under for-profit versus non-profit models, the Christopher Duntsch case and what it reveals about resident training and the GME system, Dr. Dhall controversial Wall Street Journal letter on NIH indirect costs, and a guideline fight over early surgery for spinal cord injury that got him removed from a neurosurgery executive committee. The episode closes with a wide-ranging discussion on AI and robotics in surgery — what they might realistically take off physicians' plates, and what they almost certainly can't replace. Chapter Markers 00:00 Welcome and introducing Dr. Sanjay Dhall 01:49 From a Houston "commando shift" to a trauma bug 05:10 Running Grady's trauma service solo as the only neurosurgeon 09:25 The unsupervised resident era and its billing aftershocks 14:03 Harbor-UCLA doesn't bill for neurosurgery profies — or implants 19:44 How county hospitals account for six-figure implant write-offs 24:30 Fiduciary duty, taxpayers, and the case for billing aggressively 28:00 Drug rep economics at county hospitals 31:10 Comparing Cleveland Clinic, Mayo, and the county model 34:29 The "color-coded sticker" idea and the bureaucratic mindset 37:59 For-profit alignment vs. "non-profits functioning as for-profits" 43:24 The Devi Shetty suture story and physician-driven cost control 44:13 Physician ownership, conflicts of interest, and carve-out hospitals 46:00 Jefferson's neuro hospital and the private anesthesia advantage 48:45 The Christopher Duntsch case and a failure of training oversight 52:10 How does an incompetent surgeon make it through residency? 56:04 Troubled personalities in neurosurgery training 1:00:04 Work-hour restrictions and the self-selection of old-school neurosurgery 1:02:29 Is dissent tolerated in academic medicine anymore? 1:06:31 Inside NIH indirect costs — where 40-60% of grant money goes 1:10:19 The spinal cord injury guideline fight and getting removed from committee 1:13:44 Burnout, call coverage, and the safety net argument 1:20:27 Will robots ever do neurosurgery? 1:23:11 AI for administrative burden vs. AI in the OR 1:28:34 The pilot analogy, a ruptured aneurysm story, and the limits of automation Co-Host Handles @anish_koka and @drdigiorgio Show Handle @drsloungepod Subscribe Links Spotify: open.spotify.com/show/44vw8eirs… Apple Podcasts: podcasts.apple.com/us/podcast/the… YouTube: @TheDoctorsLoungePod" target="_blank" rel="nofollow noopener">youtube.com/@TheDoctorsLou

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Sanjay S. Dhall
Sanjay S. Dhall@ssdhall·
85% of doctors refuse to join said "doc group"
Vic Mellor For Congress RI@VicMellorForRI

🚨 The healthcare establishment is getting nervous. This week, the American Medical Association elected a new president who has pledged to aggressively oppose many of the reforms being advanced by RFK Jr. and the Make America Healthy Again movement. Why? Because MAHA isn't protecting the status quo. It's challenging it. For decades, the same institutions, committees, and bureaucracies have controlled healthcare policy while costs soared and chronic disease exploded. Now that Americans are demanding transparency, affordability, prevention, and patient control, the gatekeepers are fighting to protect their turf. That should tell you something. As a founding member of the Great American Health Alliance, I've been working alongside healthcare reform leaders from across the country to advance a patient first healthcare agenda. Our plan expands Health Savings Accounts for all Americans, increases price transparency, lowers prescription drug costs, and allows healthcare dollars to be spent on prevention, fitness, nutrition, wellness services, and other tools that help people stay healthy in the first place. The cheapest healthcare is the healthcare you never need. Instead of rewarding a sick care system, we should be empowering Americans to take ownership of their health and their healthcare dollars. When powerful institutions start pushing back this hard, it's worth asking why. The status quo is working for someone. It just isn't working for the American people. Rhode Island families deserve affordable healthcare, transparent pricing, and a system focused on prevention, not just prescriptions. Rhode Island First. 🇺🇸 — Vic Mellor

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