Dr. Daniel F. Lyons | BabyDoc

There is a massive shortage in physicians in the United States. Look at the wait times, the office visit appointment times and how poorly Americans are doing health-wise despite claiming that we have the best healthcare system in the world (we don’t). The better question is: Why aren’t more students in the US seeing a career in medicine and wanting to become a doctor? Here’s my 2 cents: First off how many are smart enough to get into medical school? Not many. Out of them that qualify, how many of them wants to go to school for 14 years AFTER high school. Even fewer. You essentially have to give up all your 20s and most of 30s before you can ‘start’ your career. Meanwhile all of your friends that didn’t choose medicine are 6-10 years into their career and already established. Retirement accounts have a nice lump sum growing, family started, first home purchased and minimal/paid off school debt. On the other hand, medical students will be in $300-500k in debt that they haven’t even begun to pay it down in their mid-30s. Enjoy paying $2-4k a month for then next 10-15 years ‘just’ for education. That’s not for your mortgage, your car, insurance, etc Finally when you graduate from residency and/or fellowship, you get the privilege to be told to see 25-50 patients a day. 5-15 minutes per patient. Enough today hi and then quickly diagnose their issue likely missing plenty of things because the clock is ticking. Don’t forget about the 5-10 minutes per patient that you have to spend on notes. Once you finish your plan and recommendations for the patient, you get to ‘fight’ with the patient’s insurance company to cover said recommendations. Fun. The good news? You get to do it all over again tomorrow! You do this for 50-70 hours a week, barely seeing your family, having the time for exercise and enjoying the fruits of your labor. By the age of 45, still tens of thousands in debt, exhausted and barely being able to stay up to date on all the advancements in medicine you’re burned out. The medical education system is broken and I don’t know if there’s an easy fix. Maybe it’s AI. Hope you enjoy talking to an emotionless computer or robot. In the meantime, appreciate the doctors while they’re still here and willing to help. Before long there won’t be many of us left.

Look, our healthcare billing system is a total mess and desperately needs fixing — no argument from me there. But let's not twist the facts just to stir outrage and rack up engagement. CPT 99460 is not a charge for mom doing skin-to-skin with her baby. There is no code or separate charge for that. 99460 is the bundled code for a healthy newborn's first day: the full head-to-toe physical exam, reviewing mom's prenatal labs and history, and answering every anxious parent question Skin-to-skin? That's completely free, evidence-based bonding we actively encourage because it's one of the best things for mom and baby. Zero extra charge. The real problems are the insane chargemaster markups, administrative bloat, and opaque billing games. Let's call those out instead of inventing new ones.

the hospital you were born in charged your mother $40 for the first time she held you it's called "skin-to-skin contact" and there's a billing code for it. CPT 99460. your mother went through labor, pushed a human being out of her body, and the hospital charged her forty dollars for the privilege of touching her own child this is the same billing system that's destroying your credit score right now a single ER visit generates 15-40 individual line items. each one has a CPT code. each code has a chargemaster price set by the hospital. and that chargemaster is a fictional document that has no connection to the actual cost of anything a bag of IV saline: hospital cost $0.86, chargemaster price $400-$900 a single acetaminophen tablet (tylenol): hospital cost $0.02, chargemaster price $15-$50 a basic blood panel: lab cost $12, chargemaster price $200-$1,100 a CT scan: equipment cost per scan ~$50, chargemaster price $3,000-$10,000 every single one of these inflated charges becomes a "debt" when you don't pay. and that debt gets sold to a collector for 2-4 cents on the dollar. and that collector puts it on your credit report as if you actually owe $47 for a tylenol tablet there are 100 million americans carrying medical debt right now. roughly 1 in 3 adults. it's the #1 cause of collections on credit reports and the #1 reason people file bankruptcy in this country and most of it is made up numbers from a document nobody was supposed to see the play: for any medical bill over $1,000, ALWAYS request the itemized bill first. not the summary bill they send you (one big number designed to scare you into paying). the line-by-line itemized version with CPT codes for every charge google each CPT code against the fair market rate at fairhealthconsumer.org. compare what the hospital charged versus what the procedure actually costs in your geographic area. you will find overcharges on almost every bill. sometimes 3x. sometimes 10x once you have the itemized bill, call the hospital billing department and say this: "i'm reviewing my itemized charges and i've identified several line items that significantly exceed fair market rates for my area. i'd like to discuss an adjustment before this goes any further. i also want to confirm whether i qualify for your financial assistance program under your charity care policy" every nonprofit hospital in america (which is most of them) is legally required to have a financial assistance policy under Section 501(r) of the Internal Revenue Code. if your income falls below a certain threshold relative to the federal poverty level (usually 200-400% FPL), the hospital must reduce or eliminate your bill entirely. they are required by law to have this program and required to tell you about it most don't tell you about it. because every dollar you pay in full is a dollar they don't have to write off if the bill has already gone to collections: the collector bought inflated chargemaster numbers for pennies. they can't produce the original itemized bill. they can't explain the CPT codes. they can't verify the charges are accurate. they bought a spreadsheet send the validation letter under FDCPA 809. demand the original itemized statement with CPT codes, the payment history showing insurance adjustments, and proof the remaining balance is accurate after all insurance payments and contractual adjustments collectors almost never have this level of documentation for medical accounts. the hospital sold the debt and moved on. the paperwork went with it a woman came to us with $67,000 in medical collections across three hospital visits. we requested itemized bills for all three. found $23,000 in duplicate charges, upcoded procedures, and facility fees that were already included in the surgeon's bill. disputed the collections using the itemized discrepancies as evidence. two collectors couldn't validate at all. the third settled for $4,200 on a $31,000 account she went from $67,000 in medical debt to $4,200 in total payments. her score went from 541 to 718 in 90 days. she bought a house 6 months later the hospital charged your mom $40 to hold you. and they'll charge you $50 for a tylenol today. and they'll put both on your credit report if you don't pay. and they'll sell it for pennies to a collector who'll harass you for years the entire system runs on your ignorance. the billing, the collections, the reporting. every layer depends on you never looking at the itemized charges and never questioning the numbers we look at the numbers. we question everything. and we get the bullshit off your credit report. link in bio

Hello Senator Thune, Let's expose what you're really doing with "reconciliation." You announced it yesterday, eleven months after the House passed the SAVE America Act. You're not trying to pass this bill. You're trying to kill it in a way you can blame on process. Here's how we know: Reconciliation requires the Senate parliamentarian to rule that provisions are "budgetary." Citizenship verification is not budgetary. Photo ID mandates are not budgetary. The parliamentarian will gut the bill. Then you'll shrug and say "we tried." We see through you. Meanwhile, you WON'T use the tools that actually work: Rule XIX limits each senator to two speeches per legislative day. Keep the Senate in continuous session, file cloture daily, and the filibuster exhausts in ~12-20 days. You dismissed it as "complicated." Because if you tried and succeeded, you'd have to actually pass the bill. Harry Reid nuked the filibuster in 2013 when he wanted results. Mitch McConnell changed Senate rules THREE times and canceled the August recess. Chuck Schumer used reconciliation within months on a 50-50 Senate. You have 53 seats. You've changed nothing, canceled nothing, and waited eleven months. Now let's talk donors: • Goldman Sachs: $150K to you - top H-1B user • Google: $75K - lobbies against E-Verify • Meta: $72.5K - Zuckerberg's FWD[.]us pushes mass immigration • Wells Fargo: $90K - banks undocumented immigrants Same corporations sponsor Punchbowl News, where you sit for "Fly Out Days" which nobody watches except Congress staffers and K Street lobbyists who pays premium bucks for legislative intelligence. Their reporter then telegraphs to the audience the SAVE Act "will ultimately fail." Corporate money flows to you AND to the outlet that frames your inaction as inevitable. We see the loop. You called grassroots anger a "paid influencer ecosystem." YOU are the paid influencer. You take the wrong side of a 80% issue because you are indistinguishable from a K Street mouthpiece, and an ineffective one to boot who won't bend the rules to get anything passed. What we want: 1. Force a real talking filibuster. 2. Stop hiding behind process. 3. Pass the SAVE America Act. YOU will become the reason that we will have our butts kicked in midterms. Not Candace Owens, not Nick Fuentes, not anyone else. You and you alone, and all because you want to make the 200 or so viewers of Punchbowl Fly Out Days happy. You're living in a K Street information bubble, addicted to the comforts and praises of lobbyists masquerading as journalists. You mistake the steak and martini dinners you get invited to as your own constituents. You are not "moderate." The SAVE America Act has 98% support among Republicans. Name one other thing that has 98% support. You are an extreme minority who prides himself on being a calm leader, when in reality you are well in the running for the most ineffective Majority leader of all time. Prove me wrong. Do the bare modicum of effort. Not symbolic. Actual effort. Cancel the recess. Get SAVE America Act passed.

At 95, I'm still smokin'! 😝 I’ve learned two things: Never waste a good cigar. Never trust anyone who says you should ‘act your age.’ 😉👍🏻

The golden age of America is upon us.

Let me say this more directly and with a little more precision than I usually do. The reason I am talking at all like this is that no one inside has asked me not to do so with a credible ask. Here goes: I don’t know if we have made alien contact. But there is a mountain of indirect evidence that is all but impossible to explain otherwise. There is a mountain of fabricated BS mixed in with it. We deliberately produced copious BS to hide whatever the reality is. There is no explanation for the first mountain of real indirect evidence having given us no hard evidence. That is the puzzle I can’t solve. I admit that. Ultimately this secret involves the hardest of the sciences: Mathematics, Biology, and Physics. I do not believe the String Theory story of “The Only Game In Town” is remotely possible. It’s just too dumb. I believe string theory is harmless. The thing that doomed us was TOGIT. TOGIT is the soft sunset program the Biden @WhiteHouse discussed with @pmarca and @bhorowitz. It cuts off all oxygen to anyone who challenges the decision to seal all our best Professors into the intellectual sarcophagus of modern QuantumGravity so they cannot threaten our national interest. Then the lid is glued shut with Peer Review, Elsevier, h-indices, impact factors, arxiv moderation, jstor, loyalty oaths, DEI, deans, HR, etc to ensure no escape takes place. I believe that since May 4th, 1969, there has been a move to relocate the open science (particularly physics/mathematics) on which National Security depends OUTSIDE universities because top professors are seen as subverting NatSec. I believe that James Schlesinger will come up in this discussion and that the Mansfield amendment was completely misportrayed as a peacenik move. It was about soft sunsetting the brilliant but stubbornly independent professors like Leo Szilard, Steve Smale, Alexander Grothendieck, Phillip Morrison, Linus Pauling, etc I believe that the attempt to do hard basic science in National Labs, Comoany Labs, Aerospace companies, Hedge funds, High security university affiliates (Draper, Lincoln, JH Applied Physics Lab, etc), think tanks, etc was NOT as successful as hoped. I don’t believe that the Government cracked physics. At all. I also believe there is some secret scientific knowledge kept from theorists in universities. I just don’t believe it is that much. But I’m more open to being wrong on that than 2 years ago. Still find it hard to believe. I believe Jeffrey Epstein’s covert operation was trying to spy and recruit scientists based on the belief that certain areas of science when dark. I believe Epstein’s puppeteers were obsessed with Gravity for good reason. They wanted to know if there was US secret scientific knowledge of post-Einsteinian, post-spacetime engineering. Which is wildly smart. I believe the El Paso NOTAM wasn’t about Cartel Drones at all. I don’t think it was about Texas or the Border either. I believe it was another name for highly sensitive areas of New Mexico north of West Texas. Look at a map. I believe we talk too much about Florida and Little St James. I believe New Mexico as home to Sandia, Zorro, Roswell, Los Alamos, Trinity, Bill Richardson, etc unites the UFO, Epstein and “Strange Death of Physics” Stories. I believe @pmarca and @bhorowitz are truth tellers. That may even be the key. I believe this is about disturbing secrets which people used to kill for, and this is going to be a LOT less ‘fun’ than people used to recreationally speculating about 👽 and UFOs imagine. 🙏

Dragon is docked with @Space_Station

@DataRepublican Wow… fantastic article… I honestly never considered that perspective and it is more worrying

The deep AI fakes are becoming a problem.

Tap to monitor the situation.

@OptionsBuffett Trade

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Nicolas Maduro had his chance — until he didn’t. The Trump Admin will always defend American citizens against all threats, foreign and domestic. 🇺🇸🦅

I support this 💯

Because they aren’t actually news organizations, they are legacy media propaganda pushers for the far left

CNN Reporter CONFRONTS Nick Shirley & it Backfires Spectacularly:

@RedEagleUpdates Yes, full stop.

🚨BREAKING: Do you support The Supreme Court banning dual citizens from holding office in the United States? YES or NO?

Geez, here I was thinking tonight’s Oval Office address was going to be @realDonaldTrump telling America he was repealing the 16th amendment and not have us pay federal taxes anymore. Merry Christmas everyone.