Dave Lemox
3.2K posts
Dave Lemox
@DaveLemox
Just because I may disagree with you, that does not mean I am against you. / Medicare broker who believes it's a stupid system. End the ACA & Political Parties!
Katılım Haziran 2009
687 Takip Edilen468 Takipçiler
Leave it to Palmer…
How does a $4,300 MRI and a $430 MRI live on the same road?
In a functioning market, buyers assess quality, convenience, access, and outcomes.
If the $430 MRI is clinically adequate, the $4,300 MRI does not survive on price.
That is mean reversion!
Healthcare avoided it for decades because patients were blinded, employers were intermediated, and health systems hid behind negotiated rates.
Actionable price transparency ends the magic trick.
Once buyers can see the spread, the market starts asking the only question that matters:
Why are we paying ten times more for the same scan?
Palmer Luckey@PalmerLuckey
@mcuban Yeah, that is why we need to let the free market compete and get the government out of healthcare.
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Congress banned new physician-owned hospitals to protect patients from lower infection rates, lower prices, better outcomes, and doctors who answer the phone.
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@DaveLemox @Gabe__MD @realdocspeaks How do people not know by now that Tom Frieden is the biggest pharma whore around?
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Why would you renew a medication without seeing the patient, reviewing vitals, and performing an exam?
Otherwise, you could renew a blood pressure medication that is failing, and the patient could have a CVA.
This is part of being a physician, and telehealth doesn't replace physicians.
Dhruv Vasishtha@dvasishtha
It feels extremely bottom of license for PCPs to do quarterly / semi-annual telehealth appointments to represcribe chronic meds that patients have been taking for years on end. It's why I really do hope for the doctronic pilot in Utah to proceed --> make it easy for patients to refill rx and let docs do higher value work.
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@realdocspeaks As my dad used to say: “Don't confuse him with facts, his mind is made up.”
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This was supposed to occur with the ACOs under the ACA. Maybe you didn't get the memo, but it didn't work out the way it was sold to us.
Gabe Wilson MD@Gabe__MD
And since you raised the concern about strokes from unmonitored blood pressure: South Korea reduced stroke deaths by 87%. From 248 per 100,000 in 1990 to 32 per 100,000 in 2023. HTN control went from roughly 5% to 60% of adults. They did ***not*** achieve this by requiring more physician office visits. They achieved it through systematic population-level management. A unified insurance system tracking who was in care and who was not. Standardized single-pill medication combinations. Free medicines for low-income patients. Performance measurement on whether blood pressure was actually controlled. The system did the work. The physician exam was ***not*** the variable that drove the outcome. Systematic monitoring and medication adherence were. Tom Frieden, former CDC director, published the full analysis this month. He called it the most impressive progress against cardiovascular disease he has seen in four decades of global health work.
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And since you raised the concern about strokes from unmonitored blood pressure:
South Korea reduced stroke deaths by 87%. From 248 per 100,000 in 1990 to 32 per 100,000 in 2023. HTN control went from roughly 5% to 60% of adults.
They did ***not*** achieve this by requiring more physician office visits. They achieved it through systematic population-level management. A unified insurance system tracking who was in care and who was not. Standardized single-pill medication combinations. Free medicines for low-income patients. Performance measurement on whether blood pressure was actually controlled.
The system did the work. The physician exam was ***not*** the variable that drove the outcome. Systematic monitoring and medication adherence were.
Tom Frieden, former CDC director, published the full analysis this month. He called it the most impressive progress against cardiovascular disease he has seen in four decades of global health work.
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@DutchRojas Did they choose to fail, or did they assume money would come from somewhere (the government)?
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Every single one of these hospitals could “make” it. They chose to fail.
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The rural hospital closure story is usually told like a hostage note.
“Give us money or the town loses care.”
Fine. Let’s talk about money.
But first show me the books.
Show me the service-line margin.
Show me the payer contracts.
Show me physician leakage.
Show me supply costs.
Show me revenue cycle performance.
Show me labor productivity.
Show me who actually understands the cash conversion cycle.
If the answer is “we need Congress,” you may have already told me the problem.
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Lack of accountability and transparency are key drivers of healthcare costs in California. We have the ability to fix that with a single-payer system.
Katie Porter@katieporterca
We have zero transparency in healthcare costs in California. Doctors blame private equity, hospitals blame Big Pharma, and Pharma blames the insurers. This lack of accountability allows for $70 Tylenol bills and $700 consultation fees for a 15-minute appointment. Single payer — known in California as CalCare — ends the games. It will deliver the highest quality and most cost-effective care to the most people.
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What does a single-payer healthcare system get us?
✅Better quality of healthcare
✅More Californians covered
✅Lower costs
That's what Californians deserve.
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@MattMahanSJ Scrap it! Use the money for other things...like our roads.
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It shouldn't cost more to get to Modesto than it costs to get to the Moon.
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@ErikWemple The NYT is in no position to point fingers or lecture other media. smh
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In an appearance before a press-rights group in New York this evening, New York Times Publisher A.G. Sulzberger had some pointed words for his peers atop U.S. media organizations.
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The DNC's available cash on hand would pay for around 1 week of Tom Steyer ads.
Rob Pyers@rpyers
NEW: The Republican National Committee outraised the Democratic National Committee $18.6 million to $11 million in April. The RNC ended April with a $123.9 million to $14.4 million cash on hand advantage over the DNC (not including the DNC's $17.5 million in debt)
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@txsalth2o @PamelaEvette @realDonaldTrump @henrymcmaster You could post this about half the republican party.
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My late father told me, “Don’t complain about something you’re not willing to fix.”
That’s why I stood with President @realdonaldtrump when few would, and why I said "yes" when Gov. @henrymcmaster called me to serve as Lieutenant Governor.
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While the other candidates in this race can't give a clear answer as to whether or not they support single-payer healthcare, let me be clear: I do, and I will work with the legislature to implement it as Governor.
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@txsalth2o @QuiverQuant You really thought they were smarter than this?
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@QuiverQuant It doesn't limit squat and it’s Elizabeth Warren’s bill.
Common guys I thought you were smarter than this.
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BREAKING: The House has passed a housing affordability bill.
It limits Wall Street’s ownership of single-family homes.
Just 13 votes against it, all Republicans.
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@katieporterca Trump’s an idiot, but he's not the reason. Let's start with the ACA and non-profit hospitals.
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It's no secret that Trump's attacks on health care have increased costs, hurt working families, and put us all at risk. I'll fight these attacks as Governor and work with the state legislature to build a healthcare system that protects Californians.
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The Sacramento status quo keeps failing people like my parents: teachers, mailmen, working people.
Spending is up 75% over the last 6 years, and your life hasn’t gotten any easier. Let’s build housing, suspend the gas tax, and make life a little cheaper.
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