Neil Floch MD

The New York Knicks just played the most dominant 10-game stretch in NBA history, and it's not even remotely close

Physicians are not resistant to change. We are resistant to being changed by people who have never taken care of a patient.

The ACA banned new physician-owned hospitals because the Obamacare law was written by an insurance industry insider who was intent on controlling physicians by changing the payment dynamics and diverting profits to the insurance industry verticals.

The ACA banned new physician-owned hospitals because doctors owning hospitals was dangerous. Luckily, health systems owning doctors, labs, imaging, surgery centers, insurers, pharmacies, and Congress is perfectly safe.

In 2014, I began my NP career with a small, democratic EM group that valued my role and actively invested in ensuring my clinical competency. Today, the landscape has shifted. Private equity-backed groups are hiring new grad NPs (many online trained 😬) and throwing them straight to the wolves with zero safety net. It leaves unprepared clinicians floundering, which is a massive liability for patient safety.

If I have to see an NP instead of a real doctor, I want a 50% discount on my bill This is quite the racket healthcare providers have devised. Most of the time you go to the “doctor“ you’ll never see a doctor at all. You’ll see a nurse practitioner. But they’ll still bill you as if you had seen a doctor. Even though the nurse practitioners are far less educated and trained, and paid much less.

Ok. Take government completely out of healthcare. No rules. No laws. No Medicare. No Medicaid. Hospitals, insurance companies, can do anything they want. What do they do ? If you were running any of the biggest insurance companies or hospitals, what would you do differently once gov was completely out of healthcare ?

Physicians keep saying the same things. Private equity took advantage of us. Venture capital stole our ideas. The government hates us. Health systems get paid more than we do. Fine. What did you build in response? UnitedHealthcare, Cigna, Blue Cross, and the largest health systems in America do not care about morality. They care about rails. Systems. Flow. Precision. Lobbying. Data. Capital. Captives. Contracting power. They engineered the track. Physicians are still arguing from the grandstands. That is why you are getting lapped.

We cannot allow a fat gap. Several countries that have never become obese like America has are going to skip it entirely and forever be skinny, even as they get rich. America must catch up. We need an easy-to-use, low-cost generic GLP-1, and we need it fast.