Brian Gantwerker, MD, FAANS, FACS 🟧🇮🇱

Spine surgeons see problems from many different angles. That is why it’s prudent to get more than one opinion. But be wary of surgeons who use high pressure tactics to get you to sign up for surgery when no other methods have been tried. #trustyoursurgeon

@DutchRojas @SacksDisa Yes. Exactly. Funny how everyone ignores the 49 other states. Or the president manipulating markets to make money. But yes. Fraud. It’s weird blaming a state for being successful in attesting industry. You’d think that was a capitalists wet dream. Huh.

The state does not “house” industry. It has captured it. A decade ago, people wanted to live there and none of it had to do with the government. Most educated people assumed the government did their jobs. As we have learned they grifted, committed fraud, and stole. There are no excuses for fraud.

California found the expandable word in Medicaid: Health. Once “health” includes housing, meals, bikes, scooters, gym memberships, art lessons, music lessons, and student loan repayment, the program stops being a safety net and becomes a vendor factory. Sacramento expands the definition. Taxpayers in the other 49 states cover the bill.

@DutchRojas @SacksDisa The state houses the industry. The tech sector and income tax generate the revenue true. People want to live here. Lots of other places to live if you don’t like it. We live in the state, generate the revenue, and choose to live here. You are parsing. We pay to live here. Gladly

@cscla @SacksDisa It is not California. It has always been entrepreneurs who built value for the world. States can’t co-opt that and say it’s theirs. States produce absolutely nothing.

@jzaraterod @AmandaSeitz ☝️

@AmandaSeitz Did the patient consent to non-medical observers in the room?

For those with questions still on the robotic hands & RFK Jr., a good description here in this thread 👇

Consent is the key issue here. Not the only issue. But the most important issue. You cannot even have non physicians OBSERVE let alone sit at the console without patient consent. Full stop. In my OR a non clinical person (observer) must have patient consent to be there.

@DutchRojas It also the theme of my presidency - "Make No Small Plans "- Daniel Burnham, Architect, Planner - responsible for the modern layout of the Greatest City in the World

@cscla I was on the campus of Oral Roberts today. There was a poster, this was on his desk.

Make no small plans here.

💥NEW: James Carville *RIPS INTO* his own party over rising antisemitism💥 “This antisemitic stuff is SICKENING, man! And it’s a REAL problem! … And it’s getting WORSE.” “I don’t want to be part of a political party that tolerates hatred — or sometimes encourages it.”

@DrDiGiorgio uh

I think they forgot to include us…

@HeartOTXHeartMD @DrMarthaGulati 🤩🤩🤩🤩

Happy birthday to my friend, @DrMarthaGulati ! Glad that you’re a Texan now!

Saying the ACA is the sole reason we are in this crisis is like saying the reason your stuff is missing from your car is because you dared to park it on the street. It’s taken a lot of cronyism and lobbying money to keep the status quo.

Crediting Dr. Oz with being a scientist is funny. In 2003, Dr. Oz was banned for 2 years from presenting research at the American Association for Thoracic Surgery conference. A CMS Administrator who is allegedly a surgeon who lost his privileges to perform surgery. Top tier!

@DrDiGiorgio @ssdhall 🥨

@cscla @ssdhall What?

Democrats designed a system that was destined to fail and then democrats used COVID to pass a temporary measure to sustain the system. But somehow it’s the republicans fault.

@ssdhall @DrDiGiorgio I would argue some government help with necessary to set things up. If we’ve been done the right way, and the government would’ve stepped away, then we would’ve been fine. Again, the problem is the insurers and hospitals with outsize lobbying ability. Thanks to citizens United.

@cscla @DrDiGiorgio You are correct about the insurers and the AHA. But wouldn’t you agree that their sweetheart deal was the result of govt meddling ?

@DrDiGiorgio @ssdhall And yet project 2025 Said it would do that. Checking my watch and so far nothing’s changed other than people losing coverage. They had to CMS has made Insurance come in pinky swear to be better about prior authorization. And We have a charlatan in charge of hhs 👍#winning

A cartel needs some way to stop competitors from entering and undercutting them. The only way they can do that is with government. With a free market, there's no way they can stop competition. “Someone will always have their thumb on the scale” is not an argument for giving the scale to the government. It is an argument for letting patients and physicians walk away from bad actors. In a market, the “thumb” can be defeated by exit, competition, new entrants, cash pricing, direct care, transparency, and substitution.

@ssdhall @DrDiGiorgio So basically you’re all plan there is no plan. Makes perfect sense.

@cscla @DrDiGiorgio The last time there was a plan

@ssdhall @DrDiGiorgio In healthcare it’s a race to the bottom. Tightter and tighter margins. No subsidies. Where is the motivation to do that from The insurers or the AHA? They willingly just give up all that government cheese? Maybe we can ask them real nice or pinky swear again.

@cscla @DrDiGiorgio Nobody makes money in a free market ?

@ssdhall @DrDiGiorgio But wait I thought potus had a plan. Isn’t that that government? So the government has to Interfere in any scenario. Who’s gonna do it? Superman? Black Adam? Homelander? Space Ghost?

@cscla @DrDiGiorgio Now that govt broke healthcare we need more govt to fix it ? What are the scariest words in the English language again ?

@DrDiGiorgio Apparently your party disagrees with you. Apparently they want lots and lots and lots of laws.

@cscla Yeah that’s exactly what I said