dlogsdon22

@TomSteyer This is not who California needs. Dear god.

California: The man who brought you $8 gasoline would like you to vote for Steve Hilton.

@AmyMek Beautiful reminder of true joy

My beautiful friend, who is battling cancer, sends me inspirational messages every single day. While she is fighting for her life, she spends her days trying to make everyone around her feel loved, cared for, and inspired! This was today’s video she sent me of a girl (Maddie) she loves listening to... Remember, every one of us gets to choose: are we going to let the dark swallow us, or are we going to run toward the light and multiply it? I am blessed to have incredible warriors for good in my life. Please pray for her.

@TheRojasReport We should apply the stark laws to law makers

The Chairman of Ways and Means took $592K in healthcare money last cycle. His top donors include Amgen, AHIP, Aetna, and the AHA. But sure, he’s focused on “market-based reforms.” Nice work Missouri. waysandmeans.rojasreport.com/member/jason-s…

@nayibbukele Need a cardiac surgeon?

We’re building the best healthcare system in the world.

@noahkaufmanmd @KaufCare Looks good man.

Big day. Really coming together. @kaufcare let’s bring medicine back to the basics. Patient and doctor. We don’t need anybody else. Opening this coming Monday in Denver Colorado.

UPDATE: The legislator who proposed this bill is Mia Bonta, the wife of Attorney General Rob Bonta. The Attorney General of California's wife is trying to silence me and other journalists who are exposing fraud. Are your donors mad they are being exposed?

@noahkaufmanmd @DesireeAmerica4 What problems are you seeing?

@DesireeAmerica4 These things are way more dangerous than MDMA OR Psilocybin. We see problems with these in the emergency department all the time.

A 17-year-old Texas cheerleader is dead, and the cause of death is a “lifestyle.” Now her family is filing a wrongful death lawsuit. Larissa Nicole Rodriguez had no pre-existing conditions. No drugs. The medical examiner was clear: her heart enlarged and failed from massive caffeine overload caused by drinking Alani Nu energy drinks every day. These companies market a “better-for-you” wellness vibe while selling 200mg stimulant bombs to kids chasing focus and performance. No clear daily limit. No bold warnings for minors. Just inconspicuous text that acts as a legal shield. Parents, read the fine print. The system isn’t going to protect your kids, it’s going to invoice them.

On the helicopter leaving the ship right now. This planet is impossibly beautiful from every altitude I’ve seen it…surface to 250,000 miles

@DrJMarine I would disagree. These guys plus Shumway ushered in an era of cardiac surgery that no one thought was possible.

This an archetype of physician-surgeon egomaniac that needs to go into the ash bin of history. Fauci cut from the same cloth. Every medical school has a few of them, and that needs to change. The coronavirus pandemic disaster should usher in an era of medical humility.

@txsportsdoc 💯

Perspective matters. What is getting a second chance at life worth? The Cardiovascular Surgeon who made this happen was the lowest paid in the whole process. Probably 4-6 hours of surgery and maybe was paid a few thousand dollars. That CT surgeon trained for at least 15 yrs to be able to do this. The system will pay this same CT surgeon more, to perform varicose vein procedures in their office. In fact, performing bypass surgery won’t pay a CT surgeon enough to maintain a private practice. The hospital on the other hand,was likely paid several hundred thousand. Thanks for sharing your story Ed. Hope your next chapter in life is even better☺️👊

@SalaryDr I wouldn’t change. Cardiothoracic surgery. It’s possible to have the time you desire when you build the practice right.

If you could redo residency with pay-to-lifestyle ratio as your only criteria — what specialty would you choose?

@OckhamsRazor4 @CharlesLutzMD Money is the problem. ACA with stark laws have made it illegal for doctors to own hospitals.

@CharlesLutzMD Heck I could never own my present home with the paltry amount I earn nowadays

For me was 4 years of college, 4 years of medical school, 5 years of general surgery with 2 years of research so 7 total, and 2 years of cardiothoracic fellowship…. The training was great but was a different era. My first real job was at age 35. And I can’t own a hospital with my colleagues?!

@CharlesLutzMD And you were in the top of your class throughout. AHA, AMA, an ACA have been a complete service to physicians

@noahkaufmanmd How accurate is Skriber

@dan_logsdon_ Charm and Skriber AI

It’s funny. Now that I’m opening my own clinic, I’ve never wanted to practice medicine more! No more hospital administrator looking over my shoulder. No more dealing with insurance. I get to make all of the decisions, and I’m barely going to have to touch a keyboard or a mouse. I just get to take care of patients which is my fundamental calling. It’s unreal, and I can’t tell you how excited I am to finally practice medicine on my own terms!

@DrDiGiorgio @DRsLoungePod I was told my inpatient needed another updated h&p…delayed my surgery while coding a type A in the Cath lab

Did an emergency crani in the middle of the night for a young girl with an epidural hematoma and a blown pupil. Got scolded by an administrator the next day for failing to include a 10-point review of systems in my H&P.

@america Too bad this is only a fraction of the fraud. Must be pretty bad if Bonta is actually considering prosecuting

California Attorney General Rob Bonta announces a hospice fraud bust in Los Angeles County, uncovering a scheme that defrauded Medi-Cal of $267 million. “It is unacceptable. It is illegal, and we will not stand for it.”

👀 creepy

@RepLuna @NancyMace Term limits

I am sick of serving in Congress with immoral freaks who abuse their office and bring dishonor to the institution. Congress is rotted to the core and it needs a complete overhaul. The American people deserve better than this.

The most expensive parts of your healthcare bill are the things Americans, at large, never learn or hear about. Some accounts on @X are trying to make you angry at your doctor. Not at the system that owns your doctor. Not at the hospital network that sets the prices. Not at the insurer that controls what gets paid. Not at the academic medical center that pays no taxes while dominating the market. Your doctor. Here’s what happens when you actually follow the money. Physician compensation is roughly 8% of total U.S. healthcare spend. CMS publishes this annually. We spend about $17,000 per person. That leaves roughly $15,600 per person elsewhere. Start there. Not with blame. With understanding… Go ahead and ask about price transparency. Hospitals have been legally required to publish negotiated rates since 2021. Most don’t. Enforcement is weak. A functioning market requires prices. Healthcare has been allowed to operate without them. Ask about facility fees. Same physician. Same procedure. Same outcome. But when a health system acquires the practice, the billing entity changes, reimbursement jumps 2–3x, and nothing else changes. Ask about consolidation. Academic medical centers and large nonprofit systems have spent decades acquiring physician groups, outpatient sites, and regional hospital networks. Not because care improved. Because pricing power did. Once they dominate a geography, they don’t compete on price anymore. They set it. Health systems used the facility fee differential as a weapon. They acquired 60% of independent physicians in 16 years. Ask about Certificate of Need laws. Regulations that restrict new hospitals and surgery centers from opening. In practice it means limited new entrants, protected incumbents, and controlled supply. Competition is not absent by accident. It is constrained by design. Ask about Medicare Advantage and system-owned insurance. Many large nonprofit and academic systems now operate Medicare Advantage plans, Medicaid managed care organizations, and narrow-network products including systems that also employ the physicians and own the facilities. They increasingly control both sides of the transaction. Ask about UnitedHealth Group. $370 billion in revenue. Both a payer and the owner of the largest physician network in the country through Optum. Same system. Different roles. Ask about 340B. A drug pricing program designed for safety-net patients. In practice, a revenue stream embedded inside large hospital systems unrelated to patient-level subsidy in most cases. Ask about the organizations that define the rules. CMS payment design. Site-of-care differentials. Reimbursement schedules that reward system ownership over independent practice. None of this is visible to the patient. All of it is visible to the system. Every time, the same answer. “It’s the doctors.” This is not confusion. Confused people ask questions. These accounts don’t ask questions. They deliver verdicts. That is the difference between someone trying to understand a system and someone paid to protect it. Your doctor trained for a decade to keep you alive. That is not an accident. That’s the job…