Mark Thomas
2.1K posts
Mark Thomas
@marktom59
Retired medical doctor. Watching all y'all.
Katılım Ekim 2022
373 Takip Edilen270 Takipçiler
Preach Palmer. Physician-owned hospitals have been shown to provide more cost-effective care with better outcomes.
Yet we were banned from ownership by…you guessed it - the government vis a vis Obamacare.
Palmer Luckey@PalmerLuckey
@mcuban The biggest hospitals etc are already running the system more or less as they want. The question isn't what they would do with less government control, it is what kind of competition would spring up. Doctors would be allowed to start/co-own hospitals again, for example.
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@mcuban @NephronPharm demand => physician education/conferences
price setting => pay Charles River Associated to figure it out for you (whatever the market will bear)
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@__kayhan @NephronPharm Go ahead and call those specialty pharmacies. See what happens
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@ShellyBeck20 Do you really think that the insurance companies would offer better choices to individuals than they do your employer ?
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Flip it so that we are their customers vs consumers. Make insurers chase us as individuals, not our employers.
End employer mandates and incentivize employers covering premiums for each employee to purchase their own insurance.
Mark Cuban@mcuban
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 ?
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@DoctorTokuhara @mcuban Do you think they care enough to fight? The battle is now on several fronts. Limited license practitioners have taken over.
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@marktom59 @mcuban @marktom59 Fair question. Twenty years ago the system was already drifting this way, just less visibly. I still think medicine can be rebuilt around patient care, but it will take physicians and patients refusing to accept the current incentives.
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We accept that elite athletes can’t perform forever under extreme pressure. Yet many people expect doctors to absorb nonstop stress for decades without burning out.
Mark Cuban@mcuban
If you want more doctors doing house calls, not selling their practices and going to work for the big HC conglomerates, make public med school free. A little gov intervention, so that rather than having 100s of thousands in debt guiding their decisions , they can do primary care or be a family physician and spend as much time with patients as they want. They can take cash. They can take chickens. If you had 250k after almost a decade of school, do you think that would impact your decisions ? And if you own a big HC conglomerate, does knowing they are drowning in debt impact your decision and how you compete and contract with them ? Fuck yeah it does. You pressure them till they have to sell out to you in an acquihire. They can’t afford to survive on their own and every huge HC company takes advantage of them About 32k students enter med school and DO school a year. 75k for a grant each. Thats 2.4b annually for each class. That’s it. You want better healthcare for everyone. That’s the place to start.
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@mcuban @PalmerLuckey Keep fighting the fight. Soon you will have enough experience and knowledge to present reasonable ideas to congress.
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Yeah. That won’t work. The biggest players are vertically integrated and too big to give a shit. They keep competitors out (like my companies ) , set pricing and the rules and could not give a shit about outcomes.
Sounds great as a concept. But ideology is not a healthcare strategy.
You break them up. Then you may be able to start to pull gov out at some levels.
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No chance it would. When there is regulatory capture, huge conglomerates effectively define the prices and rules. Not government.
They would love to have government out of the way. They are so big, with so many subsidiaries, they could whatever they want.
And it wouldn’t be to the benefit of patients.
Matthew Bednarik@BednarikMatt
@mcuban @GovBillLee Or just let the free market compete and get the government out of Healthcare. A free market would inevitably lead to lower costs for consumers.
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@mcuban @calisurfsup Not unusual. I was self employed (MD) my out of pocket was $43,000.00 a year for my wife and I. Basic medical coverage. No pharmacy, no vision, no dental. No choice.
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@calisurfsup From your employer ? And if so, how many employees ?
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I pay $1,138.00 per month for my wife and I with a $6,000. deductible each, $10,000 max out of pocket per year means we pay $23,000 before insurance kicks in.
This is not insurance. It's a rip off.
Mark Cuban@mcuban
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 ?
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@mcuban @DoctorTokuhara Where were you 20 years ago? I’m grateful for your words and thoughts, but not hopeful for the future. Yet.
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@DoctorTokuhara I certainly don’t expect that. I want doctors to make the choices they want to make , rather than based on their personal balance sheets
I prefer my doctors taking Wednesday off for golf and making more than the hospital for surgeries
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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 ?
Matthew Bednarik@BednarikMatt
@mcuban @GovBillLee Or just let the free market compete and get the government out of Healthcare. A free market would inevitably lead to lower costs for consumers.
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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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Nonprofit hospitals are amazing.
They make no profit.
They just accidentally end the year with billions.
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@mcuban I did house calls for 30 years. Great way to practice good medicine. I was $250,000 in debt, but free to practice as I wanted.
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If you want more doctors doing house calls, not selling their practices and going to work for the big HC conglomerates, make public med school free.
A little gov intervention, so that rather than having 100s of thousands in debt guiding their decisions , they can do primary care or be a family physician and spend as much time with patients as they want.
They can take cash. They can take chickens.
If you had 250k after almost a decade of school, do you think that would impact your decisions ?
And if you own a big HC conglomerate, does knowing they are drowning in debt impact your decision and how you compete and contract with them ?
Fuck yeah it does.
You pressure them till they have to sell out to you in an acquihire. They can’t afford to survive on their own and every huge HC company takes advantage of them
About 32k students enter med school and DO school a year. 75k for a grant each. Thats 2.4b annually for each class.
That’s it.
You want better healthcare for everyone. That’s the place to start.
Mark Cuban@mcuban
@MarkGabriele22 @DrDiGiorgio They can open up their own practice and do whatever they want. No one is stopping them. This is exactly how the direct primary care business has grown so quickly.
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@RxRegA We are missing an enormous amount of data from FDA and CDC. Not just vaccine related, but antibiotic resistant MRSA related to Neosporin and OTC triple antibiotic ointments. FDA and CDC used to be reliable partners.
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In what world does FDA's Head of Biologics allege that possible/probable vaccine-related pediatric deaths were missed, only to be found in a retrospective analysis, and nearly 6 months later we still do not have a clear public reconstruction of what occurred in real time, with details emerging piecemeal through a Senate investigation?
And even under the most skeptical interpretation — that this was an aggressive retrospective review with debatable attribution judgments — I still don’t understand how the public follow-through and institutional accounting have been this incomplete.
FDA initially indicated a fuller report would be coming in December. How is it acceptable to leave questions of this magnitude hanging without a clearer public resolution? What is going on?
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Over the past couple of decades, citrus greening has been devastating for America’s citrus growers, especially in Florida where citrus production is down 95% since the early 2000s, but the corner has finally been turned with exciting new technology that was just approved by the Trump EPA! I was in Florida yesterday with the state Farm Bureau to discuss the big news. tapinto.net/towns/pompano-…
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@AppletoZucchini @urgencyofnormal @US_FDA Audacity is not welcome in bureaucracies. Unless you are a presidential candidate…
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Tracy is one of the most principled & audacious people I know. We met during Covid school closures & mandates- her research on mitigations was 2ndto none. We launched @urgencyofnormal to get masks off kids & she is in my film 15 DAYS. We have lost a great scientist at @US_FDA😭.
Tracy Beth Høeg, MD, PhD@TracyBethHoeg
Today marked 6 months as head of CDER at @FDA & today I was fired I’m incredibly grateful to have had this opportunity to serve this country & proud of the work we did FDA staff are smart, talented, supportive & don’t get enough credit I learned so much & leave with no regrets
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@shipwreckedcrew The Hatch Act is toothless, meaningless and never enforced. It’s rage bait.
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You sticking with that??
Is that your final answer??
You might want to look into whether Cabinet Secretaries are treated differently than career civil servants and members of the SES.
Stick to radio.
And delete this post so your idiocy is not widely exposed.
Tom Nichols@RadioFreeTom
A violation of the Hatch Act, among so many reasons that it’s a bad idea.
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@Surgeon_General I’m sorry, but that was meaningless gobbledygook. You did not say anything.
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Millions of Americans live with infection-associated chronic conditions and illnesses, including long COVID, ME/CFS, and Lyme disease–associated chronic symptoms; conditions that are often debilitating, misunderstood, and under-recognized.
In a new Clinical Infectious Diseases viewpoint, CAPT Iskander and Dr. Haridopolos of the Office of the U.S. Surgeon General call for making these “invisible illnesses” visible through patient-centered care, stronger surveillance, multidisciplinary management, and continued research investment.
The article emphasizes the importance of validating patients’ lived experiences while advancing evidence-informed care to improve outcomes for people living with these complex chronic conditions.
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There are more hydrogen atoms in a single molecule of water than there are stars in the entire Solar System!
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Rare disease drug for ANCA vasculitis may be both
❌ ineffective (FDA asked for it to be withdrawn but Amgen refused)
*AND*
❌ toxic (20 fatal liver reactions)
The Wall Street Journal@WSJ
Kissei Pharmaceutical, which sells the rare immune-disease drug in Japan, warned doctors to stop prescribing it to new patients. on.wsj.com/3RfjR1s
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