David Gomez

@mcuban You’re still a middleman.

We are just getting started. As our volumes go up, our prices go down. And we are adding more branded meds and soon more specialty meds. If you use humira, stelara or other meds that have biosimilars, we are most likely far cheaper than what you or your company pay now

@thematthewcooke Let me know if you want a complete insider perspective on healthcare. It’s broken. It’s a house of cards designed by those who care nothing for those they profess to serve.

I'm building a massive information resource on survivorsguidetoearth.com If you’re short on time, Solutions (docushorts), Explainers, and the Survivors Kit provide what we've found to be the most succinct explanations and answers to the major questions of our time.

@DiscourseAceiv @catturd2 @FmrRepMTG Why wouldn’t China and Russia help Iran, it’s been a proxy war ever since Korea. We do the same thing. How is everyone surprised? The pearl clutching is so sophomoric.

@catturd2 @FmrRepMTG I think her heart is in the right place but she is discounting the possibility that China has assisted Iran w/nukes & increasing their missile range capabilities. She is right though, Trumps message was not appropriate, our President needs some lessons in decorum .

On Easter morning, this is what President Trump posted. Everyone in his administration that claims to be a Christian needs to fall on their knees and beg forgiveness from God and stop worshipping the President and intervene in Trump’s madness. I know all of you and him and he has gone insane, and all of you are complicit. I’m not defending Iran but let’s be honest about all of this. The Strait is closed because the US and Israel started the unprovoked war against Iran based on the same nuclear lies they’ve been telling for decades, that any moment Iran would develop a nuclear weapon. You know who has nuclear weapons? Israel. They are more than capable of defending themselves without the US having to fight their wars, kill innocent people and children, and pay for it. Trump threatening to bomb power plants and bridges hurts the Iranian people, the very people Trump claimed he was freeing. On Easter, of all days, we as Christians should be reminded that the son of God died and rose from the grave so that we can be forgiven once and for all of our sins. Jesus commanded us to love one another and forgive one another. Even our enemies. Our President is not a Christian and his words and actions should not be supported by Christians. Christians in the administration should be pursuing peace. Urging the President to make peace. Not escalating war that is hurting people. This NOT what we promised the American people when they overwhelmingly voted in 2024, I know, I was there more than most. This is not making America great again, this is evil.

Hey brother, it’s not false. Those are clearly first responders on scene. I’ve been involved in plenty of codes both in and out of the hospital. There’s a critical window for chest compressions to recirculate oxygenated blood prior to the cardiovascular event. At some point, you also need to provide ventilatory support or cool the patient to help prevent metabolic acidosis and reduce the risk of anoxic brain injury.

@DrClaireEmma @iNMedTechLLC @dom_lucre False.

🔥🚨DEVELOPING: This man in Dubai fell out from a heart attack the emergency response showed up within minutes with an advanced CPR machine called LUCAS 3 chest compression system by Stryker and revived the man.

@DrClaireEmma @JD4239 @dom_lucre Absolutely, if someone is starting an IV on him and running ACLS protocols then they also need to be providing ventilation support.

@JD4239 @iNMedTechLLC @dom_lucre That’s only true for non-professional, first responders. People still need Oxygen it’s just that it’s more important to start compressions immediately.

Excessive pricing in healthcare is not accidental — it is structural. Providers often pay inflated costs through GPO contracts in exchange for a share of rebates, which function as off-the-books revenue used to insulate hospitals from lowest paying government CMS reimbursements. Meanwhile, hospitals withhold transparent pricing data from the very patients whose care they manage, despite full knowledge of the labor costs involved in delivering that care and supply chain costs for products required for care. Supply chain contracts remain deliberately opaque, obscuring the flow of money and enabling systemic graft. These pay to play contracts also screw the free market and innovative companies. Reform requires several targeted interventions. First, eliminate existing safe harbor protections that shield these arrangements. Second, adapt the GPO model to collect a market access fee structured as follows: a 2% fee for domestic companies manufacturing in the U.S. or in TAA-compliant regional facilities, and a 5% fee for foreign-manufactured or imported goods originating outside of Canada, Mexico, the Caribbean, and Central or South America. Revenue generated would offset systemic costs and fund meaningful industry improvement. Finally, mandate full supply chain transparency: contracts, pricing, and rebate flows, so that the true cost of care can be seen, measured, and regulated.​​​​​​​​​​​​​​​​ Fixed. Just not for those who graft.

Why aren’t any of these at risk hospitals publishing their full accounting so everyone can see where they spend their money ? All but one group of hospitals that I have looked at potentially investing in, spend so much on consultants and fees that it’s no wonder they are at risk Plus, I have NEVER seen an industry that is worse than hospitals when it comes to buying medications and items like implants, screws, other devices. They overpay for everything. And then when you show them how to save money, their “supply chain” employees resist any change. They are so set in their ways, it’s a shock more don’t go out of business. Prove me wrong.

Haha. No one has conducted a real hospital cost report audit since 2004 or 2005. Why would anyone expect serious oversight when it comes to tracking where tax dollars actually go? The government should get out of healthcare entirely: no payments, no subsidies, nothing. Its involvement undermines the free market, invites widespread fraud, and comes with almost zero real accountability. The proper role of government is to regulate the market with smart rules and tools, not to act as the lowest payer or distort prices through cost-shifting.

I will repeat as a 3+ decades healthcare lawyer. Where were the federal HHS OIG and state fraud investigators while this degree of fraud, waste and abuse (FWA) was being conducted? OIG audits hospitals, physicians and even health plans on a regular and systematic basis. How could FWA at this level have been missed by both federal and state investigators whose sworn jobs is to audit and recover FWA?

@DrOzCMS Then you need to run hospital cost report audits and completely eliminate safe harbors for GPOs and PBMs.

CMS believes there’s about $100 billion in definable fraud, waste, and abuse across our country. If we can remove the fraud, waste, and abuse in Medicare, we will double the life expectancy of the Medicare trust fund.

Justice Clarence Thomas worked as a corporate attorney for Monsanto from 1977 to 1979, where he handled legal matters including pesticide registration. This historical tie has fueled long-standing ethical debates because Thomas has repeatedly refused to recuse himself from Supreme Court cases involving the company's patented seeds and the health risks of glyphosate, often authoring or joining opinions that favored his former employer. All you need to know. Calley is a charlatan.

@calleymeans Still gave immunity to glyphosate producers.

Today, CMS issued a memo to every hospital telling them to stop serving sugary drinks + inflammatory processed food to patients or risk federal reimbursement. Bold, common sense action that will save lives. We are anxiously awaiting how the media spins this negatively.

@dccommonsense Congress is in the Cuck Chair 🪑

One of the most fascinating aspects of what the presidency is now...able to take us to war on the whims of a single person…is that almost no one defends the overall idea. Everyone seems to understand it's a bad long term change to the system. Yet here we are.

Injecting further tax revenue into an already dysfunctional and corrupt system would be catastrophic, likely hastening the United States' insolvency. The government should exit the healthcare sector entirely; by acting as the lowest payer, they have fundamentally distorted the market and forced cost shifting, all while allowing industry graft to flourish without oversight. Who knows, perhaps it’s a deliberate application of the Cloward-Piven strategy. They break it, then say only they can fix it. To restore integrity to the healthcare system, we must eliminate Safe Harbor protections and remove intermediaries like GPOs and PBMs. Create goods and services transparency. We should prioritize frontline clinicians over corporate administrators by halting the reduction of RVUs and redirecting resources to actual care. Furthermore, rigorous HHS audits of hospital cost reporting are essential (not done in 20 years), alongside a total ban on non-compete clauses for caregivers to ensure labor mobility. We should capture the existing GPO 'pay-to-play' revenue stream and redirect it to support the healthcare industry directly. By reclaiming these administrative fees, we can completely offset taxpayer expenditures and transition the system toward self-sufficiency.

Single payer COULD cut cost and improve care but there are 2 fundamental issues. 1. All plans proposed have placed the Sec of HHS in charge of the program. You can't have a political appointee in that position and it's hard to de-politiicize HC in this country 2. They assume that they can get providers and specialists to accept whatever rates they set. You are talking about organizations that in most cases, don't even know their costs. Why ? They don't want to know their costs. For lots of reasons to long to dig into here Proponents of M4A have to first get hospitals to the point where they can define all their costs and do a Bill of Materials for procedures. You can't negotiate a price for all Americans if you don't know what your costs are It's Shark Tank 101. So we get a stalemate. Politicians don't do the work needed. Hospitals and providers avoid the work needed Other countries started on their path to universal care decades and decades ago. When healthcare was much simpler technically and fiscally. If senators won't support the Break Up Big Medicine Bill or anything comparable , there is no chance of getting to single payer. Our politicians don't have the backbone to do what is needed. You can call out all but Hawley and warren. No one else has uttered a syllable in support

@RealFoodRina After listening to Michael Pollan on Rogan this weekend, he even stated experiments that certain plants are impacted by general anesthesia (my specialty), which was a bit mind blowing. It means they have nervous system, even if rudimentary by our standards.

What are vegans going to do when they find out plants have consciousness

So, are you disclosing that Trump Jr is a beneficiary of this graft? In February 2025, Donald Trump Jr. joined the Board of Directors of BlinkRx. This came shortly after his investment firm, 1789 Capital (where he is a partner), led a $140 million Series D funding round for the company as the lead investor. So thanks for touting yet again, the family business.

Trump ends Biden’s drug price nightmare — Americans get real relief with TrumpRx foxnews.com/opinion/trump-…

@DutchRojas @RepEricBurlison And for God’s sake, eliminate Safe Harbors for corrupt GPOs and PBMs.

@RepEricBurlison Then why don't you fix it? 1) Walk down to HHS and demand site-neutral payments, 2) Ask your colleagues to remove the moratorium on physician-owned hospitals, and 3) Enforce price transparency. This is easy stuff, man.

Affordability is the issue. Health care costs are out of control and homeownership feels impossible for a lot of younger Americans. Reconciliation 2.0 is a chance for Republicans to actually deliver. No excuses. Go big or go home.

@POTUS kids are too busy grafting. Their VC buddies are getting drone contracts. The Don Jr is on the board of BlinkRx, grafting off TrumpRX. So much graft going on, and none of them EVER served this nation in uniform. They take from those who have. Celebrating them or their family is a ruse. He couldn’t even take off the tacky dime store hat to honor our fallen Vets. He has to draw attention to himself, rather than the flag that draped our fallen’s coffin. Never thought about leaving the GOP until recently.

@SenMullin @SenateGOP Where are YOUR sons/daughters @SenMullin @POTUS

Our men and women in uniform are serving our country with honor, bravery, and selfless sacrifice. To the parents and families of our beloved U.S. service members in harm’s way during Operation Epic Fury— we are praying for you and with you. Freedom is not free.

Another Josh Pirestani classic “Ever wonder why real PBM reform never seems to happen? Independent pharmacies close. Patients pay more. Employers get crushed by rising drug costs. Everyone agrees the system is broken. Yet meaningful reform somehow always stalls. Why? Because the companies that benefit the most from the current system also happen to be some of the most powerful lobbying forces in healthcare. When billions of dollars are at stake, influence follows the money. And while policymakers debate, the reality on the ground doesn’t change: • Pharmacies keep closing • Patients keep paying more • Employers keep absorbing rising costs Meanwhile, the middlemen keep getting bigger. Sometimes the reason things don’t change isn’t because the problem is complicated. It’s because too many powerful interests benefit from keeping it exactly the way it is. This is why things don’t get done. #PBMReform #DrugPricing #HealthcareTransparency #IndependentPharmacy #HealthcarePolicy”

@LindseyGrahamSC It’s because of your idiotic mouth. Your big mouth has done more damage than you know. Can’t for the life of me understand why people in SC vote for you.

The American Embassy is being evacuated in Riyadh because of sustained attacks by Iran against the Kingdom of Saudi Arabia. It is my understanding the Kingdom refuses to use their capable military as a part of an effort to end the barbaric and terrorist Iranian regime who has terrorized the region and killed 7 Americans. Question – why should America do a defense agreement with a country like the Kingdom of Saudi Arabia that is unwilling to join a fight of mutual interest? Americans are dying and the U.S. is spending billions to dislodge the terrorist Iranian regime that threatens the region. Meanwhile, Saudi Arabia seems to be issuing statements and doing things in the background that are marginally helpful, but unwilling to participate in military operations to end the reign of terror coming out of Iran. Hopefully Gulf Cooperation Council countries will get more involved as this fight is in their backyard. If you are not willing to use your military now, when are you willing to use it? Hopefully this changes soon. If not, consequences will follow. nytimes.com/2026/03/08/wor…

@MichaelAlbertMD How about skin cancer risks for someone who obviously loves to tan🤦🏻‍♂️

I’m sorry, but I disagree with this decision. We seem to operate under the assumption that physicians are responsible for fixing every aspect of society, which is unrealistic. First, we already have trained professionals in nutrition—dietitians. Yet we consistently underpay them and fail to provide adequate access to their services. While physicians receiving 40 hours of nutrition education isn’t inherently a bad idea, delivering the behavioral interventions required to meaningfully change diet often takes hours of patient engagement. In the current system, many physicians are fortunate if they can spend 5–10 minutes with a patient a few times per year. The problem is not that people are unaware they should eat more fruits and vegetables. The larger issue is that the food system itself heavily subsidizes and incentivizes highly processed foods. Structural changes to that system would likely have a far greater impact than physicians repeatedly telling patients to eat more fruits and vegetables. At some point, we need to acknowledge the limits of what can realistically be addressed within a brief clinical encounter. It’s all so exhausting.

@econliberties @SenSchumer Yeah but he’s refused to eliminate Safe harbors for corrupt GPOs. #termlimits #feckless

WATCH: @SenSchumer is leading colleagues in introducing legislation to break up dominant meatpackers that are squeezing producers and gouging Americans. "To create more competition, we have to break the stranglehold of these monopolistic corporations."