R.Block,MD

If you are a physician and don’t realize our profession is dead, you haven’t been paying attention.

@jl_penguin1 @jalexa1218 There for the grace of God go any of us.

@jalexa1218 Yes yes. Make the dude who banged his dead brother’s wife and taped himself smocking crack with hookers while selling kindergarten art for millions the standard bearer for the party. Nominate him in 2028!

The Hunter Biden interview with Andrew Callaghan should honestly send shockwaves through Democratic Party politics. His honesty and accurate read on all the players who enabled Trump's rise is refreshing and the party needs more of that energy.

@allenanalysis The acceptance rate for Veterans to Harvard is less than 1%. But for foreign nationals almost 30%. For shame. Shame on Harvard. Shame on YOU supporting this

Ever notice how the more educated someone is, the less likely they are to fall for Trump’s nonsense? Harvard students just cheered as their university announced it’s suing Trump. When knowledge shows up, the con falls apart.

@MSNBC @PabloTorre did you really say that students should pay through the nose to get a college education because in the end it’s worth it. Harvard takes almost 30% of studs for other countries. Why? $$$$ American Univ should put Americans first. Bigger than Trump’s issues.

BREAKING: Trump administration seeks to end all Harvard contracts nbcnews.com/politics/trump…

@Bubblebathgirl @trackingdonald Just pay Qatar for the plane. Have the Americans own it. Period

@trackingdonald Nope: “The plane will then be transferred to the Trump Presidential Library Foundation no later than Jan. 1, 2029, and any costs relating to its transfer will be paid for by the U.S. Air Force, the sources told ABC News.”

President Trump has accepted this luxury 747 from Qatar for use as Air Force One. He got this beast for the US for free. Democrats are complaining.

@golfmom_3 @MargauxPeckLaw @Jules31415 @LiquidData She is calling us out. Get it. Another democracy telling the US we aren’t acting like one. Sad. What a disappointment!!!!

@MargauxPeckLaw @Jules31415 @LiquidData Why would a Canadian care what we do?

JD Vance nails the Abrego Garcia issue in one minute: "I just disagree with the idea that he hasn't been offered due process. He had a couple of immigration hearings; he had a valid deportation order... ...I think there's actually a deeper issue going on, which is that you see some radical judges at the district court level who are trying to layer so much "process" on top of the immigration system that it makes it impossible to function. We have over 20 million illegal aliens in the United States of America—are we not allowed to deport them? Because if we're not allowed to deport them, then what these district courts are saying is fundamentally, they reject the will of the American people as it was expressed in November 2024."

@BillAckman @realDonaldTrump Another question: How did we get to place where we were trading with countries imposing unfair tariffs on the USA? Who benefited to allow this?

The country is 100% behind the president on fixing a global system of tariffs that has disadvantaged the country. But, business is a confidence game and confidence depends on trust. President @realDonaldTrump has elevated the tariff issue to the most important geopolitical issue in the world, and he has gotten everyone’s attention. So far, so good. And yes, other nations have taken advantage of the U.S. by protecting their home industries at the expense of millions of our jobs and economic growth in our country. But, by placing massive and disproportionate tariffs on our friends and our enemies alike and thereby launching a global economic war against the whole world at once, we are in the process of destroying confidence in our country as a trading partner, as a place to do business, and as a market to invest capital. The president has an opportunity to call a 90-day time out, negotiate and resolve unfair asymmetric tariff deals, and induce trillions of dollars of new investment in our country. If, on the other hand, on April 9th we launch economic nuclear war on every country in the world, business investment will grind to a halt, consumers will close their wallets and pocket books, and we will severely damage our reputation with the rest of the world that will take years and potentially decades to rehabilitate. What CEO and what board of directors will be comfortable making large, long-term, economic commitments in our country in the middle of an economic nuclear war? I don’t know of one who will do so. When markets crash, new investment stops, consumers stop spending money, and businesses have no choice but to curtail investment and fire workers. And it is not just the big companies that will suffer. Small and medium size businesses and entrepreneurs will experience much greater pain. Almost no business can pass through an overnight massive increase in costs to their customers. And that’s true even if they have no debt, and, unfortunately, there is a massive amount of leverage in the system. Business is a confidence game. The president is losing the confidence of business leaders around the globe. The consequences for our country and the millions of our citizens who have supported the president — in particular low-income consumers who are already under a huge amount of economic stress — are going to be severely negative. This is not what we voted for. The President has an opportunity on Monday to call a time out and have the time to execute on fixing an unfair tariff system. Alternatively, we are heading for a self-induced, economic nuclear winter, and we should start hunkering down. May cooler heads prevail.

@LighthouseDPC @txsportsdoc @SurgeryCenterOK Bo

@SurgeryCenterOK would disagree with you. I disagree with you. I got a patient a Ventral Hernia Repair for $2,500 cash and he drove 3 hours each way to get it. The local hospital wanted $9,000. The way you are practicing is dying. People are smart and expect better. Transparent Pricing makes sense. It’s a law that’s going to be enforced. The way you overcharge is the reason Health Insurance is so expensive in the first place. Aren’t you angry when you buy something then find the same thing for half price somewhere else? Of course you are. That’s how our patients feel. Healthcare is in collapse. It can’t be sustained. Adapt or die.

Had pt today who had surgery, doing well happy with results and was placed in a brace. Spouse insisted I refund them part of their share of cost of brace cuz they found “similar one” on Amazon. I was taken back esp after been worn a few weeks and now comes up,were insistent. This is kinda stuff that begins to burn u out after 20yrs. Pay 2k for ins,5k deductibles but the surgeon doing the surgery and supplying a brace at very reasonable cost gets shaken down. I gave them what they wanted,u know if I don’t they will: Leave a bad review or in TX file a complaint with Medical Board and then I’ll spend thousands and months defending myself since TMB says must investigate every claim. This is the stuff wearing down docs. #MedTwitter #orthotwitter #orthox

@LighthouseDPC @txsportsdoc @SurgeryCenterOK We go to medical school and are required to do CME. No one teaches this or requires it. The blaming the doctor for everything has to stop. Physicians can’t be responsible if we aren’t educated in it. Jeez they make me take narcotic education every two year This doc is fine

Who knows who contributes to the Competitive Enterprise Institute who defend PBM as 'free Market'? As you can see on their tax forms, they have contributors who give $2.8 million, $1.6 million, and 9 other contributors in the six figures (there are 2 pages of unidentified contributors) cei.org/wp-content/upl… 4/5 🧵

I know about PCMA, the lobby group for PBM, but I did not know about The Competitive Enterprise Institute (CEI), who are also defending PBM as 'free market' so I did some looking. They are a non profit who has lobbied with $2million over the last several years and collects $10 million in revenue each year, from what I could find 100% is from contributors. Who contributes? 3/5🧵..... cei.org/wp-content/upl…

It's tough for me to see PCMA, CEI and Sen Toomey calling PBM 'market based', when they help themselves to medicaid money, through something called the 'spread', collect kickbacks (also non transparent) which creates a monospony ... a series of monopoies among pharmaceutical products, and cause the shutdown of independent pharmacies. Last time I checked in the Bible of free market capitalism, monopolies, kickbacks and anticompetitive behavior were not Included 2/5 🧵 Here is article in #BucksCounty Courier Times where pic is from phillyburbs.com/story/opinion/…

@calvinisasmith Bottom line it doesn’t work. Makes profits from cancer victims.

@DutchRojas Not sure about this explanation. They can only profit about 20% of premiums and thus cannot deny more claims than 20%. If the amount spent on premiums goes up, their 20% profit goes up.

I appreciate your medical expertise and insights! Let me share something crucial from 25 years in healthcare finance. Most physicians I've worked with haven't been exposed to the coverage side of healthcare - and that knowledge could really strengthen private practices and physician-owned hospitals. Quick breakdown on how coverage works: Yes, denials DO generate revenues. Here's why: • Carriers must spend 80-85% on patient care (except self-funded plans) • Each denied claim helps them hit these ratios and generate revenues. • PBMs aren't bound by these rules, so drug denials = revenues. Different rules for different plans: - Individual/small group: 80% to care - Large group/Medicare Advantage: 85% to care - Self-funded employer plans: Different system entirely Self-funded plans are interesting - the TPAs generate fees by processing claims, not denying them. Understanding this side of healthcare isn't just about business - it's about being better equipped to serve patients and run sustainable practices.

@JamiePollo56820 I don’t. I wish he turn in his MD and leave my profession. Disgrace.

@DutchRojas I greatly respect Dr. Prasad, but you are correct Dutch.

@VPrasadMDMPH Set in stone. My ass. So you admit UHC made “profits” on people with cancer facing bankruptcy.

Their profits are set in stone by the affordable care act. They actually make more money if they provide more health care. They are just trying to buffer year-to-year variability. And in fact many things that require prior authorization are of low value.

I see people are retweeting this in the wake of the assassination. That's in poor taste. Glaucomflecken is not actually a student of health policy. He doesn't understand insurance. Denying coverage does not increase their profits. That idea may have gotten someone murdered. Sad

@GaryGol88424403 @BehizyTweets Let’s just throw out the Constitution. Jeez Is this the admin game plan. Circumvent the checks and balances For shame

@BehizyTweets Force them to vote and if they reject any nominee, have Johnson call for a recess. The Senate will refuse and Trump can legally adjourn Congress to make his recess appointments.

Am I hearing this right? 6 GOP Senators aren't planning to vote to confirm Pete Hegseth? He can only afford three. What does Trump have to do to get someone confirmed? Must he nominate a fat lesbian biracial woman to get all Republicans on board? I'm PISSSEDD RIGHT NOW.

@realdocspeaks @Jikkyleaks Not the issue. USA treats MDs like 💩 Docs won’t stay not matter how many graduate. No respect High burnout rate High suicide rate Don’t get sick.

@BuzzPatterson @DefiyantlyFree Sounds like a Democracy. 😂

@DefiyantlyFree Block everything Biden wants to do other than move the hell out of the White House.

@DutchRojas The GOP had the both houses and the Pres. They didn’t repeal it.

The first order of business. Repeal all laws that encourage and directly result in the consolidation and vertical integration of healthcare. Repeal of the moratorium on physician-owned hospitals to increase supply of hospitals and competition. It’s time for physicians to take action. Call, email, and drive the legislative agenda. The results: Patient satisfaction, Physician autonomy, Lower insurance premiums, Transparent prices, Removal of preauthorizations, And Higher-quality outcomes…

@elonmusk “They found” meaning it is being monitored and regulated.

True

@Out5p0ken How about the wealthy South Americans and Europeans who get the same tax breaks as Americans when buying priorities raising the cost for all of us? The wealthy “undocumented” that no one discusses. Why? &$$$. But hurts the middle class

How much do you think undocumented immigrants pay into Social Security? And how much Social Security do undocumented immigrants receive? Finally a video on this topic talking directly to MAGA — 👇🏼