MROGA

@ASTRO_org will never address this issue, lest it target the very institutions home to much of its leadership. It's shameful reuters.com/article/us-hea…

@drbeckta @gv_lazcano You're selling a product people need less of with reimbursement cuts and hypofrac and you have a veritable monopoly/weak duopoly. Story checks out

@gv_lazcano Oh they definitely are. The Varian name can be found in the same trash bin as "Quality Control". These things don't contribute to a 10% ROI.

When Siemens acquired Varian, I think they forgot to include a quality control program. If anyone over in Palo Alto wants some advice on torque tension and crush washers, hit me up!

@drbeckta (JK 100% with you on this, where an entire Seinfeld episode came from)

Dear dentists: Please stop asking me for "clearance" in patients who get radiation to the pelvis. There are no teeth down there.

@SprakerMDPhD @HardenedBeam @RadiumSociety x.com/i/status/12051…

@HardenedBeam @RadiumSociety I’ve noticed. I think it says a lot and is very interesting that ChatGPT is friendly but OpenEvidence is not. Regardless, screenshot was taken today and is blatant misinformation from a very prominent cancer brand.

In a few weeks, Ill be at @RadiumSociety debating why unrestricted social media is a great thing for patients and physicians. Reason #1: "Trusted" sources will routinely tell white lies to advance their priorities. Patients deserve to fact check them!

@HardenedBeam @toddscarbrough

@toddscarbrough Any job that makes you babysit a linac is not worth having. Go where you have freedom.

This would be more supervision than general supervision which is the current CMS mandated level of external beam supervision for hospitals since 2019 which is a level that requires no MD physical (or eyeball) presence, ever

@5_utr @lemmiwenks Astro has had some pretty dense "choosing wisely" points over the years. My personal favorite was avoiding imrt in breast

@lemmiwenks Talk about doing zero research 🤦 Choosing Wisely is backed by 70+ medical societies worldwide — not ‘Astro’s lie.’ Maybe the real threat to healthcare isn’t evidence-based guidelines, it’s people who tweet before they Google. Stay mad tho. 🫡

Astro pushes the utilization lie with “choose wisely” when it the extorionistic pricing of its controlling institutions that is destroying health care.

@WCInvestor Never makes sense to buy within first 5 years. Let the job stabilize. If you buy don't let your practice know

I am continually fascinated by the burning desire among graduating medical students and even residents—and particularly their spouses—to purchase a home as soon as humanly possible despite having a net worth of -$200,000 or -$300,000+. For many, owning a home is a signal to themselves and others that they have finally “made it.” Combine that signal with heavy marketing from the real estate and mortgage industries, and we see far too many doctors purchasing the wrong house at the wrong time and at the wrong price. At what point did or would you buy your first home? Did or do you feel pressure to buy?

@EvanThomas84 @US_FDA The best candidates for focal prostate RT are the ones who would be best for active surveillance

Wow… this device was given an @US_FDA 510k approval based on 12 month results in a single arm prospective trial whose primary completion date is not until 2027. This is really bad care for our men with prostate cancer.

@Angry_Staffer It's going to get far worse. Remember what Trump said:

@toddscarbrough Hypo been doing that for ages. @astro_org had its head in the sand when case based reimbursement was being bandied about a decade or two by the freestanding groups. Would have been a genius idea pre 2010

Is science slowly killing #radonc economic viability Single fraction SRS delivery can reimburse about 33% as much as 10 fraction whole brain IMRT And I’m like the original whole brain IMRT guy! eurekalert.org/news-releases/…

@DavidSherMD Not a violation of ABR policy? Even if it is, worth it lol

I have never been more proud of the ABR.

😡

Talking to independent physicians, it's obvious that the big insurance carriers are doing to them, what their PBMs are doing to independent pharmacies. They deny, underpay, slow pay, clawback, and create administrative mazes, knowing their victims don't have the time or resources to fight. Why ? By putting financial pressures on physicians and pharmacies, it makes them more likely to sell their businesses to them , close their doors, or refer the business to their captive pharmacy or provider. All benefitting the biggest insurance companies We need to ditch the concept of "claims" and make every delivery of medications or care as a billable event that must, by law, be paid on a timely basis , with interest charges for any delays. If the physician or pharmacy doesn't deliver , the carrier has plenty of legal options already. As does the patient. This is not an efficient market. This is the big guy abusing the little guy. It needs to change to better the care we get in this country

@hysr_ly @NiuSanford @MDAndersonNews As long as you can be sued/take liability, you'll have a job

We just finished an incredible meeting with Dr. Robert Timmerman as part of rasident fellows grand round at @MDAndersonNews Two minutes of pure inspiration that will stay with me for a lifetime. He said: “If you think your job is to contour, you can easily be replaced by AI. Your real role is to see patients, think about patients, and solve patients’ problems. We have not even begun to reach the edge of what radiation can do.” Thank you @BobTimmermanMD

The sitting president of the United States is currently dining on filet mignon while suing federal courts to make sure that his own voters can’t eat.

Former President Biden called these “dark days” as he urged Americans to stay optimistic and not to check out in response to what he says are attacks on free speech and tests on the limits of executive power by President Trump. abcnews.link/NHacNfl

@Jstuck90 @DC_Draino They don't need the help and it ends up raising prices on everyone else Basic economics

@DC_Draino One last thing… I thought you didn’t like big pharma??? Do you know who provides the savings? It’s not tax payers. It’s Johnson & Johnson, Pfizer, etc. Getting rid of 340B hurts your local hospital and raises big Pharmas profits. Read a book.

Democrats shut down the government demanding more healthcare dollars for illegal aliens. Meanwhile, hospitals like U of Miami use the 340B program to markup drugs and build palaces. This now deleted video proves they're lining pockets, not helping patients like the program intends. Reform!

@DC_Draino @CMSGov 340b and PPS exempt are the two biggest scams in cancer care

@ABC Money can't buy class. Village idiot missing from a trailer park

Satellite images show that President Trump's project to build a $300 million grand ballroom appears to have removed two historic magnolia trees on the White House grounds, as well as the Jacqueline Kennedy Garden. abcnews.link/ETJS5V8

@ABC MAGA #makeargentinagreatagain

President Trump's $20 billion bailout of Argentina's economy has raised red flags in the U.S., especially among American farmers desperate for help dealing with a crop crisis triggered by his trade war with China. abcnews.link/3OrpSjc

Four days into the Republicans’ government shutdown, and I am so relieved construction is going forward on Donald’s $200 million ballroom. As always, he has his fingers on the pulse of what is most important to the American people.