Same doctors. Same patients. Different building = billions more in Medicare costs. Hospital-affiliated physicians deliver 67% of expenditures in facility settings vs. far lower shares for independent or PE-affiliated practices .

ASES friends, join in the discussion prior to the ASES annual meeting. Cuff intact patients: reverse vs anatomic TSA? When to bone graft instability patients. American Shoulder and Elbow Surgeons docmatter.com/dm/pub/v6/disc…

They won't replace the banter though. That's half the experience. The barbershop is group therapy for men.

Autumn youtu.be/6p2Yo6iZzvk?si… via YouTube "Wish I could pause it somehow..."

"My name's Raymond. I'm 73. I work the parking lot at St. Joseph's Hospital. Minimum wage, orange vest, a whistle I barely use. Most people don't even look at me. I'm just the old man waving cars into spaces. But I see everything. Like the black sedan that circled the lot every

Sunshine Act for all. If a doctor gets paid by a pharma or medical device company it is public info (Sunshine Act). Not so for hospital execs and other non physicians who control the supply chain/contribute to high supply costs. Solution: Disinfectant, Sunshine for All.

Mark, insurers do plenty of damage. Yet the U.S. doesn’t have a simple “insurer problem.” We have a vertically integrated system where the largest nonprofit health systems own or control the insurance plans, the PBMs, the pharmacies, the physician practices, the referral

Alex, you’re absolutely right that the U.S. overpays, massively. And the overpayment isn’t random or accidental. It’s the direct result of consolidated delivery monopolies that set prices, eliminate competitors, and then negotiate with insurance subsidiaries they increasingly

I am no economist or healthcare wonk but… Healthcare is not one monolithic space. And to treat it that way is genuinely the problem. Health care breaks down to… Elective or non-urgent care: 60–70% Chronic but non-urgent care: 20–30% Emergency or time-sensitive care: 10% or

Dutch Rojas That would pay for a FULL YEAR of Direct Primary Care for over 1.1 million patients at the highest monthly cost in my wife's DPC practice - many more if younger adults and children were in the mix.

I would argue the opposite: the high false positive rate would ignite a cascade of unnecessary testing and anxiety. Musk assumes that most health problems are due to lack of information and that there is no harm in over testing. Sounds good though because he said "AI"

Incredible piece showing why hospitals are the biggest driver of healthcare spending. Everyone wants to blame pharma but that’s not what’s happening. Hospitals can mark up drugs when they administer them. And those markups can be absurd. Bloomberg found hospitals charging

Hospitals aren’t buying physician practices because they’re better operators. They’re buying them because captive physicians bill at facility rates. Same doctor. Same procedure. 2-3x the price. The Progressive Policy Institute just documented this across 9 specialties:

Bus drivers learned the hard way what close passing feels like

Apparently it's fun to come to my office. Well you know laughter is the best medicine.

Can we get them to clean buildings and sidewalks yet? Where's Rosie from the Jetsons? Clean streets and houses across the globe!!

Great list for those interested in a long, active life

We will know that the fatigue and cynicism are real.