In medicine we send out bills with effectively random amounts to insurers who in turn pay us totally unrelated random amounts back We cant even confirm if the amount they’ve paid is what they contracted with us to pay. 🤷🏽‍♂️

If you let others set the rules, you’ll always lose. In our practice we are upfront about what we can and can’t do for patients so we have a chance at success. We tell them- we can make sure you’re safe, recommend options, but we never promise a cure.

I feel triggered! But he’s not wrong.

Doc friends- is there any amount of money you’d take to put your hand in here and shake it around? Haha no from me.

Loyola Medicine Allergy Count for 9-2-2025 Trees - Absent Grass - Low Ragweed - High Weeds - High Mold - Moderate

The worst part of your doctors day is their ‘inbox’ They get paid to see patients, but patient emails don’t pay. In our cash pay practice, it’s baked into the cost. But with insurance? Nothing. We do it- but Docs like humans not computers.

What is this guys point? To cite to some random study and then imply doctors are dumb? Citing a random study is in poor faith

Even if current reimbursement says no, cancer surgery is still *intrinsically* valuable to society But when pay drops, people follow incentives. so now young ents want to do ‘plastics’ But what do docs who can’t sell anything else do? Supplements

Biggest myth pts believe: ‘He’s trying to convince me towards surgery’ In ENT, we get paid less per time in surgery than clinic. With current reimbursement, surgery is almost an expensive hobby.

Kind of crazy that an *ENT* medicine is #4! Used for nasal polyps, asthma, eczema Cancer and weight loss makes sense but surprising on dupixent

Remember when they tried to ‘ban’ surgeons caps?! The AORN decided we all needed to wear lunch lady hats. But then studies showed it made no difference. Such a random and wild example nonesense in medicine where doctors get told what to do.

The greatest trick insurers did is convince patients their bill is the doctors fault. We don’t choose the deductible or what’s covered. Or the confusing EOB. We have nearly no control over prices. But when you owe, it’s always easier to leave the doc a bad Google review

Why do we have to *pay* to bring our patients/business to a hospital? Can anyone explain medical staff dues to me? I bring cases. They make $$. I take call, they make $$. Why do I have to pay for this privilege?

The truth/insinuation here is: if you use insurance the experience becomes a commodity. Use car insurance for a wreck? Get after market parts. Pay cash? You’ll go to a high end body shop. When something is a commodity experience can decline.

With avg deductibles skyrocketing 🚀 You effectively *have* catastrophic insurance with low reimbursement killing primary care, if you want good care, you have to pay for a dpc. somehow we still have high premiums crushing employers 🤷🏽‍♂️ Untenable future.

It’s amazing to me how many patients start by telling me they’re going to sue the last doctor… And then are surprised when I’m hesitant to work with them.

A friend recommended charging a fee for ‘faster surgery and appointment scheduling’ Is that even legal? Can you sell fast passes in healthcare?