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Tonight I’m thinking about my ER doc colleague who showed up to work, saw it was shit and forever going to be shit. put in their resignation on the spot and processed to sell their house, and exponentially downsize because they were tired of private equities bullshit

2 nurses assaulted every hour, Press Ganey analysis shows - And it doesn’t stop with nurses. The violence against healthcare workers is real in the wake of COVID. 1 in 3 physicians plan to exit the profession in the next couple years. What’s our plan? beckershospitalreview.com/nursing/2-nurs…

Another ER docs response to the question…how are things in the ER these days?

New study of almost 600,000 deaths in Ohio and Florida shows that registered Republicans had far higher excess-death rates than registered Democrats during the pandemic, with almost all of the gap coming after vaccines were available. nber.org/system/files/w…

I just want to make a few things clear: The Holocaust happened. Hitler was a demonic figure. And instead of giving it a platform, our political leaders should be calling out and rejecting antisemitism wherever it hides. Silence is complicity.

When adjusted for inflation, Medicare physician payments have dropped by 22% from 2001 to 2021. So why are you cutting it more? How much money have you saved? You’re digging in the wrong place. Secretary Xavier Becerra HHS.gov CMSGov

This CNN article is biased & promotes the villainazation of practicing physicians. In general media is being incentivized to do this- they’re using it to justify decreasing physician reimbursement, the use of non-physician practitioners, AI tooling etc… cnn.com/2022/12/15/hea…

Recklessly faulty research that undermines the public’s trust in emergency departments cannot stand. EMRA joins EM organizations in addressing the misleading recent AHRQ report on ED diagnostic error bit.ly/3V4AzwI The New York Times 1/8

The projected 250,000 annual deaths in the US were extrapolated from a single study done 18 years ago in a single Canadian academic center's high acuity area where, of 503 patients, a single patient died of aortic dissection. 3/8

• United Health will PROFIT about $22.3 billion this year. • 50% of hospitals will lose money this year. • 47% of US healthcare workers plan to leave within the next 3 years. That is the current state of US healthcare, and it should terrify everyone.

#TipsForNewDocs You are now a physician, a member of an ancient and honorable profession. You are not a "provider." That term was created by the government and insurance companies to decrease your power in the doctor-patient relationship. Accept no denigration.

On a recorded call, a UnitedHealthcare nurse and an insurance broker laugh while discussing a patient whose claim had just been rejected. They agree that any appeal would be a waste of the family’s time and money: “We’re still gonna say no.” propub.li/3DzG5l4

This is the type of doctor UnitedHealthcare employs as a “medical director.” This person is denying medical claims in the year 2023.

Private equity acquisition of hospitals, on average, was associated with increased hospital-acquired adverse events despite a likely lower-risk pool of admitted Medicare beneficiaries, suggesting poorer quality of inpatient care. ja.ma/489dVup

Published my first monthly newsletter at betterqday.substack.com. Check it out!

Should insurance companies dictate the educational needs of EPs? (Spoiler alert: No.) Humana threatened to report James Moak, MD, to the National Practitioner Data Bank, saying the decision was final & not subject to appeal … for a patient he never saw. tinyurl.com/bddscek3

Check out my 4th blog post here betterqday.substack.com

Really incredible article about an insurance company disciplining a doctor for following the standard of care. journals.lww.com/em-news/fullte… Looks like their “experts” are just as bad as some of the most crooked plaintiff experts I see.

Published my 5th monthly newsletter today - check it out! open.substack.com/pub/betterqday…

Physician conversion factors: 2000: $36.6173 2003: $36.7856 2006: $37.8975 2009: $36.0666 2012: $34.0376 2015: $35.7547 2018: $35.9996 2021: $34.8931 2024: $32.7442 UHC stock up 8,556% Insurance premiums up 342% Inflation up 86% Physician pay down 10% We should keep cutting