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I'm usually a fan of Peter Attia. He's the closest to common sense of the social media longevity talking heads, and the only hands-on physician who walks the walk. But he's got this wrong on back pain. Yes, there is over-medicalisation of mechanical low back pain in people with

This view is sadly widespread amongst people who I’d expect to know better. I’ve even heard that Elon Musk has said that robots will replace surgeons. This is why both are wrong. ⬇️ AI will massively increase physician productivity and reduce errors. There will be fewer

Many people feel the costs of physician services are too high, as they can't afford to see a doctor. I have a solution for this that will drastically lower the costs of physician services. The solution is to allow patients to purchase a catastrophic healthcare policy that does

And it doesn’t need a commission of 60% of the whole of the first year’s premium. Health insurance is long overdue disintermediation. Brokers extract value and push up premiums.

Same problems in UK. - Poorly regulated product. - Regulatory capture / failure. - Cherry picks conditions and treatments it’ll cover. - Denies cover for 85% of healthcare needs.

we must look beyond the NHS to improve the social determinants of health

And let’s have hospital pricing transparency. There is no consumer benefit in continuing to permit it.

I admire what you do Elisabeth Potter MD but you’re approaching these issues from the perspective of the health insurer-controlled health system in which you work, whereas from the position of the healthcare payer and the patient, I think we need a whole different set of questions. In

There is some irony, here with Nik Storonsky saying UK competition authorities ⁦Competition & Markets Authority⁩ are overly bureaucratic, when the same org seems intent to ignore evidence and warnings of cartel like behaviour in the private medical insurance industry 🤷‍♂️ apple.news/AaQZXWYTHRZeby…

Looks like my dog’s nostrils

In healthcare, only one group has a fiduciary duty to patients: physicians, nurses, and frontline providers. Not the hospital. Not the insurance company. Not the government. Not your employer. Yet somehow, those are the entities that control access, payment, and policy. This

Re-respectfully, the issue is that they’re insurance companies, not healthcare companies, and they have to decide whether they can make any financial contribution to the claim based on the terms of the policy. That gets to the very heart of the matter - that insurance is wrong

1/ America cannot compete with China without building America's Shenzen – a place to build drones, ships, robots, and everything else cutting edge. Where? On California Forever's 100 square miles in Solano, 60 miles north of SF/Silicon Valley, where we invent that stuff. Here's why. 🧵

I just cannot get my head around how this could possibly happen. If you factor in all the costs of that CT - property, staff, utilities, equipment finance, servicing, etc, etc if it's utilised reasonably, the cost to the imaging center shouldn't be more than $150, so who pays

The US spends $1 trillion dollars on interest alone servicing the national debt. That’s the same as the entire GDP of Saudi Arabia. Let that sink in. worldometers.info/gdp/gdp-by-cou…