Pedro E. Cosculluela, MD

Orthopedic Foot and Ankle Surgeon

[Pedro E. Cosculluela, MD @Babar1B]

NOPE

[Leading Report @LeadingReport]

U.S. health advisers are debating a new kind of flu vaccine Thursday, the first made with the same mRNA technology that was used in the COVID-19 pandemic, per NYP.

[Pedro E. Cosculluela, MD @Babar1B]

This will crash and burn epically. They don't know how to run the government in a fiscally responsible way. The hospital will go bankrupt at ludicrous speed.

[Mark Cuban @mcuban]

I have an idea for you. Get a bunch of Dem donors to buy or lease or take over a small hospital. Plenty are close to going out of business.

Have it charge ONLY MEDICARE RATES. For everything. Be completely transparent with every penny you spend so everyone can see what it truly costs to run a small hospital.

See if you can make it work. See what services you can offer. Do not ask for any government subsidies. It has to operate at least to break even.

There are some hospitals that already do this. It wouldn’t be unique. If it works out, you can buy another one. Then another one. Till you have a network.

I’ll help where I can. And for those asking the inevitable, I have tried. As I posted earlier, they all ghosted me after learning how transparent I wanted to be.

[Pedro E. Cosculluela, MD @Babar1B]

@usafloridaman1 Austin. Equally as hot, but plenty to do outside. Hiking, biking, breweries, distilleries, etc. No contest.

[Dutch Rojas @DutchRojas]

The United States Government is a full on grift machine.

Washington has already confiscated trillions from taxpayers.

Then it borrowed trillions more against their children.

Now the national debt is approaching $40 trillion.

Healthcare is still unaffordable.
College is still overpriced.

Housing is still out of reach.
The schools are still failing.

All of these problems are due to government interference.

And the people who produced this disaster now want Elon Musk’s wealth because they swear this next pile of money will finally be spent wisely.

Bullshit.

They already took the money.
They already spent the money.

They already failed.

Stealing another trillion from a man who built companies, factories, satellites, cars, and jobs will not make government competent.

It will only transfer wealth from the people who create it to the people who incinerate it.

[Pedro E. Cosculluela, MD @Babar1B]

Always about other people's money. From each according to their ability, to each according to their needs. @elonmusk is you John Galt.

[Sen. Bernie Sanders @SenSanders]

Today, Elon Musk, a trillionaire, pays the same amount into Social Security as someone making $184,500.

If we end that absurdity and lift the cap on taxable income, we can make Social Security solvent for 75 years and expand benefits by $2,400. My Social Security bill does that.

[Pedro E. Cosculluela, MD @Babar1B]

This would require our "science" to be solid. Favors, the buddy system, pharma and implant influence have led to crap science everywhere. Would be a true statement if all was level 1 evidence without external influence. As it is now, the AI generated advice will be akin to going on Reddit to get your diagnosis.

[Suneel Dhand MD @DrSuneelDhand]

There is 100% chance that AI will be better than medical doctors at analyzing information and getting to the diagnosis

Well within 5 years

Surgeons within 10 years

And much cheaper too

The medical profession has absolutely no idea what’s about to hit it

[Pedro E. Cosculluela, MD @Babar1B]

The deductible phase ridiculous for most people. Those that only have one major event will max out on that event and then thank insurance that it was only X amount. Not realizing that it was that amount plus their premium. Always cheaper to go cash pay. Best if you don’t disclose insurance status at first visit and get a quote of a surgery is needed. It allows us to avoid our contractual agreement with the insurance company.

[Mark Cuban @mcuban]

This isn't accurate. Most people have deductibles, anda higher out of pocket max.

During the deductible phase, you absolutely pay out of pocket and should be able to price shop, and count against your deductible the best price you can find.

Where the shopping analogy falls apart is AFTER you hit your deductible and OOP max. Then you can spend other people's money on your care. Distorting the entire market

[Pedro E. Cosculluela, MD @Babar1B]

Most of the patients still have some of their deductible left over. Maxing out typically starts in late September. Exception is patient with complicated medical problems.

[Mark Cuban @mcuban]

To all independent doctors. What percentage of your patients are in their deductible phase ? And what percent of those are getting care for less than their deductible?

Ins carriers know you take all the risk of payment. Time for that to stop

[Mark Cuban @mcuban]

To all independent doctors. What percentage of your patients are in their deductible phase ? And what percent of those are getting care for less than their deductible?

Ins carriers know you take all the risk of payment. Time for that to stop

[Pedro E. Cosculluela, MD @Babar1B]

Picking mine up today. Cannot wait. FSD all the way through the afternoon rush hour will be great.

[Dutch Rojas @DutchRojas]

I thought Tesla Full Self-Driving would make my commute easier.

I did not expect it to expose me as the problem.
Turns out I was not “driving defensively.”

I was conducting a one-man municipal audit of every idiot within 300 yards.

Someone going 40 in a 25?
I had notes.

Someone taking too long at a green light?
I had a full theory of civilizational decline.

Now the car drives and I just sit there like a reformed man.

No high blood pressure.
No death grip on the wheel.
No courtroom monologue about lane discipline.

My wife noticed immediately.

She said, “You’re way more chill in the car, I like this!”

That is when I realized Tesla didn’t just make the car drive itself.

It made me stop narrating the collapse of society from the driver’s seat.

[Pedro E. Cosculluela, MD @Babar1B]

This will be the next best thing after pickle ball

[Adam Bitterman, DO, FAAOS @DrAdamBitterman]

Hmmmmm….I’m concerned.

[Pedro E. Cosculluela, MD @Babar1B]

Can we normalize having a doctor within your specialty be the one to call from insurance/workman's comp when a peer-to-peer is necessary? Having to explain ankle anatomy to someone while justifying the need for additional imaging is ridiculous.

[Liam McCollum @MLiamMcCollum]

With this Thomas Massie loss, it’s time for a third party strong enough to spoil Republican elections until they learn

[Pedro E. Cosculluela, MD @Babar1B]

Massie should run as an independent and throw a wrench into everything

[Liam McCollum @MLiamMcCollum]

There must be a cost. Everyone who supports Thomas Massie must either stay home in November or vote against the Republicans. And then we need a true America First candidate in 2028, not J.D. or Rubio.

[The Dibster @TheDibsterX]

Suppose Massie loses the primary tonight.

He registers as an Independent for the general.

- Splits the vote and screws Ed Gallrein big time.
- Outcome: Massie wins or the Democrat does.
- Ed (Trump-endorsed) gets zero.
- The outside money machine (pro-Israel PACs + allies) burns $20M–$30M+ for nothing.
- Trump takes a major L too.

[Pedro E. Cosculluela, MD @Babar1B]

@generalorthomd Classic

[Chris Huffer MD @dr_huffer]

If we did medical school admissions completely race blind: application without a photo or racial demographics, interview via zoom with camera off…

Who would object, and why?

[Anthony DiGiorgio, DO, MHA @DrDiGiorgio]

This is a terrible idea.

Free primary care for all sounds great until you remember that free never means free.

It means the bill moves from the exam room to taxes and new bureaucracy hired to ration what politicians just promised was unlimited.

If car insurance covered tires at zero cost, demand would explode. People who truly needed tires would wait behind people getting upgrades because why not, it is free. Then the government would demand forms, approvals, documentation, denials, appeals, and entire departments to manage the mess.

More primary care visits do not automatically mean better health just as free tires don’t reduce car accidents. More spending does not automatically mean better care. And making primary care “free” does not make doctors, nurses, clinic space, time, or judgment magically materialize out of the ether.

It just removes price signals, politicizes what counts as essential, invites every interest group to lobby for inclusion, and leaves patients and physicians trapped under another layer of central planning.

If you want universal access for primary care, which I do, then just people the money. Primary care visits are cheap and the median American will spend less on those than on food. We have food stamps for the latter, so let’s make a type of food stamps for healthcare. Let patients and doctors decide what care is actually worth it for that individual instead of creating yet another government promise that doesn’t work out.

[Pedro E. Cosculluela, MD @Babar1B]

Jealous

[Very General Orthopaedist @generalorthomd]

When I’m not doing bone or mountain things, I grow hay. About once a quarter my kids help.

[Pedro E. Cosculluela, MD @Babar1B]

I call the radiologist personally, I don't call them out on X. We are in this together. I don't defend people that do this, but none of us on this platform where there during the surgery to see what exactly was done. The reason we get consistently crushed by insurance, politicians, pharma, etc. is that we don't have a cohesive front. Going after each other doesn't help.

[Jerome, DO ☘️ @jjbarron]

@Babar1B @northwoods1980 Intentionally claiming a surgery was done and not doing it is different than missed pathology on imaging. But if you think the radiologist *intentionally* left out a key finding, then yes, you should call them out.