Kate Roberts MD

Patient Centered Endocrinologist. My opinions are my own.

[Jason Ryan @jasonryanmd]

I was a huge fan of quality metrics when they came out but completely reversed my opinion when I saw that they just became a charting game. People stopped documenting adverse outcomes to avoid penalties.

[Arvind Cavale @endodocPA]

@OhioMedicine @PhysAdvocacy PA physicians are changing the narrative.
https://t.co/xN9jnpZNqc

[Hillbilly @JamesHu27192912]

The last televised cigarette commercial aired on Jan. 1, 1971 and cigarette use has declined drastically since then. Now is the time to END pharmaceutical ads on TV and streaming!

[Kate Roberts MD @DrKateEndocrine]

This is true anywhere in the world

[Doc TauSiF kHaN @TauSiFk18791271]

A pay raise for doctors is not about increasing costs—it is about preventing losses. Every doctor who stays strengthens patient care, while every doctor who leaves takes valuable skills, experience, and continuity with them. #PayRaiseForDoctors

[Atlas Press @realAtlasPress]

Leonardo da Vinci's greatest paragraph

[Michael Yeh @michaelyehmd]

Goodhart's law: "When a measure becomes a target, it ceases to be a good measure".

[عقيًل بن محمد العقيًل( أبو أنس) @akiluno_a]

في حادثة لافتة حدثت في أوغندا، قررت وزيرة الصحة "سارة" أن تقوم بخطوة جريئة لكشف الفساد داخل أحد المستشفيات الحكومية. فقامت بالتنكر في زي امرأة منقبة حتى لا يتعرف عليها أحد، وتوجهت إلى أحد المستشفيات العامة بهدف إجراء فحص بسيط لمستوى السكر في الدم.

عند وصولها إلى قسم الاستقبال، طلب منها الموظفون دفع رشوة مالية مقابل إجراء الفحص، على الرغم من أن هذه الخدمات الصحية يجب أن تُقدَّم مجانًا للمواطنين، بحسب القوانين المعمول بها في المستشفيات الحكومية. وحينما رفضت الوزيرة، مؤكدّة أن العلاج في هذه المرافق من المفترض أن يكون بلا مقابل، رفض الموظفون تقديم أي خدمة لها، وتعاملوا معها بجفاء واستهتار.

في تلك اللحظة، كشفت الوزيرة عن هويتها الحقيقية، لتُفاجئ الجميع بأنها ليست مجرد مريضة، بل وزيرة الصحة نفسها. وعلى الفور، أصدرت أوامرها باعتقال جميع المتورطين في الواقعة، من موظفين وأطباء، لبدء تحقيق رسمي في قضايا الفساد والإهمال داخل القطاع الصحي.

تعد هذه الحادثة مثالًا صارخًا على الفساد الإداري، ولكنها في الوقت نفسه تُظهر حرص بعض المسؤولين النزيهين على التحقق بأنفسهم من واقع الخدمات التي تُقدم للمواطنين.
________

[Shannon 🇺🇸I stand with America @thewriterme]

In a nutshell 👇🏽

[Brent A. Williams, MD @BrentAWilliams2]

All of this nonsense (managed care, pay-for-performance, value-based care) just to make an evil boogeyman out of paying doctors appropriately for their time and talent (i.e. fee for service).

Also, they don't work. Usually just make things worse.

[Adam J. Fein @DrugChannels]

Like it or not, the Inflation Reduction Act (IRA) is forcing unprecedented visibility into the 340B program.

@edsilverman of @statnews broke the story that @EliLillyandCo is requiring #340B hospitals to submit claims data or lose access to 340B discounts.

As I told Ed, this is a predictable consequence of the IRA's drug pricing provisions. The law created new pricing obligations for manufacturers, but policymakers never established a reliable way to identify which claims qualify for 340B pricing.

Here's the relevant section from his article:

"The issue has intensified thanks to the Inflation Reduction Act, which imposes a maximum fair price on drugs paid for by Medicare and obligates drugmakers to pay added inflation rebates in Medicare. But the requirement overlaps with the 340B program. Why? Drugmakers must offer hospitals the lower of the maximum fair price or the 340B price — and pay inflation rebates only on drugs not sold at the 340B price.

'The Inflation Reduction Act is forcing transparency into the notoriously opaque 340B program,' said Adam Fein, who heads the Drug Channels Institute and tracks prescription drug pricing and insurance coverage. 'The IRA’s maximum fair price requirements make it impossible to ignore the long-standing lack of visibility into 340B claims.'

He noted, however, that the federal government has not created a mechanism to identify 340B claims, and the HRSA maintains that it lacks the authority to do so. 'The result is a growing compliance dilemma that Congress never intended and regulators have yet to resolve,' he said."

Full article: https://t.co/XTgpm2X6EJ

[Dr. Rafi @DrRafi_]

One day, the public will ask:

“Where did all the good doctors go?”

The uncomfortable answer will be simple, they did not disappear overnight.

They were pushed out slowly by low pay, unsafe duties, inflation, silence, and a system that mistook their patience for weakness.

#PayRaiseForDoctors

[Dr. Rafi @DrRafi_]

Before every patient reaches a bed, a doctor has already sacrificed sleep, family time, mental peace and years of youth.

But sacrifice cannot pay rent.
Dedication cannot buy fuel.
Passion cannot feed a family.

A country that wants safe hospitals must stop treating doctors like disposable labour.

#PayRaiseForDoctors

[Jordan Abbott MD @JordanAbbottMD]

The influencer telling you to distrust your doctor has no liability if they are wrong.

Your physician does.

That asymmetry matters. It should factor into who you listen to.

[HealthCareDenied @CareDenied]

Kaiser Permanente is the largest private integrated health care system in the United States. In 2025, it reported $9.3 billion in profit, even though it's a registered "non-profit." 🤔

[Sally Pipes @sallypipes]

In Canada, the typical wait for an MRI exceeds 18 weeks. For an ultrasound, it's more than five weeks. Yet progressives want America to adopt this government-run healthcare system.

https://t.co/kgS4iVDZWm

[The BMJ @bmj_latest]

Consultants in England are “quiet quitting” or looking to escape to Canada and Australia because they feel undervalued and disrespected, senior NHS doctors warn
https://t.co/l2v5SE5E62

https://t.co/QCVxEILYkl

[Kate Roberts MD @DrKateEndocrine]

good to know will watch for it

[Michael Weintraub, MD @MWeintraubMD]

Preclinical and prior clinical studies demonstrated GLP-1 agonism 💊 and amylin agonism cause delayed gastric emptying 🐌🍽️

Zenagamtide (amycretin) a dual GLP-1/amylin agonist does not delay gastric emptying, according to a new presentation at ECO 2026 📊🔬

These results that the increased satiety and impressive weight loss with this dual agonist is centrally mediated, by way of the brain's appetite centers 🧠, and not gut driven.

The concern that delayed gastric emptying could increase peri-operative of endoscopy adverse events would also not apply to this molecule ✅🩺

Oral presentation ppt: https://t.co/j5ZZestllU

[Sherrod Brown @SherrodBrown]

Let’s make it illegal for drug companies to rip off Americans while charging less overseas.

The same pill, the same price. Simple as that.

[Kate Roberts MD @DrKateEndocrine]

cool

[Shining Science @ShiningScience]

A hospital in Australia is using a new MRI technology that can eliminate certain tumors without a single incision.

No surgery required.

Doctors at Liverpool Hospital in Sydney have introduced the country's first dedicated MRI-guided cryoablation system, allowing specialists to destroy localized tumors by freezing them into what are essentially tiny iceballs inside the body.

The procedure works by inserting ultra-thin needles directly into a tumor while doctors track every movement in real time using high-resolution MRI imaging. Once in position, compressed argon gas rapidly cools the probe tip to an astonishing -180°C, freezing the tumor from the inside out.

The extreme cold ruptures cancer cells, cuts off their blood supply, and destroys the targeted tissue.

What makes the technology especially powerful is its precision. Because doctors can continuously monitor the growing iceball on MRI scans, they can ensure the tumor is destroyed while avoiding damage to nearby structures such as nerves, bones, the spinal cord, kidneys, or liver.

For many patients, the treatment could offer a far less invasive alternative to major surgery. Traditional procedures for tumors near the spine or other sensitive areas can require extensive operations, implanted hardware, lengthy hospital stays, and months of recovery. MRI-guided cryoablation can often be completed in a single day, with patients returning home just hours later.

Doctors say the technology could transform how certain cancers and painful tumor-related conditions are treated, marking a major step toward a future where highly targeted therapies replace many conventional surgical procedures.

source: S. Kumar. “New MRI Machine In Sydney Can Freeze Tumours, Reduce Pain In Patients.” (May 2026). NDTV.

[Adam Gaffney @awgaffney]

(1) About a third of US healthcare expenditures go towards administration, both payer-side and provider-side — or about double the share of Canadian healthcare system.
(2) US hospitals spend about twice as much as Canadian hospitals on administration as a share of revenue.