Aaron Hofmann, M.D., talks with Robin Young about what makes TJO’s Universal Knee design so practical.
Fewer left/right decisions. Fewer trials. Fewer implants. Fewer instruments.
And then the the evidence TJO built around that simpler approach.
Learn more at https://t.co/0i3bWwhl5F
“America’s doctors” voted for nothing. A few hundred AMA House of Delegates members did.
Fewer than 1 in 5 practicing physicians even belong to the AMA.
The rest walked, and they walked for a reason.
The AMA stopped representing physicians the year CPT royalties overtook membership dues.
It now earns more than half its revenue licensing the billing-code monopoly to the same hospitals and insurers crushing independent practice.
Dues are under 8%. It answers to whoever keeps the codes flowing.
That has not been physicians for a long time.
How do these reporters get it wrong so often?
Did they ask any physicians their opinions before hitting send?
@simonjlevien (author)
Hospital spending growth is consuming all US economic growth.
This unfettered growth is the result of large hospital conglomerates lobbying the government for more and more lucrative revenue streams.
Yet people will often see this and say the answer is more government…
For years, hospitals kept Americans in the dark about the true cost of care. Families made medical decisions without knowing the price—and too often got hit with bills that drained their savings.
That ends now.
Under President Trump’s leadership, HHS is enforcing hospital price transparency with real consequences. @DrOzCMS and I have a simple message for hospitals: Post your actual prices. Come into compliance immediately—or face serious consequences.
The one subject every one of my favorite podcasts avoids is healthcare.
Sure, they talk about vaccines. They talk about peptides, longevity, and the latest medical device. Cool, bro. A new robot.
I do not care.
I care about the $30,000 disappearing every year before an American family receives a dollar of actual care.
I care about Medicare, insurers, and health systems extracting money from patients, employers, taxpayers, and physicians.
And increasingly, those are not separate institutions.
The insurer owns the physicians.
The health system owns the health plan.
The pharmacy benefit manager owns the pharmacy.
Everyone owns everyone, and the patient owns the bill.
Law makers talk about breaking up the insurance companies while protecting Certifiacte of Need laws in their own backyards and protecting their precious "non-profits".
And I would not care how large these organizations became if they won in an open market.
They did not.
They used government to restrict competition, protect reimbursement, block new entrants, and write rules that favor incumbents.
Then they spent nearly a billion dollars hiring lobbyists to keep it that way.
The lobbyists take their cut.
The lawmakers take the money.
The public elects the lawmakers.
And then people wonder why healthcare keeps getting more expensive.
Healthcare is not ignored because it is boring.
It is ignored because nearly everyone with a microphone is more comfortable discussing the symptoms than naming the people getting rich from the disease.
-Rojas out
Every family is paying about $30k annually for healthcare they barely use, and that typically comes with a high deductible and out of pocket costs.
The median healthcare spend is $500 annually.
Now imagine an alternate version. Every American has a tax exempt HSA, but to participate, you must purchase at least a catastrophic insurance plan. If we allowed pre-ACA plans, we are looking at $6000-12000 per year. For the poor, instead of Medicaid or an ACA subsidy, the government just funds their HSA for them.
Now every family is putting $15k a year into an HSA. Most people would barely touch that. Maybe use some to pay for a DPC and the occasional lab or prescription. But by retirement, everyone would have $2-5 million saved up. That could pay for all lifetime medical expenses for 95% of Americans.
The only people who have to deal with insurance companies are those with catastrophic high cost events (trauma, cancer, etc). The only role government has is as a reinsurance to keep premiums low and help people with pre existing conditions get plans. Or for the truly destitute who burn through their HSA and cannot care for themselves (universal backstop coverage).
This would provide truly universal coverage, give money back to patients, simplify healthcare, and make every American richer.
‘Looking at the totality of up-to-date evidence, and what you’ve heard from eminent witnesses today, in my view, millions of Americans and millions more across the world may be in clear and present danger of suffering premature cardiovascular disease and cancer.
Without allowing all scientists to debate this openly without fear of censure, we will not be able to identify who is most at risk and how these risks can be mitigated.
When it comes to making money, multi-national corporations have been diagnosed by Forensic psychologist Robert Hare and Law Professor Joel Bakan as legal entities that fulfil the criteria for Psychopathy. Characteristics include callous unconcern for the safety of others, incapacity to experience guilt, repeated lying, and conning others for profit. The evidence presented here today exposes the corporate tyranny underlying public health practice.
This profitability over people rooted in the neo-liberal economic model has led to trust being at an all-time low in the medical profession.
A full public apology from government bodies and medical leadership to the vaccine injured and bereaved is an essential first step in restoring that trust.
Tyranny emerges when people are afraid to say what they think. When you have something to say, silence is a lie. When everyone lies all the time, the tyranny is complete.
To save the health of the American people and to save democracy, it is our responsibility to expose, resist and dismantle the era of corporate tyranny we currently find ourselves in’