Steven Bishop, MD

Recovered Academic. Private Practice MD. Decentralizing IV fluid manufacturing @ Commonwealth Sterile Solutions

[Steven Bishop, MD @GenMedDoc]

@m_goes_distance Building compounding and decentralized manufacturing facilities, would love to talk

[Stack @stackapp]

Pharmaceutical tariffs appear to hurt American companies. And short term, they do.

But zoom out for a second.

Most of the molecules inside American medications are manufactured overseas. China. India. We handed the most important supply chain in the world to countries that do not share our interests. Not because we had to. Because it was cheaper.

That has to change.

America has the best doctors on earth. The best researchers. More money flowing into health innovation than every other country combined. We are not lacking in talent or capital. We are lacking in will.

503A and 503B compounding pharmacies have been doing the right thing this whole time. While brand pharma chased overseas margins, compounders kept manufacturing on American soil. Physician-supervised. Patient-specific. Made here. They are the unsung backbone of advanced therapeutics in this country.

The new age of biology is arriving faster than most people realize. Peptides. Longevity medicine. Precision therapeutics. Things that sound experimental today will be standard of care in ten years.

The only question is where that future gets built.

It should be here. I believe it will be here.

America is still the best place on earth to build a life. Let's make sure it stays that way.

https://t.co/HsRb74dgt8

[Steven Bishop, MD @GenMedDoc]

@stackapp Sent a DM

[Steven Bishop, MD @GenMedDoc]

@noahkaufmanmd Bones!

[Steven Bishop, MD @GenMedDoc]

@maxmarchione 🙋‍♂️building in Virginia, plan for all 50 states ASAP

[Steven Bishop, MD @GenMedDoc]

@Harrisbro777 @grok is this a real truth social post?

[Steven Bishop, MD @GenMedDoc]

Yes, our long term goal is decentralized saline manufacturing with integrated 503a and 503b compounding capabilities! Been following your journey, it’s a hard road no doubt about it—usually the best medical ideas come from patients living through our systems. Would love to hear about it!

[Steven Bishop, MD @GenMedDoc]

@YoungEx20 @CoffeeBlackMD 7 days in the hospital with round the clock Zofran and IV fluids. He turned out ok but man…

[Steven Bishop, MD @GenMedDoc]

@SMB_Attorney I can’t even fathom how they think this would be enforced…

[Steven Bishop, MD @GenMedDoc]

@ProjectVirginia They behave as if they are at war and our republican colleagues pretend it’s another day at the club. Wild.

[Steven Bishop, MD @GenMedDoc]

@AssocAnderson Any thought on the physician assisted suicide bill that’s sure to come back to the GA? Will docs be able to say “no” if a patient comes asking for this if they pass it into law?

[Anthony DiGiorgio, DO, MHA @DrDiGiorgio]

Want to solve the rural healthcare crisis in America?

Just get out of the way and let physicians solve it.

You don't need new subsidies that will just be directed by politicians towards their buddies in large consolidated hospital systems.

Let physicians build hospitals and solve it. Look at Doctor's Hospital Renaissance in the Rio Grande Valley. Built by physicians, this hospital serves its community, with doctors practicing where they grew up.

That's all you need. Doctors desprately want to build new hospitals. They want to serve their communities. They want to provide high quality care at low cost without the administrative bloat that is destroying their profession.

Physician ownership of hospitals was outlawed in the Affordable Care Act, and now, for over a decade, physicians have been blocked from solving the the problem of rural healthcare.

Just let doctors build.

See our latest in @BeckersSpine below

[Steven Bishop, MD @GenMedDoc]

@generalorthomd A relic of a more civilized age…

[Steven Bishop, MD @GenMedDoc]

@AtlasMD Denial is a heck of a drug 😂

[Steven Bishop, MD @GenMedDoc]

@AJA_Cortes Research

[Steven Bishop, MD @GenMedDoc]

Looks like those of us opting out are right over the target.

[Dr Danish @operationdanish]

This is why academic medicine is in deep trouble. They are losing touch with their colleagues in medicine.

Want to open up primary care physician time? Stop acquiring primary care practices and overloading them with admin work.

[Steven Bishop, MD @GenMedDoc]

Correct

[Anthony DiGiorgio, DO, MHA @DrDiGiorgio]

Primary care docs love to point out how overpaid specialists are.
They blame the RUC. The procedural codes. The valuations.
And they’re right. Centralized price-setting creates distortions.

But here’s the truth: we’re not overpaid.
You’ve been lied to. You’re underpaid.

I want a thriving, independent primary care workforce. I hate that my patients can’t get in to see a PCP for 6 months.

But the answer isn’t to hijack the RUC and fight over crumbs.

The answer is to leave the table entirely.

You don’t use car insurance for oil changes. You don’t use homeowners insurance for lawn care.
Why are we using health insurance for routine care?

The RUC undervalues you. So stop playing their game.
Ditch third-party payers. Ditch the corporate hospitals.

Ask @AtlasMD. Ask @LighthouseDPC.
It can be better. It is better.

[Steven Bishop, MD @GenMedDoc]

@drmoneymatters The early retirements and transitions to part time will continue until morale improves. Oh and apparently forays into politics…