Dr. Karl, InfinityMD🇺🇸💜💚💛

Founder: Infinity Health a Direct Primary Care practice. Accept NO $ from insurers/gov't. Disrupter. Block anonymous.

[Dr. Karl, InfinityMD🇺🇸💜💚💛 @InfinityHealth8]

Solutions:
Primary care: Direct
Pricing: Transparent
Replace insurers with healthshares
Coverage: ⬆️deductible
🚫"networks"
🚫PBMs
🚫Employer coverage except ERISA
⬆️Physician owned hospitals
Decentralize to states
🚫Medicare Tax
Business course in residency

[Dr. Karl, InfinityMD🇺🇸💜💚💛 @InfinityHealth8]

@Benefitsguynick Strong point. What is the best way to introduce that option to a small biz?

[Dr. Karl, InfinityMD🇺🇸💜💚💛 @InfinityHealth8]

@nolatrashtalk She owes a refund

[Dr. Karl, InfinityMD🇺🇸💜💚💛 @InfinityHealth8]

This is not debatable

[Dr. Karl, InfinityMD🇺🇸💜💚💛 @InfinityHealth8]

@Fynnderella1 Promotion to CFO

[Dr. Karl, InfinityMD🇺🇸💜💚💛 @InfinityHealth8]

@dfossier Flexing. Keep it coming. Yep. We wanna see the build.

[Dr. Karl, InfinityMD🇺🇸💜💚💛 @InfinityHealth8]

@Fynnderella1 Pecisely. If your physician shoots you in the head, it is not iatrogenic. It is murder.

[Dr. Karl, InfinityMD🇺🇸💜💚💛 @InfinityHealth8]

@DutchRojas DPC for the win!!!

And some folks may have felt the need to go to the ER and sit through that while then seeing a Level 4 ED invoice at their doorstep.

Thanks for being a strong advocate!

[Dr. Karl, InfinityMD🇺🇸💜💚💛 @InfinityHealth8]

@MakisMedicine I spread the word to my friend just diagnosed with WDSCC of gum. Keytruda x 2 coming soon before surgery. I passed along your work to him.

[Dr. Karl, InfinityMD🇺🇸💜💚💛 @InfinityHealth8]

This is how Monty Python got started.

[U.S. Senator Bill Cassidy, M.D. @SenBillCassidy]

I’m a doctor. Here’s why childhood vaccination for hepatitis A is important.

[Dr. Karl, InfinityMD🇺🇸💜💚💛 @InfinityHealth8]

@dfossier Specifically Michael Thomas and Malcom Jenkins. Brees caved in the heat of the moment. Football is his only skill set. He may have "taken one for the team" so as to preserve the season and his relationship with his wife. Nevertheless, dropped down several pegs.

[Dr. Karl, InfinityMD🇺🇸💜💚💛 @InfinityHealth8]

@PierreKory Great work!!!
Are you and Dr. Marik still in the refiling by @AAPSonline in the Galveston district vs ABIM? My part vs ABFM got dismissed in 2025.

[Dr. Karl, InfinityMD🇺🇸💜💚💛 @InfinityHealth8]

For a while I have voiced that all PCPs should terminate Medicare and insurance contracts.

We continue to whine when Medicare cuts happen. We celebrate a 0.3% increase when hospital systems and MA plans get big increases.

If you are still in the system, blame yourselves.

[Dr. Karl, InfinityMD🇺🇸💜💚💛 @InfinityHealth8]

@jarenblake @denniswbyron @HEALTHCOSTtruth My DPC fee is $75.
I don't feel old. Have most of my teeth. 😁
I am rich because I can do health care the way my patients and I want it. Priceless.

[Dr. Karl, InfinityMD🇺🇸💜💚💛 @InfinityHealth8]

@HEALTHCOSTtruth @ZionHealthShare DPC doc here in NOLA area. @ZionHealthShare is clutch!

[Dr. Karl, InfinityMD🇺🇸💜💚💛 @InfinityHealth8]

@DrBruggeman PCPs can and must lead the way out because it is more practical for us.
DPC docs have reached escape velocity.
There will be no reentry.

[Dr. Karl, InfinityMD🇺🇸💜💚💛 @InfinityHealth8]

@docshanep @olsonplanner Already crafting a Shanebot for when you check out. Close to completion. Major glitch i can't overcome right now is the accent. 🤪

[AtlasMD @AtlasMD]

Healthcare’s top lobbyists just dropped nearly $285 million in the first half of 2026 alone.

Meanwhile #DirectCare spent exactly $0.

We don’t buy influence. We just take care of patients and let the receipts speak.

https://t.co/Q2EQWS2cTd

[Dr. Karl, InfinityMD🇺🇸💜💚💛 @InfinityHealth8]

@NeilFlochMD I can vouch for this.
It still happens in direct primary care today. We are doing what we can to bring that back.

[Dr. Karl, InfinityMD🇺🇸💜💚💛 @InfinityHealth8]

@Benefitsguynick Secondary effect is that we do not order tests or meds realizing that it will generate friction, hassle and administrative burden.

[Dr. Karl, InfinityMD🇺🇸💜💚💛 @InfinityHealth8]

Opt out.
If not now, have an exit strategy before 2027.

[Noah Kaufman, MD @noahkaufmanmd]

OPT. OUT. NOW.

“There is also a perverse incentive CMS has not addressed: if this is finalized, the rational response for physicians is to split these encounters across two visits. The patient returns on a separate day for the procedure, each encounter is billed at 100%, and Medicare pays more in aggregate while the patient is significantly inconvenienced. Has CMS modeled the economics of this very obvious response from clinicians?”