CHICAGOLAND HEALTHCARE:
Where Nonprofits Print Cash Like Goldman Sachs and Still Call It “Charity”
A thread about what happens when you have a governor that doesn’t care,
mix tax exemptions with
zero transparency,
and a taste for empire.
A 🧵…,
Why do people put things like shortness of breath and headache in the past medical history portion of epic. Those are symptoms. Epic has become a mess and is only getting worse.
Here’s the thing though. Pretty much everyone who is reporting an IVC finding to me to justify their fluid administration *is* a POCUS novice which sort of does make their finding feel useless in that context.
I’m hearing so many people cite conflict of interest as the reason physicians shouldn’t own hospitals. This also happens to be the main strategy the American Hospital Association used to lobby Congress to ban POHs in the Affordable Care Act, paving the way for the consolidated corporate nightmare we enjoy today.
The conflict of interest argument is absurd in a for profit healthcare system. Hospitals force their employed physicians to refer to other specialists within their own hospital system. Physicians recommend surgery then do the surgery themselves collecting both a clinic fee and a surgery fee. Optum forces patients to see their doctors, use their pharmacies, and be admitted to their own hospitals. If there is profit to be made in patient care, there will be a conflict of interest among the entities/people collecting that profit. The closest thing to a conflict of interest free system is one that is devoid of profit. Call me cynical, but that will not happen in the US.
So we can wring our hands about the potential corruption and malfeasance evil greedy doctors will inflict upon our great country if physicians owned hospitals, while ignoring the actual corruption and malfeasance already displayed by hospital corporations.
We can ignore data that shows POHs as a whole (~250 in the US, holdovers from pre-ACA times) have better outcomes at lower costs.
Or we can introduce some actual competition in the healthcare marketplace to give patients a chance for better care from people who actually got into this business to treat patients, care that is not dictated by a private equity company or insurance company.
Just give physicians a chance to show that we can do a better job. That’s all we’re asking. If we suck at it, we won’t get very far, right? Isn’t that what the free market is for?
Repeal the ban on physician owned hospital.
🚨BEARS FANS🚨
WEEK 2 GIVEAWAY
Each week this season I'll be doing a giveaway. Items will range from auto'd prints to mini's to footballs!!
Week 2 giveaway
auto'd print of current NFC Defensive Player of the week @dreamchaserTy10
Just R/T to be entered
Winner picked on gameday
I am begging people to understand that almost every test on the planet has something called "false positives," which means a risk that a result of the test is WRONG. A WRONG result can lead to necessary fear, worry, and at worst, unnecessary INVASIVE procedures or even unnecessary surgery. The chance of someone getting a false positive goes down when the person is at a higher risk of having an actual problem (ie. A specific SYMPTOM). This is called a higher "pretest probability." This is why doctors don't recommend everyone get every test all the time.
@NASAArtemis@NASA_Astronauts@Astro_AndreD I’m available as a backup to the backup. Tell me what time to be there and I’m ready. You’ve already got my application in your system. 🚀 🫡
I updated the guide to supportive care in the ICU.
intended for anyone getting started in the ICU.
welcome to all the new students, residents, and fellows! 👋
https://t.co/7wII2t3znX