Dr Nick

Hardest working doc in Springfield

[Dr Nick @NickRiviera303]

Hey @DIRECTV , just spent an hour on hold for you to end the call. Thanks, cancellation will process by the end of the week.

[Dutch Rojas @DutchRojas]

Dear America:

You may not know this, but in half of the U.S. states, you need gubernatorial approval to build a new ambulatory surgery center, open a radiology clinic, or expand a hospital wing.

Not based on quality or price, but on whether existing hospitals think you’re necessary.

Let that sink in.

If Delta had to approve JetBlue’s flight plan,
you’d still be flying Spirit.

Welcome to the Certificate of Need (CON) law, a charming bit of regulatory gatekeeping in which health systems have a say in who can compete with them.

It’s the healthcare equivalent of asking Blockbuster if Netflix should be legal.

CON laws were invented in the 1970s under the belief that competition in healthcare might lead to duplication of services and unnecessary spending.

It’s like saying: “If we let more chefs into the kitchen, people will overeat.”

In the real world, competition doesn’t lead to gluttony.

It leads to lower prices, better quality, and faster innovation.

You know, that thing we like to call capitalism.

So Who Wins With CON Laws?

• Big academic health systems that don’t want competition and enjoy living on tax payer subsidies.

• Insurance companies that prefer negotiating with one dominant supplier instead of hundreds of independent practices

• Lobbyists who keep the protection racket going

Who loses?
• You
• Your premiums
• Every physician who wants to serve you at a better price

You pay more for scans, surgeries, and hospital stays, not because they cost more, but because CON laws eliminate anyone who could deliver them better and cheaper.

Welcome to Cartelcare!

Supporters of CON say it protects rural hospitals.

Spoiler alert: It doesn’t.

States with CON laws have fewer rural hospitals, fewer ASCs, and worse access to care. But you know what they do have more of?

Healthcare monopolies.

And insurance premiums are 20–25% higher than in states without CON laws, not because of better outcomes, but simply because there’s no pressure to lower prices when there’s no one else in town.

If You Want Lower Insurance Premiums Tomorrow.

Don’t wait for a miracle drug.
Don’t wait for Congress.

REPEAL Certificate of Need.

Let physicians open their own surgical centers.
Let radiologists buy their own MRI machines.

Let Americans choose their care the same way they select their coffee, based on price, convenience, and quality.

If you can buy a $100k Tesla with the tap of a button, you ought to be able to get an X-ray without asking a governor, Blue Cross, and the local health system for permission.

Repealing CON isn’t about cutting corners, it’s about cutting out the people who’ve built corners that trap you.

The only people who benefit from a rigged game are the ones who wrote the rules.

And in healthcare, they’ve been writing the rules for 50 years.

Signed,

Someone who believes healthcare is too essential to be run by middlemen, monopolies, or mediocre lobbyists.

-Rojas out

[Dr Nick @NickRiviera303]

@incognitoStunna We are a country of 300+ million. We have all sorts, but look for the exceptional who have always risen up to lead. Those who are smart and willing to serve. We don’t need the griddy and 6-7 from our leaders, we need not drunk and experienced. This is real life, not high school.

[Dr Nick @NickRiviera303]

@cookingcrazy @DutchRojas Science is fallible, they admit it when they publish. They use stats that say there is a chance there conclusions are wrong. It’s the internet “PhDs” that can’t tell a good study from a bad one, think correlation is causation to suit their agenda that are anti-science

[Dr Nick @NickRiviera303]

@GrantCardone Sign away your 911 rights. Fire, police, ambulance. Stop driving on city roads, agree to not have your section of the street plowed. Garbage- figure it out on your or learn to compost.

[Dr Nick @NickRiviera303]

@georgetolisjr In an academic program, Chief residents or senior fellows know best. They have the experience to evaluate technical skill and the responsibility of managing the post-op course and clinic follow up, plus work with their peers as comparison.

[Dr Nick @NickRiviera303]

@matt_vanswol Now do guns….

It’s my right to protect my self/family/property and hunt.

Forget about dead kids, mass shootings at every event from church to concerts,domestic deaths, near 100% use of guns in violent crime.

The founders said 2A to prevent tyranny! I’m a constitutionalist!

[Jon Favreau @jonfavs]

Three little girls watched federal agents abduct their mom

[Dr Nick @NickRiviera303]

@JoeyMannarinoUS This thread is full of people who never followed politics, read a history book, newspaper or followed the world stage until Trump walked down those stairs.

Post Cold War and Pre-Putin they had that chance. Not the Russian people’s fault, mostly Putin.

[Dr Nick @NickRiviera303]

@Hannamillerm_ @TheChiefNerd @Bannons_WarRoom @DrJBhattacharya @NIHDirector_Jay Nope, just spending all your time on Twitter and feeding your own echo chamber. The rest of the world is moving past you.

The rest of the world will benefit from science, medications, and treatments.

[Dr Nick @NickRiviera303]

@drsimonegold What is the religious exemption to vaccines that doesn’t apply to other medications? From their own website…

“No AFLDS information should be construed in any way as a blanket anti-vaccination statement”

[Dutch Rojas @DutchRojas]

THREAD: The Nonprofit Touchdown

UCLA Health is a state-funded, tax-exempt, nonprofit medical system.

So why is it sponsoring an NFL team?

Here’s how your healthcare dollars ended up in the Chargers’ locker room:
👇

@UCLAHealth
@chargers

[Dr Nick @NickRiviera303]

@MdBreathe You don’t, but you have to accept that the rest of society may feel different about things. Make your choice, but if the kids can’t go to school, group sports, camp, etc, that’s also your choice.

[Dr Nick @NickRiviera303]

@EM_RESUS Most people’s penicillin “allergies”

[Dr Nick @NickRiviera303]

@SecVetAffairs @DeptVetAffairs You can’t even get a new clinician hired in 6 months in the VA system. Zero chance you built clinics in 4 months.

All the planning for these was well underway before January 2025.

Stop lying to the Veterans!

[Dr Nick @NickRiviera303]

@EYakoby @BillAckman @elonmusk Isn’t the MAGA movement built and run on disinformation bots?

[Dr Nick @NickRiviera303]

Donald Trump is a reality show star. That’s all he’s ever been. Not a good businessman, not a statesman. LA is the latest chapter, he’s stirring up the drama, getting airplay while he robs the average person blind and raises the debt on America. Time to cancel this TV show.

[Dr Nick @NickRiviera303]

@EM_RESUS Most supplements are a complete waste of money

[Dr Nick @NickRiviera303]

@Rothmus It’s strange that the average MAGA believer wraps their entire personality around facts that are easily disproven by a simple google/grok/AI search.

He’s not here to help you, it’s a scam to make him and those around him richer. Wake up!