Art Fougner PGY50

Dammit, Jim, I'm a Doctor, not a Provider. As with my Medical Opinion, my Tweets are my own. I do not speak for anyone other than myself.

[Art Fougner PGY50 @sonodoc99]

@HEALTHCOSTtruth Too much PAC money at stake here

[Dutch Rojas @DutchRojas]

I took this photo sometime around 5:30 this morning while walking through the SMU campus.

I had no idea who Joe and Lois Perkins were.
So I looked them up.

Joe Perkins made his fortune in business, banking, ranching and oil. He and his wife Lois became significant philanthropists in Texas.

Then, in 1945, they gave $1.5 million to SMU’s School of Theology.

At the time, it was reportedly the largest gift SMU had ever received and the largest gift ever made to an American school of theology.

But the amount isn’t what stopped me. It was what they believed the money was for.

In the document establishing their endowment, they wrote about the future peace of the world and their belief that churches and ministers had a role in securing it.

Think about that.

They accumulated wealth in oil, banking and commerce, then deliberately converted part of that wealth into an institution they believed might shape people they would never meet, decades after they were gone.

Lois went even further.

In the early 1950s, she supported integrating the theology school’s classrooms and dormitories and helped push the school toward admitting Black students.

In Texas.

Before Brown v. Board of Education.
Before the Civil Rights Act.

I walked past this sign before sunrise having never heard their names.

Now I can’t stop thinking about them.

We spend a lot of time asking how to build something valuable. Maybe there is another question worth asking:

What are you building that will still be doing its work when nobody remembers you built it?

That seems like a pretty good question for a morning walk.

[Art Fougner PGY50 @sonodoc99]

@MedSocietyNYS

[Christos Argyropoulos MD PhD 0kale/acc 🇺🇸 @ChristosArgyrop]

But they told us the slope is not slippery

[Art Fougner PGY50 @sonodoc99]

@drkeithsiau No Rx, correct?

[Art Fougner PGY50 @sonodoc99]

@miles_commodore Joe Montana

[Art Fougner PGY50 @sonodoc99]

@miles_commodore Marking that on my Outlook

[Art Fougner PGY50 @sonodoc99]

@BBGreatMoments So 54 homers when pitchers threw the “dead ball.” Let that sink in

[Art Fougner PGY50 @sonodoc99]

Resistance is futile. All Healthcare will be OPTUMized

[MedicalQuack @MedicalQuack]

New bipartisan 340B reform bill curbs HHS' rebate pilot https://t.co/XsrWth1UOL
This is one of those day dream things...will never happen...

Favors the establishment of an independent, third-party data clearinghouse to address pharma industry concerns of improper diversion and duplicate discounts. Such a model introduces an intermediary to coordinate 340B transaction data between parties and spot any issues, and would be paid for by fees charged to program participants..
Optum will bid on it and set another clearning house subsidiary which will be front platform on top of Optum and Change Healthcare platforms already in action..how that works as we saw with Change data breach as Availity did exactly that...

The bill instructs the Department of Health and Human Services to shutter the 340B Rebate Model Pilot Program, which plans to swap out safety-net providers’ statutory upfront discounts for manufacturer-directed rebates, “or a substantially similar program,” within a year of the bill’s enactment.
BUT THE GOOD TECH FOLKS ARE LEAVING..ALL THAT'S LEFT ARE THE LIKES OF AMY GLEASON AND HER STUPID QR CODE THEORIES..

[Art Fougner PGY50 @sonodoc99]

@td_nash

[Art Fougner PGY50 @sonodoc99]

@jsvalenti1

[Art Fougner PGY50 @sonodoc99]

@noahkaufmanmd @KaufCare Kids seem to get sickest at night. 9pm seems early

[Art Fougner PGY50 @sonodoc99]

@MedSocietyNYS War of Attrition grinds on

[Adam Bruggeman, MD @DrBruggeman]

Insurers keep blaming physicians for rising premiums. Twenty-four years of data show the opposite: our payments went down while their profits and premiums soared. How can we reasonably make the assumption that physician pay is driving insurance premiums or overall cost? If anything, cutting pay to doctors is driving consolidation and increasing cost, not the other way around.

And the entire IDR process they love to attack? Roughly 0.02% of total healthcare spending.

Stop the misdirection. Let’s focus on the real drivers of cost in the system.

[Art Fougner PGY50 @sonodoc99]

@EdGainesIII @PhysiciansFound

[Dutch Rojas @DutchRojas]

Full repeal of Certificate of Need passed the North Carolina Senate 31-17.

It cleared two committees in two days.
Then it crossed to the House.

Referred to Rules on April 28, 2025.

That is the last thing that has happened to it.
466 days ago.

Nobody voted it down.
Nobody had to

[Art Fougner PGY50 @sonodoc99]

@MedSocietyNYS https://t.co/xe0hAdthmf

[Art Fougner PGY50 @sonodoc99]

Physicians @PhysiciansFound Foundation Buz Cooper Award - Check it out! #DriversOfHealth https://t.co/qijPSXcs0L

[Art Fougner PGY50 @sonodoc99]

@miles_commodore Thomas Sowell

[Art Fougner PGY50 @sonodoc99]

Putin is losing his Ukraine bet so he wants to attack a NATO-allied country? https://t.co/V10nhcNgjG

[Art Fougner PGY50 @sonodoc99]

@PhysiciansFound #Wellness #PhysicianLeadership

[Eric Novack @eric_novack]

Aug 6, 2026

Reminder:
‘Doctors are the problem in healthcare’

lololololol

[Art Fougner PGY50 @sonodoc99]

@td_nash Pete Lammons