Brian Sachs, MD

Hospitalist and Family concierge physician | Medical charity & missions | Healthcare policy advocate | originally from Madison, WI

[Brian Sachs, MD @BrianSachs]

When doctors go to medical school, it is to take care of you, our patient.
When we graduate and take our oath, it is for you, our patient.
When we go to work... it is no longer about you.

Insurance vs. Government is a false dichotomy. It is time to reframe the discussion.

[Chad Savage, M.D. @chadsavagemd]

What Republicans and Democrats can do to fix our health care https://t.co/1NyBs65MC0 via @AmericanThinker

[Brian Sachs, MD @BrianSachs]

@pondebekkio If you ever make it to North Carolina, DM me! I'll happily take a new friend out to all the sights. 🥩🍻

[Peter Girnus 🦅 @gothburz]

@SlackHookHQ Correct. The metric was medical cost ratio. The original purpose was medicine. The metric won. It always wins. That is what metrics do when nobody watches what they replaced.

[Beth Bourne @bourne_beth2345]

It’s all medical fraud.

After my daughter’s pediatrician at Kaiser Permanente tried to put her on puberty blockers and wrong-sex hormones when she was only 14, I did an undercover story when I pretended to be “nonbinary.”

I was approved by my Kaiser doctors over Zoom for a double mastectomy (top surgery) and a phalloplasty (fake p*nis) made from the skin tissue on my thigh in under 9 months.

It was only a $100 co-pay for my elective mastectomy and $200 co-pay for my phalloplasty yet the surgeons would bill $25k for mastectomy and $135k for the phalloplasty.

@FTC
@SwipeWright
@aboutKP

[Brian Sachs, MD @BrianSachs]

@VoteAnnJohnson America has PLENTY of talented young people we could train as physicians. Shame on you for squandering their futures.

[Brian Sachs, MD @BrianSachs]

@MAGAVoice I'm a physician in North Carolina, near Raleigh. Happy to help! I'm tired of the corruption in healthcare.

[Brian Sachs, MD @BrianSachs]

The VERY first thing you do when meeting a patient is introduce yourself.

"Hi. I'm Dr Sachs, your hospital doctor."

And sometimes I have to RE-introduce myself, say if the patient was previously confused, new family members are present, if I'm not wearing my white coat, etc.

If this on-TV doctor isn't smart enough to identify herself both verbally and with a physician's uniform, that's on her.

ugh, I'm so over performative outrage in our culture. Maybe that doctor should care more about her patient than her ego.

[Austen Allred @Austen]

I don’t think everyone realizes how polarizing it is to watch someone steal an amount of money they’ve worked 30 years for by throwing up a sign in a vacant building and sending the government an invoice

[InfantryDort @infantrydort]

Starting to get really pissed off that we have service members on food stamps. Homeless veterans too.

Yet some subsaharan filth can make a fake daycare and earn 100 times more than a Soldier makes in a year.

We shouldn’t have to pay taxes anymore. At this point, it’s almost patriotic duty to avoid paying them. Is it not?

What if the money is going to terrorist organizations?

Are we, as citizens, not liable to some degree for supplying them the resources for our own demise?

I’m sorry I’m not sorry, there’s been too much fraud exposed all year. We should not be paying taxes.

We should not be paying taxes at all.

[Documenting Saylor @saylordocs]

This is one of the best explanations on inflation by a politician that I’ve ever heard.

[Brian Sachs, MD @BrianSachs]

@HarvardBiz 7 years later and this is as offensive now as it was then.

My white son is a firefighter, and saved his first life the other night. I'm damn proud of him! Piss off, Harvard.

[Brian Sachs, MD @BrianSachs]

@BowTiedBroke @lookitsADDM @G7president @Mc123XRP @sl4m704 @rayagreen11 @baguars2021 @Law4NC @BrandonF92150 @jojocal19 @sundanceloki @justin_ludwig @1776Vibe @bubbyandflapo @essence_ot @thumbReports @IHearImTheGOAT_ @GadtndGail @lazerbreth I see you've decided to keep my winning ticket private, I respect that 😉 I'm sure I'll hear from you soon!

[Brian Sachs, MD @BrianSachs]

@BowTiedBroke Contest or not, my boys would love this. Jimmy should open up shop!!

[Brian Sachs, MD @BrianSachs]

@BowTiedBroke Me and the kids would love to see the cabin. Good luck to everyone, and appreciate your generosity!

[Brian Sachs, MD @BrianSachs]

70% of physicians are employed, they're not allowed to set prices. And independent physicians are being driven out of business because they literally can't keep their doors open.

Labs, imaging, medications, and physician services are all significantly cheaper at cash pricing for non-emergent services. Health insurance won't go away, it'll just function like regular insurance again – coverage for unexpected and catastrophically expensive care.

When I opened a cash clinic 10 years ago one of my first patients was a Medicaid patient, and not a single patient was rich. I charged $50/mo for unlimited primary care.

In the end though Terry, I don't need to prove myself to you, the market will prove itself to the American people. The reason healthcare is so astronomically expensive is because bureaucrats and businessmen are currently in control, not doctors and patients. We both want the same thing, I promise.

[Brian Sachs, MD @BrianSachs]

Insurance is absolutely the mitigation of financial risk. However, as it stands health insurance isn't actually insurance, it's more like prepayment. Giving patients control of their money will finally break up health care into 1) low-cost cash care plus 2) real insurance for the unaffordable medical events in life.

And yes, it is far more sustainable than what we have now. In fact, it's the only sustainable method that can exist.

[Brian Sachs, MD @BrianSachs]

@JillayneMC @drdanchoi True healthcare costs are probably 10 to 25% of current prices. If we give patients control of their health care money, healthcare prices will drop precipitously.

[MatrixMysteries @MatrixMysteries]

“They told me my MRI would be $5,100 WITH insurance — but only $700 WITHOUT it.”

When she asked to self-pay, the hospital said, “Since you have insurance, we won’t let you.”

“How is that not a scam? Isn’t it my choice?”

Health insurance is a legalized scam.

[Brian Sachs, MD @BrianSachs]

@RoyCooperNC Then LOWER THE COST. It's not complicated, it's just politically inconvenient for you.