Fellowship-trained, board-certified neurosurgeon. #neurosurgery#healthcarepolicy. Tweets/views=own. Believer in science. Curator of epic OR playlist, podcaster
Spine surgeons see problems from many different angles. That is why it’s prudent to get more than one opinion. But be wary of surgeons who use high pressure tactics to get you to sign up for surgery when no other methods have been tried. #trustyoursurgeon
@ssdhall@hwinkler4real@jonathanstea And so then by your definition, most if not all of the DOGE contractors had zero business doing what they did. And so the end, again, was predictable. Out of their depth. Most, if not All of them worked in the private world prior to being in DOGE. Certainly we can go 1 x 1
@ssdhall@hwinkler4real@jonathanstea Nice goalpost move btw. So now one needs to work in a broken system to recognize and fix it. You won’t want to paint yourself into that corner my friend.
@ssdhall@hwinkler4real@jonathanstea There’s some basic meta knowledge anyone anyone who claims to know anything aboYou are assuming ive never worked in a county system in which you would be wrong. So again. It’s pretty simple. If you don’t know what you don’t know slash and burn is the wrong technique.
@ssdhall@hwinkler4real@jonathanstea As surgeons all we do all day is discern pathology (I.e. waste) from good tissue. It’s what own would expect from people who take their job seriously. Obviously the nimrods didn’t and or couldn’t think that far in advance.
@ssdhall@hwinkler4real@jonathanstea How do you know what’s bureaucracy and what’s not if you assume everything is bureaucracy and fire everyone. Seems idiotic and…..wasteful. Seems more efficient to study the system for 2-3 weeks, especially if they involve our arsenal, and then decide what’s and what isn’t.
@ssdhall@hwinkler4real@jonathanstea I’d consider the people we had to hire back after we fired them as innards. In that regard It’s fairly easy to demonstrate that some of the stuff that they tore out was pretty important. So the The move fast and break things motto just doesn’t work here. Again and again and..
@ssdhall@hwinkler4real@jonathanstea Put it this way I consider our country like a beautiful vintage car. I would never ever rip the innards out & take a sawzall to it & THEN figure out how to put it back together again before I read the manual and drove it around the block a few times because I give a shit about it
@ssdhall@hwinkler4real@jonathanstea Not Celebrating a predictable failure of a poorly planned plan just saying I saw the car headed for the cliff. Kinda weird you took it that way when you cheered for it to speed up.
@vitt2tsnoc I’m guessing sentencing her to like 30 community hours of cleaning the otter’s cages would be served not teaching her a lesson but also so right would be also wrong but somehow fitting?
@PeakNatapatMD@MayoClinicGIHep Wishing you good luck. But I bet in about seven days you’re gonna wanna go to the golf course with the beeper. And I don’t mean so you don’t miss a page.
@EdGainesIII@bsbsnc@UHC I mean, I’ve run a business for 16 years. Money comes in money goes out. We have to tag where money comes in from. Seems like hospitals w their fancy ass accounting should be able to do the same thing. Especially if they’re getting federal money. That shouldn’t be that hard.
@EdGainesIII@bsbsnc@UHC Sounds like we need patients and doctors on the Hill and people in Congress to ask for a detailed and high level breakdown of where the money goes when hospitals get paid. From any source. That’d be a fun meeting.