Daniel Silver

Experience in: manufacturing in Mexico, healthcare recruiting, and currently building a specialty outpatient clinic business.

[Daniel Silver @danjonsilver]

I’m open to any questions or conversations about health care staffing/recruiting in CA or manufacturing in Tijuana.

[Daniel Silver @danjonsilver]

@mcuban Yes but it's so complicated - insurance determines how much they owe, not the provider. So it'd be incumbent on the insurance to have a list of their local contracts and prices - this would drive patients to clinics like mine (mid level owned, non facility) by FAR the cheapest.

[Daniel Silver @danjonsilver]

@garonnevik "love your spouse in the most lavish way you have available to you" is a very simple and helpful encouragement. Thank you

[Daniel Silver @danjonsilver]

@shawngorham @RyanDanz @MrBeast When I had my staffing business in CA we used Mineral HR. It was a service that our insurance subsidized. I think we paid $100 a year and they had a very good handbook tool that helped you write and customize the whole thing for CA and Fed compliance. It was detailed but easy.

[Daniel Silver @danjonsilver]

@megbasham Moore didn't say "we need more mosques". He advocated for the legal right to build mosques, ie freedom of religion. Moore said at the time - if we try to curtail freedom of religion, there will be churches that won't be built in San Francisco. This is the right position.

[Daniel Silver @danjonsilver]

@MatznerJon I've exited the recruitment business but man. I'm not saying there are no ways to cleverly interview. But especially for run of the mill roles - skip the interview or just say hello for a few minutes and then check references and then hire the people with good references.

[Daniel Silver @danjonsilver]

@skylarromines I knew a therapist who worked with kids coming out of childhood trauma - he told me once that often the most intelligent kids have the hardest time recovering from it.

[Daniel Silver @danjonsilver]

@uroreql @northwoods1980 Not better because it is an APP clinic. It is better than not getting care at all. We are not talking about neurosurgery - APPs obviously must stay within their scope of practice. I really don't think we probably disagree on this.

[Daniel Silver @danjonsilver]

@uroreql @northwoods1980 Ok - I get your point. My point is that specialty experience matters in addition to education. We have an NP-led clinic treating most causes of lower extremity edema, vein disease, veinous wounds, and I know of no physician within 100 miles of us doing the same.

[Daniel Silver @danjonsilver]

@uroreql @northwoods1980 Counterpoint: experience and education both matter. You go to an urgent care with trigger finger. Doc has never done that injection. NP has. Who do you want? You go to a vein clinic for GSV ablation, NP has done 1000 of these, doc has done 10. Real examples.

[Daniel Silver @danjonsilver]

@shawngorham It's possible that it changes nothing but at minimum it gives people who care about something a chance to visibly say their piece. If a person is worried or anxious about something it's very mentally healthy to take an appropriate action that doesn't hurt anyone else.

[Daniel Silver @danjonsilver]

@moseskagan @hitsamty @RichardHanania Let me challenge you: not saints, just putting one foot in front of the other like everyone else. Everyone has things they deal with. Foster/Adopt can be a big learning experience but people who think (kindly) "I could never do that" are wrong.

[Daniel Silver @danjonsilver]

@OurShallowState @JHoffman011171 X full of people making "MOM! SHE HIT ME FIRST" arguments and thinking they are making a point when they are actually just begging the question. Why do so many of us believe the supposed hypocrisy of others has any purchase as a moral argument?

[Daniel Silver @danjonsilver]

@moseskagan @amisraelhigh The spiritually pitiable "means justify the ends" crowd doesn't recognize the greatness of conscientious public servants (of course imperfect) like McCain, Mueller, Coney Barret, Mike Pence.

[Daniel Silver @danjonsilver]

@IraGilligan Good Faith Estimates are only required by law for people paying cash (opting out of using insurance) or who don't have insurance. I bet they are just having everyone sign them but they are not filling them out for insured folks maybe?

[Daniel Silver @danjonsilver]

@DKThomp You're missing the point. They really want credit for someone making up a power point deck about this, multiple times, in the past.

[Daniel Silver @danjonsilver]

@TimSheehyMT "nothing to see here, it's all part of the plan" is really going to be a hard thing to sell to the public unless they really do manage to fix it in a reasonable way and a reasonable timeline.

[Daniel Silver @danjonsilver]

@mhp_guy Counterpoint: Claude enterprise version that requires an investment in at least 20 seats is the only one currently offering HIPPA compliance if I'm not mistaken. That size may or may not work for independent physicians.

[Daniel Silver @danjonsilver]

@DutchRojas Add to your list of disadvantages for independent physician practices compared to hospitals/facilities: can't be reimbursed for bad patient debt by medicare. Facilities get 65% reimbursement for bad patient debt after 120 days, independent physicians do not.

[Daniel Silver @danjonsilver]

@RepBaumgartner I agree with the concern but the GOP is currently in power and not leading by example. You have Tony Gonzalez comfy in his seat, Trump pardoning people he's in business with (Binance), inconsistent tariffs with lobbied carveouts. Tend to the log in your own eye congressman.

[Daniel Silver @danjonsilver]

@thatchthoughts @moseskagan @JenniferJJacobs @CBSNews I'm not an expert but I think procedural votes are often unconnected to the merits. Several of these were removal to other courts (contract issues). I assumed you were addressing 2025 because you mentioned a sum total of 24 cases above - I believe there were 24 cases in 2025