@dickandtinasson@urologythoughts Unfortunately not an option in most states. CoN laws and the monopoly created by large health systems eliminates this for a great percentage of docs. These systems actively lobby against physician independence.
@DrDiGiorgio Overcomplicating it. The juice aint worth squeeze. Money down, time in with no money increased to specialize. Smart people make money doing less work with 1000% less risk and an actual life. I kept my kids out of medicine for that simple reason
Trumps first year in office has seen the lowest amount of bills passed in modern history
Biden- (122)
Obama- (125)
Bush- (109)
Trump- (38)
If you want @LeaderJohnThune to resign and let someone else lead, let him know, he'll see this.. he's simply not suited to be in this role
East Hardy Wrestling junior Aaron Barb (37-3) has singlehandedly catapulted the Cougars into second team placement at the @TheWVSSAC State Wrestling Tournament in Huntington and earned a spot in tonight's semifinals ๐พ๐คผโโ๏ธ๐๐๐ @HardySchools@EastHardyHigh@stevenlmiller_m@WVMat
Former @MLB player John Vander Wal nailed it on his @facebook post!
#shegone
The game is in an awful state.
I scouted professionally for two organizations over a ten-year period, and a lot of what weโre seeing today is being misunderstood or flat-out misrepresented.
First, velocity. Pitchers are not throwing significantly harder across the board. The perceived jump in velocity is primarily the result of technology and measurement changes โ specifically where the device picks the baseball up out of the hand. As radar and tracking systems moved closer and closer to release, the readings increased. The arm didnโt change โ the measurement did.
Now hitting.
Weโve reached a point where โgurusโ who never played the game at a high level are applying golf swing principles to baseball, largely because golf embraced analytics to identify the most efficient swing paths. The problem is that a baseball bat is not a golf club.
In golf, you dump the club to get it on plane.
In baseball, you cannot lose the barrel on the back side and still stay on plane consistently.
Yet the tech community began preaching backside barrel dump as the answer. Front offices filled with non-baseball โpropeller headโ GMs bought into the presentations, and this philosophy was pushed aggressively through the minor leagues. I saw this coming as early as 2014.
The result?
Hitters now dump the barrel in an attempt to get on plane, but they:
โข Struggle to stay inside the baseball
โข Lose adjustability
โข Operate with slower effective bat speed
On the pitching side, itโs no better.
Pitchers are taught max effort on every pitch. Starters rarely exceed 90 pitches or five innings, work almost exclusively to either arm side or glove side, and live in deep counts. Relievers are almost universally max effort, arm-side only.
The consequence is obvious:
โข Poor command
โข Inconsistent control
โข Little ability to sequence or adjust
Despite all the technology, pitching command and overall feel are as bad as Iโve ever seen at the big-league level.
More data didnโt make the game smarter.
It just made it louder โ and in many cases, worse.
https://t.co/4Ozi83ayLJ
@notgaetti@BobFile@twuench@billdubs@iamrags@SliderDominate@slider_sinker@CRAIG_LAPINER@hittingguru7@BLocsports@TheRealJHair@WillClark22@DMEASrecruiting@GDBJr5@mikepiazza31@JLucroy20
Theyโre not buying your practice because they need doctors.
๐๐ก๐๐ฒโ๐ซ๐ ๐๐ฎ๐ฒ๐ข๐ง๐ ๐ฒ๐จ๐ฎ๐ซ ๐ฉ๐ซ๐๐๐ญ๐ข๐๐ ๐๐๐๐๐ฎ๐ฌ๐ ๐๐๐๐ข๐๐๐ซ๐ ๐ฉ๐๐ฒ๐ฌ ๐๐โ๐๐๐% ๐ฆ๐จ๐ซ๐ ๐ฐ๐ก๐๐ง ๐ฒ๐จ๐ฎโ๐ซ๐ ๐ก๐จ๐ฌ๐ฉ๐ข๐ญ๐๐ฅ-๐จ๐ฐ๐ง๐๐.
Same procedure.
Same you.
Same room.
Thatโs the facility fee.
Thatโs the game.
Catholic health systems have acquired hundreds of physician practices.
Not to improve care.
To capture the billing code.
Once youโre inside:
โ You refer inside
โ You bill inside
โ You follow the ERDs
Meanwhile:
โ $3.8 billion in fair share deficits
โ 2.7% charity care (below national average)
โ $28 million CEO compensation.
โ 688 communities with no alternative hospital
Ministry on the letterhead.
Facility fees in the spreadsheet.
Full breakdown dropping today on The Rojas Report at 11:30 EST.
@GeBaiDC Cash patient are no longer the poor. They are in my experience middle aged, self employed and value the visit. They listen to the advice that is given and are "lower risk" on the litigation meter. Most havent bought into the insurance scam. I love seeing them in my clinic