David Gomez

Certified Registered Nurse Anesthetist and CEO/Founder of a #Veteran owned small business.

[David Gomez @iNMedTechLLC]

@SomeRndmGuyUT @rushtheband Such a great show!!! So worth the wait!

[David Gomez @iNMedTechLLC]

@BKRBusinessMin https://t.co/mvNG82LGZL

[David Gomez @iNMedTechLLC]

He’s just discussing so much information to people who don’t really understand most of what he is saying. Too much coffee and he probably forgot his ADHD meds, but he’s just such a wealth of knowledge that’s it’s scattered. Seems more like an off day, with tremendous nervous energy. I’m more concerned with some of his discussions will impact his contracts or perceived trustworthiness to those who utilize the platform. He needs a few days off for sure.

[David Gomez @iNMedTechLLC]

There simply aren’t enough experienced, old-school RNs left. Too many newer nurses have embraced central planning and top-down directives, prioritizing cost-cutting over practical solutions. The result is caregivers struggling to deliver care with one hand tied behind their backs, compromising both patient outcomes and staff safety.

[Heath Veuleman @HeathVeuleman]

Let me preface what I’m about to comment with:

I try my best to advocate for physicians and physician-led enterprises while still being able to call balls and strikes; and,

I’ve supported the No Surprises Act - I understand its genesis and the intent of the legislation; and,

I still think we are discussing edge cases, and when taken in totality, the No Surprises Act doesn’t even come close to scratching the surface of our delivery and financing systems incentivized dysfunction; and,

I’ve never been a fan of trade publications and trade “news” because of information-laundering; therefore,

Considering the foregoing, I’m disappointed that the No Surprises Act is being manipulated to the benefit of intermediaries (lawyers, consultants, management companies, corporations, and private equity) - I don’t care the size, scope, or the amount.

I try to be consistent about waste, fraud, and abuse. If it’s wrong, it’s wrong - and ultimately harms both individual physicians, the profession as a whole, and ultimately patients.

Grift-creep is real and it’s like quicksand. Before you know it you are sucked in and it’s bad news bears.

My fear is that while the No Surprises Act has helped some patients and some physicians, due to the bad actors (as limited as they may be) there is going to be a system recoil - not directly, but indirectly.

And it’s going to be used as a narrative, and leverage, to further drive consolidation to the detriment of physicians.

[David Gomez @iNMedTechLLC]

@dccommonsense Many of the problems we face as a society are due to special interests that benefit the few, rather than society as a whole. Healthcare is the biggest example. It’s broken on purpose.

[Dan Carlin @dccommonsense]

Ive always had a problem with the idea that "money=free speech" when given to candidates/parties.Because to me that would mean the very rich have much more free speech than poorer Americans. Why should a billionaire have as much "free speech" as hundreds/thousands of poorer folk?

[David Gomez @iNMedTechLLC]

@SouthDallasFood It’s right up the street from me in Holly Springs NC. It’s funny, I’m in Dallas visiting family and showed this video to a local Deep Ellum bartender after ordering a great Bloody Mary!

[David Gomez @iNMedTechLLC]

@RepRoKhanna

[David Gomez @iNMedTechLLC]

@BKRBusinessMin Because he’s a taker, and not a maker.

https://t.co/mvNG82LGZL

[David Gomez @iNMedTechLLC]

@Bogey65 @BKRBusinessMin The Cloward-Piven logic applied to healthcare describes a pattern where existing systems are strained, through policy, incentives, or deliberate overload, until visible crisis emerges, at which point expanded government intervention is positioned as the necessary “savior.”

[David Gomez @iNMedTechLLC]

@PtRightsAdvoc @RepMGriffith @HouseCommerce He’s a lawyer and doesn’t understand anything. Tired of people who don’t understand healthcare yapping about as if they have something thought provoking to say.

[David Gomez @iNMedTechLLC]

You’ve got a credibility problem Oz.

Trump pardons and commutations over two terms just Healthcare related:

Prominent named examples (drawn from DOJ records, court cases, and reporting; not exhaustive):

First term (notable late-2020 cluster):

• Philip Esformes (FL nursing home executive): Commuted 20-year sentence (Dec. 2020) for what DOJ called one of the largest healthcare fraud schemes charged at the time (~$1.3 billion in Medicare/Medicaid fraudulent claims/kickbacks/bribery across nursing homes).

• Judith Negron (FL): Commuted sentence (Dec. 2020) for role in ~$205 million Medicare fraud scheme (mental health services, kickbacks).

• Salomon Melgen (FL ophthalmologist): Commuted ~17-year sentence for ~$42 million Medicare fraud (unnecessary procedures/false claims).

• Todd S. Farha, Thaddeus M.S. Bereday, William L. Kale, Paul L. Behrens (and related WellCare executives): Pardoned (Jan. 2021) for healthcare/Medicaid fraud and false statements in a scheme to defraud Medicaid.

• Others: Alfonso Antonio Costa (healthcare fraud), Duncan Fordham (pharmacist, healthcare fraud), John Estin Davis (TN pain clinic CEO, healthcare fraud; commuted), Frederick J. Nahas (obstruction in healthcare investigation).

Second term (examples as of mid-2026):

• Lawrence S. Duran (FL, American Therapeutic Corp.): Commuted/pardoned 50-year sentence (May 2025) for ~$205 million Medicare fraud (false mental health claims, kickbacks, money laundering). Wiped out ~$87 million in restitution.

• Joseph Schwartz (nursing home operator): Pardoned (second term) after short time served for ~$39 million fraud conviction.

• Additional healthcare-adjacent cases appear in DOJ listings (e.g., misbranded drugs/healthcare fraud).

[David Gomez @iNMedTechLLC]

The govt already holds every single hospital cost report down to procedure and zip code. They have the data to set benchmarking. Please just stop talking about what each party should do. They don’t care, and haven’t done a comprehensive audit since 2005. Enough with the political rhetoric. The problem is accountability, not party.

[David Gomez @iNMedTechLLC]

@DutchRojas It’s called the Cloward-Priven Strategy: It describes a pattern where existing systems are strained through policy, incentives, or deliberate overload, until visible crisis emerges, at which point expanded government intervention is positioned as the necessary “savior.”

[David Gomez @iNMedTechLLC]

@HEALTHCOSTtruth @Evie707656912 Architecture by design. https://t.co/tqY1Hylv57

[David Gomez @iNMedTechLLC]

@jamelholley Access to innovation is the issue. End Safe Harbors and the corrupt middlemen who delay innovation adoption by 10-20 years on average. For them it’s costs and kickbacks, at the expense of patient safety.

[David Gomez @iNMedTechLLC]

It makes no sense. If they actually conducted hospital cost report audits—which they haven’t done since 2005, they would see that they already hold millions of procedural codes submitted for reimbursement, with pricing broken down to the zip code. In other words, they could make that benchmarking public and let the industry compete on it. On top of that, all the cost of goods and pharmaceuticals routed through middlemen under safe harbor protections vastly inflates the cost of care, and none of those prices are public either.

[David Gomez @iNMedTechLLC]

@BKRBusinessMin @anish_koka Architecture by design https://t.co/tqY1Hylv57

[David Gomez @iNMedTechLLC]

You know you guys keep going after clinical fraudsters and completely understand that but you’re not looking where you need to look because there’s hundreds of billions of dollars a fraud underneath your nose and you haven’t done anything about it because you don’t audit your own hospital cost reports. If you want to know where to look, let’s chat.