Matthew Speyer

[Tennessee Football @Vol_Football]

Our Tennessee Home 🦋

#GBO 🍊

[The Babylon Bee @TheBabylonBee]

Residents Of Heaven Torn Between Attending Chuck Norris's Martial Arts Seminar And Going To Dolly Parton Show https://t.co/4OxTvbySm4

[Dolly Parton @DollyParton]

A message from the family of Dolly Parton.

[Corinne Clark Barron @corinnec]

Fed student loans are a handout to universities, not to students, actually.

[Adam Bruggeman, MD @DrBruggeman]

Come with me for a few minutes to an imaginary world. A world where professionals are paid 50% for any work they do in the same visit they diagnose the problem.

Your water main bursts. Water is shooting 30 feet in the air, flooding your street. The plumber diagnoses it in 2 minutes. He'll be back tomorrow if his schedule allows

It's 105° outside, 85° inside. The AC tech finds you're bone dry on refrigerant. Sit tight, someone will swing by next week.

Your tire light's been on. Shop finds a nail, tire's losing air fast. They tell you to drive home on it, come back next Tuesday.

Your toilet has overflowed. Raw sewage is spreading across your bathroom floor right now. Keep towels down till Thursday when they can come back.

Electrician finds a scorched wire behind your breaker panel, which is an active fire risk and potentially could burn your house down. They tell you to call their scheduler for our next available appointment

Does any of this make sense? Of course not.

Unfortunately this is exactly what the government wants to do to doctors. Diagnose you in clinic, decide a procedure is needed, perform it that same day to save you a second appointment, a second copay, a second day off work, and get paid 50% less for it.

So doctors won't eat that cut. They'll do exactly what any rational professional would do: delay the fix. Schedule the second visit. Make the patient come back.

When it's a plumber, you wait a few extra days for water damage. When it's a doctor, patients delay care they need, and some of them get worse waiting.

Write CMS today and tell them that paying the -25 modifier at 50% is both unreasonable and reckless. Call your Member of Congress and tell them this isn’t what you paid premiums and taxes for.

@IndeMedAction

[Nashville SC @NashvilleSC]

Sleep tight 😉

[Matthew Speyer @MatthewSpeyer]

@KentuckyLacy ROF

[foley (follard) @follard]

I went to Dartmouth. It costs roughly $60,000 a year all in. I now build homes for a living. They cost roughly $350,000 to build.

Both of these numbers are completely insane. And they are insane for the exact same reason.

The moment the government guarantees a loan, the seller stops caring what the buyer can actually afford. College tuition exploded after the federal government started backing student loans with no underwriting and no discharge in bankruptcy. Home prices exploded after Fannie Mae and Freddie Mac started buying mortgages and removing risk from lenders.

When a bank knows it will get paid no matter what, it will lend to anyone. When the bank will lend to anyone, the seller raises the price. When the seller raises the price, the buyer just borrows more. Nobody feels the pain until the bill comes due 10 or 30 years later.

Colleges added $200 million rec centers and hired thousands of administrators because students were writing checks with money that didn't feel real. Home sellers listed at $500k because they knew the bank would approve it regardless of whether the buyer could sustain the payment.

I benefited from both systems. My Dartmouth degree opened doors. The homes I build get financed by these same banks. I am not pretending to be above it.

But I look at both industries from the inside and tell you they run on the same engine. A guaranteed loan that disconnects the buyer from the real cost of what they are purchasing. The university and the mortgage lender have the same business model. They are financing tools that happen to have a campus or a front door.

If the government removed the guarantee from the student loans tomorrow, tuition would drop 40% within five years. If Fannie and Freddie disappeared, home prices would correct in the same direction. The prices are essentially fake. They are a reflection of how much debt a bank is willing to issue, not how much the product is intrinsically worth.

I say this as someone who went to an expensive school and builds homes. Both systems are broken in the exact same way and nobody talks about it because too many people profit from the status quo.

[Sara Rose 🇺🇸🌹 @saras76]

Fauci got clots after getting the clot shot and hid it from the public, while getting VIP treatment at Walter Reed.

Fucking scum.

[Matthew Speyer @MatthewSpeyer]

@RobSchneider Dr. Fauci kept repeating, trust the science, a.k.a. trust him, because he knew COV-19 was engineered to spread. I’m sure they were hoping for a less morbid version ,instead, a more malignant one escaped the lab.
Humanity on his Petri dish. Sick!

[WSMV 4 Nashville @WSMV]

Seasonal allergy sufferers now on alert in Middle Tennessee https://t.co/G0GBkl9NmS

[Steve 🇺🇸 @SteveLovesAmmo]

If Alex Jones can be sued for $1B dollars so can Anthony Fauci.

Imagine if millions of people began civil litigations against him.

[Matthew Speyer @MatthewSpeyer]

@FreddyLA7 Welcome back!

[Matthew Speyer @MatthewSpeyer]

@oliverhenry Athens.

[Matthew Speyer @MatthewSpeyer]

@PhillyGov Dolly, of course.

[Skylar Skye @SkylarSkye3]

I came to America with 2 suitcases 🇺🇸

I now have 4

My extra two are filled with: Hidden Valley ranch, hot dogs, pop tarts, El Paso seasoning, target clothes, Reece’s peanut butter cups, sour patch kids, maple syrup, Tennessee whiskey.

[Amy Faith Ho, MD MPH @amyfaithho]

Hey @DrOz,

When you started practicing medicine in 1993, the RVU reimbursement rate was $31.60. @CMSgov is proposing that in 2027, it is $33.40.

Adjusted for inflation (+132%),
that’s a 54% cut…

No wonder you quit practicing medicine. The financials don’t make sense.

Can you tell @CMSGov…oh, wait a minute…

🤔🤨😒

[Howard Luks MD @hjluks]

CMS just basically whacked the -25 modifier for 2027.
And of course cut fees again.

I guess there’s another good reason to being this close to retirement.

[Matthew Speyer @MatthewSpeyer]

@FreddyLA7 Welcome to Rocky Top, Freddy!

[Virgil Davis Hunt @vrgldh]

POV your mayor raised your property taxes so high that you have to shut down your restaurant, and he comes in right before closing on your last day to eat the final meal and gloat.