Physicians are the highest-paid employees in healthcare.
They are also the most systematically excluded owners.
This is not a contradiction.
It is a design feature.
High W-2 compensation is the anesthetic that prevents physicians from noticing they own zero equity in the systems their labor built.
The salary feels generous until you realize the health system that acquired the practice last year will break even in 90 days.
Payroll is rent.
Equity is ownership.
The difference between the two is the difference between building a career and building wealth.
Physicians generate the revenue. Physicians hold the patient relationships.
Physicians create the clinical value. The cap table tells you who actually captures it.
@drslo@PhysiciansCap
Why do pharmacies need a lunch break? They seriously need to figure out how to rotate breaks so someone can still be at the windows in the middle of the day
Be Dr Elisabeth Potter
> Princeton molecular bio
> crush Emory med school
> match into the most competitive plastics residency at UT Southwestern
> fellowship at MD Anderson learning to rebuild breasts with a woman’s own tissue
> graduate top of the game, DIEP flap queen, 1,000+ cases deep
> join big hospital systems in Austin
> watch insurance companies nickel-and-dime cancer patients for years
> see OR fees hit $30k+ before the surgeon even picks up a scalpel
> get the infamous @UHC call *while patient is under anesthesia* asking if she really needs to stay overnight after mastectomy + reconstruction
> step out of the OR, fight on the phone, they deny her anyway
> posts the video
> it explodes
> millions of people finally see what doctors have been screaming about for a decade
> United sends the lawyers
> “delete the videos or else”
> she laughs, posts the letter instead, and goes harder
> they cut her brand-new surgery center out of network
> Redbud Surgery Center, the one she poured millions into so women wouldn’t get crushed by hospital bills
> suddenly staring at bankruptcy while still trying to operate
> double down on cash-pay transparency
> same elite surgeons, same microsurgery expertise
> do the $100k+ hospital case for a fraction of the price
> same day, same quality, zero corporate middlemen bleeding the patient dry
> keep posting, keep fighting, keep winning small battles (Aetna in-network, Cigna in-network, one patient at a time)
> turn the whole thing into a movement
> be the surgeon who said “if I want healthcare to be different, I have to practice differently”
> actually do it
> still in the arena
> still taking on the biggest insurers in America
> still rebuilding women after cancer
I’m inspired! The Elizabeth Potter arc is what I hope for all my physician colleagues
@EPotterMD@DutchRojas
Yeah totally I can see how it would seem that way if you surrounded yourself with total cranks and grifters and morons. But for the rest of us no not at all.
You're wondering why 0.15%? You may think they chose it because that's used in diet soda, or the FDA limit. You'd be wrong because diet soda averages 0.03-0.04%, and the FDA limit is 0.06%. They chose 0.15% because that's what is required to get the negative outcome they desired.
The word "airport" mentioned at least once in 178 of 342 episodes. Delta mentioned in 127 episodes (via https://t.co/sWcPX85X8t)
It's only right it led to this.