If you can't AFFORD Medical Care you are DENIED Medical Care. LEGISLATORS say people DON'T CARE about Healthcare Reform so they ARE NOT going to FIX it.
Virginia
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You don’t understand. MDs are employees yet are not payed hourly but on production. Yet corporate medicine overhead is 75% meaning the MD gets 25% of what insurance pays them. Everyone you mentioned gets paid hourly unless they are company owners. I own my practice. I keep 75%.
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Taxpayer Subsidized "Nonprofit" Hopitals across the US keep their tax money. We hate the Rich for not paying taxes. But NO ONE hates Hospitals for NOT PAYING TAXES.
86% of Virginia Hospitals are Taxpayer Subsidized "Nonprofit" Hospitals. They don't pay Federal, State, Sales, Local or Property Taxes. Sentara CEO makes $33 MILLION a year.
These "Nonprofit" Hospitals only give 1-2% back in Charity Care and drive Millions of the local sick and suffering into Financial Ruin. These Taxpayer Subsidized "Nonprofit" Hospitals have Strangled Free Market Medical Care.
They charge 5-10x more for services than local Free Market Medical Services. And pay NO Sales TAX. Taxpayer Subsidized "Nonprofit" Hospitals subsidize Professional Sports Teams with TaxPayer Money.
They pay CEOs and Administrators $MILLIONS. Then claim they have "thin margins".
Healthcare purchased through Health Insurance is 18% the Economy. Costing more than Food, Energy and Military Spending COMBINED.
Honest Question: Who has more money to hide from the IRS and Tax Payers? The Rich or Taxpayer Subsidized "Nonprofit" Hospitals?
#Hospital #HealthInsurance #Congress #Corruption
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Medicare Sucks. Medicare for All will Suck even worse.
How is Medicare a “benefit” but it doesn’t pay for Jack squat and leaves you with such an enormous bill that drives you into financial ruin.
#HealthInsurance #Hospital #Congress #CORRUPTION #Fraud
You can pay Medicare taxes for 40 years and still retire into coverage with no annual ceiling on your share of the medical bills.
That’s Original Medicare.
Here’s what “Medicare pays 80%” actually means:
After your Part B deductible, Medicare generally pays 80% of the approved amount for physician services and outpatient care. You owe the remaining 20%.
For $100,000 in approved services after the deductible, your share is $20,000.
Original Medicare doesn’t stop charging you coinsurance because you’ve already spent $20,000 that year.
And that’s just Part B.
Part A covers inpatient hospital care under different rules: a deductible per benefit period, plus daily charges for longer stays. It has no overall annual out-of-pocket ceiling either.
You also generally pay a monthly Part B premium. In 2026, that starts at $202.90.
People buy Medigap to help cover those expenses. Medicare Advantage offers an alternative with an annual limit for covered medical services. Medicaid or other supplemental coverage can also help eligible patients.
Those protections matter because Original Medicare alone leaves your exposure uncapped.
Before telling someone Medicare is free, explain how much of their retirement they can afford to spend on the remaining 20%.
Medicare is just another scam.
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The great irony of this meme is that if you raise the minimum wage that pretzel is just gonna cost more because the guy who makes that pretzel is going to get paid more. The cost of the higher minimum wage is going to be passed on to the consumer. Everything is going to cost more.
The most expensive part of manufacturing anything is the labor. That’s why the first thing company is due when they are losing money is fire people.
If you want things to cost less or have people afford more the only way to do that is to cut the cost of the basic materials, not raise the price of the labor. That has the opposite effect.
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Humane Healthcare for All retweeted
Dr. James O'Leary on nonprofit hospital tax exemptions:
"If you can afford to sponsor LSU and do all these things, you don't need a nonprofit tax exemption."
His proposal: go back to the pre-1969 definition — nonprofit status tied strictly to charity care.
No more exemptions beyond that.
Tax the rest. Keep that money in a dedicated charity care fund.
"You are actually, for the first time, a charitable hospital. You just didn't want to do it — but we're helping you."
🎧 Full episode: nitter.net/DRsLoungePod/status/21…
Real Doc Speaks: Bureaucracy, Bad Incentives, and the Fight to Keep Doctors in Charge
Episode Summary
In this special add-on episode, Anish Koka and Anthony DiGiorgio welcome Dr. James O'Leary — a Mayo-trained OB-GYN with forty years of experience, former department chairman, ACO board member, and host of the Real Doc Speaks podcast — for a wide-ranging conversation on the erosion of physician-led care. The trio dissects a tragic Nashville case in which four outpatient knee-replacement patients were injected with potassium phosphate instead of bupivacaine after a multi-step, multi-person medication-verification process failed at every checkpoint, using it as a jumping-off point to discuss "kludgeocracy," alert fatigue, surgical-timeout mission creep, and how doctors who raise safety concerns get labeled disruptive. From there the conversation moves through OB-GYN malpractice and nuclear jury verdicts, Florida's no-fault birth-injury compensation fund as a possible national model, the maze of state-by-state Medicaid reimbursement and its perverse incentives, and nonprofit hospitals' use of stadium sponsorships as a possible anti-kickback violation, before closing with a rapid-fire "hot seat" round covering ACOs, private equity, scope of practice, physician unionization, and single-payer healthcare.
Chapters
00:00 Cold open — why isn't Medicaid money reaching physicians?
00:34 Welcoming Dr. James O'Leary (Real Doc Speaks)
02:34 Why physicians need a voice on social media
03:14 The Nashville potassium phosphate medication error
09:52 Would a physician-owned hospital have prevented this?
10:17 "Kludgeocracy" and getting labeled disruptive
14:30 The surgical timeout's mission creep
19:35 EMR alert fatigue and lost safety signals
22:50 Replacing pharmacy techs with better safeguards
24:34 Anish's shift from hospital to outpatient practice
30:19 Malpractice, nuclear verdicts, and OB-GYN
33:50 Florida's no-fault birth-injury compensation model
39:16 Medicaid reimbursement and state-by-state variation
50:33 Nonprofit hospitals, sports sponsorships, and the anti-kickback statute
55:46 Five hot-seat questions for Dr. O'Leary
1:01:51 Direct referrals vs. large health systems
1:03:23 Closing thoughts and where to find Dr. O'Leary
Co-Host Handles
@anish_koka and @drdigiorgio
Guest Handle
Dr. James O'Leary — @realdocspeaks
Show Handle
@drsloungepod
Subscribe Links:
Spotify: open.spotify.com/show/44vw8e…
Apple Podcasts: podcasts.apple.com/us/podcas…
YouTube: piped.video/@TheDoctorsLoung…
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It’s BS. It makes Healthcare more EXPENSIVE.
We have more Physicians now than we did 30 years ago.
We don’t have a Doctor Shortage. We have a Criminally Mismanaged Healthcare system.
Clear evidence it should be ILLEGAL for anyone but Doctors to own and run a Hospital or a Doctor’s Practice.
The AMA has no interest in fixing Healthcare and helping Physicians and patients.
#Hospital #Congress #CORRUPTION
An important issue that could have real repercussions in healthcare:
A $103,000 visa fee could have a very real impact on whether some communities can access quality care from a doctor.
That’s why the AMA is urging the Administration to exempt physicians from the proposed H-1B fee.
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When the cheapest Bronze plan eats more than ~8% of your income, the feds may call it unaffordable — and catastrophic plans open up.
That’s not a fix. That’s an admission.
Direct Care for the oil change.
Real insurance for the wreck.
drcalebmasterson.com/
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And Hospitals. Taxpayer Subsidized “Nonprofit” Hospitals are funding Professional Football teams.
Riverside ER here charged me $3,850 for 3 CTs I can get for $413 cash in the community.
Hospitals paralyze Congress with “Donations”.
#Hospital #HealthInsurance #Congress #CORRUPTION #Fraud
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Healthcare is Nothing more than a MONEY laundering system.
7 of the top 10 lobbyists are from Corporate Healthcare. Donations are Bribes. Bribes breed Corruption.
18% of our Economy is Devoured by Healthcare purchased through Health Insurance.
86% of Virginia Hospitals do NOT pay Taxes. Sentara Hospitals CEO makes $33 Million a year on the backs of children.
Congress thinks this is ok.
YOU voted for this OR did nothing to stop it. Make this an issue.
Do we need Congressional Hearings study proving this?
#HealthInsurance #Hospital #Congress #CORRUPTION #Fraud
Federal healthcare programs Medicare, Medicaid and ACA subsidies now consume nearly 31% of the entire federal budget costing a staggering $2.7 trillion annually.
We are spending record-breaking sums of money to buy historic levels of frustration.
reason.com/2026/09/23/federa…
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How about using AI to root out Healthcare Fraud.
A 20 something man found more Medicare and Medicaid Fraud with a laptop and a cellphone than the ENTIRE Federal government.
#HealthInsurance #Hospital #Congress #CORRUPTION #Fraud
potential of AI to lower healthcare costs.
By enhancing operational efficiency, improving diagnostic accuracy, and enabling personalized medicine, while maintaining standards of care will be challenging.
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Your Health Insurance and Tax Dollars pay for Professional Football teams. That’s why you’re not getting a Pay Raise or a better job.
Why is healthcare expensive?
Emory sponsors the Falcons.
UW Health sponsors the Packers.
Apparently, America’s tax-exempt hospitals have room in the budget for professional football.
The public just doesn’t get to see the price.
Here’s where you come in.
Tax exemptions leave these institutions with money they would otherwise owe.
The public gives up that revenue because these hospitals serve a public purpose.
That bargain deserves scrutiny when the hospital starts buying NFL advertising.
Every dollar spent on a sponsorship is a dollar unavailable for patient care, financial assistance, or lowering bills.
Maybe the advertising generates enough business to justify the expense. Then publish the numbers.
Tell taxpayers what you spent, what you received, and how patients benefited.
These institutions understand the commercial value of an NFL audience perfectly well. They also understand the financial value of being called a charity.
The public deserves to know how much of its generosity ends up in professional football…
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Truth
Why is it that all the people that want to tax billionaires, never want to tax not-for-profits?
If accumulated economic power is the concern, why should we scrutinize $10 billion controlled by an individual differently from $10 billion controlled by a perpetual tax-exempt corporation?
Help me, help you! I’m just a dumb redneck from Louisiana. Educate me.
@Jason @bgurley @mcuban @RayDalio @elonmusk @BillAckman @DougKass
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Difficult does not mean it’s not realistic.
Medical School and Residency were Difficult. We persevered.
Being a Physician EVERY DAY is Difficult. We persevere.
Direct Primary Care and Direct Specialty Care is Difficult to establish but EASIER than Medical School and Residency.
In an area of 1.8 million people, you have three Cash cardiologist, endocrinology, Pulmonology, Gastroenterology PM&R, Neurology, gynecology.
Doctors do difficult things every day for decades.
Why are Doctors so TERRIFIED of opening a cash private practice especially considering 60% have Health PLANS, $6,000 Deductibles, HSAs?
We are terrified because we are told to be terrified starting in Medical School and our employers Corporate Healthcare to mainten control and so they can continue to take 75% or more of what Doctors earn.
Do the math yourself. Because your Corporate Healthcare Employer is.
#Hospital #Congress #HealthInsurance #CORRUPTION
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The ENTIRE Medical Billing process is based on DECEPTION.
1. Nick Shirley proves this. He’s found more corruption with a laptop and cellphone than the entire US Government. And they weren’t Doctors.
2. Everyone knew and no one else went to jail. All the billers and coders knew the bills were Fraudulent. They are all still submitting fraudulent bills. Medical suppliers also knew.
3. But he made a good point. One I’ve been making for several years. No other service bills like this. Medical Bills are complicated in order to hide CORRUPTION and Price Gouging.
Doctors are the ONLY profession to be paid with COUPONS before we get paid in cash. The Billing process is designed around distribution of these COUPONS and the ability to Price Gouge people without their knowledge.
The ENTIRE billing process is built on DECEPTION.
#HealthInsurance #Hospital #Congress #Fraud #CORRUPTION
There’s no way all of that fraud happened without a significant number of people knowing about it. They let it happen anyway. AI will not supersede human corruption at that level.
What AI will do is find low-level billing discrepancies and potential overuse. Statistical analysis will paint outliers as de facto fraudsters and likely assess monetary penalties that could be ruinous, without an actual investigation or any type of due process. It will be a civil issue and not a criminal beef.
“Show me the doctor and I’ll show you his fraud and abuse” will be the way of the regulators.
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Humane Healthcare for All retweeted
🚨 RUBIO JUST SAID THE NUMBER THEY NEVER WANTED ON TV 🚨
Americans work 40 years.
They retire.
Social Security: $800. $900. A thousand a month.
Somebody who got here from Cuba three months ago: $1,500 a month.
Marco Rubio said it out loud.
“So imagine if you’ve been working here for 40 years and your Social Security check is smaller than the benefits going to a 28-year-old, able-bodied person who just got here. That’s real. That happens. That’s happening every day. That makes no sense.”
You paid in.
They landed.
They beat your check.
That’s not compassion.
That’s a slap in the face with your own tax dollars.
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According to Grok:
If the question is “what if the CMS improper-payment rate applied to all U.S. health insurance claims?” the straight extrapolation is about $220–240 billion a year.
About 12-14% of the US Deficit.
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Hint: Can AI be used to find Fraud in Healthcare spending?
18% of GDP is Healthcare purchased through Health Insurance.
What effect do you think AI will have on stopping Healthcare Fraud?
#HealthInsurance #Hospital #Congress #CORRUPTION
Elon: AI roughly doubles US GDP growth next year — from ~2% to ~4%. Maybe more.
US GDP is about $32 trillion.
Healthcare burns trillions a year on waste, middlemen, and prices nobody can read.
If that same AI ambition hit meds, labs, medical software, and Direct Care — you could gut $1–2 trillion of annual expense without rationing a single good visit.
That’s not austerity.
That’s GDP growth with better health attached.
Keep insurance for the wreck.
Stop insuring the oil change at luxury-car prices.
nitter.net/elonmusk/status/210101…
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If Oncology went Direct Specialty Care, it is possible, EHR nonsense would be cut 75% or more. We still have to document. All that time could be devoted to patients.
Prior Authorizations - Anastrozole is the top medication written Oncology according to Grok.
Anastrozole 1mg 90 tablets mail order costs $18 Cash. No Prior Authorization needed.
Cisplatin 100mg $17. $476 for 28 days.
Doxorubicin • Common 50 mg vial (25 mL of 2 mg/mL): cash/list figures are often about $16–$25; manufacturer WAC for some 50 mg vials is in the $14–$25 range.
• A 10 mg vial can be roughly $6–$13 WAC. A 21 day cycle at 10 mg would cost $210.
I understand there are expensive medications and agree PAs for expensive cancer drugs are BS. But they aren’t all expensive.
Pay cash and get rid of a ton of Prior Authorizations.
43% of an Oncologists day can be fixed with Direct Specialty Care. They would provide Better, More Accessible and More Affordable Medical Care.
#HealthInsurance #Hospital #Fraud #CORRUPTION
I had a very romantic idea of what oncologists actually do all day.
Ever since my Dad got cancer, I’ve been fascinated by oncology. He's fortunate to have a great onco
Soon after, I read Emperor of All Maladies & this image became almost mythical
Over the past year, I started spending a LOT of time shadowing oncos at community clinics & NCI giants.
Stuff I witness horrifies me.
My fantasy is now maybe ~30% true
Oncos are forced engage with entities that have perfected the art of treating them like sh*t.
Numbers are brutal:
▪️96% say prior auth delays treatment
▪️80% say it has caused disease progression
ACCC recently gave this a name: administrative toxicity
Welcome to modern day cancer care..
Put brilliant minds through 15 years of training.
Then surround them with mind-numbing work
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Plot Source: @Jori_health
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