Baseball and college hoops.
Healthcare policy idealist and realist. Past and present Blue Devil.
Tweets are my own and do not represent Duke or the ACR.
"The George Brett Vision Test."
In 1985, the Missouri Driver's License Bureau issued George Brett his drivers license without requiring him to take the vision test.
According to a Missouri State official:
"If he can hit .390, we figured he could see."
AI is changing radiology. The question is: Are you ready to lead what comes next?
📍 2026 RLI Summit - Atlanta
📅 Oct. 16–18
🧠 Hands-on workshops + nationally recognized radiology leaders
🙋♀️ And I’ll be there!
If you want to do more than just talk about the future of radiology, come help build it.
Who’s joining me in Atlanta? 👇
shorturl.at/EfFo2@RichDuszak@RobOpticanMD@RadiologyACR
CMS looked at AI tools in radiology and essentially said: "You're more efficient now. So we're cutting your pay." 🤯
The Efficiency Adjustment Delay Act would block that 2.5% reduction until 2030 — and require actual empirical evidence before future AI-based cuts.
This gives @RobOpticanMD flashbacks to the bundling debacle 👀
Listen to the full episode and get your FREE CME: shorturl.at/RFm04#Radtwitter#Medtwitter@DukeRadiology@DukeRadCTI
📌the ROOT Act proposes a better way forward than PAMA: retrospective audits instead of point-of-care chaos.
@RobOpticanMD made a compelling case that this is one of the rare policy asks that actually saves the federal government money. ACR CEO @DSmethermanMD has already testified before the relevant House committee.
Still in committee. Worth watching 👀.
Listen to the full episode: shorturl.at/lAy15#Radres#Radiology#Radtwitter#Medtwitter
There are 1,000+ FDA-cleared AI tools in radiology.
Almost none of them have reimbursement pathways.
Hospitals can't justify the investment. Vendors can't sustain development. CMS wants real-world data that can't exist without adoption.
🤖The Health Tech Investment Act is trying to break that loop.
Listen to the full episode now for your free CME: shorturl.at/lAy15#Radiology#Radres#Medtwitter#Radtwitter@RobOpticanMD
Radiology didn't sign up to be America's healthcare guinea pig. And yet...here we are.
💰Congress is deciding whether AI gets reimbursed.
🏥 CMS is deciding whether AI means physicians should be paid less.
🤖 States are deciding whether AI can help deny patient care.
@RobOpticanMD joins us to unpack the 6 legislative and regulatory issues that could shape the future of radiology.
FREE CME!!
🎧Listen now: shorturl.at/lAy15
Everyone wants reimbursement for AI - but the question is whether we can prove it at scale.
🎙️ @RobOpticanMD explains why the @ACRDataSci could be one of the most important organizations in radiology's AI future.
👀 Full episode of ✨Contrast & Clarity✨ drops this weekend featuring the 6 healthcare policy battles that could shape the future.
And yes, this one matters more than most people realize.🔥
#Radiology#Radtwitter#Medtwitter#Radres@DukeRadiology@DukeRadCTI
My thoughts on Dr. Nicole Saphier, President Trump’s third nominee for Surgeon General:
She has an active medical license and an ongoing clinical practice. (In 2026, we really shouldn’t have to highlight that… but here we are)
She is an exceptionally clear communicator - especially effective at reaching conservative audiences who often tune out traditional public health messaging.
I’ve worked with her before and found her to be genuinely fair-minded. She at least tries to see both sides.
She leans heavily toward “personal responsibility” and is skeptical of government intervention. That’s understandable, but I hope her time leading the Public Health Service and seeing the programs that actually expand healthy options for people who currently have few will soften that stance a bit. You can’t always make the healthy choice when the environment only offers bad ones.
She has no apparent experience running a large organization (the U.S. Public Health Service Commissioned Corps has about 6,000 officers). There will be a steep learning curve, but she’s clearly smart enough to handle it, especially if she leans on her experienced senior officers for support.
She has publicly pushed back against both RFK Jr. and President Trump (for example, on claims linking Tylenol or vaccines to autism). That independence is refreshing- She’s no sycophant. The challenge will be maintaining that willingness to speak truth to power once she’s inside the administration instead of commenting from a Fox News studio. Hopefully she’ll be allowed to follow the science wherever it leads.
Overall, this is a solid pick. I believe she’ll be confirmed and that she has both the clinical background and the temperament to do a good job.👇🏽
washingtonpost.com/health/20…
Are you alive today? If you didn’t die from COVID, HIV/AIDS, Ebola, SARS, swine flu, anthrax, tuberculosis, malaria, or other diarrheal diseases, you have the great Dr. Tony Fauci to thank.
Long term follow up of a phase 1
trial of an mRNA tumor vaccine shows that 7/8 patients with pancreatic cancer, who mounted an immune response to the vaccine, are still alive 6 years later. This is breathtaking data and shows the promise of mRNA vaccines. nbcnews.com/health/cancer/pa…
The president’s message today warning that an entire civilization will die cannot be explained away as just bravado, or brinksmanship, and it raises serious concerns about his health. He should undergo an urgent medical evaluation.
We’re graduating doctors who:
❌ don’t know ACR appropriateness
❌ learn imaging late
❌ yet still rely on it for EVERYTHING
Make it make sense 🤯
New podcast episode just dropped 🎙️
This one’s about fixing the educational system, not blaming the learner 👇
🌶️Hot take:
You can’t expect interns to “know imaging” if you teach it like an elective.
New ✨Contrast & Clarity✨ with the @JACRJournal episode just dropped 🔥
Radiology isn’t missing from med ed—
it’s just in the wrong place.
Let’s fix that. 👇
🎧Listen now wherever you get your podcasts: shorturl.at/39Tn4@PennRadiology@PennRadRes#Radre#Radiology#MedTwitter
As a former U.S. Surgeon General who held an active medical license and practiced medicine while in the role (at Walter Reed and aboard the USS Comfort) it is incomprehensible that the Senate is even considering a nominee for this role who lacks any active license and has never practiced unsupervised. 🤯
Framing measles as an American policy failure is inaccurate and misleading. Under Health and Human Services Secretary Robert F. Kennedy’s leadership, the CDC has surged resources, including vaccines and therapeutics, nationwide to support state and local response efforts and contain outbreaks. We are setting the global standard for public health. -Dr. Ralph Abraham, CDC’s Principal Deputy Director
How this brutal winter storm is possible with climate change – and possibly even more likely | CNN share.google/jovet6e3yiweZSV…
Unfortunately, Don is probably too obtuse to pass an intro to meteorology course.
Trump: "Record Cold Wave expected to hit 40 States. Rarely seen anything like it before. Could the Environmental Insurrectionists please explain — WHATEVER HAPPENED TO GLOBAL WARMING???"