Radiation exposure in a slightly different way today … #IRad #IRadDad

With the first plane, people still thought, or hoped, that it was a crazy accident and people could be saved from the fire. When the second plane hit you could hear entire TV studio crews gasp loudly on air. That was when everyone instantly knew 9/11 was a terrorist attack.

Never forget

Official Statement Regarding Western Michigan - Michigan Football Game 🗒️: bit.ly/4cxOiYH

The Hawk Harrelson home run call returns on #SundayNightBaseball! 😂

White Sox minority owner Justin Ishbia has released renderings for a potential new stadium along the Chicago River 👀

Big Saturday morning news dump from Justin Ishbia's development company, officially staking a claim for a new Sox ballpark in what they're calling The Railyards next to The 78. Here are some renderings. Story coming.

New: First look at Chicago White Sox owner-in-waiting Justin Ishbia’s vision to redevelop Amtrak’s rail yard in the South Loop, including a new ballpark facing the Loop with a narrow right field wall along the Chicago River. W/@DannyEcker

Beautifully defining the ugly problem. Govt meddling in the private sector alters a free market. Costs ⬆️ as money flows in w/ no place for correction. Education, healthcare, etc. The problem ➡️ govt lies to the public that if they do more, it will help.

JB Pritzker cut a CROOKED backdoor deal to drain $1.1B from our roads for Chicago transit. Now he’s hitting working families with the LARGEST toll hike in state history. Fire Pritzker. Save our state.

BREAKING: @GovPritzker's tollway board unanimously approved the largest increase on tolls in Illinois history, despite 76% of public comments opposing the plan. The increase will come out to about $225 in extra costs for a typical commuter, starting Jan. 1. Starting in 2029, tolls will automatically increase every two years based on inflation without another board vote. The @ILTollway's board members were appointed by Pritzker, who is also an ex officio member, and include the president-business manager of International Union of Operating Engineers Local 150 and the business manager of the Chicago & Vicinity Laborers’ District Council.

Admin playbook: how can we make the hospital more like @Google headquarters ? …

RT if your team is currently leading their division!

NEW: The Chicago Board of Education today voted 11-7 to pass a $10B budget that the district’s own superintendent and CFO said is unbalanced, with every yes vote backed by Mayor Brandon Johnson and the Chicago Teachers Union. The budget assumes $150M in additional revenue from the state that will almost certainly not arrive. This recklessness threatens credit downgrades in the immediate term and financial chaos in a matter of months. But as the below clip of Stacy Davis Gates shows, that’s on purpose. Creating a crisis is the point. CTU leadership is setting the city’s house on fire and hoping insurance pays out.

Youth sports went completely insane at some point over the past several years. Parents spending thousands of dollars, devoting multiple days a week, traveling all around, all so their kid can obsessively play a particular sport and then graduate high school and never play it again. I actually think the “everybody’s a winner, the score doesn't matter” approach was preferable to this. Bring back the participation trophies if this is the alternative.

I'm a cardiologist. I've spent twenty years inside American healthcare, and I'll say the quiet part first: the system is indefensible. We spend roughly 18% of GDP on health care — the highest on earth — and have a lower life expectancy than countries spending half as much. Medical bills are a leading cause of bankruptcy. I have patients rationing insulin. I fight prior authorizations for medications that prevent heart attacks and imaging that finds cancer early. Anyone defending the status quo isn't practicing medicine. They're profiting from it. So why am I not for #MedicareForAll ? Because I've watched what government-run health care actually does — from inside the exam room. Denial doesn't disappear. It changes uniforms. Insurers deny by prior authorization. Single-payer systems deny by waiting list. Canada's median wait from referral to treatment has run over 25 weeks. The UK's NHS backlog has hovered around 7 million. When you eliminate the price signal, you don't eliminate rationing — you just move it from a claims department to a queue, and queues are invisible. Nobody sues a waiting list. Medicare rates don't cover the cost of care. Hospitals lose money on Medicare and Medicaid and make it back on private insurance. Extend Medicare rates to everyone and that cross-subsidy vanishes overnight. Rural hospitals go first. Independent practices consolidate into hospital systems. The physicians I know would retire early, and the smartest students would go elsewhere. You can legislate coverage. You cannot legislate a doctor into existing. The fraud problem is already staggering. HHS loses an estimated $100 billion a year. Investigators found a hotel in Los Angeles where every room was a registered hospice with zero patients — just addresses billing Medicaid. If we can't police the programs we have, scaling to the entire country isn't reform. It's a bigger target. And the innovation math is real. Just this month: the first oral PCSK9 inhibitor approved, five Lp(a) drugs in late-stage trials, engineered immune cells that clear arterial inflammation. Americans overpay for drugs, and that overpayment subsidizes global R&D. Crush prices to European levels and something has to give. I'd rather fix the pricing abuse than gamble the pipeline. What I'd actually do, and none of it requires a $30 trillion bet: Real price transparency, enforced — you can't have a market where nobody sees prices. Break the employer link so insurance is portable and you don't lose coverage with your job. Expand HSAs and direct primary care — my colleagues doing it spend more time with patients and charge less. Break the PBM middlemen inflating drug costs. Site-neutral payments so a hospital can't charge triple for the same test. AI-driven fraud auditing — flag every provider billing 10 standard deviations above peers and audit them. Universal catastrophic coverage so nobody goes bankrupt from cancer. Now the honest counterpoint, because you deserve it: the strongest case for single-payer is administrative. Private insurers run 15-25% overhead. Traditional Medicare runs 2-3%. Most published economic analyses do project net savings. And every peer nation with universal coverage spends dramatically less than we do. Those aren't talking points — they're real findings that my side has to answer. I just don't believe the answer to a bureaucracy that denies your care is a bigger bureaucracy that can't be sued. Fix the prices. Fix the fraud. Cover the catastrophes. Don't hand the whole thing to the same people who couldn't notice 29 hospices in one hotel.

The current system of behemoth health systems charging $100 for a tylenol pill administered in a hospital setting, $10,000 for a 2 hour ER visit where you got fluids explained in a chart. Payment to physicians is down 33% from Medicare since 1992. But Medicare spending in the same interval is up 615%. Where did it go ? It was primarily hoovered up by the health systems and health insurance companies... which means physicians flooding into hospital employment so they can get a portion of those payments. (Employed physicians should show this chart to the people who decide how many $$ their RVUs are worth) Obamacare then banned physicians from owning hospitals which means zero competition. These massive health systems essentially set their prices for the commercial insurance market because they are the only game in town which has lead to an increasing portion of American's incomes being sucked up by insurance. The health systems behave like most monopolies -- gloriously inefficient bureaucratic nightmares that the maligned physician widget has to massage every day to take care of patients. Your patient has a subdural hematoma and needs to go emergently to the OR at 2 am? That will be 100 clicks and a talking to at 9 am when the admin unit notices a click was missed.

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… 🤔🤨😒

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