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@DrDiGiorgio
"No country aside from Canada has a universal single payer. You have a wide range with countries like Switzerland lacking any sort of government payer and Germany with hundreds of different payers"
X Link @DrDiGiorgio 2025-10-14T19:14Z 11K followers, 6977 engagements
"@Oliver9LH Yes Im aware of this. And my understanding was that Canada specifically outlaws duplicative private insurance to jump queue"
X Link @DrDiGiorgio 2025-10-15T04:48Z 11K followers, XX engagements
"I dont like insurance companies so lets do communism"
X Link @DrDiGiorgio 2025-10-14T03:07Z 11K followers, 14.9K engagements
"Mariah looks like a relatively healthy young person. She would have been able to buy a very cheap catastrophic plan before the ACA made that illegal"
X Link @DrDiGiorgio 2025-10-09T00:40Z 11K followers, 55.8K engagements
"Can we please stop repeating the myth that government provided healthcare has low overhead Medicare is the entire reason our healthcare system is so inefficient. Medicare gave us centrally planned physician and hospital reimbursement and all the inefficiencies that come with it. It offloads is overhead on doctors and hospitals with documentation and compliance requirements. It gave us site specific payments and numerous other subsidies that put a thumb on the scale of large hospital systems. It imposes onerous quality metric and data reporting mandates. It gave us stark law and a ban on"
X Link @DrDiGiorgio 2025-10-13T16:39Z 11K followers, 18.7K engagements
"@ManyMen92611 @realdocspeaks What VIP service The lack of the surgeon lounge or the lack of a parking space or the constant belittling by administrators"
X Link @DrDiGiorgio 2025-10-16T21:24Z 11K followers, XX engagements
"If the government was better at providing goods and services than the private market communism would have worked. It didnt. You need working price signals to distribute resources efficiently. Central planning simply cant do it. Private companies providing services is far more efficient than the government. Healthcare is not a special good. Medicare for all would be far more wasteful than private markets"
X Link @DrDiGiorgio 2025-10-09T19:26Z 11K followers, 6585 engagements
"@Oliver9LH Did it duplicate coverage or was it supplemental for things not covered by the Canadian single payer system"
X Link @DrDiGiorgio 2025-10-15T01:55Z 11K followers, XX engagements
"Medicare has low overhead The reality:"
X Link @DrDiGiorgio 2025-10-11T14:30Z 11K followers, 35.1K engagements
"Surgeons have preference cards for each type of surgery we do. It tells the OR staff how we want our room set up which types of instruments what kind of sutures etc. But hospital systems will make surgeons re-enter much of that information when we book a case in the computer. Then theyll request an email the week before to ensure they have all the right stuff. Then theyll text the surgeon the day before the case to ensure they have all the right stuff. Then theyll still get it wrong. That doesnt happen at a surgeon owned hospital or ASC. They realize all that redundancy costs money and is"
X Link @DrDiGiorgio 2025-10-15T16:03Z 11K followers, 126.2K engagements
"You're a neurosurgeon covering a small community hospital a few days a month. Every few months you get put on suspension and have to go through administrative song & dance to get privilges reinstated. The offense Not cosinging the occasional stray order or PA note. You ask them to just send a notification if there are outstanding things to click before putting you on suspension. The answer: "no you must log in weekly to check your inbox." You ask if they could please just email a heads up. You'll be happy to check the boxes but logging in (which requries various layers of lengthy passwords"
X Link @DrDiGiorgio 2025-10-10T20:04Z 11K followers, 63.2K engagements
"This is not medical advice. But dont do this"
X Link @DrDiGiorgio 2025-10-16T14:55Z 11K followers, 37.6K engagements
"The median American pays about $17k annually combined for health insurance Medicare and social security. Take that money and let individuals invest it in a fund earmarked for healthcare and retirement. Let them purchase whatever insurance coverage they want with those dollars and use them for out of pocket expenses. Conservative market returns gives the median American $2M-$4M (inflation adjusted) by retirement. Instead of government doling out a pittance for social severity Americans could control their own money. Instead of Medicare dictating what kind of care seniors can access Americans"
X Link @DrDiGiorgio 2025-10-14T18:00Z 11K followers, 10.4K engagements
"The reason your degrees cost that much is because there were no student loan caps"
X Link @DrDiGiorgio 2025-10-12T23:08Z 11K followers, 51K engagements
"Health insurance has become a prepaid healthcare plan. Mandating things like preventative care and contraception means its not insurance at all. You cant use an insurance model for things that are guaranteed expenditures. XX% of healthcare transactions should be outside the insurance or third party payment framework. The median healthcare spending for Americans is just around $XXX annually. Most Americans can afford that out of pocket. Its less than the median spending on coffee or streaming services or food delivery. Just provide cash equivalent for those who cant afford it"
X Link @DrDiGiorgio 2025-10-13T16:48Z 11K followers, 18.2K engagements
"This is the end result of Medicare for all"
X Link @DrDiGiorgio 2025-10-15T23:03Z 11K followers, 12.3K engagements
"Speaker Johnson is correct here. It gets a bit wonky though. Prior to HR1 hospitals would get reimbursed for emergency care for illegal immigrants through Medicaid. State medicaid programs have a portion of their spending reimbursed by the federal government. This is called the FMAP. For traditional Medicaid beneficiaries the FMAP varies by state between 50-80%. So a pregnant woman in CA has only XX% of her costs reimbursed by the federal government while CA covers the rest. For illegal immigrants using emergency services XX% is reimbursed by the federal government. So states with a lot of"
X Link @DrDiGiorgio 2025-10-06T16:26Z 11K followers, 87.8K engagements
"@L8rG8r007 Nobody lets healthcare be a market. That doesnt mean it wont work"
X Link @DrDiGiorgio 2025-10-14T22:05Z 11K followers, XXX engagements
"Want universal healthcare Make it so cheap you dont need insurance"
X Link @DrDiGiorgio 2025-10-09T04:38Z 11K followers, 41.8K engagements
"Doctors need to be allowed to just build things. Compare that Huajian Grand Canyon Bridge in China everyone is fawning over to CA high speed rail. US healthcare is the CA high speed rail. Doctors aren't allowed to just build things. We are faced with headwinds from policy at the federal and state level. Insane Medicare conditions of participation stark law certificate of need law. all stopping us from building and owning the means of healthcare delivery. You want reduced healthcare costs and increased access to care Just let doctors build. Read more in my latest below"
X Link @DrDiGiorgio 2025-10-15T18:23Z 11K followers, 5365 engagements
"@TolmachovVasily Yep thats essentially what Singapore does"
X Link @DrDiGiorgio 2025-10-13T23:41Z 11K followers, XXX engagements
"Medicare and social security are Ponzi schemes enforced at the point of a gun"
X Link @DrDiGiorgio 2025-10-06T23:13Z 11K followers, 5659 engagements
"Shoveling subsidies at healthcare doesnt make it less expensive. It makes it more expensive by expanding the transaction costs and shifts the costs to taxpayers. The chart below doesnt even account for things like 340B and state Medicaid spending. We have to increase competition so we can actually drive down the underlying cost drivers of healthcare. Hospital consolidation is the biggest driver of this and needs to be reversed. Reform 340B implement site neutrality allow POH and eliminate CON"
X Link @DrDiGiorgio 2025-10-11T22:53Z 11K followers, 11.3K engagements
"Love that @mcuban realizes that doctors and nurses arent the ones benefitting in the current healthcare climate. But many of us would love to do XX surgeries in a day. If we have a backlog of patients that stretches for months more surgery means more patients get the care they need. Instead sclerotic hospitals with no competitive pressure throttle the amount of surgery we can do. Patients sit around occupying inpatient beds for days or weeks because the OR is so inefficient they cant find us time to do the case. Our backlogs stretch on for months and patients are suffering while they wait for"
X Link @DrDiGiorgio 2025-10-17T13:29Z 11K followers, 12.7K engagements