[GUEST ACCESS MODE: Data is scrambled or limited to provide examples. Make requests using your API key to unlock full data. Check https://lunarcrush.ai/auth for authentication information.]

[@realdocspeaks](/creator/twitter/realdocspeaks)
"1. Allow docs to own hospitals X. Site neutral payments X. Eliminate Stark laws X. Have patients pay cash for routine outpatient care though expanded HSA X. limit health insurance to rare and catastrophic events"  
[X Link](https://x.com/realdocspeaks/status/1980788301935043034) [@realdocspeaks](/creator/x/realdocspeaks) 2025-10-22T00:08Z 8158 followers, 6050 engagements


"@SBlake2000 The DOJ only files charges against those they are told to go after. The big guys are safe"  
[X Link](https://x.com/realdocspeaks/status/1930711145268040091) [@realdocspeaks](/creator/x/realdocspeaks) 2025-06-05T19:39Z 8152 followers, XX engagements


"We are subsidizing mediocrity by allowing the nonprofit scam to continue. The only nonprofits in healthcare should be primary care clinics that are physician owned and located in rural and underserved areas"  
[X Link](https://x.com/realdocspeaks/status/1969762124323852406) [@realdocspeaks](/creator/x/realdocspeaks) 2025-09-21T13:54Z 8156 followers, 6133 engagements


"If you cant afford your deductible you are for all intents and purposes uninsured. But it is worse than being uninsured as you are forced to pay your premiums. If you were uninsured you would have the money you wasted on premiums"  
[X Link](https://x.com/realdocspeaks/status/1977745199884329225) [@realdocspeaks](/creator/x/realdocspeaks) 2025-10-13T14:36Z 8152 followers, 36.9K engagements


"An MBA doesnt qualify you to run a hospital. All you need to do is know how to read financial statements. There are three types of financial statements and since most hospitals are not publicly traded the cash flow statement is of no importance. That leaves you with balance sheets and income statements. Both of these are very simple and easy to understand and much less complex than everything we had to learn in medical school or residency"  
[X Link](https://x.com/realdocspeaks/status/1978971513702514839) [@realdocspeaks](/creator/x/realdocspeaks) 2025-10-16T23:49Z 8155 followers, 18.3K engagements


"Preexisting conditions are not an issue for large group insurance as they don't involve medical underwriting unless you miss the open enrollment period. Medicare Medicaid and other Federal Healthcare programs don't have medical underwriting either. This leaves small group health and the individual market as the ones who perform medical underwriting and therefore pre-existing conditions are a concern. The easiest answer is to loosen the rules on the requirements of groups that can issue insurance. If individuals were able to access the large groups this problem would be eliminated. For example"  
[X Link](https://x.com/realdocspeaks/status/1979260036158288019) [@realdocspeaks](/creator/x/realdocspeaks) 2025-10-17T18:55Z 8158 followers, 4467 engagements


"@terriraimondi @real_dr_mudgil @AndrewHerkert @HealthLeaders @sayhibill @DutchRojas @HeathVeuleman @Cigna @EPotterMD I am sorry that you experienced that with your son. I do follow @epotterMD and the UNH threats to her were chilling. She stood her ground and always puts the needs of her patients before everything else. I look forward to our next chat"  
[X Link](https://x.com/realdocspeaks/status/1979538991251902595) [@realdocspeaks](/creator/x/realdocspeaks) 2025-10-18T13:24Z 8154 followers, XX engagements


"We need to downcode Cigna"  
[X Link](https://x.com/realdocspeaks/status/1979544450918392229) [@realdocspeaks](/creator/x/realdocspeaks) 2025-10-18T13:45Z 8155 followers, 1523 engagements


"@real_dr_mudgil @Cigna I hope you didnt print the email think about the environment just not the patient"  
[X Link](https://x.com/realdocspeaks/status/1979610236861526048) [@realdocspeaks](/creator/x/realdocspeaks) 2025-10-18T18:07Z 8142 followers, XXX engagements


"Direct primary care isnt concierge medicine for the rich its medicine that actually makes sense. Access. Simplicity. No middlemen. #healthcare #directcare #patientfirst"  
[X Link](https://x.com/realdocspeaks/status/1979654100259066303) [@realdocspeaks](/creator/x/realdocspeaks) 2025-10-18T21:01Z 8155 followers, 5169 engagements


"This is what a valuable health plan looks like It is different from the standard fully insured plan that serves the best interest of the insurance company and penalizes patients and plan sponsors"  
[X Link](https://x.com/realdocspeaks/status/1979748925688144208) [@realdocspeaks](/creator/x/realdocspeaks) 2025-10-19T03:18Z 8135 followers, XXX engagements


"@Michaelstm23 ESI is owned by Cigna and that should never be allowed"  
[X Link](https://x.com/realdocspeaks/status/1980063883164545387) [@realdocspeaks](/creator/x/realdocspeaks) 2025-10-20T00:09Z 8144 followers, XX engagements


"Thanks for a great rundown. The market is overvalued and there will be a painful decline soon. This is how to prepare for the downturn if you arent a trader: X. Dont invest any money in equities that you will need in the next five years. X. Assume that your money invested in equities can decrease up to XX% in the short run. X. Have five years worth of living expenses in cash or bonds. X. If you will sell in a downturn or buy too much in an upturn you should higher a competent money manager. You pay them to protect your self from yourself. X. Never look at account statements on bad days 6."  
[X Link](https://x.com/realdocspeaks/status/1980261502251634692) [@realdocspeaks](/creator/x/realdocspeaks) 2025-10-20T13:15Z 8158 followers, XXX engagements


"@ShivenChabria @InternetCPA Nowhere I am familiar with"  
[X Link](https://x.com/realdocspeaks/status/1980410569485328538) [@realdocspeaks](/creator/x/realdocspeaks) 2025-10-20T23:07Z 8153 followers, XX engagements


"Canada is a disaster. The US is the safety valve for patients in Canada who don't want to wait forever for their care. You obviously aren't in healthcare or you would know that. Switzerland has about X million people and Florida has about XX million Most of the foreign-born people are from neighboring countries and the majority of people are Christian. The ACA is the best evidence that the Federal government is inept when it comes to health care. Obama promised families would save $2500 annually and the ACA would reduce the deficit. The ACA has increased the costs of plans and has made the"  
[X Link](https://x.com/realdocspeaks/status/1980447218600423481) [@realdocspeaks](/creator/x/realdocspeaks) 2025-10-21T01:33Z 8154 followers, 4380 engagements


"@josonenine @brian_lecher @real_dr_mudgil @AndrewHerkert @HealthLeaders @sayhibill @DutchRojas @HeathVeuleman @Cigna Good for you and your patients"  
[X Link](https://x.com/realdocspeaks/status/1980060712023277689) [@realdocspeaks](/creator/x/realdocspeaks) 2025-10-19T23:57Z 8159 followers, XX engagements


"@FixnBones The system is reaching the tipping point soon and we will either have a complete takeover by the government or we will move to the above solutions. Literally we have to decide between hell or heaven"  
[X Link](https://x.com/realdocspeaks/status/1980826453035086228) [@realdocspeaks](/creator/x/realdocspeaks) 2025-10-22T02:40Z 8158 followers, XXX engagements


"There are a couple of areas of reform that will work. The first is that physicians can work directly with self-funded employers and cut out the insurance companies completely. This can be done with a transparent third-party administrator (TPO) and a transparent PBM. Finding a network of independent physicians is vital for these companies. The other avenue is that if the above works it would put pressure on Congress to do something useful for "We the People" and pass free market health reforms"  
[X Link](https://x.com/realdocspeaks/status/1981098027159843248) [@realdocspeaks](/creator/x/realdocspeaks) 2025-10-22T20:39Z 8158 followers, 1067 engagements


"Physicians spent X hours of EHR time per every eight hours of patient time. Most of this time is constructing the record as the EHRs are very inefficient. The point of the EHR generated medical record is to maximize billing and not to optimize the clinical care. Infectious disease physicians spend XX hours of EHR time per X hours of patient time. This isnt time spent reviewing records and labs. Prior to the EHR I dictated my notes and the construction of the medical record took me a few minutes. That allowed me time to interact with patients ask them what they needed from me and provide"  
[X Link](https://x.com/realdocspeaks/status/1977515322207863209) [@realdocspeaks](/creator/x/realdocspeaks) 2025-10-12T23:22Z 8159 followers, 17K engagements


"When does the delay and deny activities of insurance companies become a wide spread default on their responsibilities under the insurance contracts The payers have taken the premiums and should not be allowed to reject claims without careful evaluation of the claim by a competent physician. That is not what is commonly occurring now"  
[X Link](https://x.com/realdocspeaks/status/1979290600106086409) [@realdocspeaks](/creator/x/realdocspeaks) 2025-10-17T20:57Z 8161 followers, 1460 engagements


"This is a powerful post and more physicians should drop out of Cigna if they are having issues with denials. If you do drop out let the employers know and maybe the employers will switch to an independent TPA. Independent physicians should ally with independent TPAs"  
[X Link](https://x.com/realdocspeaks/status/1979949974495322214) [@realdocspeaks](/creator/x/realdocspeaks) 2025-10-19T16:37Z 8161 followers, XXX engagements


"This report reveals that per Open Secrets XX% of Congressional incumbents running for office and XXX% of Senators running for office have taken money from the large health insurance companies. This means that XXX% of the US Senate should be disqualified from voting on the continuation of the ACA subsidies. These contributions are not considered bribes by the people receiving them. They clearly are money for votes and should not be allowed. Any Senator who claims the moral high ground on ACA subsidies is merely repeating the talking points of their masters @DutchRojas @physicianhosp"  
[X Link](https://x.com/realdocspeaks/status/1980382362333769873) [@realdocspeaks](/creator/x/realdocspeaks) 2025-10-20T21:15Z 8158 followers, 187.5K engagements


"Peter Marks former head of the Center for Biologics Evaluation and Research has taken a position at Eli Lilly. He will head up Infectious Disease drugs. This highlights the revolving door between the FDA and the industry they are supposed to regulate. Marks overruled a committee and approved Elevidys a gene therapy for Duchenne Muscular Dystrophy. There was a voluntary halt to the production of Elevidys when three children died while on the medication. The drug is now back in production. We need to close the revolving door between the FDA and the pharmaceutical industry to restore public"  
[X Link](https://x.com/realdocspeaks/status/1976031966396047438) [@realdocspeaks](/creator/x/realdocspeaks) 2025-10-08T21:08Z 8159 followers, XXX engagements


"When your doctor works for younot a hospitalyou get real care not corporate protocol. But independent physicians are disappearing fast. #healthcare #doctors #policy"  
[X Link](https://x.com/realdocspeaks/status/1978204347520475229) [@realdocspeaks](/creator/x/realdocspeaks) 2025-10-14T21:00Z 8159 followers, 5937 engagements


"@Darwinismlives At the very least there is a huge conflict of interest that should preclude any of them from voting on this issue"  
[X Link](https://x.com/realdocspeaks/status/1980410307848859921) [@realdocspeaks](/creator/x/realdocspeaks) 2025-10-20T23:06Z 8158 followers, 4243 engagements


"$12000 for a CT That must be the record. Good luck trying to get out of an ER without a CT scan"  
[X Link](https://x.com/realdocspeaks/status/1980717155823034874) [@realdocspeaks](/creator/x/realdocspeaks) 2025-10-21T19:25Z 8158 followers, 2921 engagements


"Yes they did and that is why doctors need to join the @physicianhosp the only organization that represents doctors"  
[X Link](https://x.com/realdocspeaks/status/1981096188939055168) [@realdocspeaks](/creator/x/realdocspeaks) 2025-10-22T20:31Z 8158 followers, 1370 engagements


"Democrats are fighting to hide the fact that the exchanges and the ACA aren't affordable and have failed. They are also fighting to continue tax subsidies to Fortune XXX insurance companies"  
[X Link](https://x.com/realdocspeaks/status/1981098530149453885) [@realdocspeaks](/creator/x/realdocspeaks) 2025-10-22T20:41Z 8158 followers, XXX engagements


"@Jamie_WB4YDL The world of cardiologists has changed dramatically since I graduated from medical school in 1985. The interventional cardiologist can perform amazing feats"  
[X Link](https://x.com/realdocspeaks/status/1981141132433379821) [@realdocspeaks](/creator/x/realdocspeaks) 2025-10-22T23:30Z 8158 followers, XX engagements